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UNITED STATES DISTRICT COURT DISTRICT OF NEVADA ) ) ) ) ) ) ) ) ) )
CV
CERTIFICATE OF CASH DEPOSIT , herewith tender to the Clerk
(Name of Depositor)
of Court for deposit into the Registry Account of this Court cash in the amount of $ 2. . This Cash Deposit: A. Is tendered on behalf of:
(Name of Party)
;
B. Is in the nature of the following (e.g., Interpleader Deposit, Bond in Support of Temporary Restraining Order, etc.) :
C. Is tendered pursuant to the following Statute, Rule or Court Order:
D. Is conditioned as follows:
1
11/99
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...
3.
The name and address of the Legal Owner of the cash tendered
herewith to whom a refund (if applicable) shall be made is:
State of Nevada County of
) ) ss. )
Dated: Signature of Depositor
, 20 , On personally appeared before me, a Notary Public,
(Name of Depositor) who acknowledged that (s)he executed the above instrument.
NOTARY PUBLIC
Dated: Signature of Attorney for Party or Party Appearing Pro Se (If different from Depositor)
RECEIPT: Cash as identified herein is hereby acknowledged as being received this date. Dated: CLERK, U.S. DISTRICT COURT By: 2
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Deputy Clerk
3