Approved, SCAO
PROBATE JDC CODE: WJC Original - Court 1st copy - Witness/Juror
STATE OF MICHIGAN
JUDICIAL DISTRICT JUDICIAL CIRCUIT COUNTY PROBATE ORI
CASE NO. WITNESS/JUROR CERTIFICATE
Court telephone no.
Court address
MI-
The State of Michigan THE PEOPLE OF v
Defendant's name, address, and telephone no.
CTN Plaintiff's name
SID
DOB
Juvenile Probate
In the matter of In the matter of
TO:
Disbursing authority of the
city
county
township
village
Statute Ordinance Civil Juvenile Code
WITNESS CERTIFICATE This certifies the following person was a witness in the above action and is entitled to the witness fee and mileage shown below: TO:
Name and address
Days served: Miles:
$ $
Total fees and mileage: $ 0.00
Approved Date Court clerk/Authorized official
JUROR CERTIFICATE This certifies the following person was a juror in the above action and is entitled to the juror compensation shown below: TO:
Name and address
Days served: Miles:
$ $
Total pay and mileage: $ 0.00
Date
Court clerk/Authorized official
RECEIPT The above fee/compensation was received by me on
Date Signature MC 201 (4/89)
.
WITNESS/JUROR CERTIFICATE