Free Consent to Jurisdiction by US Magistrate Judge - District Court of Connecticut - Connecticut

Case 3:03-cv-OO998—JGl\/I Document 10 Filed O2/13/2004 Page 1 of 1
AO B5 (Rev. BJQTI Notice. Consent. and Order ot Reterenoe — Exercise ot Jurisdiction by a United States E agrstrate Judge
UNITED STATES DISTRICT COUFRT
District of
CONNECTICUT I
NOTICE. CONSENTZI AND ORDER OF REFERENCE —
CARTEGENA _ EXERCISE OF .IURIIۤDIC'I`ION BY A UNFFED STATES
MAGISTRATE JUDQEE
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cse Numbcc srotevooe (JBA) I 2
THAMES VALLI-EY" I
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NOTICE OF AVAILABILITY OF A UNITED STATES MAIGISTRATE JUDGE
TO EXERCISE J URISDICT ION ?
tn t10C0fdance with the provisions of 28 LI.S.C. g36(c), and Fed.R.Civ.R 73, you are hereby notified that United States
magistrate judge of this district coun isavailable to conductiany or all proceedings in this we including a jury or nonjury trial. and
to order the entry of a final judgment. Exercise oh this jurisdiction by a rnag`_ rate judge is. however, permitted
only if all parties voluntarily consent. ·· `
You may. without adverse substantive consequences. withhold your consent. but t is will prevent the courts jurisdiction
from being exercised by a magistrate judge. If any party withhold; consent, the identity o the panics consenting 0r withholding I
consent will not be communicated to any magistrate judge or to the district judge to wh m the cast: has been assigned. I
An appeal from a judgment entered by a magistrate judge shalt be taken directly Io the United States court of appeals
for this judicial circuit in the same manner as an appeal from any other judgment of a district court.
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CONSENT TO THE EXERCISE OF JURISDICTION BY A UNITED STATES IWAGISTRATE
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In accordance with the provisions of 28 U.S.C. 636(c) and Fed.R.(.`iv.R 73. the gentes in this case hereby voluntarily I
consent to have a United States magistrate judge conduct any and all further procee aings in the case. including the trial, I
order the entry of a final judgment. and conduct all post—judgmcnt proceedings. I I
Signatures Party Represented Date
r£`t·=-»4»·»I.4 g;@¤-¢-ea! !Sg;&y=¢¤_;~gj § i l*·=—“g W"/Q i_ I
..._( [;°"°`“"‘°""""' il§,\§i\¢`c` Stslltkjag Ei“ I I I
This matter has been transferred to a I
».. in 4_ "'""`_ magistratejudgp. All future filings should be
. filed at the seat bf court where the magistrate I
ri ...·. z i_‘‘ T ORDER OF judge sits and the case number must be
i"""‘i. E. i, I W; followed by the magistrate judge’s initials.
t'I` IS ORDERED that this case be referred t i C
United Statcs·M=agist`}.3.te for all further proceedings at ·
Fcd.R.C`iv.Il 73 and the foregoing consent of the parties.
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Dgtg JBHQC %l"ld AKEEEITEOD r United States District Judgel
NOTE: RETURN THIS FORM TO THE CLERK OF THE COURT OLIEY IF PARTIES HAVE (`ONSENTED
(LSJTIIS FORM TO THE EXER<`ISE OF ILIRISI)I('I‘ION HY A UNITE STATES MA(}IS‘I'R;¤II"E JUDGE- I
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