United States District Court Eastern District of Missouri Eastern Division Fax: 314-244-7909 Phone: 314-244-7900
Copy Request Form and Credit Card Authorization Date: Firm: Address:
Requested by:
Phone:
Credit Card: Card Number: G
____Visa
____Master Card
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Documents Requested -( Copy fee = $.50 per page ) Please identify specific documents and document numbers below:
G G G G
Documents Requested Certified - (Certification Fee = $9.00 per document)
Documents Requested Exemplified - (Exemplification = $18.00 + $.50 per page)
File to be ordered from the archives - (Retrieval fee = $45.00 per file)
Name Search - (Search fee = $26.00 per name) ____Mail ____Pick-up ____Delivery Service (FedEx, UPS)
Please send documents via: Delivery Service Account No.: