STATE OF INDIANA
)
) SS:
IN THE DELAWARE CIRCUIT COURT NO.
COUNTY OF DELAWARE
)
Plaintiff/Petitioner
vs.
Defendant/Respondent
CAUSE NO. 18C0
RECEIPT OF EVIDENCE
Comes now the plaintiff/petitioner defendant/respondent in the above-captioned case and verifies receipt of the following evidence/exhibits from the court reporter/assistant court reporter:
DATED:
Plaintiff/Petitioner/Defendant/Respondent Signature
DATED:
Court Reporter/Assistant Court Reporter Signature