Mendocino — MEX-171

Source: https://www.mendocino.courts.ca.gov/system/files/forms-and-filings/mex-171.pdf

FOR COURT USE ONLY SUPERIOR COURT OF CALIFORNIA, COUNTY OF MENDOCINO

Ukiah Branch, 100 North State Street, Room 107, Ukiah, CA 95482 Ten Mile Branch, 700 South Franklin Street, Room 144, Fort Bragg, CA 95437

Plaintiff,

vs.

Defendant.

CASE NUMBER

EXHIBIT COVER SHEET

I am:

County Counsel District Attorney Probation

Attorney for Minor(s) Attorney for Mother Attorney for Father

ICWA Representative CASA Other:

I am submitting the attached documents and/or photographs as exhibits for the hearing on (date) at (time) in Department . The exhibits are labeled as stated below and, pursuant to local rule 5.8(c)(5), have been served on all parties a minimum of five (5) days prior to the stated hearing.

No. Description of Exhibit

I also submitted directly to the clerk’s office on (date) an electronic media exhibit in the form of a

flash drive CD or DVD Other: which has been appropriately labeled and transcribed pursuant to local rule 5.8(c)(5).

Date:

Print Name Signature

MEX-171 (rev 0525) Mandatory