IN THE DISTRICT COURT OF _______________________________COUNTY, KANSAS
__________________________,
Party Identifier______________, Case No._________________________
v. Appeal No. _______________________
__________________________,
Party Identifier______________.
ACKNOWLEDGMENT OF RECEIPT OF
ESTIMATED COST OF TRANSCRIPT
The estimated cost of preparation of transcript in the above-captioned matter was
received by me on this _____day of ______________ 20___.
/s/ ______________________________, CCR/CSR
Official Court Reporter
CCR/CSR No. _________
____________________________________
____________________________________
____________________________________
____________________________________
CERTIFICATE OF SERVICE
I, ________________________, CCR/CSR, hereby certify that I filed the original of the
above and foregoing ACKNOWLEDGMENT OF RECEIPT OF ESTIMATED COST OF
TRANSCRIPT electronically with the Clerk of the District Court and that I served a true and
correct copy on this __________day of _________________________, 20____, to:
Clerk of the Appellate Courts
Via _________, ________________________________________________________________
_____________________________________________________________________________
Attorney/Party Name ____________________________________________________________
Attorney for: ___________________________________________________________________
Via _________, ________________________________________________________________
______________________________________________________________________________
Attorney/Party Name ____________________________________________________________
Attorney for: ___________________________________________________________________
Via _________, ________________________________________________________________
______________________________________________________________________________
Attorney/Party Name ____________________________________________________________
Attorney for: ___________________________________________________________________
Via _________, ________________________________________________________________
______________________________________________________________________________
Attorney/Party Name ____________________________________________________________
Attorney for: ___________________________________________________________________
Via _________, ________________________________________________________________
______________________________________________________________________________
Attorney/Party Name ____________________________________________________________
Attorney for: ___________________________________________________________________
Via _________, ________________________________________________________________
______________________________________________________________________________
Attorney/Party Name ____________________________________________________________
Attorney for: ___________________________________________________________________
Via _________, ________________________________________________________________
______________________________________________________________________________
Attorney/Party Name ____________________________________________________________
Attorney for: ___________________________________________________________________
Via _________, ________________________________________________________________
______________________________________________________________________________
Attorney/Party Name ____________________________________________________________
Attorney for: ___________________________________________________________________
Via _________, ________________________________________________________________
______________________________________________________________________________
Attorney/Party Name ____________________________________________________________
Attorney for: ___________________________________________________________________
Via _________, ________________________________________________________________
______________________________________________________________________________
/s/______________________________, CCR/CSR
Official Court Reporter
Revised 8/2/18