OSCA (12-94) CV70
1 of 1
Rule 81 12, 81 14
IN THE CIRCUIT COURT
OF
COUNTY, MISSOURI
Case Number:
Judge or Division:
Court ORI Number:
Petitioner:
DOB:
vs.
(Date File Stamp)
Respondent:
DOB:
Civil Case on Appeal - Legal File Certified Copies
To be filled out by the Appellant:
Pursuant to Supreme Court Rule 81.12 (c), I request that the
clerk prepare certified copies of
the following court documents
so that I may prepare the legal file in this appeal:
The pleadings upon which the action was tried
The judgment, order, and/or verdict appealed from (including the findings of the court or jury)
Motion after judgment (listed below)
Orders after judgment (listed below)
The notice of appeal (with its date of filing)
Others (please list)
Requested by (signature)
Attorney For
Date
Address
Certificate of True Copy
I certify that the enclosed documents identif
ied above are full, true, and complete copi
es of the original
records or entries o
n
file and in my office in the case identifie
d above, as requested by the appellant.
Witness my hand and the seal of said Circuit Court on
(date).
Circuit Clerk
