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COURT CLERK RECEIPT
S. A. & I. Form No. 222 (2007)
Description
OFFICE OF COURT CLERK
Amount
___________________________________________________ COUNTY
Probate
STATE OF OKLAHOMA
Civil
Misdemeanor
_____________________________________, 20________________
Felony
Traffic
RECEIVED OF __________________________________________
$ ______________________________
Divorce
Small Claims
____________________________________________________________________________________DOLLARS
Juvenile
Adoptions
CASE NO. _______________________________
PURPOSE _________________________________
Marriage License
Other License
STYLE OF CASE ______________________________________________________________________________
Miscellaneous
TOTAL
__________________________________
By _______________________________________________
COURT CLERK
DEPUTY
METHOD OF PAYMENT
CASH
$____________________
PERSONAL CHECK $___________________
MONEY ORDER
$_________________
CREDIT CARD
$____________________