Form Ao 430 - Case Information Record - Administrative Office Of The United States Courts

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Administrative Office of the United States Courts
PAGE NO.
O
AO 430
(Rev. 12/03)
CASE INFORMATION RECORD
DATE
TIME
OPERATOR
PHONE NUMBER
TAPE NUMBERS
FROM
TO
CASE NUMBER
PRESIDING JUDGE
DISTRICT
OFFICIAL’S TITLE
G
G
DISTRICT JUDGE
OTHER (Specify)
G
LOCATION
BANKRUPTCY JUDGE
______________________________
G
MAGISTRATE JUDGE
TYPE OF PROCEEDING
JURY
G
G
YES
NO
G
G
G
G
PLAINTIFF
OTHER (Specify)
DEFENDANT
OTHER (Specify)
_____________
G
G
G
DEBTOR
GOVERNMENT
CREDITOR
___________________________
CHANNEL
MICROPHONE
A. Presiding Judicial Official
B.
1
(J)
A. Witness
B.
2
(W)
A. Plaintiff/Debtor/Government
B.
3
A. Defendant/Creditor
B.
4
APPEARANCES FOR THE
GOVERNMENT/PLAINTIFF/DEBTOR
DEFENDANT/CREDITOR
1. ATTORNEY NAME
PHONE NUMBER
1. ATTORNEY NAME
PHONE NUMBER
FIRM NAME
FIRM NAME
FOR PLAINTIFF/DEBTOR:
FOR DEFENDANT/CREDITOR:
ADDRESS
ADDRESS
CITY
STATE
ZIP CODE
CITY
STATE
ZIP CODE
2. ATTORNEY NAME
PHONE NUMBER
2. ATTORNEY NAME
PHONE NUMBER
FIRM NAME
FIRM NAME
FOR PLAINTIFF/DEBTOR:
FOR DEFENDANT/CREDITOR:
ADDRESS
ADDRESS
CITY
STATE
ZIP CODE
CITY
STATE
ZIP CODE
3. ATTORNEY NAME
PHONE NUMBER
3. ATTORNEY NAME
PHONE NUMBER
FIRM NAME
FIRM NAME
FOR PLAINTIFF/DEBTOR:
FOR DEFENDANT/CREDITOR:
ADDRESS
ADDRESS
CITY
STATE
ZIP CODE
CITY
STATE
ZIP CODE
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