Form Hid/gb - Photo Copy Request Of More Than 20 Pages - Hawaii District Court

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PHOTO COPY REQUEST OF MORE THAN 20 PAGES
TO:
CLERK, UNITED STATES DISTRICT COURT
DISTRICT OF HAWAII
300 Ala Moana Blvd. Room C-338
Honolulu, Hawaii 96850
Ph. (808) 541-1300
Fax. (808) 541-1303
I request to have the file(s)/document(s) designated below to be sent to a professional copy
service designated by the Clerk, United States District Court. I will not hold the U.S. District
Court Clerk's Office responsible for any documents that I have not designated below nor for any
photocopy charges that I incur. I understand that I will be billed directly by the professional copy
service at my address and phone number below and that I am responsible for payment to them.
Signature
Date
Name (Print)
Address
Phone
Case Number
Case Title
File Number(s)
I request the following document number(s) or description photocopied:
To follow up on your order and to make arrangement for payment please contact:
Professional Image
1600 Kapiolani Blvd., Suite 120
Honolulu, HI 96814
Ph. (808) 973-4477
For Court use only.
(To be returned to the Clerk’s Office U.S. District Court within 48 hours)
Requested by:
Clerk’s Office, U.S. District Court
Date/Time
Received by:
HID/gb Rev. 10/2011

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