COURT OF COMMON PLEAS
IN THE COURT OF COMMON PLEASDOMESTIC RELATIONS DIVISIONMEDINA COUNTY, OHIO FORMTEXT ?????)CASE NO. FORMTEXT ?????Plaintiff/Petitioner-1))JUDGE MARY R. KOVACKvs.)) FORMTEXT ?????)NOTICE OF SUBMISSIONDefendant/Petitioner-2)On this date FORMTEXT ?????the following was submitted to the Court on behalf of the FORMCHECKBOX Plaintiff FORMCHECKBOX Defendant FORMCHECKBOX Other FORMTEXT ????? FORMCHECKBOX Financial source documents. FORMCHECKBOX Social Security Number. FORMCHECKBOX Confidential address. FORMCHECKBOX Paternity test results. FORMCHECKBOX Guardian Ad Litem report. FORMCHECKBOX Medical record. FORMCHECKBOX Psychological report. FORMCHECKBOX Hair follicle/urinalysis report. FORMCHECKBOX Drug/alcohol assessment. FORMCHECKBOX Case Services Assessment report. FORMCHECKBOX Supervised Parenting Time and Safe Exchange Center report. FORMCHECKBOX Parenting Coordinator report. FORMCHECKBOX CPO Report for law enforcement. FORMCHECKBOX Ohio Courts Network Report. FORMCHECKBOX CSEA IV-D application. FORMCHECKBOX Other: FORMTEXT ?????RESPECTFULLY SUBMITTED:Signature FORMTEXT ?????Name and Attorney Registration No. FORMTEXT ?????Address FORMTEXT ?????Telephone FORMTEXT ?????E-mail addressCERTIFICATE OF SERVICEThis is to certify that a copy of this Notice of Submission was served by regular U.S. mail, postage prepaid, this FORMTEXT ????? day of FORMTEXT ? ????, 20 FORMTEXT ?????, to the following: FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Signature Date ................
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