Arbitrators Request For Compensation

SUPERIOR COURT OF WASHINGTONCOUNTY OF SNOHOMISHCause No. Plaintiff,vs. Defendant. This case was resolved by settlement and the arbitration settlement and order of removal from the trial calendar has been filed with the clerk of the court. This case was resolved by award and the arbitration award has been filed with the clerk of the court. Other.The following dates/time was devoted by the Arbitrator to this case:DateHoursPurpose Send Completed Forms to Arbitration Department The undersigned certifies that she/he was duly appointed and served as an arbitrator in this case for the dates/time statedabove. FOR OFFICE USE ONLY Charge toCountyTOTAL Charge toState Payment Approved By: Director of Arbitration FOR STATE USE ONLY ATTORNEY AT LAW RETIRED JUDGE Doc DatePayment Due DateCurrent Doc No.Ret. Doc. No.Vendor No.Vendor Message RefDocSufTransCodeMODFundAppnIndexProgramIndexSubObjSubSubObjectAllocBudgetUnitMosProjectSubProjProjPhasAmountInvoice Number ARBITRATOR?S REQUESTFOR COMPENSATION Make Check Payable To:N ame or Firm: Signature Typed Name A ddress City Zip Tax Identification No.