Entry Approving Settlement Of A Minors Claim {MST22.2}

<document>COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .PROBATE COURT OF LUCAS COUNTY, OHIO JACK R. PUFFENBERGER, JUDGE:::::::Index No.Calendar No.IN THE MATTER OF THE MINOR SETTLEMENT OF CASE NO. JUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)ENTRY APPROVING SETTLEMENT OF A MINOR'S CLAIMUpon hearing the application to approve and distribute the settlement of the claim of the minor, the Court: [Check whichever of the following are applicable] . Approves the proffered settlement of $; . Orders payment of $ for medical and other expenses, as follows: ; . Orders payment of $ to the attorney for reimbursement of suit expenses and $ for attorney fees for service rendered with respect to this matter; . Orders payment of $ to the parent(s), , for damages on account of loss of service of this minor; . Authorizes the applicant to execute a release which shall be effective upon payment of the settlement; . Orders that the net amount of $, for the benefit of the minor be:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .THE PEOPLE OF THE STATE OF NEW YORK TOGREETINGS:WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the Honorable,located at County ofo'clock in the day of, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of thenoon, and at any recessed in roomYour failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply., one of the Justices of theCourt in Witness, Honorableday of, 20 County,(Attorney must sign above and type name below)Attorney(s) for. Deposited pursuant to R.C. 2109.13 in the name of the minor and not to be released until the minor attains the age of majority or upon further order of this Court with Form 22.3 Verification of Receipt and Deposit filed with the Court; . Delivered to the legal guardian of the estate of this minor; . Delivered to , parent(s) and natural guardian(s); . Delivered to , the person by whom the minor is maintained; . Structured as set forth in the documents attached to the application; . Orders the applicant and the attorney to report on their distribution of the proceeds within thirty days of the date of this entry; . Further ordersOffice and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:DateJudge Jack R. Puffenberger«NTU33/3[-Mobile Tel. No.:4/1/97FORM 22.2 ENTRY APPROVING SETTLEMENT OF A MINOR'S CLAIMAmerican LegalNet, Inc. www.USCourtForms.com</document>