Notice Of Mediation With Proof Of Service

STATE OF MICHIGAN CASE NO. NOTICE OF MEDIATION 17TH JUDICIAL CIRCUIT Court address ADR OFFICE, 180 OTTAWA AVE NW, SUITE 3100, GRAND RAPIDS MI 49503 Plaintiff name(s), address(es), and telephone no(s). Court telephone no. 616-632-5052 Defendant name(s), address(es), and telephone no(s). V Plaintiff attorney, bar no., address, and telephone no. Defendant attorney, bar no. address and telephone no. NOTICE OF MEDIATION NOTICE IS HEREBY GIVEN that mediation in the above matter will take place ON: LOCATION: If an attorney or a party has a conflict with the scheduled date or time of the mediation, contact the mediator immediately. OR The undersigned mediator has determined that it would not be appropriate for them to serve as the mediator in this case. Proof of Service The undersigned hereby certifies that a copy of this Notice was served upon all parties on the date shown below. Dated: Address: This Notice must be filed with the Court within 7 days of the mediator's appointment. GRLIB:470554.1\098718-00006 American LegalNet, Inc. www.FormsWorkflow.com