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ESS: CITY AND ZIP CODE: PETITIONER: RESPONDENT: CASE NUMBER: STIPULATION AND ORDER RE: RESOLUTION OF TRIAL/ORDER TO SHOW CAUSE We stipulate that we have RESOLVED ALL ISSUES as to the hearing set on Department at a.m./p.m., and this hearing may go off calendar. in Attached is our stipulation for the court's review. Date: ( Type or Print Name) (Signature of Petitioner) Date: (Type or Print Name) (Signature of Respondent) IT IS SO ORDERED: Date: Form #RI-F31 New 5/4/2009 RI-F31.

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