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COURT OF COMMON PLEAS GENERAL AND DOMESTIC RELATIONS DIVISION PICKAWAY COUNTY COURTHOUSE 207 SOUTH COURT STREET CIRCLEVILLE OHIO 43113 RULES OF COURT P. RANDALL KNECE PICKAWAY COUNTY COMMON PLEAS COURT CERTIFIES UNDER PENALTY OF PERJURY BY THE SUBMITTER THAT THE FOREGOING IS TRUE AND CORRECT. Physician s Signature Original signature ONLY Date Full Address Phone Please f ax co mp leted for m to Judge Kn ece at 740 477 -6334 or ma il to Judge P. RA.

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