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S of Parties/Attorneys: Part II: Referral Information Referral Date: Referral Source (Person & Event): Pending Case Status: Mediation Works Incorporated (MWI) Program(s) Referred to: Referral to: a. X b. X ADR Screening Dispute Resolution: X mediation arbitration dispute intervention conciliation mini-trial case evaluation summary jury trial Comments/Directions: Next Court Date & Event (or other deadlines): Part III: Report Back to Court & Next Event Date Program Report: P.

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