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Here is the text we could read:

THE PEOPLE OF

 The State of Michigan

 
 

In the matter of 
 
	 	 	 	 ┌	 	 	 	 	 	

	
TO:          Disbursing authority of the 
 
 
 
 
	

                     
                     
                     
                     
	 	 	 	 └	 	 	 	 	 	

Defendant’s name, address, and telephone no.

v

CTN/TCN

SID

 city 

 county 

 township 

								┐

 village
  
  
  
  
								┘

          
          
          
          

 Statute
 Ordinance
 Civil
 Juvenile Code

WITNESS CERTIFICATE

This certifies the following person was a witness in the above action and is entitled to the witness fee and mileage shown 
below:
	
TO:         Name and address 

          Days served: 

								┐
  

	 	 	 	 ┌	 	 	 	 	 	

 

Date

                                                       

Court clerk/Authorized official

JUROR CERTIFICATE

This certifies the following person was a juror in the above action and is entitled to the juror compensation shown below:
	
TO:         Name and address 

          Days served: 

								┐
  

	 	 	 	 ┌	 	 	 	 	 	

 

  

          Miles: 

 

          Total fees and mileage: 

  
								┘
  

   

Approved

  

          Miles: 

 

  
								┘

          Total pay and mileage: 

 

 

 

 

 $ 
 

 $ 
 

 

     $ 
 

 $ 
 

 $ 
 

 

     $ 
 

                                                      

Court clerk/Authorized official   

 

The above fee/compensation was received by me on 

RECEIPT

                

Signature  

 

 

 
 
 
 
 
 
 
 
 
 

                     

                     
	 	 	 	 └	 	 	 	 	 	
                     

                     

                     
	 	 	 	 └	 	 	 	 	 	

 

 
	
 

 

 
	

Date

Date

STATE OF MICHIGANJUDICIAL DISTRICTJUDICIAL CIRCUITCOUNTY WITNESS/JUROR CERTIFICATECASE NO. and JUDGEORIMI-Court addressCourt telephone no.Approved, SCAOForm MC 201, Rev. 1/21Page 1 of 1Distribute form to:CourtWitness/JurorJIS Code: WJC

MC 201, Witness/Juror Certificate

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the Michigan state courts. To learn more about the project, check out our about page.

Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

About This Form:

Sourced from www.courts.michigan.gov/general-use (2023-03)
Page(s): 1
Fields(s): 43
Average fields per page: 43
Reading Level: Grade 14
LIST Grouping(s): CO-00-00-00-00.

Use our Rate My PDF tool to learn more. Go beyond the above insights and learn more about this or any pdf form at RateMyPDF.com, includes: counts of difficult words used, passive voice decetion, and suggestions for how to make the form more usable.

Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

Here are the fields we could identify.

state_michigan was The State of Michigan (0.66 conf)
name_address_telephone was Defendants name address and telephone no (0.37 conf)
plaintiffs_name was Plaintiffs name (0.45 conf)
ctn was CTN (0.42 conf)
sid was SID (0.35 conf)
matter was In the matter of (0.33 conf)
users1_address_city was city (1.00 conf)
county was county (0.39 conf)
township was township (0.24 conf)
village was village (0.36 conf)
statute was Statute (0.34 conf)
ordinance was Ordinance (0.47 conf)
civil was Civil (0.41 conf)
juvenile_code was Juvenile Code (0.33 conf)
approved was Approved (0.36 conf)
court_authorized_official was Court clerkAuthorized official (0.46 conf)
text__1 was Text1 (0.35 conf)
text__2 was Text2 (0.35 conf)
text__3 was Text3 (0.35 conf)
judge was Judge (0.39 conf)
text__4 was Text5 (0.35 conf)
text__5 was Text6 (0.35 conf)
text__6 was Text7 (0.35 conf)
text__7 was Text8 (0.35 conf)
cas_e was CASE NO (0.47 conf)
checkbo_x was CHECKBOX100 (0.34 conf)
text__8 was Text9 (0.35 conf)
text__9 was Text900 (0.35 conf)
undefined__1 was undefined_3 (0.39 conf)
undefined__2 was undefined_5 (0.39 conf)
unknown__1 was 1 (0.38 conf)
undefined__3 was undefined_4 (0.39 conf)
unknown__2 was 2 (0.38 conf)
undefined__4 was undefined_300 (0.33 conf)
unknown__3 was 1000 (0.34 conf)
undefined__5 was undefined_400 (0.37 conf)
unknown__4 was 20000 (0.47 conf)
undefined__6 was undefined_50000 (0.41 conf)
signature_date__1 was Date500 (1.00 conf)
users1_signature was signature100 (1.00 conf)
signature_date__2 was Date (1.00 conf)
lastsignature was lastsignature (0.35 conf)
signature_date__3 was Date1000 (1.00 conf)

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The Legal Innovation & Technology Lab's Form Explorer Beta @ Suffolk Law School Last updated 2023-04-02

MC 201, Witness/Juror Certificate

About This Form:

Identified Data Fields:

Create an Interactive Version of this Form:

The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02