Here is the text we could read:
STATE OF MICHIGAN
JUDICIAL CIRCUIT
COUNTY
COURT CODE
ORDER SUSPENDING LICENSE
(Part 1)
CASE NO. and JUDGE
Court address
Court telephone no.
Plaintiff’s name, address, and telephone no.
licensee
Defendant’s name, address, and telephone no.
licensee
Attorney:
Attorney:
v
arrearage.
THE COURT FINDS:
1. The licensee
a. failed to respond to a notice of proposed license suspension in a timely manner and also failed to pay the entire
b. requested a hearing based on a notice of proposed license suspension but failed to appear at the scheduled
hearing and failed to pay the entire arrearage.
c. failed to comply with an order for payment of arrearage.
d. failed to comply with an order for payment of arrearage following a contempt finding at a show-cause hearing.
e. failed to comply with a makeup and ongoing parenting-time schedule.
f. failed to appear at a show-cause hearing.
IT IS ORDERED:
2. Within 7 business days after receiving this order, the licensing agency shall suspend and not issue to the licensee named
above
a recreational license
until further order of the court.
3. After receiving notice under MCL 257.321c, the Secretary of State shall immediately suspend the driver’s/chauffeur’s
an occupational license
a sporting license
license.
Judge signature and date
CERTIFICATE OF MAILING
I served a copy of this order on the parties or their attorneys and the licensing agency(ies) by first-class mail addressed to
their last-known addresses as defined by MCR 3.203. I declare under the penalties of perjury that this certificate of mailing
has been examined by me and that its contents are true to the best of my information, knowledge, and belief.
Date
Signature
Approved, SCAOForm FOC 84, Rev. 10/20MCL 552.602(h), MCL 552.629(4), MCL 552.630, MCL 552.631(1)(c), MCL 552.633(2), MCL 552.645(1)Page 1 of 1Distribute form to: Licensing agency, Part 2Court, Part 1 Return of servicePlaintiff, Part 1Defendant, Part 1Friend of the court, Part 2 STATE OF MICHIGAN
JUDICIAL CIRCUIT
COUNTY
COURT CODE
ORDER SUSPENDING LICENSE
(Part 2)
CASE NO. and JUDGE
Court address
Court telephone no.
Plaintiff’s name, address, and telephone no.
licensee
Defendant’s name, address, and telephone no.
licensee
v
Attorney:
This information may be confidential and should only be
distributed to the friend of the court and licensing agency.
Attorney:
Date of birth
Driver’s license no.
Occupational license no.
Known professional licenses
arrearage.
THE COURT FINDS:
1. The licensee
a. failed to respond to a notice of proposed license suspension in a timely manner and also failed to pay the entire
b. requested a hearing based on a notice of proposed license suspension but failed to appear at the scheduled
hearing and failed to pay the entire arrearage.
c. failed to comply with an order for payment of arrearage.
d. failed to comply with an order for payment of arrearage following a contempt finding at a show-cause hearing.
e. failed to comply with a makeup and ongoing parenting-time schedule.
f. failed to appear at a show-cause hearing.
IT IS ORDERED:
2. Within 7 business days after receiving this order, the licensing agency shall suspend and not issue to the licensee named
above
a recreational license
until further order of the court.
3. After receiving notice under MCL 257.321c, the Secretary of State shall immediately suspend the driver’s/chauffeur’s
an occupational license
a sporting license
license.
Judge signature and date
CERTIFICATE OF MAILING
I served a copy of this order on the parties or their attorneys and the licensing agency(ies) by first-class mail addressed to
their last-known addresses as defined by MCR 3.203. I declare under the penalties of perjury that this certificate of mailing
has been examined by me and that its contents are true to the best of my information, knowledge, and belief.
Date
Signature
Approved, SCAOForm FOC 84, Rev. 10/20MCL 552.602(h), MCL 552.629(4), MCL 552.630, MCL 552.631(1)(c), MCL 552.633(2), MCL 552.645(1)Page 1 of 1Distribute form to: Licensing agency, Part 2Court, Part 1 Return of servicePlaintiff, Part 1Defendant, Part 1Friend of the court, Part 2 
