(Jury excuse letter)
IN THE EAST LIVERPOOL MUNICIPAL COURT
COLUMBIANA COUNTY, OHIO
IN RE: JUDGE MELISSA BYERS-EMMERLING
AFFIDAVIT FOR EXCUSE FOR JURY OBLIGATION
Name __________________________________ Juror # _________
STATE OF OHIO
COLUMBIANA COUNTY, ss
I, ______________________________, being first duly sworn swear that the following facts are true.
1. I have been notified by the East Liverpool Municipal Court that I have been selected for
Jury Duty.
2. I am unable to fulfill my obligation of serving as a Juror due to the following special
circumstances: ___________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
3. Further Affiant saith naught.
__________________________________________
Affiant/Juror
Sworn to and subscribed in my presence this ________ day of _________________, 20_____.
__________________________________________
Bailiff/Clerk/Deputy Clerk/Notary Public
This Excuse is granted ________
This Excuse is not granted ______
Date________________________ __________________________________________
Judge Melissa Byers-Emmerling