THE LAKEWOOD MUNICIPAL COURT by dOKeRm1

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									                          THE LAKEWOOD MUNICIPAL COURT
                                  CUYAHOGA COUNTY, OHIO


PLAINTIFF
________________________                                CASE NO.
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________________________
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                                                         COUNTERCLAIM
             VS.

DEFENDANT

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________________________
________________________
__________
Please state the details of the counterclaim in the following area:


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                                                    Signed
________________________________________________
                                                             Defendant

                                    PROOF OF SERVICE
(Defendant) served the foregoing counterclaim on plaintiff at
_______________________________________________________,
_______________________________________, Ohio __________ by regular United States Mail
on ___________________________20____.

                                             Signed
________________________________________________
                                                      Defendant

								
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