sealed

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SEALED MINUTES P1 CCB CAUSE NUMBER ___________________ IN THE MATTER OF _____________________________________________ _____________________________________________ * * * * * IN THE _______ JUDICIAL DISTRICT COURT OF HARRIS COUNTY, TEXAS Request is hereby made of the Judge of the ________ Judicial District Court of Harris County, Texas, to inspect and/or to retain a certified copy of the __________________________________________________________________ in the above styled and numbered cause as recorded in the sealed minutes of the court. REASONS FOR REQUEST: __________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ ________________________________________________ Signature of Requestor The District Clerk of Harris County, Texas is hereby directed to allow _____________________________________ _______________________________ to inspect the above styled and numbered cause and/or to furnish the above named applicant with a certified copy of the ____________________________________ in the above styled and numbered cause as recorded in the sealed minutes of the court. Signed this the _______ day of ______________________________, 20 ________. ________________________________________________ JUDGE Name of Requestor: _____________________________________________ Address: _____________________________________________________ _____________________________________________________________ Telephone Number: _____________________________________________ CIVPS09 Revised 1/20/96

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