(CAPTION)
PRAECIPE FOR DEPOSIT OF ADDITONAL HEARING OFFICER'S FEE
To the Prothonotary:
As directed by the Hearing Officer in the above captioned case, deposit the sum of $_____.00 for ______ additional hearing days in compliance with Sch.R.C.P. 1910.12(e).
_______________________________________
Attorney for (Plaintiff/Defendant)
Received this day the sum of $________.00, additional Hearing Officer's fees in the above captioned case.
_______________________________________
Domestic Relations Office
Sch. Cnty. Pa. 1910.12
This data is incomplete.