STATE OF SOUTH CAROLINA	)	IN THE FAMILY COURT
)	JUDICIAL CIRCUIT
COUNTY OF	)
)
)
Plaintiff(s),	)	EXHIBIT OR FILE RELEASE
vs.	)
)
)
Defendant(s).	)	Docket No.

The exhibits or files listed below are released to

on (date) for the purpose of .

______________________________________ ____________________________________

Signature of Releasing Clerk/Deputy Clerk	Signature of Receiving Party

Address:

Phone:

Exhibits / Files	Check Out	Check In Information
Description	Date	Date	Returned By	Clerk Initials

Submitted and received on (date).

_________________________________	____________________________________

Court Reporter	(Deputy) Clerk of Court

SCCA 497 (11/2009)

Court Reporter Case Exhibit List

2009-12-14