Section 36 Receipt of Mother

LibraryCivil Trial Practice 2008 Supp Forms

[Caption]

Receipt of ___________________

Comes now ______________________, the natural mother of ___________________, deceased, and acknowledges receipt from the plaintiffs _____________ and _____________ the sum of $8,000.00 this 12thday of September, 1986.

_______________________________________
_____________________ , natural mother of
___________________________ , deceased

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