(CASE STYLE)

ORDER

The Clerk of Court is authorized and directed to draw a check (or checks) on the funds on deposit in the Registry of the Court in the principal amount _______ (words and figures) plus all interest earned for a total amount of __________ (leave space blank – Clerk will complete), less Administrative Assessment Fee of ________ (leave space blank – Clerk will complete) for a total amount of _________(leave space blank – Clerk will complete), payable to ________ (payee) at _________ (provide full address with zip code).

DONE and ORDERED this ___ day of ______, 2007.