S A M P L E F O R M A T

IN THE UNITED STATES DISTRICT COURT FOR THE

SOUTHERN DISTRICT OF MISSISSIPPI

DIVISION

,	)

)

Plaintiff(s),	)

)

vs.	)	Case No.

)

,	)

)

Defendant(s).	)

NOTICE OF CONVENTIONAL FILING

□	(Title of document here) is in paper form only and is being electronically filed under seal/or restriction by the Office of the Clerk pursuant to order filed on ___________. This document has been manually served on all parties.

OR

□	(Title of document here) cannot be filed electronically. This document has been manually served on all parties.

Attorney for (Plaintiff or Defendant)

Address:

Date: