STATE OF INDIANA) ) si DELAWARE COUNTY ) IN THE DELAWARE CIRCUIT COURT NO. CAUSE NO. Petitioner andivs Respondent MEDIATION ORDER The Court has determined that the above case is appropriate for mediation service. ‘Mediation must be completed within 30 days of this Order with a copy of the Mediation Outcome submitted to the appropriate courts, as well as the Delaware County Court, Administrator (Plan Administrator) for billing purposes. ‘The Plan Administrator will review the CCS and assign a certified family mediator from the panel maintained in the Court Administrator's Office who will be reimbursed by the Delaware County Circuit Court Alternative Dispute Resolution Fund at a rate of Seventy- Dollars ($75.00) per hour, not to exceed hours. ive * The Petitioner is now ordered to pay a co-pay of per hour of mediation performed. ‘The Respondent is now ordered to pay a co-pay of S per hour of mediation performed ‘The parties may be ordered to reimburse the county for accrued mediation costs as the Court deems appropriate. Payments (exact cash or money order) are to be made payable to the Delaware County Clerk ADR Fund #294, 100 W. Main Street, Muncie, Indiana 47305 within thirty (30) days of the completion of mediation. ALL OF WHICH IS SO ORDERED this, Distribution: Court Administration Petitioner Respondent Attomey for Petitioner ‘Attomey for Respondent