__________________, : IN THE COURT OF COMMON PLEAS OF INDIANA COUNTY, PENNSYLVANIA
Plaintiff, :
vs. : NO.___________C.D.______
__________________, : CIVIL ACTION - LAW CUSTODY
Defendant. :

ORDER OF COURT

          AND NOW, this _____ day of _______________, 199__, upon Motion of _______________________, Esquire, Attorney for (Plaintiff/Defendant), it is Ordered and Directed that a Mediation Conference be scheduled for the ____ day of _________________, 1997, at 1:30 o'clock P.M. in the Indiana County Courthouse, Mediation Room.

BY THE COURT,
_________________________________
                    JUDGE

(Note: Do not fill in the spaces for the Mediation Conference, the Court Administrator will schedule it for the next available date.)