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MEDIATION REPORT COLUMBIA JUDICIAL CIRCUIT ADR PROGRAM IN THE CASE OF vs. IN THE COURT OF COUNTY, GEORGIA. Case Number: Assigned Judge: . A MEDIATION SESSION IN THE ABOVE STYLED CASE WAS HELD THIS DAY OF , THE SESSION LASTED HOURS. THE RESULTS OF THE MEDIATION SESSION WERE AS FOLLOWS: FULL AGREEMENT REACHED a copy of the Mediation Agreement/Memorandum of Agreement is attached. the undersigned attorneys/parties agree that the content of the mediation agreement should not be disclosed. PARTIAL AGREEMENT REACHED a copy of the Mediation Agreement/Memorandum of Agreement is attached. the undersigned attorneys/parties agree that the content of the mediation agreement should not be disclosed. IMPASSE CONTINUANCE OF MEDIATION TO (Date) REASON: NO SHOW: (Circle One) Plaintiff / Defendant / Both: (Name(s)). IF APPROPRIATE, A MUTUAL DISMISSAL WITH/WITHOUT PREJUDICE SHOULD BE SUBMITTED. COMMENTS: COMPENSATION TO MEDIATOR: (Check Blank) Paid in Full by Parties Paid from ADR Fund (Invoice Attached) Pro Bono Case Payment Due from (circle) Plaintiff / Defendant / Both in the amount of $ LIST ALL PERSONS IN ATTENDANCE: (Signatures of parties/attorneys are only required if agreement shall not be disclosed) Plaintiff Defendant Plaintiff’s Counsel Defendant’s Counsel Plaintiff Defendant Plaintiff’s Counsel Defendant’s Counsel Mediator: Co-Mediator: GAL: Observer(s): *Return the completed form to the ADR Program Office within five business days* Columbia Judicial Circuit 640 Ronald Reagan Drive, Evans, GA 30809 or [EMAIL REDACTED] ---PAGE BREAK---