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Document Kalispell_doc_68052a8d58

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Kalispell Municipal Court P.O. Box 1997, 312 1st Ave. E. Kalispell, MT 59903 [PHONE REDACTED] [PHONE REDACTED] Fax AFFIDAVIT TO CLAIM EXCUSE FROM JURY DUTY I, ask to be excused from jury service for the follow reason: Date requested to be excused from jury duty: Signature of Juror Name Address Phone Email SUBSCRIBED and SWORN to before me on this day of JUDGE OR CLERK OF MUNICIPAL COURT Approved Denied Juror Notified______