UNITED STATES DISTRICT COURT

MIDDLE DISTRICT OF ALABAMA

OFFICE OF THE CLERK

POST OFFICE BOX 711

M ONTGOM ERY, ALABA M A 36101-0711

DEBRA P. HA CKETT 

TELEPHONE: 

 CLERK 

334 954-3600 

August 22, 2007

NOTICE

TO: ALL COUNSEL OF RECORD:

You are hereby notified that the jury list and jurors’ profiles for the term of court

beginning 9/5/2007 will be available at 3:30 p.m. on 8/31/2007 , in the Jury Assembly

Room (B-108), first floor, Frank M. Johnson, Jr. United States Courthouse Annex, One

Church Street, Montgomery, Alabama. The Court instructs counsel that the profiles are

CONFIDENTIAL DOCUMENTS and should be treated as such. The information will now

be provided in electronic media (disc) only. Counsel MUST return ALL discs to the

Courtroom Deputy on the morning of jury selection.

The attached Juror Questionnaire Certification must be signed by counsel of record.

If counsel designates an alternate person to obtain the juror profiles the designee must also

sign the Juror Questionnaire Certification. The Juror Questionnaire Certification must be

submitted to the Jury Administrator/Clerk’s office at the time the juror profiles are obtained.

(This document can be found on our website at www.almd.uscourts.gov).

Case 3:06-cv-00728-MHT-WC Document 79 Filed 08/22/2007 Page 1 of 1
IN THE UNITED STATES DISTRICT COURT FOR

THE MIDDLE DISTRICT OF ALABAMA

EASTERN DIVISION

OWEN J. ROGAL D.D.S., P.C. )

Plaintiff, )

)

vs. ) Case No. 3:06cv728-MHT

)

SKILSTAFF, INC. )

Defendant. )

JUROR QUESTIONNAIRE CERTIFICATION

I, ____________________________, counsel for _________________________, do

hereby certify that I will keep confidential the information contained in the juror questionnaires 

and that I agree to be responsible for their receipt, review, maintenance, and destruction. No 

copies of the questionnaires will be allowed to leave my office, either electronically or in hard copy. 

Upon completion of the empaneling of the jury I will ensure that all copies (including electronic 

copies) of the questionnaires of all jurors, including the questionnaires of the jurors selected to 

serve, are immediately destroyed and the disc is returned to the court at the time of jury selection.

I, the undersigned, make this representation with the understanding that any 

dissemination of juror information, either intentional or negligent, will subject me and my client 

to sanction as a violation of this court’s instructions to keep all juror information confidential.

I, the undersigned, authorize my staff to obtain on my behalf the juror 

questionnaires and certify that they will keep confidential the information contained in the juror 

questionnaires.

Signature of Counsel of Record: _________________________________

Printed Name of Counsel of Record: _____________________________

Date: ___________________

If applicable, signature of Person Obtaining Questionnaires: _____________________________

Printed Name of Person Obtaining Questionnaires: ____________________________________

Date: ___________________

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