Case 2:06-cv-00721 -MHT-TFM Document 46-2 Filed 01/15/2008 Page 1 of 2

IN THE UNITED STATES DISTRICT COURT FOR

THE MIDDLE DISTRICT OF ALABAMA

NORTHERN DIVISION

Deloise Price )

Plaintiff, )

)

vs. )

)

Wal-Mart Stores, Inc.

)

)

)

Defendants, )

Case No.2:06-cv-721-MHT

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.

Signatureof Counsel of Record: __________________________________

Printed ame of Counsel of Reco___

Date: _____________

Received Jury Questjonnaj CD from counsel

on 01/28/08

Case 2:06-cv-00721-MHT-TFM Document 53 Filed 01/29/2008 Page 1 of 4
Case 2:06-cv-00721-MHT-TFM Document 46-2 Filed 01/15/2008 Page 2 of 2

If applicable, signature of Person Obtaining Questionnaires: (h() ___x'i_-,

Printed Name of Person Obtaining Questionnaires: ______________________________

Date: 9JO)

Case 2:06-cv-00721-MHT-TFM Document 53 Filed 01/29/2008 Page 2 of 4
Case 2:06-cv-00721-MHT-TFM Document 46-2 Filed 01/1 5/2008 Page 1 of 2

IN THE UNITED STATES DISTRICT COURT FOR

THE MIDDLE DISTRICT OF ALABAMA

NORTHERI4 DIVISION

Deloise Price )

Plaintiff, )

)

vs. )

)

Wal-Mart Stores, Inc.

)

)

)

Defendants, )

Case No.2:06-cv-721-MHT

JUROR QUESTIONNAIRE CERTIFICATION

Jock Michael Smith

I, Brian P. Strength , 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:

Counsel for Plaintiff did not pick-up questionnaire CD

on 01125108, however, returned Jury Questionnaire

CD to courtroom deputy on 01I28I08

Case 2:06-cv-00721-MHT-TFM Document 53 Filed 01/29/2008 Page 3 of 4
Case 2:06-cv-00721-MHT-TFM Document 46-2 Filed 01/15/2008 Page 2 of 2

If applicable, signature of Person Obtaining Questionnaires:

Printed Name of Person Obtaining Questionnaires: _______

Date:

Case 2:06-cv-00721-MHT-TFM Document 53 Filed 01/29/2008 Page 4 of 4