VERIFICATION OF ATTENDANCE

	To be executed by that person who has witnessed you sign in on the
	Official Attendance Sign-in Sheet, and who can verify that you
	listened to the MCLE Audio program.

	I, the undersigned, do declare under penalty of perjury, that the
	attorney whose name, Bar number and signature are affixed to the
	Official Attendance Sign-in Sheet, did sign said Official Attendance
	Sheet at the following date and time, and did thereafter listen to the
	following MCLE Audio program for the amount of time stated below:

	Program Title: ___________________________________

	Time of signing in on Attendance Sheet: _______________

	Date of signing in on Attendance Sheet: _______________

	Amount of time spent listening to Audio program (e.g., 2.0 hours)
	__________

	Name of attesting witness: __________________________

	(please print or type)

	Address: ________________________________________

	________________________________________

	Phone Number: _________________

	________________________________________________

	(Signature of attesting witness)

	____________________________

	Date

	Return this form, the Official Attendance Sheet and your Evaluation
	form. CCE will send you a Certificate valid for Participatory
	credits.

	CCE
	395 Del Monte Center, #178
	Monterey, CA 93940
	1-800-443-MCLE (6253)

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