WPC )%mvTB1] a;C&%bo VV/ k/- `g $J<^or`%{~QNUZU^9立{X'Qu9{6 4f|RYi+wEq|[FD{wx^!H' T2tw"Kݲ$jƁ_Iv 5tqu€mP(TK$#!UN %g 0(mw4N^  m BHP 8100 (PQ_JURY)0(uH Z 6Times New Roman RegularX($t'3|x¨V(U d !  _ y!XX @  UNITEDSTATESDISTRICTCOURT  XX! y @ DistrictofNebraska < ___________________________XX,Plaintiff,     `     h     CaseNo:___________________________________v.   `     h     Appearingonbehalfof:_______________________________________________________,Defendant.(    @ XX(APPLICATIONFORADMISSIONPRO_HAC_ԀVICE , |   XXI,____________________,doherebycertifythatIhavebeenenrolledasamemberoftheBaroftheSupreme T  Courtof_______________andInowdesiretobeenrolledasamemberoftheBaroftheUnitedStatesDistrictCourtfortheDistrictofNebraska.________________________________________  (LawFirm) p   _______________________ V  ________________________________________  (MailingAddress)  (BarCodeifBarApplicable) l  ________________________________________  (City,State,Zip) 2 ________________________________________  (Telephone/FaxNumber)  I,____________________,beingdulyswornonoathsay:ThatasanofficeroftheUnitedStatesDistrictCourtfortheDistrictofNebraska,Ishalldemeanmyselffaithfully,uprightly,andaccordingtolaw;andthatIshallsupport,uphold,anddefendtheConstitutionoftheUnitedStatesofAmerica;sohelpmeGod.DATEDthis____dayof____________,20__.  _________________________________________________ L    `     h      p (SignatureofPetitioner)================================================================================== (Thisportionmustbecompletedandsignedbyeithertheclerkofthehighestcourtinanystateinwhichthe  petitionerisadmittedtopracticeORbyamemberoftheBaroftheUnitedStatesDistrictCourtfortheDistrictofNebraska). Iherebycertifythatthepetitionerisofgoodmoralcharacterandamemberofthehighestcourtofthestateof__________________ascertifiedbythepetitionerabove.DATEDthis____dayof______________,20__. ClerkoftheSupremeCourtofthe  h     MemberofBar,U.S.DistrictCourt  X" Stateof______________________________    FortheDistrictofNebraska  #    `     h   OR_____________________________________    _________________________________________ Z"% (Pleasesignname)    h     (Pleasesignname)  #p& _____________________________________    _________________________________________ #6' (Pleaseprintname)    h     (Pleaseprintname) $(    `     h     NEBarCode#____________________________================================================================================= ISORDERED:PetitionerisherebyadmittedtopracticeasanattorneyandcounseloratlawintheUnitedStatesDistrictCourtfortheDistrictofNebraska forthiscaseonly.  P)$. DATEDthis____dayof__________,20__.  __________________________________________________ *0&0    `     h   (DeputyClerk)COPIESMAILEDON_______________________________Lastupdate2/22/00882(#n:\proc\forms\attyphv.wpd