Defendant'S Proposed Verdict Form (Page 4 of 4) in pdf

Defendant'S Proposed Verdict Form Page 4

Case 1:04-cv-01056-EWN-MEH

Document 61-2

Filed 02/08/2006

Page 4 of 4

CERTIFICATION

If you found a verdict for the Plaintiff on one or more of the claims, sign and date the

following section. Once you have done so, inform the Court by note that you are ready to return

to the courtroom to announce your verdict.

By our signatures and our answers to these questions, we certify that we have found a

verdict for Connie J. Reynolds, on the claim(s) indicated herein, and that the answers on this

form represent the unanimous verdict of the jury.

Dated: ________________, 2006.

If you found a verdict for the Defendant on all of the claims, sign and date the following

section. Once you have done so, inform the Court by note that you are ready to return to the

courtroom to announce your verdict.

By our signatures and our answers to these questions, we certify that we have found a

verdict for COBE Cardiovascular, Inc. on all of the claims herein, and that the answers on this

form represent the unanimous verdict of the jury.

Dated: ________________, 2006.

{00266666 / 1}

Defendant'S Proposed Verdict Form Page 4