Rather than just citing to the page number of the particular document we are referring to (i.e. R. 36, Sentencing Memorandum, p. 3), we will now need to cite to the "PageID#" along with a brief title and the record entry number of the document referenced. This is Sixth Circuit Rule 28(a)(1). So I think a citation to the record would look something like this: (R. 36, Sentencing Memorandum, PageID#: 274). The PageID# can be found on the far right of the header or footer added to a filed document and is very clearly labeled "PageID#."
The judges are apparently getting iPads that will let them link directly to the record via PageID# in the briefs. This will take some getting used to, but make the change: "Counsel’s failure to do so may result in rejection of the brief."