NAME AND ADDRESS OF PARTY: FOR COURT USE ONLY TELEPHONE NO.: SUPERIOR COURT OF CALIFORNIA, COUNTY OF IMPERIAL 220 Main Street, Brawley, CA 92227 939 West Main Street, El Centro, CA 92243 1625 West. Main Street,. El Centro, CA. 92243 2124 Winterhaven Drive, Winterhaven, CA. 92283 People of the State of California, vs. Defendant(s): BAIL AUTHORIZATION CASE NUMBER: I, (Name of Depositor) , hereby authorize Superior Court of California, County of Imperial to apply bail posted for _________________________, as payment of the fine (Defendant) in the case. All bail posted by Depositor Limit of $_______________ ______________________________________________ (Depositor Signature) BAIL POSTED $ _________ FINE $ _________ REFUND $ _________ Tammy L. Grimm, Court Executive Officer By _____________________________________________ (Deputy Clerk) Form Approved for Mandatory Use CR-04 (Adopted 01/01/09, Revised 01/01/12, 01/01/13, 01/01/15) imperial.courts.ca.gov BAIL AUTHORIZATION American LegalNet, Inc. www.FormsWorkFlow.com