________________________ Police Department Complaint for Violation of Statute NOTICE OF ARREST WITHOUT WARRANT STATE OF ILLINOIS COUNTY OF McHENRY COUNTY ) ) ) TO THE SHERIFF OF McHENRY COUNTY: You are hereby notified that ______________________________________________ was arrested by me without a warrant for the offense of _____________________________________________________ being in violation of: You are requested to hold said person in safe and secure custody in the County Jail of McHenry County until said person can be taken before the Circuit Court of the 22nd Judicial Circuit, McHenry County and a charge filed, unless prior release on bail is authorized by law. I hereby certify that I am a duly authorized peace officer, as indicated below, that the arrest referred to herein is justified under the laws of the State of Illinois, and that I will appear before the proper court to file a charge against the arrested person without necessary delay. Dated:________________________________________ Signature of Peace Officer:__________________________________ Title:_________________________________________ Municipality:__________________________________ Received the within named person at ____________, Central ____________________________ Time on (Standard or Daylight) ___________________________, the ____________ day of ___________________________, 20______. Delivered before the said Circuit Court at _____________, Central ________________________ Time, on (Standard or Daylight) __________________________________, 20________. _____________________________________________ (Sheriff) The above named subject is to be charged with a Felony Misdemeanor Class_______ CIRCUIT CLERK – ORIGINAL _____________________________________________ (Deputy) COPIES TO: STATE’S ATTY/PROSECUTOR POLICE DEPT. DEFENDANT (12/06) American LegalNet, Inc. www.FormsWorkflow.com