Form MC-19 Rev. 7/10/2012 MONTHLY REPORTING FORM For ACT 2012-535 Submit Original (NO MONEY) To: Administrative Office of Courts Joy Evans, Legal Division 300 Dexter Avenue, Montgomery, AL 36104-3741 Phone: 334-954-5014 Fax: 334-954-3142 Email: joy.evans@alacourt.gov Monthly report of court costs collected pursuant to ACT 2012-535, effective June 21, 2012, for the month of: , Month , from the Municipal Court of Year Municipal Court Judicial Administration Fund No. Of Cases Disbursement On Each Case *Traffic Cases Non-Traffic Misdemeanors/ Municipal Ordinance Violations Partial Payments Sub-Total TOTAL FOR MCJAF Partial Payments Sub-Total TOTAL FOR PCJJAF Partial Payments Total $10.00 Bail Bond “Filing Fee” Sub-Total $15.75 Presiding Circuit Judge’s Judicial Administration Fund $10.00 No. Of Cases *Traffic Cases Non-Traffic Misdemeanors/Municipal Ordinance Violations Circuit Clerk’s Judicial Administration Fund *Traffic Cases Non-Traffic Misdemeanors/Municipal Ordinance Violations Disbursement On Each Case Total $2.33 $5.00 No. Of Cases Disbursement On Each Case $ Total $2.33 $5.00 TOTAL FOR CCJAF GRAND TOTAL FOR MC19 *Does not apply to “parking”, “seat belt” and “open container” violations. Date $ $ $ Signature of Reporter and Title NOTE: NO MONEY IS REMITTED TO AOC WITH THIS FORM. American LegalNet, Inc. www.FormsWorkFlow.com