CR-768 FBKS (10/13)(cs) Crim. R 44(f) & Admin Bull. 53 MOTION AS 12.61.110, AS 12.61.130 IN THE DISTRICT/SUPERIOR COURT FOR THE STATE OF ALASKA AT FAIRBANKS STATE OF ALASKA ) CITY OF FAIRBANKS ) Plaintiff, ) vs. ) ) ) CASE NO.: 4FA- CR Defendant. ) DOB: ) ) MOTION FOR I request: Reason: [Attach extra pages if necessary.] I certify that all statements in this motion and any attachments are true to the best of my knowledge and belief. Date Signature Mailing Address City State Zip Daytime Phone CERTIFICATE OF SERVICE I certify that on (date) a copy of this motion was sent to the: Fairbanks District Attorney, 510 Second Avenue, Suite 200, Fairbanks, AK 99701 Fairbanks City Attorney, 800 Cushman Street, Fairbanks AK 99701 Office of Special Prosecution and Appeals, 310 K Street, Ste. 308, Anchorage, AK 99501 Signature CERTIFIC ATION: I certify that this docume nt and its attachments do not contain (1) the names of a victim of a sexual offense listed in AS 12.61.140 or (2) a residence or business address or telephone number of a victim of or witness to any crime unless it is an address used to identify the place of the crime or it is an address or telephone number in a transcript of a court proceeding and disclosure of the in formation was ordered by the court. American LegalNet, Inc. www.FormsWorkFlow.com