ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and address): TELEPHONE NO: FOR COURT USE ONLY ATTORNEY FOR (Name): CRIMINAL DEPARTMENT CRIMINAL DEPARTMENT Central Division Central Division 1100 Ness Avenue 1100 VanVan Ness Avenue Fresno, California 93724 Fresno, California 93724 TY OF FRESNO PLAINTIFF: DEFENDANT: CASE NUMBER: DEPT. NO: Deposit/Payment to Fresno Superior Court PRINT THREE COPIES Deposit or payment made $ On behalf of (name): Civil fine First day Jury fees POSTED $ Transcripts of Appeal $ $ $ $ $ $ Trial Continuance fee Bail posted Jury fees PAID TRIAL Eminent Domain $ $ Bad check for (specify): Court reporter fees posted/paid $ Amount of bad check Number of halfDate $ $ Complex Case fee Tape/CD Qty Date of Hearing: Interpleader Other (specify reason): Amount: $ $ Video No.: $ $ Dated: (Signature) PGN-62 E08-03 Deposit/Payment to Fresno Superior Court American LegalNet, Inc. www.FormsWorkFlow.com