MADERA COUNTY SUPERIOR COURT COUNTY OF MADERA STATE OF CALIFORNIA Hon. James E. Oakley, Presiding Judge Hon. Eric C. Wyatt, Asst. Presiding Judge Bonnie L. Thomas, Court Executive Officer/Jury Commissioner Amy Haygood, Traffic Division Supervisor REQUEST FOR RECORDS SEARCH FEES: A $15.00 fee for the search is required at the time your request is submitted. A $.50 fee will be charged for each copy requested. A $25.00 fee will be charged for each certified copy requested. PURPOSE OF REQUEST: _________________________________________________ RECORDS TO BE SEARCHED: Criminal Traffic Other: _________________ Please indicate the year(s) you wish searched: ________________________________________ Case # ___________________________ Date of Violation ______________________________ Name(s) ______________________________________________________________________ Date of Birth: _____________________ Court Name/Number:____________________________________________________________ Violation(s): ___________________________________________________________________ Other Information:_______________________________________________________________ NOTE: 1) 2) If you provide the case number(s), your request may be processed at the time of submission. If you do not provide the case number(s), your request will take one (1) week to process. You may contact this office after one week regarding the results of the record(s) search. DATE: _____________________ _______________________ Requestor’s Name ______________________________________ SIGNATURE _________________________________ Address _____________ Phone Number 209 W. Yosemite Ave. Madera, CA 93637 (559) 673-2662 Rev. 7/09 American LegalNet, Inc. www.FormsWorkFlow.com