ADULT COMMITMENT ORDER IN THE JUVENILE COURT OF __________________________ COUNTY, GEORGIA In the interest of: CASE NUMBER _________________ SEX ____________________________ DOB _____________ AGE _________ _______________________________, A Child. ___________________________ having appeared before the undersigned du ring the course of a juvenile court proceeding and the Court, after hearing evidence, findi ng that there is probable cause to believe that___________________________________ has committed t he offense of _____________________________, said _______________________________ is h ereby bound over to the _________________ Court of _______________________ County fo r the offense of ____________________________________________, pursuant to the provisions of O.C.G.A. 15-11-4 and other applicable laws. The sheriff of _______________________ County, Georgia is required to receive and safely keep ______________________________________ until discharged by due proc ess of law. Bond is hereby set in the amount of $________________. SO ORDERED, this ____________ day of ____________________, 20____. __________________________________________________ Judge/Associate Judge of ________________________________ County Juvenile Court Rev. 01/2001 JUV-14