(This form replaces CCCR 0657 and CCMD 0224) * USE ONLY for Class "C" Misdemeanors/Ordinance Violations INFORMATION AND DESCRIPTION OF DEFENDANT Name ______________________________________________________ City/Town (Rev. 2/11/04) CCCR N224 Alias _____________________________________________ State Zip Residence _______________________________________________________________________________________________________ Sex Race Weight Height D.O.B. Age Complexion Build Yes No Arrestee had been using Alcohol/Drugs IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS ______________ DEPARTMENT/________ DISTRICT ___________________________________________________________ Plaintiff v. ___________________________________________________________ Defendant } No. ________________________________________ __________________________________________________________________________________, complainant, now appears before (Complainant's Name Printed or Typed) the Circuit Court of Cook County and states that ______________________________________________________________________, (Defendant) has, on or about __________________, at location of ___________________________________________________________________, (Date) (Place of Offense) committed the offense of _________________________________________________________________________________ in that s/he (Offense) _________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________ in violation of _______________ ILCS _________________________________________ OR __________________________________________. STATE OF ILLINOIS COOK COUNTY } (Ordinance Citation) ss. ____________________________________________________ (Complainant's Signature) ___________________________________________________ (Complainant's Address) (City/State/Zip) AOIC CODE ____________________________________________________ (Complainant's Telephone) ____________________________________________________ (Complainant's Name Printed or Typed) The complainant, being first duly sworn on oath, deposes and says that s/he read the foregoing complaint by him/her subscribed and that the same is true. ____________________________________________________ (Complainant's Signature) Subscribed and sworn to before me on this _______________ day of ________________________________________, ________ __________________________________________________ (Judge's/Clerk's/Law Enforcement Officer's Signature) _______________________________________________ (Law Enforcement Officer's Badge No.) I have examined the above complaint and the person presenting the same and have heard evidence thereon, and am satisfied that there is probable cause for filing same. Leave is given to file said complaint. Summons Issued, Judge _________________________________________________________________________________________ or Judge's No. Warrant Issued, Bail set at: _______________________________________________________________________________________ or Bail set at ___________________________________________________ Judge __________________________________________ DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS Judge's No. Print This Form For your protection and privacy, please press the Clear This Form button after you have printed the form. Clear This Form