(Rev. 1/17/01) CCCR 0317 IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS NOTIFICATION OF FELONY FINAL DISPOSITION MUNICIPAL DISTRICT ________________________ /BRANCH ARRESTING AUTHORITY DEFENDANT COURT ___________________________ _______________________________________________________________ ____________________________________________________________________________ ADDRESS ____________________________________ CITY ______________ STATE ________ ZIP _______ A.K.A. _____________________________________ SEX _______________ DATE OF BIRTH I.D. NO. _________________________ _______________________________ (I.S.B., I.R., F.B.I.) PLACE OF BIRTH RACE ___________________ ________________________________ DRIVER'S LICENSE NO. ____________________________ CONVICTION INFORMATION DATE _______________ JUDGE _____________________________ PLEA IND/INFO ____________________ FINDING GUILTY NOT GUILTY SOL VERDICT NOLLE DEATH SUGGESTEDCAUSE ABATED CONVICTED UNDER ___________ ILCS ____________/____________ CHARGE ______________________ SENTENCE OF: ___________________________________________________________________________ DEATH-EXECUTION DATE _____________________ IMPRISONMENT TO STATE DEPT. OF CORRECTIONS FOR _______ YRS. TO _______ YRS., ______________________ PAROLE PROBATION AND FIRST __________________ IN COUNTY. PLUS PERIODIC IMPRISONMENT ______ YRS. DEPARTMENT OF CORRECTIONS UNDER WORK RELEASE PROGRAM PROBATION _______ YRS. FIRST _____________________ COUNTY DEPARTMENT OF CORRECTIONS CONVICTED UNDER ___________ ILCS ____________/____________ CHARGE ________________________ SENTENCE _____________________________________________________________________________ DEATH-EXECUTION DATE _____________________ _______YRS. TO _______ YRS., PLUS ______________________ PAROLE PROBATION AND FIRST __________________ IN COUNTY. IMPRISONMENT TO STATE DEPT. OF CORRECTIONS FOR PERIODIC IMPRISONMENT ______ YRS. DEPARTMENT OF CORRECTIONS UNDER WORK RELEASE PROGRAM PROBATION _______ YRS., FIRST ___________________ COUNTY DEPARTMENT OF CORRECTIONS CONCURRENT WITH __________________________ CONSECUTIVE WITH __________________________ DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS Print This Form For your protection and privacy, please press the Clear This Form button after you have printed the form. Clear This Form