Page 1 of Pages (5/07) UNITED STATES OF AMERICA STATE OF ILLINOIS, COUNTY OF MCHENRY IN THE CIRCUIT COURT OF THE TWENTY-SECOND JUDICIAL CIRCUIT COMPLAINT PEOPLE OF THE STATE OF ILLINOIS OR CASE NUMBER __________________________________________ A MUNICIPAL CORPORATION -VS- DCN NUMBER File Stamp Here __________________________________________ DEFENDANT REPORT NUMBER _______________________ SAO NUMBER CITY, VILLAGE, TOWNSHIP AND CODE COUNT ONE In the name and by the authority of the People of the State of Illinois, hereinafter called the Complainant, on oath charges that or about the day of , 20 in McHenry County, Illinois, , hereinafter called the Defendant committed the offense of in violation of Chapter Act Paragraph of the Illinois Compiled Statutes in that said Defendant Class__________ Contrary to the form of the statute in such case made and provided and against the peace and dignity of the People of the State of Illinois. COUNT TWO In the name and by the authority of the People of the State of Illinois, hereinafter called the Complainant, on oath charges that or about the day of , 20 in McHenry County, Illinois, , hereinafter called the Defendant committed the offense of in violation of Chapter Act Paragraph of the Illinois Compiled Statutes in that said Defendant Class__________ Contrary to the form of the statute in such case made and provided and against the peace and dignity of the People of the State of Illinois. Circuit Clerk –Original Copies to: State’s Attorney/Prosecutor Police Department (VERIFICATION ON LAST PAGE) Defendant American LegalNet, Inc. www.FormsWorkflow.com Page _______ of _______ Pages (5/07) ___________________________________________ Case Number ___________________________________________ Jurisdiction Name/Code ___________________________________________ DCN Number ___________________________________________ Report Number COUNT _______ In the name and by the authority of the People of the State of Illinois, hereinafter called the Complainant, on oath charges that or about the _____________day of ____________________________, 20______in McHenry County, Illinois, ________________________________________________________ , hereinafter called the Defendant committed the offense of _______________________________________________________________________________________________________ in violation of Chapter Act Paragraph of the Illinois Compiled Statutes in that said Defendant Class__________ Contrary to the form of the statute in such case made and provided and against the peace and dignity of the People of the State of Illinois. COUNT _______ In the name and by the authority of the People of the State of Illinois, hereinafter called the Complainant, on oath charges that or about the day of , 20 in McHenry County, Illinois, , hereinafter called the Defendant committed the offense of in violation of Chapter Act Paragraph of the Illinois Compiled Statutes in that said Defendant Class__________ Contrary to the form of the statute in such case made and provided and against the peace and dignity of the People of the State of Illinois. Circuit Clerk –Original Copies to: State’s Attorney/Prosecutor Police Department (VERIFICATION ON LAST PAGE) Defendant American LegalNet, Inc. www.FormsWorkflow.com