COMPLAINT (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 __________________________________ DCN NUMBER -VS- File Stamp Here __________________________________________ DEFENDANT __________________________________ REPORT NUMBER _______________________ ______________________________ CITY, VILLAGE, TOWNSHIP AND CODE SAO NUMBER In the name and by the authority of the People of the State of Illinois, hereinafter called the Complainant, on oath charges that on or about the ____________ day of _______________________, 20______ in McHenry County, Illinois,________________________________________________________ , hereinafter called the Defendant, committed the offense of _____________________________________________________ in violation of Chapter________ Act______ Section _____________ of the Illinois Compiled Statutes in that the said Defendant: 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. Court Location: COMPLAINANT _______________________________________________________________________________ 2200 N. Seminary Avenue Woodstock, IL Subscribed and sworn to before me this __________ day of____________________, 20______ BOND FELONY CLASS NEXT DAY/TIME NOTARY PUBLIC – JUDGE MISDEMEANOR CLASS Copy of Complaint delivered to said Defendant, rights explained and probable cause found (if warrantless arrest this ______________ day of ________________________________ , 20 ______. A/O_________________________________ BADGE NO._______________JUDGE___________________________________________________________________ PEOPLE OF THE STATE OF ILLINOIS -VS- __________________________________________________________________________ Address____________________________________ City_____________________________State___________Zip Code____________ Telephone Date of Birth Social Security No. Driver's License No./State _________________________________ Sex______ Race______ Co-Defendant(s): YES CIRCUIT CLERK – ORIGINAL NO (If yes, list below) WARRANTLESS ARREST YES NO Date/Time of Arrest __________________________________________ COPIES TO: POLICE DEPARTMENT PROSECUTORS/STATES ATTORNEY DEFENDANT American LegalNet, Inc. www.FormsWorkflow.com