Approved, SCAO � Original - Court1st copy - Jail2nd copy - Michigan State Police CJIC3rd copy - Defendant4th copy - ProsecutorSTATE OF MICHIGANJUDICIAL DISTRICTJUDICIAL CIRCUITJUDGMENT OF SENTENCE � COMMITMENT TO JAIL CASE NO.ORIMI-Court addressCourt telephone no.Police Report No. � � The State of Michigan THE PEOPLE OF � � en-US en-US en-USven-USDefendant222s name, address, and telephone no.en-USCTN/TCNen-USSIDen-USDOBen-USTHE COURT FINDS: 1. � The defendant was found guilty on en-USDateen-US of the crime(s) stated below: en-USCounten-USCONVICTED BYen-USDISMISSEDen-USBY*en-USCRIMEen-USCHARGE CODE(S)en-USMCL citation/PACC Codeen-USPlea*en-USCourten-USJuryen-US*Insert 223G224 for guilty pleas, 223NC224 for nolo contendere, or 223MI224 for guilty but mentally ill, 223D224 for dismissed by court, or 223NP224 for dismissed by prosecutor/plaintiff. 2. � The defendant � en-US was represented by an attorney: en-US en-US . � en-US was advised of right to counsel and appointed counsel and knowingly, intelligently, and voluntarily � waived that right. � 3. � Conviction reportable to Secretary of State.** The defendant222s driver222s license number is en-US en-US . � 4. � Sanctions are reportable to State Police.** � Revoked. � en-US Suspended en-US days. � en-US Restricted en-US days. � � 5. � HIV testing and sex offender registration are completed. � en-US**(see back) � 6. � The defendant has been fingerprinted according to MCL 28.243. � 7. � A DNA sample is already on file with the Michigan State Police from a previous case. No assessment is required. en-USIT IS ORDERED: � 8. � Probation is revoked. � 9. � Deferred status is revoked. � en-US HYTA status is revoked. � 10. � The defendant is sentenced to jail as follows: � en-US Report at en-USTimeen-US . en-USCounten-USDate Sentenceen-USBeginsen-USSentenceden-USCrediteden-USTo Be Serveden-USRelease Authorizeden-USfor the Following Purposeen-USRelease Perioden-USMos.en-USDaysen-USMos.en-USDaysen-USMos.en-USDaysen-USFromen-USTo � Upon payment of fine and costs.......................... � To work or seek work............................................... � For attendance at school......................................... � For medical treatment.............................................. � Other: en-US American LegalNet, Inc. www.FormsWorkFlow.com Judgment of Sentence/Commitment to Jail � (6/18) � Page of Case No. en-USIT IS ORDERED en-US(continued): � 11. � Sentence(s) to be served consecutively to � en-US(If this item is not checked, the sentence is concurrent.) � � each other. � en-US case number(s) en-US en-US .en-US12. The defendant shall pay: en-USState Minimumen-USCrime Victimen-USRestitutionen-USDNA Assess.en-USCourt Costsen-USAttorney Feesen-USFineen-USOther Costsen-USTotalen-US$en-US$en-US$en-US$en-US$en-US$en-US$en-US$en-US$ � The due date for payment is en-US en-US . Fine, costs, and fees not paid within 56 days of the due � date are subject to a 20% late penalty on the amount owed. en-USIf you are not able to pay due to financial hardship, contact the � court immediately to request a payment alternative. MCR 6.425(E)(3). � � The defendant shall serve en-US en-US days in jail for failure to pay on time, as part of a conditional sentence. Prior to � enforcement of jail time for failing to pay, the court must determine the defendant222s ability to pay. � 13. The defendant shall be placed on probation for en-US en-US months and abide by the terms of probation. en-US(See separate order.) � 14. � The defendant shall complete the following rehabilitative services. � � Alcohol Highway Safety Education � Treatment � ( outpatient, � inpatient, � residential, � en-US mental health). � Specify: � 15. The vehicle used in the offense shall be immobilized or forfeited. en-US(See separate order.) � 16. Other: en-USDate � en-USJudge/Magistrate Bar no.en-US**Currently convictions are reportable to the Secretary of State under: � 225 MCL 257.625(21)(a) � 225 MCL 257.732 � 225 MCL 324.80131 � 225 MCL 324.81134(12) � 225 MCL 324.81135(7) � 225 MCL 324.82157 � 225 MCL 333.7408a(12)(a) en-US**Sanctions are reportable to the State Police under: � 225 MCL 333.7408a(12)(b), including sentences for imprisonment under 90 days � 225 MCL 257.625(21)(b) American LegalNet, Inc. www.FormsWorkFlow.com