Approved, SCAO STATE OF MICHIGAN JUDICIAL DISTRICT JUDICIAL CIRCUIT CASE NO. INFORMATION FELONY District Court ORI: MI- DISTRICT CIRCUIT Circuit Court ORI: MI- Victim or complainant Defendant's name and address THE PEOPLE OF THE STATE OF MICHIGAN Bind over/Transfer - Circuit/Juvenile court Complaint copy - Prosecutor Complaint copy - Defendant/Attorney Information - Circuit court Original complaint - Court Warrant - Court v Complaining witness Co-defendant(s) Date: On or about City/Twp./Village County in Michigan Police agency report no. Defendant CTN Charge Defendant TCN Witnesses Defendant SID Defendant DOB Maximum penalty Oper./Chauf. CDL Vehicle Type Defendant DLN STATE OF MICHIGAN, COUNTY OF IN THE NAME OF THE PEOPLE OF THE STATE OF MICHIGAN: The prosecuting attorney for this County appears before the court and informs the court that on the date and at the location described, the defendant: and against the peace and dignity of the State of Michigan. Prosecuting Attorney By: Date MCL 764.1 et seq., MCL 766.1 et seq., MCL 767.1 et seq., MCR 6.110 MC 200 (7/05) FELONY SET, Information American LegalNet, Inc. www.USCourtForms.com