Original - Court 1st copy - Defendant/Attorney 2nd copy - Law enforcement agency Approved, SCAO STATE OF MICHIGAN JUDICIAL DISTRICT JUDICIAL CIRCUIT CASE NO. ORDER FOR FINGERPRINTS Court address ORI Court telephone no. MIPolice Report No. Defendant's/Respondent's name, address, and telephone no. The State of Michigan THE PEOPLE OF v Juvenile In the matter of Arresting agency name and ORI Incident date Arrest date CTN PACC Code USE NOTE: This order is to be issued when: 1) fingerprints were not taken at arrest and are required to be taken, or 2) the respondent is found guilty of criminal contempt for violating a personal or valid foreign protection order and fingerprints were not already taken. IT IS ORDERED: 1. a. Defendant/Juvenile/Respondent shall go to so that fingerprints can be taken. Law enforcement agency The fingerprints must be taken before . Next scheduled court date or b. The sheriff shall take custody of the defendant/juvenile/respondent to take his/her fingerprints. 2. The clerk shall forward immediately a copy of this order with an attached copy of the complaint, petition, or information to the law enforcement agency required to take fingerprints. 3. Unless otherwise incarcerated, defendant/juvenile/respondent shall be released immediately after his/her fingerprints are taken. 4. Refusal to submit to fingerprinting may subject the defendant/juvenile/respondent to contempt or criminal charges. Judge/Magistrate Date Bar no. PROOF OF SERVICE I certify that on this date copies of this order were served on the parties by Date first-class mail to their last-known addresses. personal service. Court clerk CERTIFICATE OF FINGERPRINTING I certify that arrest data and a set of fingerprints were taken and properly submitted for retention to the Michigan State Police Criminal Justice Information Center. TCN (when CTN is not already assigned) OCA Date Signature Name (type or print) MC 233 (5/07) ORDER FOR FINGERPRINTS MCL 28.243, MCL 764.29, MCL 769.1, MCL 769.16a(5), MCR 3.936 American LegalNet, Inc. www.FormsWorkflow.com