File No. STATE OF NORTH CAROLINA In The General Court Of Justice Superior Court Division County STATE VERSUS INDICTMENT FIRST DEGREE STATUTORY SEXUAL OFFENSE Name Of Defendant Date Of Offense Offense In Violation Of G.S. (FEMALE OR MALE CHILD UNDER 13) (1116) 14-27.4(a)(1) G.S. 15-144.2(b) The jurors for the State upon their oath present that on or about the date of offense shown and in the county named above the defendant named above unlawfully, willfully and feloniously did engage in a sex offense with , a child under the age of 13 years. Signature Of Prosecutor WITNESSES The Witnesses marked "X" were sworn by the undersigned Foreman of the Grand Jury and, after hearing testimony, this Bill was found to be: A TRUE BILL by twelve or more grand jurors, and I the undersigned Foreman of the Grand Jury, attest the concurrence of twelve or more grand jurors in this Bill of Indictment. NOT A TRUE BILL. Date Signature Of Grand Jury Foreman AOC-CR-149, Rev. 10/96 1997 Administrative Office of the Courts 2001 © American LegalNet, Inc.