en-US en-USDeputy Sheriffen-US en-US en-USOther þ en-USI certify that this Prosecutor222s Request was received and served as follows: en-USDate Request Receiveden-USDate Def. Received From Custodianen-USName Of Person Serveden-USSignature Of Person Making Return Of Serviceen-USDate Request Served On Custodianen-USDate Of Return Of Serviceen-USDate Def. Returned To Custodian en-USRETURN OF SERVICE en-USFile No. en-USName Of Defendanten-US en-USSTATE OF NORTH CAROLINAen-US en-US Countyen-USIn The General Court Of Justice en-US District en-US Superior Court Divisionen-USSTATE VERSUS en-USSTATE OF NORTH CAROLINAen-US en-US Countyen-USPROSECUTOR222S REQUESTen-USFOR TEMPORARY CUSTODYen-USOF DEFENDANT FOR TRIALen-USG.S. 15A-711(a)en-USRaceen-USSexen-USDate Of Birthen-USOffender ID (if any) en-USTo The Custodian Of The Institution Named Above:en-USen-USen-USen-USen-US en-US en-USSheriff Of This County en-US en-USOtheren-US þ en-US N.C. DACJJ en-US Sheriff of en-US en-US County en-US Juvenile Justice Sectionen-USNOTE TO PROSECUTOR: en-USGive original and two copies to law enforcement agency. File third copy with the Clerk. If the defendant en-USen-USprosecutor for that prosecutorial district.en-USNOTE TO LAW ENFORCEMENT OFFICER: en-USen-USen-US en-USCHARGES PENDING FOR TRIAL en-USFile No.en-USOffense(s) en-USDate en-USSignature Of Person Authorized To Administer Oaths en-USDate My Commission Expiresen-USCounty Where Notarized þ en-USNotary en-US en-USDeputy CSC en-US en-USAssistant CSC en-US en-USClerk Of Superior Court en-US en-USMagistrate en-US en-USDistrict Attorney en-US en-USAssistant District Attorney en-USSWORN/AFFIRMED AND SUBSCRIBED TO BEFORE MEen-USSEALen-USLocation Of Courten-USCourt Dateen-USCourt Timeen-USDate Of Requesten-USName Of Prosecutor (type or print)en-USSignature Of Prosecutor en-US AM en-US PM American LegalNet, Inc. www.FormsWorkFlow.com