Defendant(s) : ...................................................... If this Warrant For Arrest is not served within one hundred and eighty (180) days, it must be returned to the Clerk of Court in the county in which it was issued with the reason for the failure of service noted thereon. The officer must state all steps taken by the department in attempting to execute the Warrant and any information obtained about the whereabouts of the defendant. District Attorney PLEA: Attorney For Defendant At Time Of Trial Or Plea guilty VERDICT: no contest THE PEOPLE OF THE STATE OF NEW YORK guilty no contest Appointed Retained Waived PRIOR CONVICTIONS: No./Level: 0 guilty guilty not guilty I (0) II (1-4) MISD. CLASS: III (5+) 1 2 3 1 2 3 not guilty RETURN OF SERVICE TO JUDGMENT: The defendant appeared in open court and freely, voluntarily and understandingly entered the above plea; on the above verdict I certify that this Warrant was received and served as follows: pay costs and a fine of $ it is ORDERED that the defendant: . Date Received Date Served Date Returned be imprisoned for a term of days in the custody of the sheriff. DOC. Pretrial days served. Work is recommended. is not recommended. [ is ordered. (use form AOC-CR-602)] By arresting the defendant and bringing the defendant before: The Court finds that a longer shorter period of probation, than that which is specified in G.S. 15A-1343.2(d), is Name Of Judicial Official With defendant's consent, execution of the sentence is suspended and the defendant is placed on unsupervised probation for GREETINGS: months, subject to the following conditions: (1) commit no criminal offense in any jurisdiction. (2) possess no firearm, explosive or other deadly weapon listed in G.S. 14-269. (3) remain gainfully and suitably employed or faithfully pursue a This Warrant WAS NOT served for the following WE COMMAND YOU, that all business and excuses being suitable employment, and of you all rules of the course of study or of vocational training, that will equip the defendant for laid aside, you and eachabide by attend before reason: the Honorable (4) satisfy child support and family obligations, as required by the Court. (5) pay to the Clerk the costs of court and at the Court institution. Fine Restitution* Attorney's Fee Community Service Fee Other located at County of $ $ $ $ in room , on the$ day of , 20 , at o'clock in the noon, and at any recessed *Name(s), address(es), amount(s) & social security number(s) of aggrieved party(ies) to receive restitution: or adjourned date, to testify and give evidence as a witness in this action on the part of the Signature Of Officer Making Return Department Or Agency Of Officer REDELIVERY Date Signature Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to 6. complete hours of community issued for maximum penalty of $50 and all damages sustained as a days of probation, as directed by the the party on whose behalf this subpoena wasservice duringathe service coordinator, and pay the fee prescribed by G.S. 143B-475.1(b) days. result of yourbe found to or on the premises of the complainant 7. not failure in comply. Dep. CSC Assist. CSC CSC RETURN FOLLOWING REDELIVERY I certify that this Warrant was received and served as follows: Date Received Date Served Date Returned By arresting the defendant and bringing the defendant 8. not assault, communicate with or be in the presence of the complainant 9. Other: Court in Witness, Honorable County, day of , one of the Justices of the , 20 Name Of Judicial Official This Warrant WAS NOT served for the following reason: Signature Of Officer Making Return (Attorney must sign above and type name below) It is ORDERED that Department Or Agency Of Officer APPEAL ENTRIES Judgment is continued upon payment of Attorney(s) case be consolidated for judgment with sentence is to run at the expiration of the sentence for COMMITMENT: It is ORDERED that the Clerk deliver two certified copies of this Judgment and Commitment to the sheriff and that the sheriff cause the defendant to be retained in custody to serve the sentence imposed or until the defendant shall Office and P.O. Address have complied with the conditions of release pending appeal. The defendant, in open court, gives notice of appeal to the Superior Court. Date The current pretrial release order is modified as follows: Name Of District Court Judge (Type Or Print) Signature Of District Court Judge CERTIFICATION Telephone No.: I certify that this Judgment is a true and complete copy of the original which is on file in this case. Date Signature Of District Court Judge Date AOC-CR-915M, Side Two, Rev. 8/97 (Structured Sentencing) 1997 Administrative Office of the Courts Facsimile No.: Deputy CSC E-Mail Address: Assist. CSC CSC If DWI, use AOC-CR-301 (active) or AOC-CR-310 (probation). Mobilesentence to DOC, use AOC-CR-602. If supervised probation, If active Tel. No.: Date Delivered To Sheriff NOTE: Signature use AOC-CR-604. American LegalNet, Inc. www.USCourtForms.com ,