: Defendant(s) : . .Law .Enforcement .Case. No. . . . . . . . . . . . . . . . . . . . . . . . . LID .No.. . . . . . . . .. ....... .. .. .. . File No. WARRANT FOR ARREST I. POSSESSION WITH INTENT TO MANUFACTURE, SELL, AND DELIVER SID No. FBI No. STATE OF NORTH CAROLINA THE PEOPLE OF THE STATE OF NEW YORK County In The General Court Of Justice District Court Division TOTo any officer with authority and jurisdiction to execute a warrant for arrest for the offense(s) charged below: (Identify Substance) II. SALE AND DELIVERY III. MANUFACTURE (Always charge Count I. If appropriate, charge Count II or III, or II and III.) THE STATE OR NORTH CAROLINA VS. I. POSSESSION WITH INTENT TO MANUFACTURE, SELL, AND DELIVER GREETINGS:undersigned, find that there is probable cause to believe that on or about the date of offense shown and in the I, the county named above the defendant named above unlawfully, willfully and feloniously did possess with intent to WE COMMAND YOU, that controlled substance as follows: manufacture, sell, and deliver a all business and excuses being laid aside, you and each of you attend before Name And Address Of Defendant Specify Identify Substance , the Honorable Amount Of Substance at the Court located at County of in room Schedule Of, The N. C. Controlled Substances Act on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the County Of Residence Telephone No. Race Date Of Birth SALE AND DELIVERY II. Sex Social Security No. I, the undersigned, find that there is probable cause to believe that on or about the date of offense shown and in the county named above the defendant named above unlawfully, willfully and feloniously did sell and deliver the Your failure to comply with this subpoena controlled substance identified in Count I to: is punishable as a contempt of court and will make you liable to Age Drivers License No. & State the party on whose behalf this Sold And Delivered To subpoena was issued for a maximum penalty of $50 and all damages sustained as a Name Of Person Substance result of your failure to comply. Name Of Defendant's Employer MANUFACTURE Witness, Honorable III. Offense Code(s) Offense In Violation Of G.S. 90-95(a)(1) , one of the Justices of the I, the undersigned, find that there is probable cause to believe that on or about the date of offense shown and in the Court in county named County, defendant named above ,unlawfully, willfully and feloniously did manufacture the controlled day of 20 above the substance identified in Count I by: (describe act of manufacturing) Date Of Offense Date Of Arrest & Check Digit No. (As Shown On Fingerprint Card) (Attorney must sign above and type name below) Complainant (Name, Address Or Department) Attorney(s) for County Of Residence Telephone No. Names & Addresses Of Witnesses (Including Counties & Telephone Nos.) This act(s) was in violation of the law(s) referred to in this Warrant. This Warrant is issued upon information furnished Office and P.O. and bring under oath by the complainant listed. You are DIRECTED to arrest the defendant Address the defendant before a judicial official without unnecessary delay to answer the charge(s) above. Location Of Court Signature Date Issued Deputy CSC Assistant CSC AOC-CR-111, Rev. 2/03 (Structured Sentencing) 2003 Administrative Office of the Courts Magistrate Clerk Of Superior Court Telephone No.: No.: E-Mail Address: Mobile Tel. No.: Facsimile Court Date Court Time AM PM (Over) American LegalNet, Inc. www.USCourtForms.com : District Attorney 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 PLEA: guilty execute the Warrant and any information obtained about the whereabouts guilty of the defendant. not guilty By arresting the defendant and bringing the defendant before: Name Of Judicial Official This Warrant WAS NOT served for the following reason: Signature Of Officer Making Return Appointed Retained Waived No./Level: PRIOR CONVICTIONS: 0 guilty guilty not guilty I (0) II (1-4) MISD. CLASS: MISD. CLASS: III (5+) 1 1 2 2 3 3 JUDGMENT: The defendant appeared in open court and freely, voluntarily and understandingly entered the above plea; on the above . verdict it is ORDERED that the defendant: pay costs and a fine of $ TO be imprisoned for a term of days in the custody of the sheriff. DOC. Pretrial Credit days served. Work release is recommended. is not recommended. [ is ordered. (use form AOC-CR-602)] The Court finds that a longer shorter period of probation, than that which is specified in G.S. 15A-1343.2(d), is necessary. With defendant's consent, execution of the sentence is suspended and the defendant is placed on unsupervised probation for months, subject to the following conditions: (1) commit no criminal offense in any jurisdiction. (2) possess no firearm, explosive or other GREETINGS: listed in G.S. 14-269. (3) remain gainfully and suitably employed or faithfully pursue a course of study or of vocational deadly weapon training, that will equip the defendant for suitable employment, and abide by all rules of the institution. (4) satisfy child support and family WE COMMAND YOU, that all (5) pay to the Clerk the costs of court and any additional sums shown below. obligations, as required by the Court. business and excuses being laid aside, you and each of you attend before Fine Restitution* Attorney's Fee Community Service Fee Other , the Honorable at the Court $ $ $ $ $ located at County of in *Name(s), address(es), amount(s)the security number(s) of aggrieved party(ies) to receive restitution: o'clock in the room , on & social day of , 20 , at noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the Department Or Agency Of Officer REDELIVERY Signature VERDICT: no contest no contest THE PEOPLE OF THE STATE OF NEW YORK RETURN OF SERVICE I certify that this Warrant was received and served as follows: Date Received Date Served Date Returned Date Attorney For DefendantDefendant(s)Or Plea : At Time Of Trial ....................................... 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 before: Name Of Judicial Official This Warrant WAS NOT served for the following reason: 6. complete hours of community service during the first days probation, as will make you liable to Your failure to comply with this subpoena is punishable as a contemptofof court and directed by the community service coordinator, and pay the fee prescribed by G.S. 143B-475.1(b) within days. the party on whosein or on the premises of thewas issued or a maximum penalty of $50 and all damages sustained as a behalf this subpoena complainant for 7. not be found . result8. not assault, communicate with or be in the presence of the complainant or of your failure to comply. . 9. Other: Witness, Honorable Court in County, , one of the Justices of the day of , 20 Signature Of Officer Making Return (Attorney must sign above and type name below) Department Or Agency Of Officer It is ORDERED that this: APPEAL ENTRIES The defendant, in open court, gives notice of appeal to the Superior Court. The current pretrial release order is modified as follows: Date Signature Of District Court Judge WAIVER OF PROBABLE CAUSE HEARING Judgment is continued upon payment of costs. case be consolidated for judgment with sentence is to run at the expiration of the sentence in . . Attorney(s) 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 have complied with the conditions of release pending appeal. PROBABLE CAUSE: Probable cause is found as to all Counts except for action by the grand jury. No probable cause is found as to Count(s) Office Name Of District Court Judge (Type Or Print) Date , and the defendant is bound over to Superior of this Warrant, and P.O. Address and the Count(s) is dismissed. Signature Of District Court Judge The undersigned defendant, with the consent of his/her attorney, waives the right to a probable cause hearing. Date Waived CERTIFICATION Telephone No.: Signature Of Defendant I certify that this Judgment is a true and complete copy of the original which is on file in this case. Signature Of Attorney Date AOC-CR-111, Side Two, Rev. 2/03 (Structured Sentencing) 2003 Administrative Office of the Courts Facsimile No.: E-Mail Address: If DWI, use AOC-CR-342 (active) or AOC-CR-310 (probation). If active sentenceNo.: Mobile Tel. to DOC, use AOC-CR-602. Date Delivered To Sheriff NOTE: Signature Deputy CSC Assist. CSC CSC If supervised probation, use AOC-CR-604. 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