HAMILTON COUNTY MUNICIPAL COURT Hamilton County, Ohio CITY OF CINCINNATI STATE OF OHIO CASE NO. ____________ CHARGE(S) -vs- R.C. SECTION _________ _____________________ Record of Appearance of Counsel, Entry of Plea and Waiver of Hearing Pursuant to R.C. Section 4511.191(K)/ Return of License ___________________ Defendant The undersigned, an Attorney at Law, hereby enters an appearance as Designated Trial Counsel for the Defendant herein. ___________________ Attorney (Please Print) _________________ Attorney (Signature) Address _________________ _________________ Telephone No. _________________ Defendant hereby enters his/her plea of not guilty to the above captioned charge, having been informed of his/her rights by defense counsel. Counsel further stipulates there are not conditions present under R.C. 4511.191(K) that would cause the Court to suspend the defendant's driving privileges and that there are no objections by the Prosecutor, therefore the driver's license shall be returned to the defendant. The defendant has presented proof that he/she was insured with ____________________ Ins. Co. and said policy of insurance will remain in effect until final disposition of this case. ____________________ Defendant ____________________ Prosecutor APPROVED AND FILED FOR JOURNALIZATION ENTERED Date Date Minute Judge CR12 1/95, 7/96 2002 © American LegalNet, Inc.