Local Rules of Court, Sandusky County Common Pleas Court Form C CASE DESIGNATION SHEET – CRIMINAL (__) Judge Sargeant (__) Judge Hafford Date of filing ______________ Case No. ____ CR ____________ =================================================== STATE OF OHIO Thomas L. Stierwalt, Prosecuting Attorney vs. ______________________________________ Name of defendant ___________________________________________ Attorney for defendant (__) Appointed (__) Retained _______________________________________ This case is related to other cases now pending on Address of defendant on the docket or presently being filed, to-wit: _______________________________________ Case No(s).________________________________ City, State & Zip Assign to same Trial judge DOB: ___/___/______ SSN: _____-____-________ ITN: ____________________________ Arresting Law Enforcement Agency: ___________________________________________ =========================== ======================== Indictment/Information for: State name of offense and Ohio Revised Code Section (List each count): ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ =========== ======================================== COURT APPEARANCES WITH RECORD MADE or JUDGE’S NOTES Date Nature of proceeding Court Room Tape No. Judge ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ (Use reverse side for additional entries) Page 26 of 34 pages American LegalNet, Inc. www.FormsWorkflow.com