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Criminal Case Cover Sheet - Missouri
| Criminal Case Cover Sheet Form. This is a Missouri form and can be used in Western District District Court Federal . |
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UNITED STATES DISTRICT COURT WESTERN DISTRICT OF MISSOURI CRIMINAL CASE COVER SHEET Division of Filing Place of Offense Matter to be Sealed9 Western 9 St. Joseph 9 Juvenille9 Central 9 Southern 9 Secret Indictment9 Southwestern County Related Case Information Superseding Indictment 9 Yes 9 No if yes, original docket number Same Defendant 9 Yes 9 No New Defendant 9 Yes 9 No Complaint Case Number Defendant Information Defendant Name Alias Name Birthdate SS# U.S. Attorney Information Case Number AUSA Interpreter Needed 9 Yes Language and/or dialect 9 No Location Status Arrest Date 9 Already in Federal Custody as of in 9 Already in State Custody in Writ Required 9 Yes 9 No9 On Pretrial Release U.S.C. Citations Total # of Counts Set Index Key/Code Description of Offense Charged Count(s) 1 2 3 4 (May be continued on reverse) Date Signature of AUSA <<<<<<<<<********>>>>>>>>>>>>> 2Set Index Key/Code Description of Offense Charged Count(s)5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
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