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Criminal Summons Employment Security Law CR-916M - North Carolina
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District Attorney Attorney For Defendant At Time Of Trial Or PleaAppointed If this Criminal Summons is not served within ninety (90) days, it must be PRIOR CONVICTIONS: Retained returned to the Clerk of Court in the county in which it was issued with Waived No./Level:0 I (0) II (1-4) III (5+) the reason for the failure of service noted thereon. The officer must state PLEA: guilty no contest VERDICT: guilty MISD.all steps taken by the department in attempting to serve the Summons123 and any information obtained about the whereabouts of the defendant. guilty no contest guilty CLASS: 1 2 3 not guilty not guilty RETURN OF SERVICE JUDGMENT: The defendant appeared in open court and freely, voluntarily and understandingly entered the above plea; on the above verdict I certify that this Criminal Summons was received and pay costs and a fine of $ . served as follows: 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 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 By personally serving this Criminal Summons on the defendant. With defendants consent, execution of the sentence is suspended and the defendant is placed on unsupervised probation for This Criminal Summons WAS NOT served for the months, subject to the following conditions: (1) commit no criminal offense in any jurisdiction. (2) possess no firearm, following reason: explosive or other deadly weapon listed in G.S. 14-269. (3) remain gainfully and suitably employed or faithfully pursue a course of study or of vocational training, that will equip the defendant for suitable employment, and abide by all rules of the institution. (4) satisfy child support and family obligations, as required by the Court. (5) pay to the Clerk the costs of court and any additional sums shown below. Fine Restitution* Attorneys Fee Community Service Fee Other Signature Of Officer Making Return $ $ $ $ $ *Name(s), address(es), amount(s) & social security number(s) of aggrieved party(ies) to receive restitution: Department Or Agency Of Officer REISSUANCE Date Signature Dep. CSC Assist. CSC CSC 6. complete hours of community service during the days of probation, as directed by the service coordinator, and pay the fee prescribed by G.S. 143B-475.1(b) days. RETURN FOLLOWING REDELIVERY I certify that this Criminal Summons was received and 7. not be found in or on the premises of the complainant served as follows: 8. not assault, communicate with or be in the presence of the complainant Date Received Date Served Date Returned 9. Other: By personally serving this Criminal Summons on the defendant. This Criminal Summons WAS NOT served for the following reason: Signature Of Officer Making Return It is ORDERED that Judgment is continued upon payment of costs. case be consolidated for judgment with Department Or Agency Of Officer sentence is to run at the expiration of the sentence in COMMITMENT: It is ORDERED that the Clerk deliver two certified copies of this Judgment and Commitment to the sheriff APPEAL ENTRIES and that the sheriff cause the defendant to be retained in custody to serve the sentence imposed or until the defendant shall The defendant, in open court, gives notice of appeal to have complied with the conditions of release pending appeal. the Superior Court. Date Name Of District Court Judge (Type Or Print) Signature Of District Court Judge The current pretrial release order is modified as follows: CERTIFICATION 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 Date Delivered To SheriffSignature Deputy CSC Assist. CSC CSC AOC-CR-916M, Side Two, Rev. 8/97 (Structured Sentencing)NOTE: If DWI, use AOC-CR-301 (active) or AOC-CR-310 (probation). If active sentence to DOC, use AOC-CR-602. If supervised probation, 1997 Administrative Office of the Courts use AOC-CR-604.