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Petty Offense Docket Sheet And Judgment Order (Short Form) AO 254A - Official Federal Forms
| Petty Offense Docket Sheet And Judgment Order (Short Form) Form. This is a national form and can be used in Administrative Office - Criminal Federal District . |
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OAO 254A (Rev. 12/03) PETTY OFFENSE DOCKET SHEET AND JUDGMENT ORDER (Short Form) Judge Location Page No. Date of Proceedings: DISPOSITION Did Not Appear Special Assess. $ Fine of CASE Number Name and Address of Defendant Offense Date of Offense Officer Agcy. Plea Judgment Other/Remarks Tape Number(s) Signature of Judge Date American LegalNet, Inc. www.USCourtForms.com
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