Opinion
CITATION/CASE NO. 6:13-mj-06-MJS AMENDED
02-12-2013
JUDGMENT and ORDER TO PAY
SOCIAL SECURITY #: ________________________________
DATE OF BIRTH: ____________________________________
DRIVER'S LICENSE #: _______________________________
ADDRESS: _____________________________________________________
City State Zip Code
I UNDERSTAND THAT IF I MOVE PRIOR TO PAYING ANY FINE, RESTITUTION, PENALTY ASSESSMENT OR PROCESSING FEE IN THIS CASE, I MUST NOTIFY THE UNITED STATES ATTORNEY IN WRITING WITHIN SIXTY (60) DAYS OF ANY CHANGE IN MY RESIDENCE ADDRESS OR MAILING ADDRESS: NOTE: FAILURE TO PAY COULD RESULT IN A WARRANT BEING ISSUED OR AN ABSTRACT AGAINST MY DRIVER'S LICENSE OR VEHICLE BEING ISSUED. I CERTIFY THAT ALL OF THE ABOVE INFORMATION IS TRUE and CORRECT.
____________________________
Defendant's Signature
YOU ARE HEREBY ORDERED TO PAY/COMPLY WITH THE FOLLOWING:
(v) Penalty ASSESSMENT of $ 10.00 () RESTITUTION of $ _________________________ () PROCESSING Fee of $ _______________________ (v) FINE of $ 240.00 for a TOTAL AMOUNT of $ 250.00, paid within 60 days OR payments of $ ___ per month, commencing ___ and due on the ______________ of each month until PAID IN FULL - note late payments could be subject to late/delinquent charges imposed by C.V.B. () REVIEW/ Post Sentencing HEARING DATE: __________________ at _________ a. m. / p. m. in Courtroom _____________ () Compliance HEARING: _______________________ at __________ a. m. / p. m. in Courtroom ______________ [ ] RESTITUTION / VICTIM information __________________________ () COMMUNITY SERVICE __________________ with fees not to exceed $ _______________ to be completed by ____________________________ with Proof mailed to the Clerk Of Court. () TRAFFIC SCHOOL by _________________ with Proof mailed to ______________ (v) PROBATION to be unsupervised / supervised for: Unsupervised Probation for 12 months. Term and condition: Obeyall law, do not consume alcohol or controlled substance. Attend AA meetings 2 x's per week for the first six months of probation term.
Payments must be made by Check or Money Order, payable to: Clerk, U.S.D.C. and mailed to (check one):
[ ] CENTRAL VIOLATIONS BUREAU PO Box 71363 Philadelphia, PA 19176-1363 1-800-827-2982
[ ] CLERK U.S.D.C. 501 "I" St., #4-200 Sacramento, CA 95814
[v] CLERK U.S.D.C 2500 Tulare St., Rm 1501 Fresno, CA 93721 Your check or money order must indicate your name and citation/case number shown above to ensure your account is credited for payment received.
Laurie C. Yu
U.S. MAGISTRATE JUDGE