Opinion
CITATION/CASE NO 6:11 -mj-0040-MJS
09-19-2011
U.S.A. v. Daniel Foss
JUDGMENT and ODER 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
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YOU ARE HEREBY ORDERED TO PAY/COMPLY WITH THE FOLLOWING:
(√) Penalty ASSESSMENT of $ 10.00 () RESTITUTION of $ _______________________ () PROCESSING Fee of $ _________________ (√) FINE of $ 290.00 for a TOTAL AMOUNT of $ 300.00. 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 ___________________________
() PROBATION to be unsupervised / supervised for: _____________________________
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 70939
Charlotte, NC 28272-0939
1-800-827-2982
[] CLERK U.S.D.C.
501 "I" St., #4-200
Sacramento, CA 95814
[√ ] 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