Opinion
CASE/CITATION NO. 2:2010-mj-00360-DAD
09-28-2011
ORDER TO PAY
SOCIAL SECURITY # : ____
DATE OF BIRTH: ____
DRIVER'S LICENSE # : ____
ADDRESS: ____
I UNDERSTAND THAT IF I MOVE PRIOR TO PAYING ANY FINE, RESTITUTION, OR PENALTY ASSESSMENT IN THIS CASE, I MUST NOTIFY THE ATTORNEY GENERAL OF THE UNITED STATES IN WRITING WITHIN SIXTY (60) DAYS OF ANY CHANGE IN MY RESIDENCE ADDRESS OR MAILING ADDRESS 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 THE FOLLOWING:
[√] Fine: $300 and a penalty assessment of $ 20 for a TOTAL AMOUNT OF: $ 320 within 1 year days/months or payments of $ 25 per month, commencing 10/14/11 fend due on the ____ of each month until paid in full.
() Restitution: ____
() Community Service ____ with fees not to exceed $ ____ completed by ____
PAYMENTS must be made by CHECK or MONEY ORDER, payable to: Clerk, USDC and mailed to (circle one): ____
+-----------------------------------------------------------------------------------+ ¦CENTRAL VIOLATIONS BUREAU ¦CLERK, USDC ¦CLERK, USDC ¦ +---------------------------+---------------------------+---------------------------¦ ¦PO BOX 70939 ¦2500 TULARE ST., RM. 1501 ¦501 I STREET, STE. 4-200 ¦ +---------------------------+---------------------------+---------------------------¦ ¦CHARLOTTE, NC 28272-0939 ¦FRESNO, CA 93721 -1322 ¦SACRAMENTO, CA 95814-2322 ¦ +-----------------------------------------------------------------------------------+
Your check or money order must indicate your name and case/citation number shown above to ensure your account is credited for payment received.
DALE A. DROZD
U.S. MAGISTRATE JUDGE