Opinion
CASE/CITATION NO.2:2011-mj-00164-DAD
08-09-2011
UNITED STATES OF AMERICA v. Juarez
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, 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: of and $ 300 a penalty assessment of $ 10 for a TOTAL AMOUNT OF: $ 310 within 4 days/months: or payments of $ ___per month, commencing ___, and 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
PO BOX 70939
CHARLOTTE, NC 28272-0939
CLERK, USDC
2500 TULARE ST., RM. 1501
FRESNO, CA 93721-1322
CLERK, USDC
501 I STREET, STE. 4-200
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
Clerk's Office