Opinion
CASE/CITATION NO. 2:2011-mj-00347-GGH
01-18-2012
UNITED STATES OF AMERICA v. Sann
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.
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DEFENDANT'S SIGNATURE
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YOU ARE HEREBY ORDERED TO PAY/COMPLY THE FOLLOWING:
[x] Fine: 300.00 and a penalty assessment of $ .10.00 for a TOTAL AMOUNT OF: $310.00, .within_days/months; or payments of $ 50.00 per month, commencing 21.100 and due on the 10th 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.
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U.S. MAGISTRATE JUDGE
Clerk's Office