FLORIDA FISH AND WILDLIFE CONSERVATION COMMISSION DIVISION OF LAW ENFORCEMENT

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1 In the County Court in and for County, Florida of Arrest: of Arrest: WITNESS TO DISPOSAL/DESTRUCTION NE: Date Type of Court of Court IFWCDLE 025 (09/09) COURT ORIGINAL Signature of Defendant

2 CASE NO. TRIAL DOCKET NO. PAGE NO. DATE Bond Estreated Continuance to COURT ACTION AND OTHER ORDERS Judge Reason Continuance to Reason Warrant served Warrant issued Adjudication withheld ARRAIGNMENT, JUDGMENT, SENTENCE AND ORDER Said Defendant arraigned for trial/hearing on this day of, 20, A.D. and entered a plea of to the charge as set forth herein. After hearing the evidence and duly considering the same, the Court/Jury finds you, the Defendant, of said charge, AND IT IS ORDERED AND ADJUDGED that you, the Defendant, are as charged, of said offense as set forth herein. IT IS, THEREFORE, the Judgment, Order, and Sentence of the Court that you, the Defendant, be imprisoned in the County Jail at for a term of days, and/or pay a fine of $ and $,the cost herein; and in default of such payment, that you, the Defendant, stand committed to the County Jail at for a term of days. DONE, ORDERED, AND ADJUDGED in open Court at Florida, the day of, 20, A.D. Judge Testimony, Judge s Notes (or other Court Orders)

3 In the County Court in and for County, Florida of Arrest: of Arrest: WITNESS TO DISPOSAL/DESTRUCTION NE: Date Type of Court of Court FWCDLE 025 (09/09) COURT COPY Signature of Defendant

4 ABSTRACT OF COURT RECORD AND REPORT OF DISPOSITION MUST BE REPORTED WITHIN 10 DAYS AFTER FINAL ADJUDICATION TO: RECORDS SECTION FLORIDA FISH & WILDLIFE CONSERVATION COMMISSION 620 S. MERIDIAN ST. TALLAHASSEE, FL Defendant s Name: Court Case#: Arrest/Citation Date: Citation#: I. VERDICT, DISPOSITION, OTHER ACTION (Enter one code from below for each count): Count 1 Count 2 Count 3 Count 4 Codes: 1. Adjudicated Guilty 6. Dismissed 2. Adjudicated Delinquent 7. Nolle Prosequi 3. Adjudicated Guilty, Bond estreated, no further action 8. License Suspension 4. Found Guilty, Adjudication withheld 9. Other: 5. Not Guilty II. SENTENCE OF THE COURT (Enter all applicable codes from below for each count): Count 1 Count 2 Count 3 Count 4 Codes: 1. Imprisonment or Juvenile Detention 5. Probation 2. Fine 6. Community Service or Public Work 3. Civil penalty 7. Sentence Withheld, Deferred, or Suspended 4. Court Costs 8. Other: Enter the amount for all fines, civil penalties, court costs, jail and service assessed for each count: FINES: Count 1 Count 2 Count 3 Count 4 CIVIL PENALTIES: Count 1 Count 2 Count 3 Count 4 COURT COSTS: Count 1 Count 2 Count 3 Count 4 JAIL TIME (DAYS): Count 1 Count 2 Count 3 Count 4 COMMUNITY/PUBLIC SERVICE HRS: Count 1 Count 2 Count 3 Count 4 III. County: City: Presiding Judge: Court Type: Final Adjudication or Action on: Submitted on: to FWC/DLE Records Section by: Title:

5 In the County Court in and for County, Florida of Arrest: of Arrest: WITNESS TO DISPOSAL/DESTRUCTION NE: Date Type of Court of Court FWCDLE 025 (09/09) REGION - COPY Signature of Defendant

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7 In the County Court in and for County, Florida of Arrest: of Arrest: WITNESS TO DISPOSAL/DESTRUCTION NE: Date Type of Court of Court FWCDLE 025 (09/09) DEFENDANT - COPY Signature of Defendant

8 COURT APPEARANCE INSTRUCTIONS If you desire to plead NOT GUILTY to the charge, your personal appearance in court is required as indicated on the face of this note. Posting of bail does not relieve you of the requirement of appearance and in the event of nonappearance the court may both forfeit the bail and issue a warrant for your arrest. If you desire to plead GUILTY or NOLO CONTENDERE (no contest) you need not appear in court as indicated on the face of this notice; however, you may present this notice at: Clerk of Courts Office Judge s Office Other: : Any time from: to DATE HOUR DATE HOUR And pay a fine of $ in Cash Money Order Certified Check Personal Check Other NE ADDRESS THE WAIVER BELOW MUST BE COMPLETED AND ATTACHED. READ CAREFULLY Your failure to answer this summons in the manner prescribed will result in a warrant being issued on a separate and additional charge. APPEARANCE, PLEA OF GUILTY OR NOLO CONTENDERE AND WAIVER Date: In consideration of my not appearing in court, I the undersigned, do hereby enter my appearance on the Affidavit for the offense charge on the other side of this notice and WAIVE the reading of the Affidavit in the above named cause and the right to be present at the trial of said action. I hereby enter a plea of :- Guilty Nolo Contendere (Check Appropriate Plea) and waive the right to prosecute, appeal or error proceedings. I understand the nature of the charge against me; I understand my right to have counsel and I WAIVE this right and the right to a continuance. I WAIVE my right to trial before a judge or jury. I plead:- Guilty Nolo Contendere (Check Appropriate Plea) to the charge being fully aware that my signature to this plea will have the same effect as a judgment of this court. $ Total Fine and Costs Defendant s Signature Address RESERVED FOR CLERK S OFFICE USE

9 In the County Court in and for County, Florida of Arrest: of Arrest: WITNESS TO DISPOSAL/DESTRUCTION NE: Date Type of Court of Court FWCDLE 025 (09/09) OFFICER - COPY Signature of Defendant

CHECKLIST FOR PROCESSING JNA. Checklist #1. Citation or complaint filed with court. (Arts , , and , C.C.P.)

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