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Here is the text we could read:

STATE OF MICHIGAN

JUDICIAL CIRCUIT
COUNTY

JUDGMENT OF SENTENCE
COMMITMENT TO
DEPARTMENT OF CORRECTIONS

Original - Court
1st copy - Corrections
2nd copy - Corrections (for return)

3rd copy - Michigan State Police CJIC
4th copy - Defendant
5th copy - Prosecutor

CASE NO.

Court address

Court telephone no.

Approved, SCAO

ORI
MI-
Police Report No.

THE PEOPLE OF THE STATE OF MICHIGAN

Defendant's name, address, and telephone no.

CTN/TCN

SID

DOB

Prosecuting attorney's name

Bar no.

Defendant attorney's name

Bar no.

THE COURT FINDS:
1. The defendant was found guilty on

Date

CONVICTED BY
Plea* Court Jury

DISMISSED
BY*

Count

of the crime(s) stated below.

CRIME

CHARGE CODE(S)
MCL citation/PACC Code

*Insert "G" for guilty plea, "NC" for nolo contendere, or "MI" for guilty but mentally ill, "D" for dismissed by court, or "NP" for dismissed by prosecutor/plaintiff.

2. The conviction is reportable to the Secretary of State under MCL 257.625(21)(b).
3. HIV testing and sex offender registration are completed.
4. The defendant has been fingerprinted according to MCL 28.243.
5. A DNA sample is already on file with the Michigan State Police from a previous case. No assessment is required.

Defendant's driver's license number

IT IS ORDERED:

6. Probation is revoked.

7. Participating in a special alternative incarceration unit is
8. The defendant is sentenced to custody of the Michigan Department of Corrections. This sentence shall be executed immediately.
DATE SENTENCE
BEGINS

JAIL CREDIT
Mos. Days

MAXIMUM

Years

SENTENCE
DATE

OTHER INFORMATION

prohibited.

permitted.

MINIMUM

Years

Days

Mos.

Count

9. Sentence(s) to be served consecutively to (If this item is not checked, the sentence is concurrent.)

each other.
10. The defendant shall pay:
State Minimum Crime Victim

case numbers

Restitution

DNA Assess. Court Costs

Attorney Fees

Fine

Other Costs

Total

. Fine, costs, and fees not paid within 56 days of the due date are

The due date for payment is
subject to a 20% late penalty on the amount owed.

11. The defendant is subject to lifetime monitoring under MCL 750.520n.

12. Court recommendation:

Date

Judge

Bar no.

I certify that this is a correct and complete abstract from the original court records. The sheriff shall, without needless delay, deliver
the defendant to the Michigan Department of Corrections at a place designated by the department.

(SEAL)

Deputy court clerk

CC 219b (3/16) JUDGMENT OF SENTENCE, COMMITMENT TO DEPARTMENT OF CORRECTIONS

MCL 765.15(2), MCL 769.1k, MCL 769.16a, MCL 775.22,
MCL 780.766, MCR 6.427

Judgment of Sentence, Commitment to Department of Corrections

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the Michigan state courts. To learn more about the project, check out our about page.

Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

About This Form:

Sourced from www.courts.michigan.gov/Criminal-disposition-forms (2023-03)
Page(s): 1
Fields(s): 118
Average fields per page: 118
Reading Level: Grade 9
LIST Grouping(s): CO-07-00-00-00, CR-00-00-00-00, CO-00-00-00-00.

Use our Rate My PDF tool to learn more. Go beyond the above insights and learn more about this or any pdf form at RateMyPDF.com, includes: counts of difficult words used, passive voice decetion, and suggestions for how to make the form more usable.

Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

Here are the fields we could identify.

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dna was dna (0.42 conf)
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fine was fine (0.32 conf)
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cir was cir (0.40 conf)
county was county (0.39 conf)
cas_e was CASE NO (0.47 conf)
ormi was ormi (0.35 conf)
report was report (0.32 conf)
users1_address_line_one was address (1.00 conf)
telno was telno (0.35 conf)
defendant was defendant (1.00 conf)
ctntcn was CTNTCN (0.35 conf)
sid was SID (0.35 conf)
users1_birthdate was dob (1.00 conf)
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defendant_attorneys_name was Defendant attorneys name (0.48 conf)
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defendants_license_number was Defendants drivers license number (0.44 conf)
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dat_e_sentenc_begins_row__1 was DATE SENTENCE BEGINSRow1 (0.42 conf)
mos_b__1 was mos1b (0.35 conf)
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dat_e_sentenc_begins_row__2 was DATE SENTENCE BEGINSRow2 (0.42 conf)
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dat_e_sentenc_begins_row__3 was DATE SENTENCE BEGINSRow3 (0.42 conf)
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each_other was each other (0.39 conf)
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duedate was duedate (0.35 conf)
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recommend was recommend (0.35 conf)
signature_date__2 was Date2 (1.00 conf)
bar__3 was Bar no (0.41 conf)

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The Legal Innovation & Technology Lab's Form Explorer Beta @ Suffolk Law School Last updated 2023-04-02

Judgment of Sentence, Commitment to Department of Corrections

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The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02