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Fill and Sign the Cr 770 Request and Order Alaska Form

Fill and Sign the Cr 770 Request and Order Alaska Form

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CR -770 (10/13)(cs ) Crim. R. 44(f) & Adm. Bull. 53 REQUEST AND ORDER AS 12.61.110, AS 12.61.130 IN THE DISTRICT/SUPERIOR COURT FOR THE STATE OF ALASKA AT STATE OF ALASKA F F Plaintiff, ) vs. ) CR Defendant. REQUEST AND ORDER DOB: ) CASE NO. ) ) ) FOR APSIN: ATN: DL/ID: ST: Comm. Lic. REQUEST (Type or print neatly) CERTIFICATION. I certify that this document and its attachments do not contain (1) the name of a victim of a sexual offense listed in AS 12.61.140 or (2) a residence or business address or telephone number of a vict im of or witness to any crime unless it is an address used to identify the place of the crime or it is an address or telephone number in a transcript of a court proceeding and disclosure of the information was ordered by the court. I, , request that Reason: Date Defendant’s Signature Defendant’s Mailing Address City State ZIP Daytime Phone PROSECUTOR’S REPLY ( not necessary) Prosecutor does does not oppose this request. Reason: Date Prosecutor’s Signature ABA # ORDER Hearing ordered. Date: Time: Courtroom: Request granted. Request denied. Date Judge Type or Print Judge’s Name I certify that on a copy of this order was given or sent to: Clerk:

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