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Fill and Sign the For Use with District Court Rule 5 701 Form

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9-604 [For use with District Court Rule 5-701] STATE OF NEW MEXICO COUNTY OF ____________________ IN THE DISTRICT COURT STATE OF NEW MEXICO v. No. ____________ _____________________________, Defendant JUDGMENT AND SENTENCE 1 This case came before the court on _____________, ______. The defendant appeared: [ ] with an attorney [ ] pro se [ ] waiver signed The defendant entered a plea of: [ ] guilty [ ] no contest [ ] not guilty and was tried by [ ] court [ ] jury [ ] jury waived The court finds the defendant GUILTY of: ________________ _________________________________________________________ and NOT GUILTY of: ______________________________________ _________________________________________________________ SENTENCE AND COMMITMENT: ________________________________ _________________________________________________________ COSTS AND FEES 2: The defendant shall pay the following costs and fees: _________________________________________ _________________________________________________________ RESTITUTION: The defendant is ordered to pay restitution as follows: ________________________________________________ Dated ______________________ _________________________ District Judge USE NOTES 1. This form should be modified as appropriate. [Approved, effective December 1, 1998; as amended by Supreme Court Order No. 09- 8300-008, effective May 6, 2009.]

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