Fill and Sign the I the Undersigned Find that the Defendant Named above Has Been Arrested Without a Form

File No. STATE OF NORTH CAROLINA Law Enforcement Case No. LID No. Court Time Court Date Date Of Arrest & Check Digit No. (As Shown On Fingerprint Card) Arresting Officer (Name, Address Or Department) Misdemeanor Offense Which Requires Fingerprinting Per Fingerprint Plan Date Issued Drivers License No. & State Social Security No. Name Of Defendan t's Employer Date Of Offense Offense Code(s) Offense In Violation Of G.S. RaceSexDate Of Birth Age AOC-CR-116, Rev. 4/14 © 2014 Administrative Office of the Courts Names & Addresses Of Witnesses (Including Counties & Telephone Nos.) In The General Court Of Justice District Court Division County Signature Location Of Court Location Of Court SID No. FBI No. THE STATE O F NORTH CAROLINA VS. Name And Address Of Defendant Offense (Over) □ Magistrate □ Deputy CSC □ Assistant CSC □ Clerk Of Superior Court □ AM □ PM MAGISTRATE’S ORDER I, the undersigned, find that t he defendan t named above has been arrested without a warrant and the defendant's det ention is justified because there is probable cause to believe t hat on or about t he date o f offense shown and in the county named above t he defendan t named above unlawfully, willfully and feloniously did This act was in violat ion of the law referred t o in t his Magistrate's Order. This Magistrate's Order is issued upon information furnished under oath by the arrest ing officer(s) shown . A copy of t his Order has been delivered t o t he defendant. $ AOC-CR-116, Side Two, Rev. 4/14 © 2014 Administrative Office of the Courts Signature Of Attorney Date Waived Signature Of Defendant The undersigned defendant, with the consent of his/her attorney, waives the right to a probable cause hearing. WAIVER OF PROBABLE CAUSE HEARING APPEAL ENTRIES Signature Of District Court Judge Or Magistrate Date □ T he defendant, in open court, gives notice of appeal to the □ District □ Superior Court. □ T he cu rrent pretrial release order is modified as follows: *NOTE: If DWI, use AO C-CR-342 (active) or AOC- CR-310 (probation). If active sentence to DAC, use AOC-CR-602. If supervised probation, use AOC-CR-604. $ $$ $ Fine Restitution** Attorney's FeeCommunity Service Fee Other CERTIFICATION Date Signature Of District Court Judge Or Magistrate Name Of District Court Judge Or Magistrate (Type Or Print) Date Signature Date Delivered To Sheriff PRIOR CONVICTIONS: District Attorney Attorney For Defendant PLEA: VERDICT: □ Waived □ Not Indigent □ Denied □ Appointed □ Retained No./Level: □ I (0) □ II (1-4) □ III (5+) □ guilty □ guilty □ guilty □ not guilty □ no contest □ no contest □ no contest □ guilty □ guilty □ guilty □ not guilty M.CL. □ A1 □ 1 □ 2 □ 3 M.CL. □ A1 □ 1 □ 2 □ 3 M.CL. □ A1 □ 1 □ 2 □ 3 JUDGMENT: The defendant appeared in open court and freely, voluntarily and understandingly entered the above plea; on the above verdict, it is ORDERED that the defendant: □ pay costs and a fine of $ . □ be imprisoned for a te rm of days in the custody of the □ sheriff. □ MCP. □ DA C.* Pretrial credit days served. □ Work release □ is recommended. □ is not reco mmended. [ □ is ordered. (use form AOC-CR-602) ] □ T he Court finds that a □ longe r □ shorter period of probation, than that which is specified in G.S. 15A-1343.2(d), is necessary. □ E xecution of the sentence is suspended and the defendant is placed on unsupervised probation* for m onths, subject to the following conditions: 1. co mmit no criminal offense in any jurisdiction. 2. possess no firearm, explosive or other deadly weapon listed in G.S. 14-269. 3. remain gainfully and suitably employed or faithfully pursue a course of study or of vocational training, that will equip the defendant for suitable employment, and abide by all rules of the institution. 4. satisfy child support and family obligations, as required by the Court. 5. pay to the Clerk the costs of court and any additional sums shown below. **Name(s), address(es), and amount(s) for aggrieved part y(ies) to receive restitution: NOTE TO CLERK: Record SSN or Tax ID No. of aggrieved party(ies) on AOC-CR-382, “Certification Of Identity (Victims’ Restitution)/Ce\ rtification Of Identity (Witness Attendance).” □ 6. complete hours of co mmunity service during the first days of probation, as directed by the judicial services coordinator, and pay the fee prescribed by G.S. 143B-708 within days. □ 7. not be found in or on the premises of the complainant or \ . □ 8. not assault, communicate with or be in the presence of the complainant or \ . □ 9. provide a DNA sample pursuant to G.S. 15A-266.4. (AOC-CR-319) □ 10. Other: It is ORDERED that this: □ Judgment is continued upon payment of costs. □ case be consolidated for judgment with \ . □ sentence is to run at the expiration of the sentence in \ . □ COMMITMENT: It is ORDERED that the Clerk deliver two certified copies of this Judgment and Co mmitment to the sheriff and that the sheriff cause the defendant to be retained in custody to serve the sentence imposed or until the defendant shall have complied with the conditions of release pending appeal. □ Dep. CSC □ Asst. CSC □ CSC I certify that this Judgment is a true and complete copy of the original which is on file in this case. 0 P ROBABLE CAUSE: □ Probable cause is found as to all Counts except , and the defendant is bound over to Superior Court for action by the grand jury. □ No probable cause is found as to Count(s) of this Magistrate's Order and the Coun t(s) is dismissed.