Fill and Sign the In the County Named above You Unlawfully and Willfully Did Threaten to Physically Injure the Person and Form

Deputy CSC Clerk Of Superior CourtMagistrate Assistant CSCFile No.CRIMINAL SUMMONS COMMUNICATING THREATSSTATE OF NORTH CAROLINA In The General Court Of Justice District Court DivisionCountyTo the defendant: I, the undersigned, find that there is probable cause to believe that on or about the date of offense shown and in the county named above, you unlawfully and willfully did threaten to physically injure the person and damage the property ofThis act was in violation of the law referred to in this Criminal Summons. This Summons is issued upon information furnished under oath by the complainant listed. You are DIRECTED to appear before the Court at the location, date and time indicated below to answer to the charge. If you fail to appear, you may be held in CONTEMPT OF COURT and imprisoned for up to thirty (30) days or fined up to $500.00, or both. This penalty for failure to appear is in addition to any sentence which may be imposed for the crime charged.SignatureAM PMOffense Code(s)THE STATE OF NORTH CAROLINA VS.Offense In Violation Of G.S. 532814-277.1. The threat was communicated to the person by and the threat was made in a manner and under circumstances which would cause a reasonable person to believe that the threat was likely to be carried out and the person threatened believed that the threat would be carried out.AOC-CR-140, Rev. 8/97 (Structured Sentencing)Misdemeanor Offense Which Requires Fingerprinting PerName And Address Of Defendant County Of ResidenceTelephone No.RaceSexDate Of BirthAgeDrivers License No. & StateSocial Security No.Name Of Defendant's EmployerDate Of OffenseComplainant (Name, Address Or Department)Telephone No.County Of ResidenceNames & Addresses Of Witnesses (Including Counties & Telephone Nos.)Date Issued1997 Administrative Office of theLocation Of CourtCourt DateCourt Time (Over) 1 12PRIOR CONVICTIONS:Signature guilty guilty not guilty 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:The defendant, in open court, gives notice of appeal to the Superior Court. The current pretrial release order is modified as follows:guilty guilty not guiltyMISD. CLASS: MISD. CLASS:This Criminal Summons WAS NOT served for the following reason:No./Level:pay costs and a fine of $CSCIf this Criminal Summons is not served within ninety (90) days, it must be returned to the Clerk of Court in the county in which it was issued with the reason for the failure of service noted thereon. The officer must state all steps taken by the department in attempting to serve the Summons and any information obtained about the whereabouts of the defendant.RETURN OF SERVICEI certify that this Criminal Summons was received and served as follows:By personally serving this Criminal Summons on the defendant.Appointed Retained Waivedno contest no contestPLEA:VERDICT:Signature Deputy CSC Assist. CSCbe imprisoned for a term ofdays in the custody of the sheriff.DOC. Pretrialdays served.Work releaseis recommended.is not recommended.[is ordered. (use form AOC-CR-602)]The Court finds thatlongershorter period of probation, than that which is specified in G.S. 15A-1343.2(d), isWith defendant's consent, execution of the sentence is suspended and the defendant is placed on unsupervised probation for months, subject to the following conditions: (1) commit 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. Fine $Restitution* $Attorney's Fee $Community Service Fee $Other $ *Name(s), address(es), amount(s) & social security number(s) of aggrieved party(ies) to receive restitution:I certify that this Judgment is a true and complete copy of the original which is on file in this case.CERTIFICATION Signature Of District Court Judge6.completehours of community service during thedays of probation, as directed by theservice coordinator, and pay the fee prescribed by G.S. 143B-475.1(b)days. 7.not be found in or on the premises of the complainant8.not assault, communicate with or be in the presence of the complainant9.OtherThis Criminal Summons WAS NOT served for the following reason:323 COMMITMENT: It is ORDERED that the Clerk deliver two certified copies of this Judgment and Commitment 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.It is ORDERED that this:Judgment is continued upon payment of costs.case be consolidated for judgment withsentence is to run at the expiration of the sentence in0I (0)II (1-4)III (5+)APPEAL ENTRIESREISSUANCEDep. CSC Assist. CSC CSCSignature Of Officer Making ReturnSignature Of District Court JudgeSignature Of Officer Making ReturnRETURN FOLLOWING REDELIVERYI certify that this Criminal Summons was received and served as follows:By personally serving this Criminal Summons on the defendant.AOC-CR-140, Side Two, Rev. 8/97 (Structured Sentencing) NOTE:If DWI, use AOC-CR-301 (active) or AOC-CR-310 (probation). If active sentence to DOC, use AOC-CR-602. If supervised probation, use AOC-CR-604.1997 Administrative Office of the CourtsDepartment Or Agency Of OfficerDate ReceivedDate ServedDate ReturnedDate Department Or Agency Of OfficerDate ReceivedDate ServedDate ReturnedDate Date Date Delivered To SheriffDate Name Of District Court Judge (Type Or Print).District AttorneyAttorney For Defendant At Time Of Trial Or Plea