Fill and Sign the Jv 510 Proof of Servicejuvenile Form

a. Officer (name): TR-160 ATTORNEY OR PARTY WITHOUT ATTORNEY ( Name, state bar number and address) : FOR COURT USE ONLY FAX NO.: TELEPHONE NO.: ATTORNEY FOR (Name): NAME OF COURT: STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: PEOPLE OF THE STATE OF CALIFORNIA vs. DEFENDANT/APPELLANT (Name): CASE NUMBER: PROPOSED STATEMENT ON APPEAL (Infraction) submits the following Proposed Statement on Appeal : Defendant/Appellant (name): GROUNDS FOR APPEAL a. b. e. f. STATEMENT OF EVIDENCE 2. The above-entitled matter was r eported by an official court reporter or electr onically recorded and appellant intends to file a reporter's transcript of the evidence and proceedings so reported and to make the transcript appellant's statement on appeal. 3. Page 1 of 4 PROPOSED STATEMENT ON APPEAL (Infraction) Cal. Rules of Court, rule 8.784 www.courtinfo.ca.gov Form Approved for Optional Use Judicial Council of California TR-160 [Rev. January 1, 2007] d. c. Instead of a transcript the appellant is s ubmitting the following statement on appeal: do not comment on or give your opini on regarding the officer's testimony): 1. (Specify in detail your reasons for why you feel the judge comm itted ''error" regarding the law or procedure. Note that credibility of witnesses is generally not a basis for appeal) : testified that (set forth accurately and in detail the testimony of the officer; PEOPLE OF THE STATE OF CALIFORNIACASE NUMBER: vs. DEFENDANT APPELLANT (Name): 3. (Continued) b. Defendant testified that (set forth defendant's testim ony accurately and in detail): was called and testified that (set forth witness's testimony accurately and in c. Witness (name): detail) : (Continued on page three) Page 2 of 4 PROPOSED STATEMENT ON APPEAL (Infraction) TR-160 [Rev. January 1, 2007] TR-160 PEOPLE OF THE STATE OF CALIFORNIACASE NUMBER: vs. DEFENDANT/APPELLANT (Name): 3. c . (Witness testimony continued) Please attach separate page(s) labeled ''Attachment 3d,'' ''Attachment 3e," etc. for each other witness. 4. The court determined I was guilty and assessed a fine of: $ 5. Number of pages attached: Date: (SIGNATURE OF DEFENDANT/APPELLANT OR ATTORNEY) (TYPE OR PRINT NAME) (Proof of service on reverse) PROPOSED STATEMENT ON APPEAL (Infraction) TR-160 [Rev. January 1, 2007] Page 3 of 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . FINDINGS OF THE COURT TR-160 PEOPLE OF THE STATE OF CALIFORNIACASE NUMBER: vs. DEFENDANT/APPELLANT (Name): 2. My residence or business address is (specify): 3. I served a copy of the Proposed Statement on Appeal by enclosing it in an envelope AND placing the envelope for collection and mailing on the date and at the place shown in item 4 following our ordinary business practices. I am readily familiar with this business' s practice for collecting and processing correspondence for mailing. On the same day that correspondence is placed for collection and mai ling, it is deposited in the ordinary course of business with the United States Postal Serv ice in a sealed envelope with postage fully prepaid. a. b. 4. The envelope was addressed and mailed as follows: District Attorney/City Attorney a. (Name of county) : c. Date mailed: d. Place of mailing (city and state): 5. I declare under penalty of perjury under the laws of th e State of California that the foregoing is true and correct. Date: (SIGNATURE OF DECLARANT) (TYPE OR PRINT NAME) PROPOSED STATEMENT ON APPEAL(Infraction) Page 4 of 4 TR-160 [Rev. January 1, 2007] . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PROOF OF SERVICE BY MAIL 1. I am over the age of 18 and NOT a party to this action. I am a resident of or employed in the county where the mailing too k place. b. Address: depositing the sealed envelope with the Un ited States Postal Service with the postage fully prepaid. DIRECTIONS: A copy of this document must be mailed to the di strict attorney/city attorney at the address listed below. YOU MAY NOT PERFORM THE MAILING YOURSELF. You must have a party who is at least 18 years old complete the information below and mail the front and back of each page of this document by first class mail, postage prepaid. When the fronts and backs of this document have been completed and mailed, the original may then be filed with the court. TR-160