Fill and Sign the Order Re Factual Innocence Pursuant to 16 5 Co Courts Form

JDF 314 R11/09 ORDER TO SEAL PURSUANT TO §18-13-122(10), C.R.S.County Court _______________________County, ColoradoCourt Address:State of Coloradov.Defendant: ____________________________________ COURT USE ONLY Case Number:Division: Courtroom: ORDER TO SEAL PURSUANT TO §18-13-122(10), C.R.S. The Court having read the Petition to Seal Pursuant to §18-13-122(10), C.R.S., and examining the record, finds that the Defendant has not been arrested for, charged with, or convicted of any felony, misdemeanor, or petty offense since the conviction on (date), and that the referenced record is eligible for sealing. Information about the Defendant: Date of Birth: Current Mailing Address:City: State: Zip Code: The Court orders the following pursuant to §18-13-122(10), C.R.S.:1. The following information shall be sealed: Date of OffenseName of Law Enforcement Agency Arrest/Summons Number2.The Court directs the Clerk of Court to seal this county court case.3. The Defendant or his/his attorney shall mail a copy of this Order to the following agencies to seal their records associated with this case:District AttorneyLaw Enforcement Agency (Identify name of agency): ______________________________________Department of Motor Vehicle (DMV)Colorado Bureau of Investigation (CBI)State Court Administrator’s Office, 101 W. Colfax Ave., Suite 500, Denver, CO 80202-5351: Attn: Records SealedOther: _______________________________________________________________________Date: ________________________________ ______________________________________ Judge Magistrate I certify that on ___________________________ (date), I mailed this Order to the following:Defendant Defendant’s Attorney ___________________________________ Clerk