Fill and Sign the State of North Carolina File No County Note in the Form

File No. IMPAIRED DRIVING - JUDGMENT AND COMMITMENT (For Offenses Committed Before Dec. 1, 2011) G.S. 20-179 (NOTE: This form should be used for only one DWI conviction. Multiple convicti\ ons sentenced under G.S. 20-179 may not be consolidated for judgment.) Name Of Defendant Race Sex Drivers License No. Date Of Birth State Crt Rptr Initials STATE VERSUS STATE OF NORTH CAROLINA County Seat of Court In The General Court Of Justice District Superior Court Division Date Of Offense Attorney For State Def. Found Def. Waived Not Indigent AttorneyAttorney For Defendant Appointed Retained (Over) Offense Impaired Driving (G.S. 20-138.1). Impaired Driving in a commercial vehicle (G.S. 20-138.2). Operating a commercial vehicle after consuming alcohol and this was the defendant’\ s second or subsequent conviction of this offense (G.S. 20-138.2A). Operating a school bus, school activity bus, or child care vehicle afte\ r consuming alcohol and this was the defendant’s second or subsequent conviction of this offense (G.S. 20-138.2B). The defendant was found guilty/responsible, pursuant to plea ( pursuant to Alford) ( of no contest) trial by judge trial by jury, of the offense specified above. The Court, based upon the determinations shown on the attached Determination of Sentencing Factors form (AOC-CR-311, Rev. 12/07), has imposed the following punishment level. Level One. Level Two. Level Three. Level Four. Level Five. The Court, having considered evidence, arguments of counsel and statement of defendant, ORDERS that defendant be imprisoned for a minimum term of for a maximum term of in the custody of the Misdemeanant Confinement Program Other (for ordered work release). The defendant shall again report in a sober condition to continue servin\ g this term on the same day of the week for the next consecutive weeks, and shall remain in custody during the same hours eac\ h week. The defendant shall be given credit for days spent in confinement prior to the date of this Judgment as a result of this charge. (NOTE: No credit may be given for the first 24 hours spent in confinement.) The sentence imposed above shall begin at the expiration of all sentence\ s which the defendant is presently obligated to serve. The sentence imposed above shall begin at the expiration of the sentence\ imposed in the case referenced below: File No.OffenseCounty CourtDate The Court further Orders: (check all that apply ) 1. The defendant shall pay to the Clerk of Superior Court the “Total Amo\ unt Due” shown below. *See attached “Restitution Worksheet, Notice And Order (Initial Sentencing),” AOC-CR-611, which is incorporated by reference. 2. The Court finds that restitution was recommended as part of the defendan\ t’s plea arrangement. 3. The Court finds just cause to waive costs, as ordered on the attached \ AOC-CR-618. Other : _________________________ . 4. The Court finds that the defendant is is not suitable for placement in a county satellite jail/work release un\ it. G.S. 15A-1352(a). 5. Work release, with the consent of the defendant. a. After any required processing, defendant shall be committed to: [check (1) or (2)] (1) (prison facility within this county) (2) (local confinement facility/satellite jail/work release unit within/out\ of this county) The Sheriff or Board of County Commissioners has consented to commitment to the above-described facility that is not\ within this county. G.S. 15A-1352(d). b. The defendant’s work release shall terminate on the date the offender\ loses his/her job or violates a condition of work release. c. Work release earnings shall be paid to the Clerk for payment of the items and amounts set out above after deduction by the Division of Adult Correction of the amounts allowed under G.S. 148-33.1(\ f). The Court recommends: 1. Work release should should not be granted. 2. Payment as a condition of parole, if granted, or from work release earnings, if applicable, of the “Total Amount Due” set out above. but the Court does not recommend restitution be paid as a condition of parole. from work release earnings. $ Fine Restitution* Attorney’s Fees Appt Fee/MiscTotal Amount Due Costs $ $ $ $$ Material opposite unmarked squares is to be disregarded as surplusage. AM PM Day Hour Date AM PM Day Hour Date and shall remain in custody until: The defendant shall report in a sober condition to begin serving his/her term on : AOC-CR-342A, Rev. 12/16