Fill and Sign the Vol05 Fri Jamsuspect Classificationcase Citation Scribd Form

Date Def. Received From Custodian Date Def. Returned To Custodian Deputy Sheriff Name Of Person Served Superior Court Judge Signature Of Judge District Court Judge Other Signature Of Person Making Return Of Service I certify that this Writ was received and served as follows. RETURN OF SERVICE Date Name Of Judge (Type Or Print) Date Of Return Of Service Date Writ Received Date Writ Served On CustodianSignature Of Prosecutor To The Agency Named Above: The def endant named above is confined or committed in your custody. Upon applicat ion of the prosecutor named above, you are ORDERED to deliver the defendant to the custody o f the sheri ff of this county so tha t the def endant may be br ought before this Court on the court date and at the time and place referred to above. To: You are ORDERED to serve this writ upon the agency named above; to take the def endant into custody and bring him before this Court on the date an d at the time and place shown above and, when the court proc eeding has been completed and the def endant is released by the court, to return the def endant to the custody o f that agency unless the court directs otherwise. The Sheriff O f This County Other To Any Judge Of The Trial Division Named Above: The def endant named above is confined or committed in the custody o f the agency named above. The prosecuto r requests that a Writ of Habeas Corpus Ad Pros equendum be issued to the agency, requir ing tha t the def endant be delivered, on the court date and at the time and place shown below, to the court in which the charge(s) referred to above are pending. Court Date APPLICATION PM AM WRIT Court Time Location Of Court Date Of Application Name Of Agency In Whose Custody Defendant Confined Or Committed N.C. DAC Sheriff of County Race Sex Date Of Birth Original-Custodian Copy-District Attorney Copy-File In The General Court Of Justice District S uperior Court Division APPLICA TION AND WR IT OF HABEAS CORPUS AD PROSEQUENDUM County STATE VERSUS File No. Offense(s) CHARGES PENDING FOR TRIAL AOC-CR-223, Rev. 6/12 © 2012 Administrative Office of the Courts Name And Address Of Defendant Division Of Juvenile Justice File No. STATE OF NORTH CAROLINA Offender ID (if any) G.S. 15-10.3 Name Of Prosecutor (Type Or Print) District Attorney Assistant District Attorney