Supplemental Record of Sentencing Proceedings (SRSP)
Defendant’s ID numbers : Dr. Lic. No: , Crim. Id. No. (SID): ,
Crim. Proc. Cntrl No. (PCN): , Juvis Cntrl No. ,
Dept. of Corrections No. (DOC): , Other: .
Date of Arraignment : .
Parties Present: Judge: , Pros. Attorney: ,
Def. Attorney: , Witnesses/others:
.
Original Charge(s) :
Count one: .
Count two: .
Count three: .
Date(s) of Amendment(s) : to: .
to: .
Parties Present: Judge: , Pros. Attorney: ,
Def. Attorney: , Witnesses/others:
.
Date of Plea : Count one: Guilty Not Guilty
Count two: Guilty Not Guilty
Count three: Guilty Not Guilty
Parties Present: Judge: , Pros. Attorney: ,
Def. Attorney: , Witnesses/others:
.
Date(s) of Change(s) of Plea : Count one: to: Guilty Not Guilty
Count two: to: Guilty Not Guilty
Count three: to: Guilty Not Guilty
Parties Present: Judge: , Pros. Attorney: ,
Def. Attorney: , Witnesses/others:
.
Date of Written Waiver of Defense Attorney : .
Date of Appearance by Defense Attorney : .
Date of Written Waiver of Jury Trial : .
Date of Jury Trial : .
Verdict: Count one: , Count two: , Count three: .
Date entered: .
Parties Present: Judge: , Pros. Attorney: ,
Def. Attorney: , Witnesses/others:
.
Date of Bench Trial : .
Finding by Judge: Count one: , Count two: , Count three: ,
Date entered: .
Parties Present: Judge: , Pros. Attorney: ,
Def. Attorney: , Witnesses/others:
Supplemental Record of Sentencing Proceedings (SRSP) - Page 1 of 2
CrRLJ 07.0200 - (6/2002) CrRLJ 7.2, 7.3
.
Parties Present at Sentencing : Judge: , Pros. Attorney: ,
Def. Attorney: , Witnesses/others: .
Date of Order of Dismissal : .
Hearings Held on the Case :
Date , Type: , Outcome: .
Date , Type: , Outcome: .
Date , Type: , Outcome: .
Date , Type: , Outcome: .
Date of Schedule for Payment: .
Fines/Costs total , Monthly payment: , Commencing: .
Restitution total , Monthly payment: , Commencing: .
Date of Community Restitution Order : .
Total hours: , Commencing: in lieu of Jail Fine.
Total hours: , Commencing: in lieu of Jail Fine.
Supplemental Record of Sentencing Proceedings (SRSP) - Page 2 of 2
CrRLJ 07.0200 - (6/2002) CrRLJ 7.2, 7.3
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