Original - Court 1st copy - Jail 2nd copy - Michigan State Police CJIC
3rd copy - Defendant 4th copy - Prosecutor 5th copy - Gun board (if needed)
STATE OF MICHIGAN JUDICIAL DISTRICT JUDICIAL CIRCUIT
ORI Court address
CASE NO. JUDGMENT OF SENTENCE COMMITMENT TO JAIL
Court telephone no.
Police Report No. The State of Michigan THE PEOPLE OF v
CTN/TCN SID DOB Defendant name, address, and telephone no.
THE COURT FINDS: 1. Defendant was found guilty on
Date CONVICTED BY Count Plea* Court Jury DISMISSED BY*
of the crime(s) as stated below:
CRIME CHARGE CODE(S) MCL citation/PACC Code
*For plea: insert "G" for guilty plea, "NC" for nolo contendere, or "MI" for guilty but mentally ill. For dismissal: insert "D" for dismissed by court or "NP" for dismissed by prosecutor/plaintiff.
represented by an attorney: advised of right