Free mc239.p65 - Michigan

Approved, SCAO

Original - Court 1st copy - for LEIN entry

2nd copy - Return to court 3rd copy - Tickler file OSM CODE: RMV

STATE OF MICHIGAN
JUDICIAL DISTRICT JUDICIAL CIRCUIT COUNTY PROBATE
ORI

CASE NO. REMOVAL OF ENTRY FROM LEIN
Court telephone no.

MI-

Court address

Effective date of order

Expiration date of order

Agency file no.

TO: Law enforcement agency and address

Defendant/Juvenile/Respondent name, address, and telephone no.

Date of birth

IT IS ORDERED: 1. The conditions requiring LEIN entry in this case or matter no longer exist. 2. The record of this entry shall be removed immediately from Law Enforcement Information Network (LEIN) files.

Date

Judge/District court magistrate

Bar no.

To the law enforcement agency: Immediately after receiving this form, remove entry in this case or matter from Law Enforcement Information Network (LEIN) files, complete the certification, and return the 2nd copy to the court. CERTIFICATION OF REMOVAL I certify that the LEIN entry in this case or matter has been removed from LEIN files.
Date Signature of law enforcement representative

MC 239 (3/06)

REMOVAL OF ENTRY FROM LEIN

MCL 764.15b, MCL 765.6b