OJS 45 (5/97)
Criminal Case Cover Sheet
Place of Offense: City County/Parish Related Case Information: Superseding Indictment Same Defendant Magistrate Judge Case Number Search Warrant Case Number R 20/R 40 from District of
U.S. District Court
Case Number New Defendant
Defendant Information: Juvenile: Defendant Name Alias Name Address Birthdate Name of Defense Counsel Bar Number U.S. Attorney Information: AUSA Interpreter: Location Status: Federal Arrest Date Bar Number SS # Sex Race Address Nationality
G Yes
G No
If Yes, Matter to be sealed: G Yes
G No
G Yes
G No
List language and/or dialect:
G Already in Federal Custody as of G Already in State Custody G On Pretrial Release
U.S.C. Citations: Total # of Counts: Index Key/Code Set 1 Maximum Penalty: Set 2 Maximum Penalty: Date:
in
.
G Petty
G Misdemeanor
G Felony
Count(s)
Description of Offense Charged
(May be continued on reverse) Signature of AUSA:
JS 45 (5/97) Reverse
District Court Case Number (To be filled in by deputy clerk):
U.S.C. Citations (continued) Index Key/Code Set 3 Maximum Penalty: Set 4 Maximum Penalty: Set 5 Maximum Penalty: Set 6 Maximum Penalty: Set 7 Maximum Penalty: Set 8 Maximum Penalty: Set 9 Maximum Penalty: Set 10 Maximum Penalty: Set 11 Maximum Penalty: Set 12 Maximum Penalty: Set 13 Maximum Penalty: Set 14 Maximum Penalty: Set 15 Maximum Penalty: Set 16 Maximum Penalty: Description of Offense Charged Count(s)
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