Free SC3008N - California

SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA BARBARA LOMPOC DIVISION
115 Civic Center Plaza, Lompoc, CA 93436
PLAINTIFF: DEFENDANT: ADDRESS:

FOR COURT USE ONLY

MILLER DIVISION
312-M E. Cook St., Santa Maria, CA 93454

Dept. ____

People of the State of California

Charge(s):

Misd.

Felony

Date of Birth:
CASE NUMBER:

COURT ORDERED PROGRAM NOTICE OF NON-COMPLIANCE DEFENDANT: NOTICE OF HEARING: You are hereby notified to appear in the Superior Court (checked above) on _________________________ at ________ a.m., to respond to an alleged violation of your court ordered program as indicated below. Upon your arrival at the court, please check the posted court calendar for your name. If it does not appear, inquire in the Clerk's Office immediately. FAILURE TO APPEAR MAY RESULT IN A WARRANT ISSUING FOR YOUR ARREST. Reason(s) for Non-Compliance: Failure to enroll Failure to pay program fees Failure to complete program Other (specify in comments) Comments: Failure to provide out-of-county proof of enrollment Failure to comply with program rules and regulations Acts of violence: Threats, unlawful activity against others Violation: Subsequent alcohol or drug related offense Positive urinalysis test for ________________________

Program: PC 1000 Central Coast Headway Charles Golodner, Therapist Family Life Counseling Service Sharon L. Elam Counseling Zona Seca
318 W. Carmen Lane, Santa Maria, CA 93454 115 E. College Ave., Ste 16, Lompoc, CA 93436 301 S. Miller St., Ste 105, Santa Maria, CA 93454 601 E. Ocean Ave., Ste 21, Lompoc, CA 93436 124 W. Carmen Lane, Ste C, Santa Maria, CA 93458 101 Civic Center Plaza, Lompoc, CA 93436 210 S. Palisades, Ste 204, Santa Maria, CA 93454 218 North I Street, Lompoc, CA 93436 Phone Phone Phone Phone Phone Phone Phone Phone (805) 922-2106 (805) 737-0015 (805) 349-2255 (805) 740-1144 (805) 346-8118 (805) 737-1533 (805) 925-3922 (805) 740-9799

Certificate of Service
I declare under penalty of perjury under the laws of the State of California, that the above information is true and correct to the best of my knowledge and ability. I certify that this Notice of Non-Compliance was mailed first class, postage prepaid, in a sealed envelope to the defendant at the address shown above on the date shown below. Hand delivered in office

______________________________
Program Representative
SC-3008N [Rev. Aug. 11, 2003]

______________________________
Program Name

_________________
Date
PC 1000

COURT ORDERED PROGRAM NOTICE OF NON-COMPLIANCE
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