Free Petition/Order Modifying Conditions of Supervision - District Court of Colorado - Colorado

Case 1:04-cr-00423-MSK

Document 36-3

Filed 03/14/2006

Page 1 of 1

u.s. Probation Office District of Colorado
Acknowledgment of Conditions of Supervision

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Name:
Docket No.:

Christina D. Ortiz
04-CR-423-MK

I acknowledge that the conditions of supervision as they appear on the judgment have been read to me. I fully understand the conditions and have been provided a copy of them. Upon a finding of a violation of probation or supervised release, I understand that the Court may (1) revoke supervision, (2) extend the term of supervision, and/or (3) modify the conditions of supervIsIOn.

(Signed)

Defendant Christina D. Ortiz

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Date

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u.s. Probation
Patrick J. Lynch
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ll!\5/0LSDate

(11/09/04)