AO 91 (Rev. 02/09) Criminal Complaint
UNITED STATES DISTRICT COURT
for the __________ District of __________ United States of America v. ) ) ) ) )
Case No.
Defendant
CRIMINAL COMPLAINT I, the complainant in this case, state that the following is true to the best of my knowledge and belief. On or about the date of , the defendant violated , an offense described as follows: in the county of U. S. C. ยง in the District of
This criminal complaint is based on these facts:
' Continued on the attached sheet.
Complainant's signature
Printed name and title
Sworn to before me and signed in my presence.
Date:
Judge's signature
City and state:
Printed name and title
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