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IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF KANSAS
UNITED STATES OF AMERICA, PLAINTIFF, vs. REGISTRY NO. CASE NO.
DEFENDANT.
PETITION FOR RETURN OF CASH BOND
Comes now who deposes and says as follows: 1. That on District of Kansas, the sum of $ , he/she deposited with the Clerk, U.S. District Court for the as surety on recognizance of the above-named defendant. to Petitioner. residing at
2. The condition of the recognizance having been met, your Petitioner prays that an Order be entered
Timothy M. O'Brien, CLERK directing that RALPH L. DeLOACH, Clerk of said Court, return the sum of $ _____________________________________
(Petitioner Signature)
Subscribed and sworn to before me this
day of
,
.
(Notary Public/Deputy Clerk Signature)
Verified as correct amount this
day of
,
.
(Deputy Clerk Signature) ORDER
It appearing to the Court that the facts contained in the foregoing Petition are true, the same having been verified by the Clerk of Court.
Timothy O'Brien, Clerk of Court, IT IS ORDERED that RALPH L. DeLOACH, CLERK refund to the above Petitioner from the Registry _____________________________________
Funds of this Court the sum of $ Dated this day of
. , .
United States District Judge