Approved, SCAO
Original - Court 1st copy - MDOC Regional Business Office 2nd copy - Prisoner
STATE OF MICHIGAN JUDICIAL DISTRICT JUDICIAL CIRCUIT
Court address
CASE NO. SATISFACTION OF FINANCIAL OBLIGATION
Court telephone no.
Defendant's name
THE PEOPLE OF
The State of Michigan
v
Prisoner no. DOB
SID Institution name and address
On
Date
this court entered an order to remit prisoner funds for payment toward
an obligation ordered in a judgment of sentence or other order. That financial obligation has been paid in full to the court as of
Date
.
Date
Court clerk/Deputy court clerk
CERTIFICATE OF MAILING I certify that on this date I served a copy of this satisfaction of financial obligation on the defendant and the institution/facility by firstclass mail addressed to their last-known addresses as defined in MCR 2.107(C)(3).
Date
Signature
MC 290 (9/08)
SATISFACTION OF FINANCIAL OBLIGATION