Approved, SCAO
Original - Court 1st copy - Jail 2nd copy - Michigan State Police CJIC
3rd copy - Juvenile 4th copy - Prosecutor JIS CODE: JOS
STATE OF MICHIGAN
JUDICIAL CIRCUIT - FAMILY DIVISION
COUNTY
ORI Court address
JUDGMENT OF SENTENCE COMMITMENT TO JAIL (DESIGNATED CASE)
CASE NO. PETITION NO.
Court telephone no.
MICTN/TCN SID DOB
1. In the matter of 2. Date of hearing: THE COURT FINDS: 3. Juvenile was found guilty on
CONVICTED BY Count Plea* Court Jury
Judge:
Bar no.
Date DISMISSED BY*
of the crime(s) as stated below.
CRIME CHARGE CODE(S) MCL citation/PACC Code
*For plea, insert "G" for guilty plea, "NC" for nolo contendere, or "MI" for guilty but mentally ill. For dismissal, insert "D" for dismissed by court or "NP" for dismissed by prosecutor/plaintiff.
4. The offense adjudicated is reportable to the Secretary of State (under MCL 257.625[20][a], 257.732, 324.80131, 324.81134[12], 324.81135[7], 324.82157, or 333.7408a[12]). The juvenile's driver's license number is . 5. The licensing sanction is reportable to the State Police (under MCL 333.7408a[12] or 257.625[20][b]). Revoked. Suspended days. Restricted days. 6. HIV testing and sex offender registration is completed. Chemical testing for DNA identification profiling is completed. 7. The juvenile has been fingerprinted according to MCL 28.243 (for all offenses punishable by 93 days or more). 8. Specific findings of fact and law, including findings regarding each factor in MCL 712A.18(1)(m), were made on the record. 9. The best interests of the public would be served by sentencing the juvenile as an adult. 10. The juvenile used a firearm in committing the crime. Jail time should be credited toward required detention. 11. The order delaying sentence dated should be revoked and sentence imposed. IT IS ORDERED: 12. The juvenile is sentenced to jail as follows: Report at m.
Count
Date Sentence Begins
Sentenced
Mos. Days
Credited
Mos. Days
To Be Served
Mos. Days
Release Authorized for the Following Purpose
Release Period From To
Upon payment of fine and costs ..... To work or seek work ..................... For attendance at school ................ For medical treatment .................... Other: 13. The juvenile shall pay as follows: (specify fine and minimum state costs for each count, restitution, $60.00 for crime victim rights fund, reimbursement,
attorney fees, and other costs - parental reimbursement, if any, may be entered on a separate order)
The due date for payment is . Fine, costs, and fees not paid within 56 days of the due date are subject to a 20% late penalty on the amount owed. Juvenile shall serve days in jail beginning for failure to pay on time. 14. The juvenile shall be placed on probation for months and abide by the terms of probation. (See separate order or JC 74). 15. The juvenile shall complete the following rehabilitative services. Alcohol Highway Safety Education Treatment ( outpatient, inpatient, residential, mental health) Specify: 16. Other:
(SEAL)
Date JC 71 (11/05)
Judge MCL 12.206, MCL 712A.18g, MCL 712A.18i, MCL 712A.18j, MCL 712A.18k, MCR 3.936, MCR 3.955
JUDGMENT OF SENTENCE/COMMITMENT TO JAIL (DESIGNATED CASE)