UNITED STATES DISTRICT COURT WESTERN DISTRICT OF MISSOURI CRIMINAL CASE COVER SHEET
Division of Filing 9 Western 9 Central 9 Southwestern Place of Offense 9 9 St. Joseph Southern County Matter to be Sealed 9 Juvenille 9 Secret Indictment
Related Case Information Superseding Indictment 9 Same Defendant 9 New Defendant 9 Complaint Case Number Defendant Information Defendant Name Alias Name Birthdate U.S. Attorney Information AUSA
Yes Yes Yes
9 9 9
No No No
if yes, original docket number
SS# Case Number
Interpreter Needed 9 Yes Language and/or dialect 9 No Location Status Arrest Date 9 Already in Federal Custody as of 9 Already in State Custody in 9 On Pretrial Release U.S.C. Citations Total # of Counts Set 1 2 3 4
(May be continued on reverse)
in Writ Required 9 Yes
9 No
Index Key/Code
Description of Offense Charged
Count(s)
Date
:form.int\crimcvr.int
Signature of AUSA
Set 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20
Index Key/Code
Description of Offense Charged
Count(s)