Free CCCR0224 - Illinois

(This form replaces CCCR 0657 and CCMD 0224)

* USE ONLY for Class "C" Misdemeanors/Ordinance Violations INFORMATION AND DESCRIPTION OF DEFENDANT Name ______________________________________________________
City/Town

(Rev. 2/11/04) CCCR 0224

Alias _____________________________________________
State Zip

Residence _______________________________________________________________________________________________________ Sex Race Weight Height D.O.B. Age Complexion Build Yes No

Arrestee had been using Alcohol/Drugs IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS ______________ DEPARTMENT/________ DISTRICT ___________________________________________________________ Plaintiff v. ___________________________________________________________ Defendant

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No. ________________________________________

__________________________________________________________________________________, complainant, now appears before
(Complainant's Name Printed or Typed)

the Circuit Court of Cook County and states that ______________________________________________________________________,
(Defendant)

has, on or about __________________, at location of ___________________________________________________________________,
(Date) (Place of Offense)

committed the offense of _________________________________________________________________________________ in that s/he
(Offense)

_________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________ _______________________________________________________________________________________________________________________________ in violation of _______________ ILCS _________________________________________ OR __________________________________________.

STATE OF ILLINOIS COOK COUNTY

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(Ordinance Citation)

ss.

____________________________________________________
(Complainant's Signature)

___________________________________________________
(Complainant's Address) (City/State/Zip)

A O I C

C O D E

____________________________________________________
(Complainant's Telephone)

____________________________________________________
(Complainant's Name Printed or Typed)

The complainant, being first duly sworn on oath, deposes and says that s/he read the foregoing complaint by him/her subscribed and that the same is true. ____________________________________________________
(Complainant's Signature)

Subscribed and sworn to before me on this _______________ day of ________________________________________, ________

__________________________________________________
(Judge's/Clerk's/Law Enforcement Officer's Signature)

_______________________________________________
(Law Enforcement Officer's Badge No.)

I have examined the above complaint and the person presenting the same and have heard evidence thereon, and am satisfied that there is probable cause for filing same. Leave is given to file said complaint. Summons Issued, Judge _________________________________________________________________________________________ Judge's No. or Warrant Issued, Bail set at: _______________________________________________________________________________________ or Bail set at ___________________________________________________ Judge __________________________________________
Judge's No.

DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS