Free CCCR N654 10-10-06.pmd - Illinois

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(Court Branch # or District #)

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(Court Date/Time)

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(Arresting Agency #)

Misdemeanor Complaint

(This form replaces CCG-0655, CCMC-0222 & CCMC-0225)

CCCR N654-10M-10/10/06 (43480658)

IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS The People of State of Illinois, Plaintiff v.

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Defendant

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No. _________________________________________

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

the Circuit Court of Cook County and states the following: That: _______________________________________ of ____________________________________________________ has, on or about
(Defendant) (Address)

________________________, at the location of ________________________________________________________________________,
(Date) (Place of Offense)

committed the offense(s) of ________________________________________________________________________________________ in that s/he ___________________________________________________________________________________________________

______________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________________________
in violation of _____________________ Illinois Compiled Statutes _____________________________________________________________.
(Chapter) (Act) (Sub Section)

AOIC Code

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(Complainant's Signature)

______________________________________________________
(Complainant's Address)

STATE OF ILLINOIS COOK COUNTY

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ss:
(Complainant's Telephone)

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(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.

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(Complainant's Signature)

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

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

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(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, or WARRANT ISSUED, or

Judge ____________________________________________________________________________________
Judge's No.

Bail set at: ___________________________________________________________________________________
Judge's No.

BAIL SET AT: ____________________________________ Judge _____________________________________________________________

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