Free CCJ 0043 8-20-04 - Illinois

Order of Expungement IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS DEPARTMENT OF JUVENILE JUSTICE AND CHILD PROTECTION JUVENILE JUSTICE DIVISION IN THE INTEREST OF

(10/07/04) CCJ 0043

_________________________________________________
Petitioner

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No. ______________________________________ Date of Birth: _______________________________

Arresting Agency/Agencies: __________________________________________________________________________

ORDER OF EXPUNGEMENT
(705 ILCS 405/5-915 Subsection 3) This matter having been heard on the Petitioner's motion and the Court being fully advised in the premises does find that the Petitioner is indigent or has presented reasonable cause to waive all costs in this matter. IT IS HEREBY ORDERED that:

! 1. Clerk of Court and Department of State Police costs are hereby waived in this matter. ! 2. The Illinois State Police Bureau of Identification and the following law enforcement agencies expunge all records
of Petitioner relating to an arrest dated __________________________________ , _________ for the offense of

_________________________________________________________________________________.
Law Enforcement Agencies: ____________________________

Address: ___________________________________________ Telephone: _________________________________________

E L P M A S
ENTERED:

! IT IS FURTHER ORDERED that the Clerk of the Circuit Court expunge all records regarding the above-captioned
case.

Dated:________________________________, _________

___________________________________________
Judge Atty. No.: ________________ Name: ___________________________________________ Atty. for: _________________________________________ Address: _________________________________________ City/State/Zip: _____________________________________ Telephone: ________________________________________ DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS Judge's No.