Fax Arraignment {RI-OTS09}

683(5,25 &2857 2) &$/,)251,$ &2817< 2) 5,9(56,'( %$11,1* 1 $OHVVDQGUR 5G %DQQLQJ &$ %/<7+( 1 %URDGZD\ %O\WKH &$ ,1',2 2DVLV 6W ,QGLR &$ 5,9(56,'( 0DLQ 6W 5LYHUVLGH &$ 0855,(7$ ' $XOG 5G 6WH 0XUULHWD &$ $77251(< 25 3$57< :,7+287 $77251(< (Name, State Bar Number and Address) 5,276 FOR COURT USE ONLY 7(/(3+21( 12 (0$,/ $''5(66 2SWLRQDO $77251(< )25 1DPH )$; 12 2SWLRQDO 3(23/( 2) 7+( 67$7( 2) &$/,)251,$ vs. &$6( 180%(5 '()(1'$17 )$; $55$,*10(17 'HIHQGDQW '2% 9LRODWLRQV 'DWH RI 2IIHQVH $GGUHVV $UUDLJQPHQW 'DWH $WWRUQH\ , UHSUHVHQW WKDW , DP DXWKRUL]HG E\ GHIHQGDQW WR DQG GR KHUHE\ HQWHU P\ JHQHUDO DSSHDUDQFH LQ WKLV FDVH RQ EHKDOI RI VDLG GHIHQGDQW HQWHU D 127 *8,/7< SOHD :$,9( 7,0( IRU WULDO DJUHH WKDW D GXO\DSSRLQWHG &RXUW &RPPLVVLRQHU PD\ DFW DV D WHPSRUDU\ MXGJH IRU WKH SXUSRVH RI WKLV DUUDLJQPHQW $1' GR WKH IROORZLQJ '(0$1' MXU\ WULDO 5HTXHVW ,QWHUSUHWHU ODQJXDJH 1DPH )LUP $GGUHVV 7HOHSKRQH 1XPEHU :$,9( MXU\ WULDO $77251(< ,1)250$7,21 6WDWH %DU 1XPEHU 5(48(67 FRXUW WULDO )D[ 1XPEHU )RU WKH ODWHVW LQIRUPDWLRQ DQG FXUUHQW OLVWLQJ RI ID[ QXPEHUV SOHDVH YLVLW RXU ZHEVLWH DW KWWSULYHUVLGHFRXUWVFDJRYID[OLVWVKWPO $WWRUQH\ SURSRVHV WKH IROORZLQJ GDWHV IRU WKH QH[W DSSHDUDQFH ZLWKLQ GD\V 6,*1$785( '$7( 6HW IRU 3UH7ULDO RQ 6HW IRU -XU\ 7ULDO RQ 6HW IRU &RXUW 7ULDO RQ 0DLQ 6W 5LYHUVLGH &$ ' $XOG 5G 6WH 0XUULHWD &$ 1 $OHVVDQGUR 5G %DQQLQJ &$ 5HOHDVH 6WDWXV 'DWH $WWRUQH\ DQG '$ QRWLILHG $GRSWHG IRU 0DQGDWRU\ 8VH 5LYHUVLGH 6XSHULRU &RXUW 5,276 >5HY @ DW DW DW 'HSW 'HSW 'HSW 1 %URDGZD\ %O\WKH &$ 2DVLV 6W ,QGLR &$ 2ZQ 5HFRJQL]DQFH %DLO %RQG $UUDLJQPHQW 'DWH 9DFDWHG &DVK %DLO )$; $55$,*10(17 5LYHUVLGH /RFDO 5XOH ULYHUVLGHFRXUWVFDJRYORFDOIUPVORFDOIUPVVKWPO American LegalNet, Inc. www.FormsWorkFlow.com 3DJH RI