NEW ALBANY POLICE DEPARTMENT - New Albany, Ohio

Release of Defendant
Upon Waiver of Ohio Criminal Rule 4 Hearing
Transfer of Custody to Issuing Agency
Addendum A
I certify that I have been presented with a Waiver of Ohio Criminal Rule 4 signed by said
, and pursuant to this waiver, have released said Defendant to the custody of
Department to be transported to
County, Ohio
where said Defendant will be presented to the Court issuing the warrant to arrest.
Certification of Transporting Law Enforcement Officer
Upon receipt of an Inter-County Transportation Waiver signed by
, I a sworn law enforcement
officer of the State of Ohio, certify that I will, without unnecessary delay, transport said Defendant to
County, Ohio and present said Defendant to the
Court
County, Ohio, this Court having issued a warrant for the arrest of
, DOB:
SSN:
Transporting Officer:
PD-00-218
Revised December 21, 2010