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IN THE MUNICIPAL COURT OF DELAWARE ... - City of Delaware

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<strong>IN</strong> <strong>THE</strong> <strong>MUNICIPAL</strong> <strong>COURT</strong> <strong>OF</strong> <strong>DELAWARE</strong> COUNTY, OHIO<br />

CRIM<strong>IN</strong>AL/TRAFFIC DIVISION<br />

State <strong>of</strong> Ohio<br />

<strong>City</strong>/Village/Twp. <strong>of</strong> ___________________,<br />

Plaintiff,<br />

: Case No. ______________________________<br />

:<br />

# OVI Violations within 6 years ________________<br />

:<br />

DOB ______________________________________<br />

vs. :<br />

SSN ______________________________________<br />

_____________________________________,<br />

:<br />

Arrest/Offense Date __________________________<br />

Defendant.<br />

: Judge David P. Sunderman<br />

Judge David M. Gormley<br />

Wherefore, it is ORDERED, ADJUDGED, and DECREED as follows:<br />

JAIL:<br />

The Court hereby accepts defendant’s guilty plea and enters a finding <strong>of</strong> guilty as to the following charge <strong>of</strong><br />

G M-1 G M-2 G M-3 G M-4 G Unclassified<br />

Days Imposed: Days Credited: Enforcement Date:<br />

.<br />

Days Suspended:<br />

G Conditions:<br />

G EMHA Days: G CWP Required Hours: Alcohol Treatment:<br />

G Work Release: Days: Hours: Effective:<br />

G No room at the County Jail for 60 days.<br />

LICENSE SUSPENSION:<br />

Court Suspension: Days/Years:<br />

Effective:<br />

G Pro<strong>of</strong> <strong>of</strong> Financial Responsibility (FR) is attached.<br />

[Failure to attach pro<strong>of</strong> <strong>of</strong> insurance at the time <strong>of</strong> <strong>of</strong>fense shall result in notification to BMV <strong>of</strong> failure to show<br />

FR and revocation <strong>of</strong> plates and registration pursuant to R.C. 4509.101.]<br />

G Revoke Plates and Registration Pursuant to 4507.164 and/or 4509.101<br />

Revised 11/10/09 4

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