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Notice to Appear Instruction Sheet
Follow these instructions according to the boxes checked.
Court Case
Number:
Agency Case
Number:
Mandatory Court Appearance -- You MUST appear at COURT. You will receive a Notice of Arraignment from the County Clerk's
Office at the mailing address you have given. Failure to appear at the time and place designated, will result in a warrant being issued for your arrest.
Court Appearance Not Mandatory -- You MUST comply with EITHER A or B:
B. Contest the Citation: You MUST request that a court date be set within 15 days of the issuance of this Notice to Appear (if
the 15th day falls on a Saturday, Sunday or legal holiday, the period is extended to the next working day) by either appearing
between the hours of 8:00 a.m. and 10:00 a.m. at the Clerk's Office checked below, or by mailing your written request to the
Clerk of the Court at the address checked below.
In consideration of my not appearing in court, I enter my plea on the affidavit in this case, for the offense charged, waiving my
right to be present and the reading of the affidavit. I understand the nature of the charge(s) against me and hereby enter my plea
of guilty
or nolo contendere (no contest)
.
2.
In doing so, I understand the nature of the charge(s) against me, I understand that I waive my right to counsel, the right to a trial
before a judge or jury, the right to a continuance, and the right to appeal. Payment of this fine will result in adjudication of guilt
to this charge being withheld.
3.
By my signature, I acknowledge that I understand the above statements. I am not under the influence of alcohol or drugs. I also
certify that my address listed below is correct.
Defendant's Signature:
Date:
(First)
(Middle)
(Last)
Arrest
Affidavit
Notice to Appear
Witness/Victim/Evidence
Form 707-A
Adult
Juvenile
Court Case
Number:
Defendant (Last)
Name:
WELCH
(First)
(Middle)
KEVIN
Agency Case
Number:
Name:
(First)
(Middle)
Vic
Race:
Sex:
Wit
(Last)
LAWTHER
Address
(#, Street, City, State):
JOSH
DAYTONA BEACH
FL
Age:
Name:
Home:
Phone:
32114
MANLEY
(Middle)
Vic
Race:
Sex:
MARGIE
Wit
Zip:
DAYTONA BEACH
FL
32114
Bus/School
Address:
Relative/
Contact Name
(First)
GOBLE
Address
(#, Street, City, State):
(Middle)
OFFICER
Vic
Race:
Sex:
09-02-1967
DAYTONA BEACH
Wit
FL
Statement:
Zip:
Bus:
Phone:
Yes
DOB:
(First)
OTERI
(Middle)
Vic
Wit
SERGEANT
Home:
Phone:
32114
DAYTONA BEACH
FL
Race:
Sex:
Statement:
Age:
DOB:
Home:
Phone:
32114
WADE
Address
(#, Street, City, State):
(Middle)
OFFICER
Statement:
DAYTONA BEACH
Vic
Race:
Sex:
Wit
FL
Age:
DOB:
Home:
Phone:
32114
(Middle)
Vic
Race:
Sex:
Age:
DOB:
SSN:
Zip:
Bus/School
Address:
Relative/
Contact Name
No
Bus:
Phone:
Phone:
Wit
Address
(#, Street, City, State):
Yes
(386) 671-5100
Relative/Contact
Address:
(First)
SSN:
Statement:
Zip:
(Last)
No
Bus/School
Address:
Relative/
Contact Name
Yes
Bus:
Phone:
Phone:
Zip:
SSN:
(386) 671-5100
Relative/Contact
Address:
(First)
No
Bus:
Phone:
Zip:
(Last)
Yes
(386) 671-5100
Bus/School
Address:
Relative/
Contact Name
SSN:
Phone:
Zip:
No
Relative/Contact
Address:
(Last)
SSN:
Home:
Phone:
Zip:
Address
(#, Street, City, State):
Name:
48
Age:
Zip:
Relative/
Contact Name
Name:
DOB:
Phone:
Bus/School
Address:
Name:
Age:
Relative/Contact
Address:
(Last)
No
Bus:
Phone:
Phone:
(First)
612 TOMOKA RD
Yes
(386) 257-3172
Relative/Contact
Address:
(Last)
SSN:
Statement:
Zip:
Address
(#, Street, City, State):
Name:
DOB:
Bus/School
Address:
Relative/
Contact Name
of 3
150023794
Zip:
Page # 3
Home:
Phone:
Statement:
Zip:
Bus:
Phone:
Yes
Relative/Contact
Address:
No
Phone:
EVIDENCE COLLECTED
Description of Evidence
Owner Name (Last)
Date Recovered
(First)
(Address)
Description of Evidence
Owner Name (Last)
Date Recovered
(First)
(Address)
Drug Amount
(Phone)
Value
Drug Amount
(Phone)
Value
Description of Evidence
Date Recovered
Drug Amount
Description of Evidence
Date Recovered
Drug Amount
Description of Evidence
Date Recovered
Drug Amount
Description of Evidence
Date Recovered
Drug Amount
Description of Evidence
Date Recovered
Drug Amount
Description of Evidence
Date Recovered
Drug Amount
Description of Evidence
Date Recovered
Drug Amount
ONYSKI,JEFFREY
D58173
Investigating Officer
ID Number
DBPD
Agency