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Name of Probationer: ______________________________ Name of Probationer: __________________________

( ) Bonded: ( ) Cash ( ) Surety ( ) Bonded: ( ) Cash ( ) Surety


( ) Detained: ( ) Detained:

Judgement Rendered on: ___________________ Judgement Rendered on: ___________________

DDE Result: DDE Result:


__________________________________________ __________________________________________
Drug test: ( ) Negative ( ) Positive Drug test: ( ) Negative ( ) Positive
Fine Imposed: _____________________ Fine Imposed: _____________________
( ) Paid on ( ) Paid on
( ) Unpaid ( ) Unpaid

Name of Probationer: ______________________________ Name of Probationer: __________________________

( ) Bonded: ( ) Cash ( ) Surety ( ) Bonded: ( ) Cash ( ) Surety


( ) Detained: ( ) Detained:

Judgement Rendered on: ___________________ Judgement Rendered on: ___________________

DDE Result: DDE Result:


__________________________________________ __________________________________________
Drug test: ( ) Negative ( ) Positive Drug test: ( ) Negative ( ) Positive
Fine Imposed: _____________________ Fine Imposed: _____________________
( ) Paid on ( ) Paid on
( ) Unpaid ( ) Unpaid

Name of Probationer: ______________________________ Name of Probationer: __________________________

( ) Bonded: ( ) Cash ( ) Surety ( ) Bonded: ( ) Cash ( ) Surety


( ) Detained: ( ) Detained:

Judgement Rendered on: ___________________ Judgement Rendered on: ___________________

DDE Result: DDE Result:


__________________________________________ __________________________________________
Drug test: ( ) Negative ( ) Positive Drug test: ( ) Negative ( ) Positive
Fine Imposed: _____________________ Fine Imposed: _____________________
( ) Paid on ( ) Paid on
( ) Unpaid ( ) Unpaid

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