Mepe R Sele-Bas' IN THE CIRCUIT COURT FOR THE STATE OF OREGON FOR MULTNOMAH COUNTY RELEASE ORDER AND AGREEMENT DY: Case No: : — Bret _—____ + L19CRS SOUR _ Stgte of Oregon vs. Js Defendant State Zip Phage 01 SWS "RELEASE AGREEMENT Purguont to ORS 135,250, the Defendant must comply withthe following conditions of release pear ata ties and places ordered by the Court unt discharge or final order ofthe Cout. ‘Do not leave the State of Oregon without permussion ofthe Court "Gb all laws and Court orders and comply wath any conditions the Court may spose. Excep Defendant's attomey advised of Defendant's whereabouts. Ssecunty posted on Defendant's behalf wil be applied to any fine, costs or restitution imposed on this ease or any other ease, fave extradition onthe above listed offenses if arrested outside the State of Oregon. ‘EDO NOT HAVE CONTACT WITH THE VICTIMS WITHOUT THE COURT'S WRITTEN PERMISSION This ban includes direct contact (by you) or meirect contact (dhtough third parties). The ban also includes any harassing, stalking, or threatening conduct agaunst the victsn(s), and any ‘ctual, threatened, or attempted use of physical foree against the victim) reasonably expected to cause bodily njury. Aay prot Federal Firearms Findings remain m effect for purposes ofthe no contact order 8 Additional Conditions pasaeee ‘Violiton ofthese conditions wil bave the following consequences: 1. Revocation ofthis Release Order, forfeiture of any security posted under this Orde, arrest, and possible punishment by contempt of Court ora separate cimnal charge for fulure to appea, o bot. 2. Immediate arrest by a peace officer if there 1s probable cause you have had say authorized contact with the victim, 3. Failure to Appear (FTA) conviction ~ For any appearance for an offense declared to be a violation by the District Atormey, the Court may enter a conviction and monetary judgment upto the maximum amount of fines, assessments, restitution, and other costs allowed by law Thave read, understand, and agree to obey these listed conditions I understand the consequences for violating these conitons. I agree to warve extradition onthe above listed offenses if volte any condition of ths agreement and I am arrested outside of tis State agree tht if willflly Violate a term of this release agreement and a warrant issued for my arrest that I expressly consent to any delay or postponement in the prosecution of ‘my case This includes any delay ima subsequent prosecution which arises from the meident related to my ital aresto citation, on any form ees eae ese ee aan 08-164 “yen Gun— Défenggh” ‘Date Witness SECURITY VERIFICATION OF NET WORTH AND AGREEMENT FullSeainyS Soom 100% 10% S00 Seuunty Reco #_ OSE Gey hereby certify that my total unencumbered assets are equal tno Tess than double the total amount of securty set above Tunderstand that the Defendant fils to comply wath any of the conditions set on tis Release Order, Lam liable for the full amount of the security set. further ‘understand that security release costs plus any fines or other financial obligations assessed against the Defendant inthis ease or any other ease le taken af he cary mee pose. Name (Please Print) SiG Adress Date Gaya Phone SUPERVISORY AGREEMENT THIRD PARTY CUSTODIAN Lage open an be espnnbi fre sone med Deters Toney he Cont ned any ach Tea the rake cry efor fo ature ae te Defendant appar aa soheledhesnngs Tern tha fo knowingly seth Dates So Sore speecat ice hens bicep as che outst sno of Cone ‘Name (Pease Pit) Seratre ‘Address = ‘Date: Tas Prone 03114123490 counr pare yaw time a 445 An Beier USTICE CENTER: 1120 SW Thurd Avenue, Portland, OR 97204 DEFENSE ATTORNEY'S NAME AND PHONE NUMBER Name Phone. ‘SUBSCRIBED AND SWORN TO OR AFFIRMED BEFORE ME AND RELEASE ORDERED THIS _DAY OF. 120, Dd: £93137 — Form Prepared by CadgeRecogaance Sx “uthonzed by GudgeTRecogavance Saif iOffice) 2521 (02/2) Dustrbution Ongrnsl~ Court Copies Defendant, MCSOVRecords Warrants, Release Agency, Dsinet Attorney, Defense Attorney