Motion And Order For Expungement Page 2
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4STATE OF LOUISIANA
2
Parish Court for the Parish of Jefferson
nd
No.: ____________________
Division: “_______”
Ticket No. ____________________
State of Louisiana
vs.
_______________________________________________________
MOTION & ORDER FOR EXPUNGEMENT
Pursuant to Section 9 of Title 44 of the Louisiana Revised Statues, defendant,
_______________________________________________,
through
undersigned
counsel
moves
this
Honorable Court for an Order expunging the record of his arrest in connection with the
________________________________
Police
Department,
Item
No.
_______________________,
Affidavit/Complaint No. ___________________________ charging the misdemeanor violation of
_____________________________________________________,
Louisiana
Revised
Statute
No.
______________________________,
and
of
his
prosecution
herein
in
connection
with
Affidavit/Complaint No. _________________________________, showing to the Court that this matter
was ________________________________________________________________________________.
Respectfully submitted,
_____________________________________
NAME: _____________________________________________________________
ADDRESS: __________________________________________________________
CITY/STATE/ZIP: ___________________________________________________
TELEPHONE #: __(504) ________________________________
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