Motion And Order For Expungement Page 4
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4IT IS FURTHER ORDERED that the above named agencies are to file a sworn affidavit with the
Clerk of Court that the above order has been complied with in every respect, and said affidavits are to be
filed on or before the ________ day of ___________________________, 20____.
Gretna, Louisiana, this ________ day of ___________________________, 20____.
_____________________________________
JUDGE, 2
Parish Court
nd
Respectfully submitted,
_____________________________________
NAME: _____________________________________________________________
ADDRESS: __________________________________________________________
CITY/STATE/ZIP: ___________________________________________________
TELEPHONE #: __(504) ________________________________
PLEASE SERVE:
1
Administrator, Louisiana Department of Public Safety, 109 S. Foster Dr., Baton Rouge LA 70896-4886.
2. Office of Louisiana State Police, Criminal Records Unit, P.O. Box 66614, Baton Rouge LA 70896-6614.
3. The Hon. Paul D. Connick, Jr., District Attorney, 24
Judicial District Court, 200 Derbigny St., Gretna
th
LA 70053.
4. The Hon. Newell D. Normand, Sheriff, Parish of Jefferson, P.O. Box 485, Gretna LA 70054-0485.
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