Texas Court Forms For Juveniles Page 12

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ORDER FOR EXPUNCTION OF RECORDS: TOBACCO OFFENSES (Sec. 161.255, H.S.C.) (Page 2 of 2)
(7) the Clerk of the Municipal Court of the City of ________________________, Texas, shall cause a copy of this Order to
be delivered, by certified mail, return receipt requested, to the following respondents subject to this Order (include any of the
following, and any not listed, that are applicable):
(a)
Texas Department of Public Safety
Attn: Expunction Unit, TxDPS Crime Records
P.O. Box 4143 Mail Stop (MSC-0234)
Austin, TX 78765-4143
(b)
Juvenile Court of ____________________ County, Texas
Address: ________________________________________________________________________________
(c)
Sheriff's Department
Address: ________________________________________________________________________________
(d)
_______________ Police Department
Address: ________________________________________________________________________________
(e)
_______________ City Attorney's Office
Address: ________________________________________________________________________________
(f)
_______________ Tobacco Awareness Course Provider
Address: ________________________________________________________________________________
(g)
_______________Community Service Provider
Address: ________________________________________________________________________________
(h)
Other: __________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Signed this _____ day of ____________________, 20___.
(municipal court seal)
___________________________
Judge, Municipal Court
City of _____________________
_______________ County, Texas
JUVENILES 08/13
TMCEC 2013 FORMS BOOK
204

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