Form Ao 245d - Judgment In A Criminal Case For Revocations - United States District Court Page 19

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AO 245D (Rev. 09/11) Judgment in a Criminal Case Personal Identification Attachment
DEFENDANT:
CASE NUMBER:
DISTRICT:
Judgment in a Criminal Case Personal Identification Attachment
(Not for Public Disclosure)
The following unredacted personal identifiers are included with the judgment transmitted to the Attorney General per 18 U.S.C. §
3612(b). A copy of this attachment shall also be provided to the attorney for the defendant, the Probation and Pretrial Services
Office, and the U.S. Sentencing Commission.
Pursuant to Rule 49.1 of the Federal Rules of Criminal Procedure, however, the personal data in this attachment are not for public
disclosure and must not be filed with the Clerk of the Court unless redacted or under seal, as provided in the rule.
Defendant’s Soc. Sec. No.:
Defendant’s Date of Birth:
Defendant’s Residential Address :
Defendant’s Mailing Address:
(if different)
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