Form Ao 190 - Record Of The Number Of Grand Jurors Concurring In An Indictment

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AO 190 (Rev. 01/09) Record of the Number of Grand Jurors Concurring in an Indictment
U
S
D
C
NITED
TATES
ISTRICT
OURT
for the
__________ District of __________
United States of America
)
v.
)
)
Case No.
)
)
Defendant
RECORD OF THE NUMBER OF GRAND JURORS CONCURRING IN AN INDICTMENT
As the foreperson of the grand jury of this court at a session held at
on
, I certify that
grand jurors concurred in the indictment in this case.
(specify number)
Under Fed. R. Crim. P. 6(c), this record is being filed with the court clerk and will not be made public unless the court
orders otherwise.
Date:
Foreperson’s signature
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