Misdemeanor Complaint Form - The Circuit Court Of Cook County, Illinois

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(Court Date/Time)
(Arresting
Agency
#)
(Court Branch #
or
District #)
Misdemeanor Complaint
(03/18/15) CCCR N654
IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS
The People of State of Illinois
v.
Defendant
MISDEMEANOR COMPLAINT
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
,complainant,
now
appears
before the
(Complainant's Name
Printed
or
Typed)
Circuit Court
of
Cook County and states
the
following:
That:
of
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
has, on or
about
(Defendant)
_________
,
at
the
location
of
(Date)
committed
the offense(s) of
in thats/he
(Address)
(Place of
Offense)
in
violation
of
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Illinois
Compiled Statutes
/
_______
~
AOIC
Code
STATE OF ILLINOIS
I
COOK COUNTY
(Chapter)
(Act)
(Sub Section)
(Complainant's Signature)
(Complainant's Address)
(Complainant's
Telephone)
(Complainant's Name
Printed
or
Typed)
The
Complainant
being first duly
sworn
on oath, deposes
and says
that
s/he
read the foregoing
complaint
by him/her
subscribed and
that
the
same
is true.
(Complainant's Signature)
Subscribed
and sworn
to before me on this
_ _ _ _ _ _ _ _ _ _ _ _
day of
_ _ _ _ _ _ _ _ _ _ _ _ _ _
Gudge's/Law
Enforcement
Officer's Signature)
(Law
Enforcement
Officer's
Badge
No.)
I have examined the
above complaint and
the person presenting the
same and
have heard evidence thereon,
and am satisfied
that
there
is
probable
cause
for filing
same.
Leave is
given
to file
said
complaint.
SUMMONS
ISSUED,
Judge
or
Judge's
No.
WARRANT
ISSUED,
Bail
set at:
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
or
BAIL
SET AT:
Judge
Judge's
No.
DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS
Page
1of1
CLEAR FORM
Dates are in MMM DD, YYYY format!
(e.g. May 1, 2014)
Time is in HH:MM TT format!
(e.g. 1:00 pm)
(SELECT)
COURT DOCKET NUMBER ONLY,
DO NOT ENTER A REPORT OR RD NUMBER HERE
Names Should be Entered in FIRST NAME, LAST NAME Format!
If the Victim is a Government Entity / Business, Format is as Follows:
State of Illinois / P.O. Smith #1234 or Jewel-Osco / Agent John Doe
ALL ADDRESSES SHOULD BE FORMATED AS FOLLOWS:
3510 S. Michigan Ave., Chicago, IL 60653, County of Cook
Dates are in MMM DD, YYYY format!
WORK #
D. BROWN /
#
THIS FORM CUSTOMIZED BY

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