Uniform Complaint And Notice To Appear Page 2

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NOTICE TO APPEAR
The County of _____________, Kansas, to the above-named person:
You are hereby summoned to appear before the District Court of __________, Kansas,
at __________ on the ____ day of __________, 2____, at __________ o'clock _.m., to
answer the above complaint.
If you fail to appear a warrant will be issued for your arrest.
Dated __________, 2____.
Signature of Official
Title of Official
I agree to appear in the Court at the stated time and place.
(You do not admit guilt by
signing.)
RETURN
The undersigned hereby certifies that on the
day of
, 2
, the
notice to appear was served, mailed or delivered.
Law Enforcement Officer or Code Enforcement
Officer

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