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CIRCLEVILLE MUNICIPAL COURT, PICKAWAY COUNTY, OHIO DEMAND FOR JURY TRIAL STATE OF OHIO/CITY OF CIRCLEVILLE, Plaintiff -vs________________________________, Defendant

Case No._____________________

THE DEFENDANT DEMANDS A JURY TRIAL AND CERTIFIES THE FOLLOWING: [ ] I waive the reading of the complaint and acknowledge receipt of a copy thereof. I plead NOT GUILTY. I want my case tried within the time provided by law. Minor misdemeanor; 30 days Misdemeanor 3 or 4; 45 days Misdemeanor 1 or 2, 90 days [ ] I knowingly and voluntarily waive my right to trial within the time provided by lay and move for an extension of time to have this case set for trial in the course of Court business. I move the Court for an order terminating pretrial suspension of license for want of probable cause. [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] Date of arrest or service of summons___________________ Days in jail before admitted to bail________________________ Date of arraignment___________ Bond______________________ (Recog, cash/surety, 10%) Proof of insurance provided. Proof of insurance continued to pretrial/trial/probable cause. Defendant has no license suspended. insurance,

Set for: Pretrial/discovery______________ Probable cause_______________ Trial _______________________

CHECK ALL APPLICABLE ITEMS Signature of Defendant Attorney for Defendant Attorney's Address Phone BY ORDER OF JUDGE ___________________________________ ___________________________________ ___________________________________ ___________________________________ __________________________________

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