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	Example of an application for a summons

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Example of an application for a summons

Example of an application for a summons in a criminal matter where the defendant is to be summoned on charges of drunken driving.

For technical reasons, the layout of the page does not correspond to that of an authentic document.

APPLICATION FOR A SUMMONS

27 February 2002
Docket R 00/02

DISTRICT OF GENERICVILLE
PROSECUTION OFFICE
PO Box 000, 2 Main Street
12345 GENERICVILLE
Telephone 00-123 4567 Telefax 00-123 4568

Genericville District Court
Prosecutor
District Prosecutor Eric Example

Defendant
John Doe

CHARGE

I demand that the defendant be convicted of the following offence:

Drunken driving
(1234/R/11234/01)
Penal Code, Ch. 23, section 3

20 November 2001 GENERICVILLE

Description of the act
On 20 November 2001, John Doe has operated an automobile on the public highway so that after the operation he has had a alcohol content of 0.54 mg per one litre of exhaled air.

Evidence

Statement of Doe in pre-trial investigation
Protocol of the breathalyser test administered to Doe

PROSECUTOR’S OTHER DEMANDS

Withdrawal of the right to drive
I demand, that the defendant’s right to drive be withdrawn.
Highway Code, sections 75 and 78.

Signed
Eric Example
District Prosecutor

ATTACHMENTS TO BE SERVED ON THE DEFENDANT
Pre-trial protocol 1234/R/11234/01 of the police authority of the District of Genericville, plus annexes

Updated on 30 September 2004

Beginning

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