____________________COURT |
[Precinct _____] |
____________County, Arizona |
_________________________ |
_________________________ |
_________________________ |
STATE OF ARIZONA Plaintiff |
[CASE/COMPLAINT NO.] |
|
-vs- |
TRANSMITTAL |
|
CERTIFICATION |
||
APPEAL TO SUPERIOR |
||
_________________________ |
COURT |
|
Defendant (FIRST, MI, LAST) |
||
_________________________ |
_________________________ |
_________________________ |
TRANSMITTAL OF RECORD ON APPEAL TO SUPERIOR COURT |
I hereby certify that the enclosed items constitute a true and complete record of the preliminary proceedings held in the above-entitled case appearing in Docket No. _________________________, at page _____. |
The following items are included: |
[ ] |
The original complaint, including amendments; |
[ ] |
The arrest warrant, summons, or citation; |
[ ] |
The defendant’s release questionnaire; |
[ ] |
The defendant’s financial statement and request for appointment of counsel; |
[ ] |
If the defendant is or was in custody, a copy of the release order showing the conditions under which the defendant may be, or has been, released; |
[ ] |
The defendant’s appearance bond; |
[ ] |
Security deposited with the appearance bond: __________________________________________________ |
[ ] |
Defendant’s waiver of counsel; |
[ ] |
Order appointing counsel or written appearance of counsel; |
[ ] |
Exhibits and items of physical evidence introduced at trial: ____________________________________- |
; __________________________________________ |
|
[ ] |
A copy of all proceedings had in the case, as shown by my docket; |
[ ] |
Audiotape or videotape of trial, if any; |
[ ] |
Other papers or items prepared in connection with the case: __________________________________ |
._________________________________________ |
|
_________________________ |
_________________________ |
Date |
Signature of Judicial Officer |
_________________________ |
|
Printed Name and Title of Judicial Officer |
|
Form 22
HISTORICAL NOTES
Former Form 22 was abrogated effective January 1, 2008.