AO 246 (Rev. 09/11) Probation Order Under 18 U.S.C. § 3607
U
S
D
C
NITED
TATES
ISTRICT
OURT
for the
__________ District of __________
United States of America
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v.
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)
Case No.
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Defendant
PROBATION ORDER UNDER 18 U.S.C. § 3607
The defendant having been found guilty of an offense described under 21 U.S.C. § 844, and it appearing that the
defendant (1) has not, prior to the commission of such offense, been convicted of violating a federal or state law relating to
controlled substances, and (2) has not previously been the subject of a disposition under this subsection,
IT IS ORDERED: The defendant is placed on probation as provided in 18 U.S.C. § 3607 for a period of
without a judgment of conviction first being entered. The defendant must comply with
the standard conditions of probation set forth on the next page of this order, and the following special conditions:
1.
The defendant must participate in a drug education or treatment program, or both, if ordered to do so by the
supervising probation officer.
2.
The defendant must undergo drug testing, including but not limited to urinalysis, if ordered to do so by the
supervising probation officer.
3.
The defendant must:
Date:
Judge’s signature
Printed name and title
Defendant’s Consent
I have read the proposed probation order under 18 U.S.C. § 3607 and the conditions of probation, including the
special conditions above. I unde rstand that if I viola te any conditions of probation, the court may enter a judgment of
conviction and proceed as provided by law. I consent to the entry of the order.
I also understand that, if I have not violated any condition of my probation, the court, without entering a judgment
of conviction, (1) m ay dismiss the proceedings and di scharge me from probation before the expiration of the term of
probation, or (2) must dismiss the proceedings and discharge me from probation at the expiration of the term of probation.
I also understand that, if I was under age 21 at the time of the offense, I am entitled to have the record of my
arrest and conviction expunged upon application.
Date:
Defendant’s signature
Signature of defendant’s attorney
Printed name of defendant’s attorney
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