IN THE MUNICIPAL COURT

FOR THE CITY OF (CITY)

CITY OF (CITY),	)

Plaintiff,	)

)

VS.	)	DOCKET NO. (Docket #)

)

(Defendant's Name),	)

Defendant.	)

ORDER GRANTING EXPUNGEMENT

THE ABOVE-ENTITLED MATTER having come before the Court, and the Court being fully advised in the premises:

IT IS THEREFORE the Order of the Court that the (County) County Sheriff's Department and the (City) Police Department hereby expunge any and all records.

DATED this ____ day of_______________,20____.

______________________________________

Municipal Judge