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tlement and not imposed by the Court. (Addklosal Carl Coat Cleselog Dori Fiend) punuant to section 938.01( I). Fiona Statutes OdetwOUIY mundmeeld (Crimea Compensation Deist Find) pursuant to Section 918.03(1). Florida Statutes (statutorily mandated). (Criminal Justice Edneation by Mankipalitles and Co

dated where locally emboli red). abscssisaustsassitc.Mostassmicedistss (Poem Defender Application Fee) pursuant to Sections 27.51(2)(a) and 938 29. Honda Stabiles (s 540.00 fee shall be imposed if nor previously collected of waived). Strike oat If previously paid or represented by private ounsel (Pab

ices. Tallahassee. Florida 323991 the following star as indicated: LNITIAL IF WAIVED Dots I. s _ Total of fines acessed in mama. 2. S—..— (Crimea Compensation am* la ad) primal to Section 938.04, Florida Satinet ( ttttt eerily made red 5% wire kanolrou on any nee emend le fine l). 3. S__....

right to the assistance of counsel in taking said appeal at the expense of the State upon showing of indigency. Din Open Court Palm Beach County. Honda. this E AND ORDER 3 r day ofittilt...9 . 200 VP11 ~tr. In Mt IfIrr II I nirter EFTA00182138 0 Page 2 NAME: DATE A l 0 ' -'7RM OF Prob

3. 5. L 3' fS10 7. f 200 a 9. 10. 1. 12. If. 14. Is. l& 17. 5 291110 S MOO 5_100 21. Dora Teal of fines grassed in mance. (Crimea Compensation Trost Feed) /amount to Section 93814. /bride Statutes (statutorily mandated 5% worthier/cum on say One totcred lets I). (Crime Strappm

nt0017 mandated). Wiliam! Just Education by Slunitipalida and Coandei)peasant to Section 933.15. Florida St:~ to be paid to: I I Palm Bach County, Honda (statutorily mandated wine lorally audtorizod). I I the Cityeliimnd'illage of , , Florida (Steamily raandated where locally authorized). (Add