estitution / PELP X a Dat Fed Local ternati wpemence Dake: Tn Es Cee Serienes Tyae: M. Acquittal/ Dismissal Pretrial Diversion Recovery Date: enlence LYPet ' ° (Circle one) Date: Code x Amount & In Jail Years Months___ Code * yv Amount $ Suspended: Years. Months ‘ N. Drug Seizures “Date: Restitution Date