DISTRICT COURT DEMARYLAND DC 26 (Rev. 4/95) PROBATION DOCKET IT IS ORDERED THAT DEFENDANT: ?supervised - Supervised by: El ACS: TASC HR DEED ?x kjgristandard Conditions: ALL Standard Conditions . . Report as directed and follow your Supervisor's lawful instructions. (IF AVAILABLE. PLACE LABEL HERE.) .. I: Ilia-I II 1' I II-I- .H. 5. Work or attend school regularly as directed. 4. Get permission from your Supervisor before: changing your home I . address. changing your job. leaving the State of Maryland. owning. Charge: .. .. - possessing. using or having under your control any dangerous \3 weapgn (3r ?rearm {3f any descripti?n_ Sentence: . Obey all laws and incur no serious motor violation. 5 6. Notify your Supewis?r at once if charged with a criminal Offense l: PBJ Length of and/ or jailabie traf?c offenses. . Permit your Supervisor to visit your home unannounced. 7 8. Do not illegally possess. use. or sell any narcotic drug. controlled substance or related paraphernalia. 9. Appear in court when noti?ed to do so. ?pecial Conditions: I El Pay all fines. costs. restitution. and fees as ordered by the Court. 1 1. El Totally abstain from alcohol and abusive use of any drug. 12. El Submit to alcohol and other drug testing as directed by your Supervisor and pay any required costs. 15, Complete hours of community service by (Date). 14. El Submit to alcohol and drug evaluation. testing. and treatment as directed by your Supervisor and pay any required costs. 15. El Refrain from driving or attempting to drive after consuming alcohol. 16. Attend and successfully complete local Health Department drug treatment program and pay any required costs. 17. [3 Attend and successfully complete local Health Department alcohol treatment program and pay any required costs. 18. Enroll in. pay any required costs for. and successfully complete treatment at (facility). 19. El Attend self-help group meetings per week for weeks. El Attendance may be modi?ed after weeks by Supervisor. 20_ Attend and successfully complete Motor Vehicle Administration Alcohol Education Program. (Social Drinkers Only) 21. El Obtain alcohol restriction on driver's license within 10 days of trial date for period of probation. 22. Attend Victim Impact Panel meetings when notified. 25. El Submit to evaluation and attend counseling for or treatment. 24. El Have no contact with 25_ Do not enter or be found near 26, Attend and successfully complete MVA Driver Improvement Program. 27, Attend and successfully complete Special Health Education Program - Project SASOE. 28_ Attend and successfully complete Juvenile Probation School. 29, El Attend and successfully complete Parenting class as required. 50_ Have Interlock installed. 51, Attend and successfully complete Drug Education Program at. r. New Your first appointment with the Supervisi and the ace to repo . Your failure to report could result in your arrest. Datefaq?h%6 . CONSENT have read. or have had read to me. the above conditions of probation. I understand these conditions and agree to follow them. I understand that if i do not follow these conditions. I could be returned to Court charged with a violation of probation. If I fail to abide by the above conditions. the Court could enter judgment against me and proceed with disposition as if I had not been placed under probation. i have been noti?ed and I understand that by consenting to and receiving a stay of judgment under Article 27. Section 641. waive my right to appeal from a judgment of guilty by the Court in this case. Witness: Date: Defendant: