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Charge :
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Sentence :
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When Received :
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When Discharged :
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Arresting Officer :
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Committing Officer :
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Number Of Days :
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Age :
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Color :
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Sex :
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Single/Married :
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Place of Birth :
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Occupation :
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Whom Employed :
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Prisoner's
Residence :
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Complainant :
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Date of Sentencing :
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Sentence Reconsidered :
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Bail :
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Bondsman :
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Alias :
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Fine or
Imprisonment :
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Sentenced To :
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Notes :
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