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`County Criminal Court at Law No.
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`CAUSE no.
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`STATE or TEXAS
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`V.
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`Valiggm ,Sg’(rm
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`(Defendant)
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`lflngElDXl
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`(SPN)
`Harris County, Texas
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`ORDER FOR PRETRIAL SUPERVISION AND BOND CONDITIONS
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`In addition to appearing in court as instructed, the defendant is ORDERED to comply with the following conditions of release on bond.
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`The defendant will be supervised as follows:
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`If released on personal bond or unsecured bond, the defendant will be supervised by Harris County Pretrial Services (HCPS).
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`The defendant will report to the HCPS Defendant Monitoring Division by
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`and comply with the rules on the
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`Supervision Requirements form and the conditions indicated below until the case is disposed or until the court terminates
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`this supervision. If released on a personal bond, the defendant will pay a personal bond fee of:
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`$_________; or
`Personal bond fee waived.
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`If released on surety bond or cash bond, the defendant will be supervised by Harris County Community Supervision and
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`Corrections (HCCSCD). The defendant will report in person to the HCCSCD Bond Supervision Unit beginning
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`and thereafter as directed by the supervision officer until the case is disposed or until the court terminates this supervision.
`If the defendant does not have a current Texas Driver’s License or other valid official government-issued photo identification,
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`the defendant will pay a $12.50 fee to HCCSCD for an ID Card. The defendant will pay to and through HCCSCD a supervision
`fee of:
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`C] $60.00 per month and a $2.00 transaction fee for each payment; or
`C] $40.00 per month and a $2.00 transaction fee for each payment.
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`Additional conditions (mark those that apply):
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`Defendant shall personally appear in court, on time, every time this case is set on the Court’s docket.
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`[25
`i Defendant shall commit no crime and shall not engage in any conduct that could result in his/her arrest.
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`Defendant shall have no contact with the prosecution's witness(s) / the complainant(s) / the victim(s), specifically:
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`feet of a residence, school, place of employment, or other location,
`Defendant shall refrain from going to or within
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`specifically:
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`Defendant shall have no threatening, harassing or assaultive contact with the prosecution's witness(s) / the complainant(s)/
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`the victim(s), specifically:
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`Defendant shall not operate a motor vehicle unless it is equipped with a camera-equipped, deep-lung breath analysis
`mechanism approved by the Texas Department of Public Safety that makes impractical the operation of a motor vehicle if
`ethyl alcohol is detected in his/her breath. Defendant shall have the device installed on the vehicle owned or most regularly
`driven by the defendant within __ calendar days of the defendant’s release on bond. Defendant must comply with all
`required equipment and maintenance service, and to comply with testing protocols. For HCPS only: C] Monitoring fee
`waived.
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`Page 1 of 3
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`Rev. 05/05/2020
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`RECORDER'S MEMORANDllM
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`41
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`E] Defendant is required to obtain an approved portable alcohol testing device from a vendor approved by the supervising
`agency and to begin its use within
`calendar days, to comply with all required equipment and maintenance services,
`and to comply with testing protocols.
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`w Defendant is required to submit to fidrug / E] alcohol / E] drug and alcohol testing by authorized agency personnel.
`HCPS:
`[:1 Defendant to pay costs of 1:] $11.00 per test/ [:I $
`per test /m/waived.
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`HCCSCD: El Defendant to pay drug testing fee of $10.00 monthly.
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`Defendant shall not drive without the permission of the court.
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`DE] Defendant is to surrender his/her passport for temporary deposit with the Treasurer or Registry of the Court, as instructed
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`by the supervising agency, and provide the agency with proof of that surrender.
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`[:1 Defendant's travel is restricted as follows:
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`1:] Remain within the State of Texas. A request to travel outside the State of Texas must be submitted to your supervising
`officer at least two business days prior to your travel date.
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`[:I Remain within Harris County, Texas, and its contiguous counties (Brazoria, Chambers, Fort Bend, Galveston, Liberty,
`Montgomery, and Waller). A request to travel outside these counties must be submitted to your supervising officer at
`least two business days prior to your planned travel date.
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`Defendant must not use, possess, or consume marijuana or any controlled substance or dangerous drug unless obtained
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`pursuant to a lawful prescription for the defendant issued by a medical doctor. Defendant will provide a copy of all such
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`prescriptions to his supervising officer in advance.
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`The Defendant must not use or possess a firearm. (Check this box only if the offense involves an Assault Family Member or
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`an offense were a weapon has been alleged)
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`The Defendant shall observe an initial curfew from
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`until
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`, seven days per week.
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`Facts giving rise to probable cause suggest that alcohol was a factor in this offense. Defendant must not use, possess, or
`consume alcohol. This includes any food, mouthwash, or over-the—counter medication containing alcohol.
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`DDDD‘TE;
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`calendar
`Defendant is required to submit to E] electronic monitoring (EM) / E] GPS monitoring, to be installed within
`days of the defendant’s release on bond. Defendant must sign any required agreements, comply with all required equipment
`and maintenance services, and comply with monitoring protocols, as instructed by the supervising agency. Defendant will
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`observe an initial curfew from
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`until
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`seven days per week.
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`HCPS:
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`E] Defendant to pay monitoring costs of [:1 $6.00 per day / I] waived.
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`HCCSCD: E] Defendant to pay all necessary fees and costs directly to the electronic monitoring vendor.
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`C] Other:
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`Failure to abide by these bond conditions may result in the Defendant’s bond being forfeited or revoked and the Defendant arrested
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`and confined. In addition, the Court has the authority to oversee the enforcement of its Orders, require that proceedings before it be
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`conducted in an orderly and expeditious manner, and to ensure justice is done. See TEX. Gov’T CODE §21.001. Disobeying this Order
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`could also constitute contempt, which is punishable by a maximum penalty of a fine of not more than $500.00, confinement in jail for
`up to six months, or both.
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`Dated: 8 pl IMO
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`Judge/Magistrate Signatu
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`Rev.05/05/2020
`Page 2 of3
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`Defendant’s Acknowledgment
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`I understand that the court is ordering my compliance with the conditions listed above as a requirement of my continued release on
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`I understand that my failure to comply with these conditions may result in the forfeiture or
`I agree to these conditions.
`bond.
`revocation of my bond and confinement, and possibly a separate action against me for contempt of court for which I could be
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`separately fined and jailed as detailed above.
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`Dated: g} 9' {gay
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`Defendant‘s Signature:
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`Rev.05/05/2020
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`Page 3 of 3
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