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Commonwealth of Pennsylvania i!1~,». PRAECIPE TO ENTER
Court of Common Pleas :.,;;:.~ JUDGMENT/ ENTRY OF
County of Cumberland ~' h JUDGMENT
9th Judicial District~;~,r/,
Praecipe to Enter Judgment
To the Prothonotary:
Enter Judgment in favor of Plaintiff, Cumberland County Adult Probation,
against Defendant, Derick Alan Koontz 1916 Letchworth Drive Camp Hill, PA 17011, with
respect to Criminal Docket No. CP-21-CR-0002476-2006 in the amount of $2,918.50.
April 25, 2007
Cumberland County Adult Probation
v.
Derick Alan Koontz, Defendant
Civil Docket No: -
~~,.~;, e ~Go-
Date Clerk of Courts
Seal:
Entry of Judgment
AND NOW, this ~ day of ,20~ . Judgment is
entered in favor of the Plaintiff and against the Defendant in the amount set forth above, plus a
$31.00 judgement satisfaction fee.
othonota
AOPC 2215 REV. 04/25/2007
Commonwealth of Pennsylvania
Court of Common Pleas Itemized Account of Fines,
County of Cumberland Costs, Fees, and Restitution
9th Judicial District
Commonwealth of Pennsylvania
v.
Derick Alan Koontz
Derick Alan Koontz
1916 Letchworth Drive
Camp Hill, PA 17011 Docket No: CP-21-CR-0002476-2006
Assessments to be paid by Derick Alan Koontz
Costs/Fees Distribution Assessment
State Court Cost (Act 204 of 1976) Account Balance
Commonwealth Cost - HB627 (Act 167 of 1992) COMM -COST $9.70
County Court Costs (Act 204 of 1976)
Crime Victims Compensation (A
t 96 COMM - CST1
CTY $8.30
$27
c
of 1984)
Victim Witness Services (Act 111 of 1998)
COMM - CVC .00
$35
00
Firearm Education and Training Fund (158 of 1994
) COMM - VWS .
$25.00
Emergency Medical Services (Act 45 of 1985) COMM - FETA $5.00
JCP COMM -EMS $10
00
ATJ COMM -JCP .
$8
00
CAT/MCARE (Act 13 of 2002) COMM -ATJ .
$2.00
Substance Abuse Education (Act 198 of 2002) COMM -MCARE $200.00
Substance Abuse Education (Act 198 of 2002) COMM -SAE $150.00
District Attorney (Cumberland) CTM $150
00
Plea Fee (Cumberland) CTY - 21 .
$19
00
Administrative Fee (Cumberland) Cn' - 21 .
$150.00
Sheriff Costs (Cumberland) CTY - 21 $45
00
Automation Fee (Cumberland) CTY - 21 .
$1
50
Traffic Report Costs (Cumberland) Cn' - 21 .
$5.00
Co DUI School (Cumberland) Cn' - 21 $8
00
DUI Booking Fee (Cumberland) CTY - 21 .
$200.00
Emergency Medical Services (Act 45 of 1985) CTS' - 21 $200.00
CAT/MCARE (Act 13 of 2002) COMM -EMS $10
00
OSP (Cumberland/State) (Act 35 of 1991)
OSP (Cumberland/State) (Act 35
f COMM -MCARE
COMM - PROB .
$30.00
$46
o
1991)
CTM 0.00
$460.00
$2,218.50
Fines
Title 75, DUI
Title 75, DUI COMM -MLF $250.00
Title 75, Motor Vehicle CTY $250.00
COMM -MLF $200.00
$700.00
Balance Due: $2,918.50
I hereby certify that as of the date indicated below, Derick Alan Koontz is indebted to the County of Cumberland for
the sum of $2,918.50, which is the balance due of all fines, costs, fees, and restitution that have accrued as of this
date in the above-captioned case.
Original Case Balance: $2,918.50
Dennis E Lebo Clerk of Courts
Clerk of Courts of Cumberland County Cumberland County Courthouse 1 Courthouse Square Carlisle, PA 17013
AOPC 2123 REV. 04/24/2007
Printed On: 4/24/2007
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~ _.,
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Date Dennis E Lebo
Dennis E Lebo Clerk of Courts
Clerk of Courts of Cumberland County Cumberland County Courthouse 1 Courthouse Square Carlisle, PA 17013
AOPC 2123 REV. 04/24!2007 Printed On: 4/24/2007
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