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Commonwealth of Pennsylvania
Court of Common Pleas
County of Cumberland
9th Judicial District
PRAECIPE TO ENTER JUDGMENTI
ENTRY OF JUDGMENT
Cumberland County Adult Probation
v,
Derick Alan Koontz, Defendant
Civil Docket No: 05' - I 3'J1 c_; ,I (
Praecipe to Enter Judgment
To the Prothonotary:
Enter Judgment in favor of Plaintiff, Cumberland County Adult Probation,
against
Defendant, Derick Alan Koontz, with respect to Criminal Docket No. CP-21-CR-0001741-2oo4
in the amount of $1 ,780.75.
MAR 1 6 2005
1:\~ Ca
Clerk of Courts
Date
Seal:
Entry of Judgment
AND NOW, this
1?1tI- day of
fJ1A1'C-IJ
,2ot>S . Judgment is
AOPC 2215 REV, 03/14/2005
..
Derick Alan Koontz
111 S WASHINGTON ST
APT 2
Mechanicsburg, PA 17055-
______._______________h______.-..-_________________._____._________________________________________________________________________.______.________._______________n____._._____
AOPC 2123 - 2005
Commonwealth of Pennsylvania
Court of Common Pleas
County of Cumberland
9th Judicial District
Dennis E Lebo
Clerk of Courts of Cumberland County
Cumberland County Courthouse
1 Courthouse Square
Carlisle, PA 17013
Co DUI School (Cumberland)
State Court Cost (Act 204 of 1976)
Commonwealth Cost - HB627 (Act 167 of 1992)
County Court Costs (Act 204 of 1976)
Crime Victims Compensation (Act 96 of 1984)
Victim Witness Services (Act 111 of 1998)
Firearm Education and Training Fund (158 of 1994)
Catastrophic Loss Fund (Act 24 of 1989)
Emergency Medical Services (Act 45 of 1985)
JCP
ATJ
Substance Abuse Education (Act 198 of 2002)
Substance Abuse Education (Act 198 of 2002)
District Attorney (Cumberland)
Plea Fee (Cumberland)
Administrative Fee (Cumberland)
Sheriff Costs (Cumberland)
Automation Fee (Cumberland)
Traffic Report Costs (Cumberland)
DUI Booking Fee (Cumberland)
Catastrophic Loss Fund (Act 24 of 1989)
Emergency Medical Services (Act 45 of 1985)
OSP (Cumberland/State) (Act 35 of 1991)
OSP (Cumberland/State) (Act 35 of 1991)
CTY - 21
COMM - COST
COMM - CST1
CTY
COMM - CVC
COMM - VWS
COMM - FETA
COMM - CAT
COMM - EMS
COMM - JCP
COMM - ATJ
CTY
COMM - SAE
CTY - 21
CTY - 21
CTY - 21
CTY - 21
CTY - 21
CTY - 21
CTY - 21
COMM - CAT
COMM - EMS
CTY
COMM - PROB
Itemized Account of Fines, Costs,
Fees, and Restitution
Commonwealth of Pennsylvania
v,
Derick Alan Koontz
Docket No: CP-21-CR-0001741-2004
$0.00
$9.26
$7.94
$25,80
$0.00
$0.00
$5.00
$100.00
$10.00
$8,50
$1.50
$50.00
$50.00
$17.00
$135.00
$45.00
$1,50
$5.00
$8,00
$200.00
$30,00
$10.00
$55,63
$55.62
$830.75
Total Costs/Fees:
Title 75, DUI
Title 75, DUI
Title 75, Motor Vehicle
Title 75, Motor Vehicle
AOPC 2123 REV, 03/09/2005
MC
CTY
MC
COMM - MLF
Page 1 of 2
$375.00
$375.00
$100,00
$100.00
Printed: 03/09/2005 2:37:57PM
Docket No: CP-21-CR-00017 41-2004
Total Fines: $950.00
Total Due: $1,780.75
This is to certify that Derick Alan Koontz is indebted to the County of Cumberland for the sum of $1,780.75.
This is the total of all fines, costs, fees, and restitution accrued in the above-captioned case.
Lebo, Dennis E, Clerk of Courts
Date
AOPC 2123 REV, 03/09/2005
Page 2 of 2
Printed: 03109/2005 2:37:57PM
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