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SHr,,1I f L LAFAYHTE [J UNNTRSI OF COLORADO POLICE I lE POUCl OIST~ ~t ATTORNEY S OFFl,:F OTHER _
NO.TS
Violation Del.
112953
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Vehicle
LIcense
34Cf
TYS
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Regleterad Owner (Name end AddreOl) { ON
Number
and Type
VOh~CoI V
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(
YOU ARE SUMMONED AI ORDERED TO APPEAR 10 ANSWER CHARGES AS SlATED BELOW IN:
......
.,.
lTTI6TH STREET, BOULDER, CO 80306 01035 KIM BARK STREET, LONGMONT, CO 80501 OCRS 42-4-1101 (---J (---J Code
MPHIn --ZDOO.
AILE.D
OwnefOpomloo Por$Ofl Opomted
o CRS
Speedlng ---$ __ Fine
$ ~
In use
()
0 CRS 42-4-1409 (1) Code 954 0 CRS 42-4-1409 (2) Code 956 0 CRS 42-4.1409 (3) Code 957
one bo.x-all 0"""
( ) Driver $__ F1
$__
('
AS 42-4-1301 (1)
(0)
CRS
SECTION
Code 800
12 POINTS
""hIdo wtw>n under \he Inn--.c:<> of .1cohoI Of drugs
Of
bolh.
o CAS 42-4-1301
5
while ebiDly fmPalrt-d by aIalhol or drugs
Of
Vi W C) a: <l: :I:
both.
en ~ '-i m
-f AS 42-4-1301 (2) (8) Code 812
Orov. whlelo with exaJssM! aloohol cootoot.
/""'1
()
SEcnoo
21
CRS
1~POINTS
:0
f'non U"dot vohldo wilh lIAC of 0.02 but Ias# tllanll.05 lfln;t oI1enoa).
." ." (;
OCRS 16-13-122Defer1:Ilrl. boI'J;j<n:lot ... l'l/II1Iol age,
did unlawfully posse and'or oonsume etl>yialcohol within \he State 01Colorado,
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*
(I
Colorado Dept. of Public Healttl and Environment Laboratory Services Division . 8100 Lowry Boulevard, Denver, CO 80230.6928 US Mail: POBox 17123,Denver, CO 80217 (303) 692-3680 fax (303) 343-3697 www.cdphe.state.co.us/lr/chemistry/toxicology .hlm
SeaVControl
Number
701 ~ 8"
o
~AICOhOl ,
DFSA
o o
test 10 drug panel Amphetamine Barbiturates Benzodiazepine Cannabinoids Cocaine Opiates Methadone (Marijuana)
0
0
Phencyclidine Propoxyphene
(PCP)
................ - ..... - ..
0 0 0 0
I, (phlcbotumisl, Print n~me) am a~lhorized to withdraw blood for alcohol nnd drug(s) delenninalion(s), and also her~by allesl, thaI sDidspecin;-ens werc collected in accordance with Dnd under "ppli~"blc Colorado Board ofHcahh rules and regulation. I.A.CRS 42-4'1301, 1973 and CRS 42-4.1304 a.~amended.
o o o
Phcncyclid Inhalants
ine
Hallucinogens
From
Training Evaluation
The specimen was rccei\'cd al CDPHE.LSD 3nd there was no evidelllA: that the package was opened or otherwise tampered with unless nOled below. The information 011 the specimen label and this form was reviewed (or discrepancies.
Time:
A.M.
0 P.M.
Received From:
Date:
Plemt' refer 10 our websire listed above Results 1101j()r di(}gflo~.lic purposes. Time:
10
o P.M.
and PDF documents
order supplies
o UNIVERSITY
OF COLORADO POLICE
Admissions
of Alcohol or Oru( s
Eyes
Breath Speech Movements
1I0rmai
o pinkish
o Other
Glaze
Small
o Other
_
o 1I0rmai
Dllormal
Pnvlhlno
In Mouth
DYes 0
No
Standardized Horizontal
Pupils
Gaze lI~tagmu&
No Equal Tracking
Equ~1 0 Yes 0
5 ". _. 7 8 3 04
Stops walking Mssed Heel to Toe Stepped 011 Une Raised ~s N 01 Steps Taken
o Can'
o Starts Too
Soon Improper
keep Babnce
m
9 1st 9 2nd 9
~-I-. j
II
Tum (Describe,1P1)
Cannot
Cannot Do (Explain)
Right
6Left
Location of Maneuvers
PUT
---
ReftJ~~J
Officer Completing M:mcuvers
COUNTY COURT, BOULDER COUNTY, COLORADO Court Address: Boulder County Justice Center 1777 Sixth Street Boulder, Colorado 80302 Court Phone: (303) 441-3750
&eDfge
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Br'~f\
(3fJedeGkeI
Ic?- J()G3S
RPn.rll<:p #
Attorney Name: Deputy District Attorney P.O. Box 471 Boulder, CO 80306 Attorney Phone: Attorney Fax: Attornc~ E-mail: (303) 441-3700 (303) 441-4703
Case No:
Division:
The people, through District Attorney Stanley L. Garnett, respectfully judgment Defendant on behalf of the Boulder Police Department
to pay such costs as part of the sentence it;lposed by the Court. As grounds therefore, the People
1.
C. R.S. 18- 1.3-70 1 mandates that if an individual is convicted of an offense,the Court shalI give judgment in favor of the State of Colorado, the appropriate law enforcement agency, or the prosecuting
2.
C.R.S. 18-1.3-701 (2)(j) permits the Court to reorder payment of costs of chemical testing in prosecutions under section 42-4-1301.1, C.R.S.
3.
A conviction has been entered against the defendant in this case and costs have been incurred by the Boulder Police Department as outlined in the Expense Calculation on the next page.
Revised January
1, 2012
EXPENSE CALCULATION
SpecifY tests perfonned. Enter total amount requested in the TOTAL COSTS box below. BLOOD TESTS/DRUGS & ALCOHOL Alcohol Analysis ~
$ BLOOD TEST/ALCOHOL
URINALYSIS $
$
25.00
Mis~~bqs~~i;1.ITS;:ifTto~
tvfouthpiete1~,Ir.~::o:62~, .
20.00 Ito$tage~~ 20.00 20.00 20.00 20.00 20.00 20.00 20.00 20.00 20.00 65.00
~$;~'!175{Confinnation
drug
$ $ $
S
$
;~;rSUBiTQT}.C~;t~!}i'tf:.1 ,.~
Gas Chromatography/ Mass Spectrometry Scan (to detect prescription and over the counter medications) Confinnation
.;'7'
'~'"'''4t~:;,~~
$ 85.00
S
$ $ $ $ $
85.00
$ 135.00
.:S;'f."-i'{",~
I.JtSl!JB;;I(1)tL~:f;
Confimlation
~.;t"~2~'1/iF.' Yl ~
~~~l''!:~,-::i
$ 51.09 ./ . -~~'.,:,,?!'-t~~{,<:.!,.!:'-.~;r."m/rt';;0;;;-4~-<::"-). \:,; .~"-"~ '-"'. ."" '.
85.00
~~
~,.. ..~~I.,S~~~~',1i.:',j};," TQ.TJ~,L":;7.,I.,,$-~0..~.,P9 II~O.rAIi"1 ~;~ih,":i,.t~:~~I~1 ~,Jj',,":"2~.#.:.. :r~>TAU . I. ~~; ,.t.~.- ~ $.,::I..
I--.
~:tf
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WHEREFORE,
By:
day of
Judge