WPC  
      <)     ސVV&`BO|#h/Fͩ4Zlsv.dhB^Eިo:Y

꿩L;_~X0~NHiё;pIV9XEE<eM|Rb8{ԥwFAVr1$.5XCJ/qˀɠ|BɈ+a:D8W	Z}j푱'SJwo6 (^Wv>d9m؋FRH;u+p\p9p!h*w]}Z%HHhF[|1H#"՜11<&z$-#w{Y4ͽGt]Zn;ֽϕs2p!n*`qδERKl	+bJ%꣖

%2Qܙ%FV?9=¶.3X9qC/i z           #        U   N   u  	%        0   :     ^        w        4              '     G      U   0           #        2  	m      4      0   K  0   N   {                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      0   V     	D   5     	B        0   V   7            7            7            7            7            7  	A   S             0   D     	D   5     	B        	D   5   <  	B      q  	D   5     	B        	D   5     	B        	D   1   2  	D   5   c  	B   *     	D   5     	B   *     	D   5   !  	B   *   V  	D   5     	B   *     	D   5     	B   7     	B   7   K   O J A 1                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                ,,,,  0                                                                                                                                                                 ( 9  	   Z  6 T i m e s   N e w   R o m a n   R e g u l a r           X    (                  $          USUS. ,  Ý5         U5    :i +00 
   {   
 ]  "    USUS. ,      _                , ,  X X   ForOfficeUseOnly 
   =   
 ]  "    USUS. ,      _        3 H $   A   Z   V e r d a n a           3| x                    U  h t t p : / / w w w . k s c o u r t s . o r g       (                 O$                         ԁ                                        L e v e l   1                   L e v e l   2                   L e v e l   3                   L e v e l   4                   L e v e l   5                   (   .               3$       
   !    USUS. ,       \ \ \ \ )    !                       d x    dx                   d      (   .               3$       
   !    USUS. ,       d ] Z e [ E            <<       C                                                         L e v e l   1                   L e v e l   2                   L e v e l   3                   L e v e l   4                   L e v e l   5                   (                 $$           1
   
  g g g g )    !                       d x    dx                   d   i i i i )    !                       d x    dx         P   P     d   k k k k )    !                       d x    dx                 d  m m m m )    !                       d x    dx                 d  i i )    !                       d x    dx  p p p p )    !                       d x    dx   &      0        d         d   r r r r )    !                       d x    dx   &      P         d          d   t t t t )    !                       d x    dx   &      p        d    P     d   v v v v )    !                       d x    dx   &      p   P     d         d   x y x y )    !                       d x    dx   3    +  0      d       d          d    3    +  0      d       d          d  
   !    USUS. ,      _                      X    L s c 	 ?              / +  b  ~   	   	  `    @  E"	t t          Zl   s  c      H              8 4  n  zN  	  `        @  Ev     v         v          
  X X  X X   CRIMINALINFORMATIONSHEET   	     
  3_  X
 X     Thecriminalinformationsheetneitherreplacesnorsupplementsthefilingandserviceofpleadingsorother   	    papersasrequiredbylaw.ThisformisrequiredforusebytheClerkoftheDistrictCourtforthepurposesof   	 hp   initiatingthecriminaldocketsheet.Thisinformationwillnotbeavailabletothepublicandthisdocumentwill   	 08   bestoredinaseparatelocationfromthecasefileandthendestroyedwithinareasonabletime.Anewcase   	     willnotbeacceptedwithoutacoversheetattached.(THISFORMMUSTBETYPEDORPRINTEDLEGIBLY.)   	 		   Thisformcanbefoundat4     

     O               5
   
 www.kscourts.org.6          O                  7   
      	 

         
  X X 
 3_ (         X       @X%X%( DEFENDANTSINFORMATION   	  
    
  , , X
 X (ATTACHADDITIONALSHEET,IFNECESSARY)   	 
    
  b	  ,
 , 
            DEFENDANTSINFORMATION   	     
  , ,	 
 b (ATTACHADDITIONALSHEET,IFNECESSARY)   	     
  b	  ,
 , NAME:                   `	               h         	    ADDRESS:         `	               h         	 *2                 `	               h      PHONE:         `	      SEX:         h         	    DLORSTATEIDNO:    `	               h         	     
  , ,	 
 b      0     0    `	 StateandNumber    JR! `	`	   
  b	  ,
 , _        SSN_        :              `	 DOB:              h         	 #   RACE: 
  , ,	 
 b WhiteBlackAsianAmericanIndian/Alaskan   	 &   ̀PacificIslandUnknown   	 >F(    
  b	  ,
 , ETHNICITY: 
  , ,	 
 b ԀHispanicNonHispanicUnknown 
  b	  ,
 ,    	 +   ALIASNAMESUSED:    `	               h         	 .                 `	               h                    `	               h                    `	               h      _        KDR_        ԀTransactionNumber              h         	 7      	 RZ9    
  X X	 
 b COMPLAINTINFORMATION   	  
9    
  b	  X
 X VIOLATIONDATE:    &     ~           .#     %    	 >   OFFICER:         &     ~           .#     %    	 B   OFFICERNO:         &     ~           .#     %    	 QYF   ATTORNEYS(ifknown)   	 N    
   d  	 
 b (FirmName,Address,TelephoneNumberandSupremeCourtIDNumber)   	 qyP    
  b	   
  d     v          &     ~           .#     %     v          &     ~           .#     %     v          &     ~           .#     %    
 W_Z   (              X  @XX(    	 Z    
  , ,	 
 b _                      `	               h               p            _         
  b	  ,
 , TherequirementthatSocialSecuritynumbersbeincludedoncriminalcasesisnotmandatory.Thenumberisusedforpurposesof   	 ./6-   identificationandmaybedisclosedaspermittedbylaw.Thisformisnotconsideredtobeapublicrecord.   	 /-        _        07112006_        