On January 02, 2024 a
STATEMENT OF JAIL TIME (# OF DAYS X 36.00)=TOTAL $ - FIGURE 90% OF TOTAL AND ENTER HERE...................... FIGURE 10% OF TOTAL AND ENTER HERE...................... FIGURE 10% OF TOTAL AND ENTER HERE...................... FIGURE 15% OF TOTAL AND ENTER HERE...................... TOTAL INCARCERATION FEES OF $
was filed
in the District Court of McIntosh County.
Preview
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Mcintosh Co. Sheriff §SSee ey
VERIFICATION OF INCARCERATION FEES
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1425 Industrial Drive Eufaula, OK 74432
& A
(918) 689-2526 e-ugice
Case Number CM-2024-02
Inmate CRAWFORD, SHUNIECE
DOB 04/05/1992
Booking No. 20231425
SSN 6759
The above named inmate was incarcerated in the Jail Facility
, Mcintosh Co. Sheriff
Oklahoma during the following dates:
Incarcerated on 12/31/2023 22:07
Released on 01/03/2024 12:11
Expenses to the Jail Facility were incurred as follows: 1g
Wy 2024
2.58 Days @ $36.00 $ 92.88
4@
per day LISAROD iork
McINTOSIS
“id
Medical Care $ —————_________ By __€
Other expenses $
Total § 92.88
Pursuant to 22 0.5, § 979a, the County may require you to pay
costs associated with your incarceration at the
Mcintosh Co. Sheriff .
The undersigned inmate acknowledges receivin, ig Notice of costs
of incarceration fees incurred by the above Jail
Facility.
I miatesignature 7/7
CZ pn WG_LMCNC5
-émptoyee Signat ure
( Srna
CRAWFORD, SHUNIECE
Inmate Employee
(USARYD
Date Date
| Bu
Document Filed Date
January 04, 2024
Case Filing Date
January 02, 2024
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