EFTA00178225 EFFECTIVE JULY 1, 2007 4050 IN THE COUNTY COURT OF THE FIFTEENTH JUDICIAL CIRCUIT, CRIMINAL DIVISION, IN AND FOR PALM BEACH COUNTY, FLORIDA. STATE OF FLORIDA • PALM BEACH CO. CASE NO: 2006CF9454A×Y STATE OF FLORIDA vs. Defendant: 90-44-3348 Social Security No.: Date of Birth: 1120153 ORDER ASSESSING ADDITIONAL CHARGES, COSTS AND FINES AND ENTERING JUDGMENT (IF INDICATED) The Defendant is hereby ordered to Pay and a judgment is hereby entered on behalf of Palm Beach County, Palm Beach County Administrative Complex, Palm Beach County, Florida 33401 and the State of Florida, Florida Department of Financial Services, Tallahassee, Florida 32399 in the following sums as indicated: INITIAL: IF WAIVED ## Fines 2. $___ (Crimes Compensation Trust Fund) pursuant to Section 938.04, Florida Statutes (statutorily mandated 5% surcharge/cost on any fine entered in line 1). 3. $___ (Crime Stoppers Trust Fund) $20.00 pursuant to Section 938.06(1), Florida Statutes (statutorily mandated cost to be added if any fine imposed). Mandatory Costs 4. $ 50.00 (County Crime Prevention Fund) pursuant to Section 775.083(2), Florida Statutes (statutorily mandated). Strike out if not a negotiated settlement and not imposed by the Court. $$3.00$$ (Additional Court Cost Clearing Trust Fund) pursuant to section 938.01(1), Florida Statutes (statutorily mandated). (Criminal Justice Education by Municipalities and Counties) pursuant to Section 938.15, Florida Statutes to be paid to: [ ] the City/Town/Village of ___ Florida. (Statutorily mandated where locally authorized). (Additional Coast Guard) may warrant Section 928.0541 Florida State License. 65. 00 (Additional Court Costs for local requirements and other County funded programs) pursuant to Section 939.185(1)(a), Florida Statutes (statutorily mandated where locally authorized). 10. $ 3.00 (Teen Court) pursuant to Section 938.19(2), Florida Statutes (statutorily mandated where locally authorized). 11. $ 40.00 (Public Defender Application Fee) pursuant to Sections 27.52(2)(a) and 938.29, Florida Statutes (a $40.00 fee shall be imposed if not previously collected or waived). Strike out if previously paid or represented by private counsel. 12. $ 150.00 (Public Defender’s Fees and Costs) pursuant to Section 938.29, Florida Statutes and Fla. R. Crim. P. 3.720(d)(1) and Local Administrative Order. (Minimum fee of $150.00 is statutorily mandated following notice of imposition and right to contest amount, additional amount is discretionary). Strike out if represented by private counsel. 13. (Additional fees and costs of publicly appointed counsel) pursuant to Section 938.29, Florida Statutes and Fla. R. Crim. P. 3.720(d)(1) (notice of imposition and right to contest amount required). 14. $ \underline{S V} $ (County Alcohol and Other Drug Abuse Trust Fund) pursuant to Sections 938.21 and 938.23, Florida Statutes (may be imposed for any criminal violation of s.316.193, s.856.011, s.856.015, or Chapters 562, 567, 568, or 893, but may not exceed the amount of any fine imposed for the offense). 15. $ \underline{S} $ (DUI Court Cost) $135.00 pursuant to Section 938.07, Florida Statutes for any violation of Sections 316.193 or 327.35 (statutorily mandated). $$\text{(Child Advocacy Center)}$$101.00 pursuant to Section 938.10, Florida Statutes for any violation of Sections 784.085, 796.03, 800.04, 847.0145, 985.4045, or Chapters 787, 794, or 827. Florida Statutes (statutorily mandated)$$ 17. $___ (Domestic Violence Surcharge) $201.00 pursuant to Section 938.08, Florida Statutes for any violation of Sections 784.011, 784.021, 784.03, 784.041, 784.045, 784.048, 784.07, 784.08, 784.081, 784.082, 784.083, 784.085, 794.011, and any offense of Domestic Violence as described in Section 741.28, Florida Statutes (statutorily mandated). 18. $___ (Rape Crisis Center Trust Fund) $151.00 pursuant to Section 938.085, Florida Statutes for any violation of Sections 784.011, 784.021, 784.03, 784.041, 784.045, 784.048, 784.07, 784.08, 784.081, 784.082, 784.083, 784.085, or 794.011. 19. (Operating Trust Fund of the FDLE) $100.00 pursuant to Section 938.25, Florida Statutes (may be imposed for any criminal violation of s. 893.13 if the court finds defendant has ability to pay and will not be prevented thereby from being rehabilitated or from making restitution). 20. (Prosecution/Investigative Costs) The Court having considered the financial resources of the Defendant, the financial needs and ability of the Defendant, and other factors which this Court has deemed appropriate, a sum pursuant to 938.27, Florida Statutes (may be imposed where agency entitled to costs of prosecution requests and documents specific costs). 21. $___ (State Agency Law Enforcement Radio System Trust Fund) $3.00 pursuant to Sections 318.18 (17), Florida Statutes (statutorily mandated for violations of: fleeing/eluding; leave scene of crash; DUI; reckless driving; making false crash reports; failure/refusal to comply with lawful order; refusal to weigh vehicle; racing on highway; refusal to submit to breath/blood/urine test). ## Other Charges 22. $ 473 Other:_ Total: $ 473 a condition of probation { } to be paid IN FULL TODAY; Defendant to proceed immediately to the Clerk and Comptroller's Office to pay the full amount due. If payment is not made today, then LET EXECUTION ISSUE and this Judgment shall bear interest at the rate prescribed by law until satisfied. { } due immediately; hence, FOR WHICH LET EXECUTION ISSUE. This Judgment shall bear interest at the rate prescribed by law until satisfied. due within ___days/months/year and is to be paid through the Clerk and Comptroller's Office pursuant to a COLLECTIONS AGREEMENT established TODAY. $___ will be paid today to the Clerk and Comptroller's Office as a down payment on the collections agreement. If the Collection Agreement is not established today, then LET EXECUTION ISSUE and this Judgment shall bear interest at the rate prescribed by law until satisfied. [ ] due within ___days/months/year and is to be paid through the Clerk and Comptroller's Office pursuant to a COLLECTIONS AGREEMENT established TODAY. { } to be paid by the Defendant performing: (circle one) community service or AA/NA meetings, at a rate of $___/per hour/meeting, due within ___days/months/years in lieu of actual payment. FAILURE TO PAY YOUR FINES AND COURT COSTS WILL RESULT IN YOUR DRIVER'S LICENSE BEING SUSPENDED AND/or A JUDGMENT BEING ENTERED AGAINST YOU AND/or YOUR DELINQUENT ACCOUNT BEING REFERRED TO A COLLECTION AGENCY AND/or A WARRANT BEING ISSUED FOR YOUR ARREST. DONE AND ORDERED in Open Court Palm Beach County Florida CIRCUIT JUDGE ee: GOLD: State Attorney YELLOW: Probation BLUE: Administrative Office of the Court PINK: Defense Counsel GREEN: Defendant Form Circuit (Rev 7/2007) Formula: $E_{m n k l} = \sum_{i=1}^{k} \sum_{j=1}^{l} w_{ij} E_{i j k l}$