16-m Certification of custody  


C.P.L. Article 730 FORM 16-m 12/88
CERTIFICATION OF CUSTODY
_______ COURT OF _______ COUNTY OF _________ __________x
PEOPLE OF THE STATE OF NEW YORK,
 
CERTIFICATE OF CUSTODY
 
Docket No.
__
 
Indictment No. __ –against– _______, Defendant. __________ x
TO: The above named court
TO: District Attorney, __ County
This is to certify that the above-named defendant who was committed to my custody or ordered retained in my custody by (a temporary order of observation) (the last order of retention), dated __, 19 _, was in my custody on the expiration date of such order.
Dated:
______
 
Signature of Director
Printed Name
Facility