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New York Codes Rules Regulations (Last Updated: March 27,2024) |
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TITLE 9. Executive Department |
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Appendices |
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Appendix H-9. |
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DISCHARGE FROM PROBATION Probation Case No. _____ DACC Case No. _____ PROBATION DEPT. ____________ 1. Name of probationer Last Middle First 2. S. S. No. __________ 3. Male Female 4. Street Address ___________ 5. Apt. No. 6. City _______________ 7. State/Zip 8. Sentence Date 9. Max. expiration of probation 10. DischargeSummary: Signature _____________ Title Date ___________ |