D:\_data\wp\docs\completion certificates - ps\el_paso_antabuse_ps.frm
COUNTY COURT, COUNTY OF EL PASO, COLORADO
Court Address: 20 East Vermijo Ave. Room 105
PO Box 2980 Colorado Springs, CO 80901-2980
Plaintiff:
PEOPLE OF THE STATE OF COLORADO
-v-
Defendant(s):
•
COURT USE ONLY •
Case No: ___ T _______
CERTIFICATE OF COMPLETION
STATE OF 9 COLORADO 9 __________________________
COUNTY OF 9 EL PASO 9 TELLER 9 __________________
Court order regarding disulfiram - aka antabuse: 9 none to date
9 ____ x per week from ______________, 20___ through from ______________, 20___
Completion proof to be filed on or before: ______________, 20___ 9 monthly 9 quarterly
* * * * * * * * * * * * * * * * * * * * * * * *
SIGNATURE OF VERIFIER'S VERIFIER'S DATE PERSON GIVING PRINTED PHONE ANTABUSE VERIFICATION NAME OR AGENCY NUMBER TAKEN
* * * * * * * * * * * * * * * * * * * * * * * *
1. ____________________ ____________________ (____) _________ _________, 20___
2. ____________________ ____________________ (____) _________ _________, 20___
3. ____________________ ____________________ (____) _________ _________, 20___
4. ____________________ ____________________ (____) _________ _________, 20___
5. ____________________ ____________________ (____) _________ _________, 20___
6. ____________________ ____________________ (____) _________ _________, 20___
7. ____________________ ____________________ (____) _________ _________, 20___
8. ____________________ ____________________ (____) _________ _________, 20___
9. ____________________ ____________________ (____) _________ _________, 20___
10. ____________________ ____________________ (____) _________ _________, 20___
11. ____________________ ____________________ (____) _________ _________, 20___
12. ____________________ ____________________ (____) _________ _________, 20___
13. ____________________ ____________________ (____) _________ _________, 20___
14. ____________________ ____________________ (____) _________ _________, 20___
15. ____________________ ____________________ (____) _________ _________, 20___
16. ____________________ ____________________ (____) _________ _________, 20___
17. ____________________ ____________________ (____) _________ _________, 20___
18. ____________________ ____________________ (____) _________ _________, 20___
19. ____________________ ____________________ (____) _________ _________, 20___
20. ____________________ ____________________ (____) _________ _________, 20___
21. ____________________ ____________________ (____) _________ _________, 20___
22. ____________________ ____________________ (____) _________ _________, 20___
23. ____________________ ____________________ (____) _________ _________, 20___
24. ____________________ ____________________ (____) _________ _________, 20___
25. ____________________ ____________________ (____) _________ _________, 20___
I ACKNOWLEDGE THAT THE ABOVE INFORMATION IS CORRECT
____________________________________Defendant’s Signature
INSTRUCTIONS RE COMPLETION PROOF
When completed - mail or file this form directly with the Clerk of Court - address in above caption
DEFENDANT KEEP A COPY IN YOUR PERSONAL RECORDS FOR 5 YEARS
Form provided as courtesy via internet
www.gustafsonlaw.com - posted to website May 20, 2005
Robert D. Gustafson - Colorado Attorney Registration No. 10930
6538 Charter Drive, Colorado Springs, CO 80918 Ph: (719) 260-1002 Fax (719) 260-1002
Use of this public form shall neither constitute representation nor appearance of counsel
This is a public form - no attorney representation is made pursuant to C.R.Civ.P. §§ 11(b) or 311(b)
Source: http://virtual2.pcisys.net/g/gustafsonlaw.com/PDF/Crim-DUI-Traffic/DUI-LOC-PS/El_Paso_Antabuse_PS.pdf
Research article Nitric oxide is involved in growth regulation and re-orientation of pollen tubes Ana Margarida Prado1, D. Marshall Porterfield2 and José A. Feijó1,3,* 1Instituto Gulbenkian de Ciência, PT-2780-156 Oeiras, Portugal2University of Missouri-Rolla, Department of Biological Sciences, 105 Schrenk Hall, 1870 Miner Circle, Rolla, MO 65409, USA3Centro de Biotecnologia Vegetal, F
4th Asian Championship (Air events, Adults) 2 BINDRA Abhinav; SINGH Satyendra; NARANG Gagan; 3 AHMAD Mahdi; BAGHERI KLAHROODI Hossein; PARASTI Saber; 4 MAJCHACHEEP Varavut; CHAISAWAT Weerawat; PONGLAOKHAM Pavonnut; 5 YURKOV Yuriy; KLEIMYONOV Alexey; PIREKEYEV Igor; 6 AL-ANAZI Khalid; AL ANAZI Faiz; ALHARTHI Nasser; 7 ALSOBAIE Khalid; ALHARBI Abdullah; ALRASHIDI Muhammad; 3 YUNUSMETOV Rashid