El Camino College
Administration of Justice
Professor Ray Lewis
Additional Charges and Holds Record
Booking No.
Race:
Warrant
Number
Sex:
Name:
Date:
Time:
Name: (On warrant or charge being placed)
Age:
Date of Birth:
Court
*Show RD or city of
occurrence
Date of
Issuance
Charge
(Code no. & Definition)
BailIncl.
Penalty
Arraignment:
Date
Time
Court
Check if
in-custody
crime
*
*
*
*
*
*
*
*
A cross in this box indicates a hold has been placed against you on authority of
an out-of-county warrant. You are hereby notified under these circumstances you may request a court
appearance in this county for the purpose of being admitted to bail on the charge set forth on the out-of-county
warrant. If you desire a court appearance for this purpose, notify your jailer (821 & 822 P.C.)
Unit or Agency Placing
Additional Charge or Hold
Left Thumb
Signature of Officer Placing Charge or Hold
Total Bail
Including Penalty
Right Thumb
THUMBPRINTS REQUIRED
CII #: