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Administrator * Application for Judicial Assignment Specific Case Number(s) 2003CV123456 General Case Caption (General Assignment, Dates - Times) County Case Caption Code Sample 99 Date Case Filed MM-DD-YYYY Current Court Official Code C.O. Name 1590 Branch No. District No. 5 4 Type of Case Felony (Charge): Misdemeanor (Charge): Traffic Criminal Traffic Indicate one Civil Small Claims Forfeiture Family Probate Juvenile Class Code for Civil, Small Claims, Family: Class Co.

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