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
N.Y. Comp. Codes R. & Regs. tit. 22, subtit. D, ch. VI, form 16-m