Date | ||
Received from | the sum of | |
Dollars as cash bail to assure the appearance of | ||
before | District Court Judge (or Municipal | |
Judge) for | , at | |
on the | day of | , 19 , |
to answer to a charge of. |
If the accused fails to appear at the time and place specified above and to submit to the jurisdiction of the court and stand to and abide by any order of the court, the sum specified above shall be forfeited to the state or the arresting political subdivision.
By depositing this money and accepting this receipt the accused waives any claim to the money following forfeiture.
Officer Dept.
MCL 780.583