Form 12. Transmittal Certification

________________________________ COURT ______________________ County, Arizona STATE OF ARIZONA Plaintiff [CASE/COMPLAINT NO.] -vs- TRANSMITTAL CERTIFICATION Defendant (FIRST, MI, LAST) ORDER HOLDING DEFENDANT TO ANSWER BEFORE THE SUPERIOR COURT I hereby certify that the enclosed items constitute a true and complete record of the preliminary proceedings held in the above-entitled case appearing in Docket No. _______________, at page ___. The following items are included: [ ] The original complaint, including amendments; [ ] The supporting affidavits of the following witnesses: ; [ ] The arrest warrant or summons; [ ] The defendant's release questionnaire; [ ] The defendant's financial statement and request for appointment of counsel; [ ] A copy of the release order; [ ] The defendant's appearance bond; [ ] Security deposited with the appearance bond: ; [ ] Defendant's waiver of counsel; [ ] Order appointing counsel; [ ] Waiver of preliminary hearing; [ ] Exhibits and items of physical evidence introduced at the preliminary hearing: ; [ ] Order holding the defendant to answer in superior court; [ ] Audio or video record of preliminary hearing, if any; [ ] Other: Date Signature of Judicial Officer Printed Name and Title of Judicial Officer Form 12