Form 22. Transmittal of Record on Appeal to Superior Court

____________________ COURT [Precinct _____] ____________ County, Arizona STATE OF ARIZONA Plaintiff [CASE/COMPLAINT NO.] -vs- TRANSMITTAL CERTIFICATION APPEAL TO SUPERIOR COURT Defendant (FIRST, MI, LAST) TRANSMITTAL OF RECORD ON APPEAL TO 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 arrest warrant, summons, or citation; [ ] The defendant's release questionnaire; [ ] The defendant's financial statement and request for appointment of counsel; [ ] If the defendant is or was in custody, a copy of the release order showing the conditions under which the defendant may be, or has been, released; [ ] The defendant's appearance bond; [ ] Security deposited with the appearance bond: ; [ ] Defendant's waiver of counsel; [ ] Order appointing counsel or written appearance of counsel; [ ] Exhibits and items of physical evidence introduced at trial: ; [ ] A copy of all proceedings had in the case, as shown by my docket; [ ] Audiotape or videotape of trial, if any; [ ] Other papers or items prepared in connection with the case: . _________________________ Date Signature of Judicial Officer Printed Name and Title of Judicial Officer Form 22