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Criminal Code (R.S.C., 1985, c. C-46)

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Act current to 2019-09-10 and last amended on 2019-09-01. Previous Versions

FORM 35(Sections 570 and 806)Conviction

Canada,

Province of blank line,

(territorial division).

Be it remembered that on the blank line day of blank line at blank line, A.B., (date of birth) hereinafter called the accused, was tried under Part (XIX or XXVII) of the Criminal Code on the charge that (state fully the offence of which accused was convicted), was convicted of the said offence and the following punishment was imposed on him, namely,Footnote *

  • (a) that the said accused be imprisoned in the (prison) at blank line for the term of blank line;

  • (b) that the said accused forfeit and pay the sum of blank line dollars to be applied according to law and also pay to blank line the sum of blank line dollars in respect of costs and in default of payment of the said sums forthwith (or within a time fixed, if any), to be imprisoned in the (prison) at blank line for the term of blank line unless the said sums and the costs and charges of the committal and of conveying the accused to the said prison are sooner paid;

  • (c) that the said accused be imprisoned in the (prison) at blank line for the term of blank line and in addition forfeit and pay the sum of blank line dollars to be applied according to law and also pay to blank line the sum of blank line dollars in respect of costs and in default of payment of the said sums forthwith (or within a time fixed, if any), to be imprisoned in the (prison) at blank line for the term of blank line (if sentence to be consecutive, state accordingly) unless the said sums and the costs and charges of the committal and of conveying the accused to the said prison are sooner paid.

Dated this blank line day of blank line A.D. blank line, at blank line .

Clerk of the Court, Justice or Provincial Court Judge

(Seal, if required)

  • R.S., 1985, c. C-46, Form 35
  • R.S., 1985, c. 27 (1st Supp.), ss. 184, 203
 
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