OUJI-CR 10-16

VERDICT FORM -- PRIOR CONVICTIONS (FIRST STAGE)

IN THE DISTRICT COURT OF THE ________ JUDICIAL DISTRICT OF

THE STATE OF OKLAHOMA SITTING IN AND FOR _________ COUNTY

THE STATE OF OKLAHOMA,

Plaintiff,

vs

JOHN DOE,

Defendant.

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Case No. ______

VERDICT

COUNT 1 -- [CRIME CHARGED]

We, the jury, empaneled and sworn in the above-entitled cause, do, upon our oaths, find as follows:

Defendant is:

______ Guilty.

______ Not Guilty.

________________________
FOREPERSON

(2000 Supp.)