AGREEMENT TO COMPLY WITH RULES OF

SOS MONITORING I'ROGRAM

I, the! undersigned offender, wish to participate in the SOS Monitoring Program.

- following rules and conditions of said program.
- I. I agree to abide by any restrictions or conditions ordered by Court.
-.- _ 2. I agree to make my req uired payments in advance. Non-payment is a violation of bond
conditions and I will be returned to Jail.
- 3. I agree to charge and maintain the GPS monitor. Failure to properly charge the monitor is
a violation of bond conditions and I will be returned to jail.
\
Myres~e_n~
~~ LH!s 34 S - {Q & - 45{r ; : . A .
Name ., Social Security Number
--< --: : / 6 : : : ; ........L../ ' . ____...S ........ ......: : : W; = -...L.___,_A.: ............: ~" '-'~_ _~~: ho) .... ,/ : l_g_"
Street Address City, State, Zip
5.. 3D-77 (03 /- . ; 2. ~ - 7R
Telephone. Birthdate
I know that my location will be tracked by the use of GPS technology. To ensure compliance with my
bond condition program, I will be monitored by a security/ correctional, non-removable GPS ankle:
braceletwhich I agree to wear 24 hours a day for the entire period set forth by the court. Information
collected by GPS technology may be shared with law enforcement authorities. It may be necessary
during the period of my bond condition program for persons to maintain or inspect the device. On
request, I agree to travel to the SOS office, police department or the county jail for inspection or
maintenance of the device. _ .
Bond Conditions House Arrest
I UNDERSTAND THAT I AM B'EING ALLOWED TO SERVE MY JAIL TIME AT MY HOME. I
UNDERSTAND THA T THE SUCCESSFUL UNINTERRUPTED FULFILLMENT OF MY
COURT ORDERED MONITORING TIME MUST BE COMPLETED BEFORE ANY CREDIT
WILL BE GIVEN TOWARDS JAIL TIME.
,
I acknowledge that all of these rules have been explained to me and that non-compliance with any of
th~ restrictions or rules . ~ .result in my return to Jail. / / '
. , ~ 0/1:>'" /').__,_
Date ~ I
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-4.
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l
_ '5
. . . . . . . . .
-6 .
\ 7
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I
Officer
Personal Contacts
Employer Wor k Phone _
Cell Phone _ ...... ` _ 0< - - - - - L 1_.9 : .......... ! - ! '' __ _ _' 1 .... CV)..: : ..D'\.-...lo.I' c...... .____ Spouse Name/ Phone _
'&7"0 - l/ C4- fa ~ S '
Parent Phone
Other Contact Phone _
Equipment Liability Statement
I understand that I accept responsibility for the care of the equipment and will return said equipment at the end of
my sentence in good working order. The daily fee will continue until equipment is returned. If the equipment is not
returned, or is returned in unacceptable condition, I am responsible for the cost for replacement equipment which
is 51495 and will be subject to additional criminal prosecution by the State of Arkansas which will be in the form of
felony argls. All .~eJc!Y..r~ afe1tue on Friday. A $10 fcc per week will be added for any late payment.
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Date
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