2015 Mississippi Code
Title 99 - CRIMINAL PROCEDURE
Chapter 19 - JUDGMENT, SENTENCE, AND EXECUTION
IN GENERAL
§ 99-19-47 - Commitment to penitentiary; form
The following form, to be furnished by the county, shall be used in transmitting the required data:
"Commitment of (insert name of person)
Circuit Court, County of .
To the Mississippi Department of Corrections:
You are hereby notified that at the term, 2 , of the circuit court,
Judge presiding, the following named person was tried, convicted and
sentenced to a term in the State Penitentiary, as follows:
Name Alias
Crime Social Security No.
Sex
Race
Appealed
Remarks:
Dated , 2 . Clerk."
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