FACESHEET

Facesheet
UNITED STATES FIRE INSURANCE COMPANY 157

Main Street, Greenville, PA 16125

P.O. Box 806, Greenville, PA 16125

(800) 245-0366 / FAX (724) 588-8801

Email: CourtNotices@cfins.com
PG-13 Bail Bonds

6323 Van Nuys Blvd.

Van Nuys, CA 91401

(818) 373-4444, (323) 841-0500

Agency AEM10 / Agent 1843118

Email: pg13bailbonds@gmail.com
BAIL BOND
No.
POWER OF ATTORNEY WITH THIS NUMBER MUST BE ATTACHED
IN THE SUPERIOR COURT OF THE
JUDICIAL DISTRICT COUNTY OF
, STATE OF CALIFORNIA
THE PEOPLE OF THE STATE OF CALIFORNIA,

Plaintiff
VS.
Defendant
CASE NO.
DIV NO.
DR NO.
DEFENDANT
NAME OF DEFENDANT
BOOKING NO.
having been admitted to bail in the sum of
Amount in words
Dollars ($
Amount in figures
) and ordered to appear in the above-entitled court on
MONTH
DAY
YEAR
TIME
on
Select Misdemeanor or Felony
charge/s; now, UNITED STATES FIRE INSURANCE COMPANY hereby undertakes that the above-named defendant will appear in the above-named court on the date above set forth to answer any charge in any accusatory pleading based upon the acts supporting the complaint filed against him/her and as duly authorized amendments thereof, in whatever court may be filed and prosecuted, and will at all times hold him/herself amenable to the orders and process of the court and if convicted, will appear for pronouncement of judgment or grant of probation, or if he/she fails to perform either of these conditions, that UNITED STATES FIRE INSURANCE COMPANY will pay to the People of the State of California
the sum of
Amount in words
Dollars ($
Amount in figures
) subject to applicable legal provisions.

If the forfeiture of this bond be ordered by the Court, judgment may be summarily made and entered forthwith against the said UNITED STATES FIRE INSURANCE COMPANY for the amount of its undertaking herein as provided by Sections 1305 and 1306 of the Penal Code.
Agent's Report
THIS BOND IS VOID IF WRITTEN FOR AN AMOUNT GREATER THAN THE POWER OF ATTORNEY ATTACHED HERETO, IF MORE THAN ONE SUCH POWER IS ATTACHED OR IF WRITTENAFTER THE EXPIRATION DATE SPECIFIED ON THE ATTACHED2 POWER OF ATTORNEY.
UNITED STATES FIRE INSURANCE COMPANY
By Michael Ziemer - Senior Vice President
I certify under penalty of perjury that I am a licensed bail agent of UNITED STATES FIRE INSURANCE COMPANY and that I am
executing this bond on

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
at
Location In California
Paedick Gharapanianse (SIGNATURE OF LICENSED AGENT)
THE PREMIUM CHARGED FOR THIS BOND IS:
Approved this
Date
day of
Month, Year
Title
NOTE: This is an Appearance Bond and cannot be construed as a guarantee for failure to provide payments, back alimony payments, FINES, or Wage Law claims, nor can it be as a Bond on Appeal.
S-0164US_USFIC CA Facesheet (02/20)

White - Court Copy . Yellow - Agent Copy
Should be Empty:

Facesheet

THE PEOPLE OF THE STATE OF CALIFORNIA,

DEFENDANT