Ferralez, Samuel Arrenado

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  S^rvwe./ Arre^o                            gift^JMWKfr•Q6 O/ VOO f
(1)    This application .concenis (cheekall that apply):

       D    a conviction                    D       parole

       P    a sentence                      D       mandatory supervision

       •'   time credit                    JS       outK»f-time appeal or petition for
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(2):   What district court entered the judgment of th£ conviction yon want relief from?
       (include the court number and county.)


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(3)    What was the {^semimberm thecal court?


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GROUND ONE:




FACTSSUPPORTINGGROUND ONE:




                                      Rev. 61714/14   6
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