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Template for victim impact statement - makeitsafecampaign.org

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					                      UNITED STATES DISTRICT COURT
                      FOR THE DISTRICT OF COLUMBIA


UNITED STATES OF AMERICA           )
                                   )
                                   )
     v.                            )
                                   )     Magistrate Judge Deborah Robinson
SCOTT BLOCH                        )           Criminal No. 10-215-M-01
                                   )
     Defendant                     )
                                   )


                      Victim Impact Statement of [Name]


     [Body of text]




                                         Respectfully submitted,
                                                [signature]
                                         [Name]
                                         [Date]
                                         [Address]
                                      Certificate of Service


I certify that the following document for United States v. Scott J. Bloch, docket no. 10-0215:


       Victim Impact Statement of [name]


was served by first class mail on: [date].


Representative for Scott Bloch:


       William Sullivan
       Winston and Strawn
       1700 K St, NW
       Washington, DC 20006


Representative for the U.S. Government:
       Glenn S. Leon
       Department of Justice
       Special Proceeding Section
       555 Fourth St, NW
       Washington, DC 20530


______[signature]_________________________
       [Name]
       [Date]

				
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