Note:  Circled items were also initialed. 

Guilford County Sheriff's Department
YOUR RIGHTS

Before we ask you any questions, you must understand your rights.
 

�.  You have the right to remain silent. /yes/

2. Anything you say can be used against you in court. /yes/
 

?. You have the right to talk to a lawyer for advice before we ask you any questions and to have a lawyer with you during questioning. /yes/
 

4. If you cannot afford a lawyer, one will be appointed for you before any questioning if you wish. /yes/
 

5. If you decide to answer questions now without a lawyer present, you will still have the right to stop answering at any time. You also have the right to stop answering at any time until you talk to a lawyer. /yes/

WAIVER OF RIGHTS

I have read the above statement of my rights and have also had my rights explained to me by a law enforcement officer. I understand these rights. Knowing these rights, I do not want a lawyer at this time. I waive these rights knowingly and willingly agree to answer questions and/or make a statement. /yes, yes, no/

Signed /Ted Kimble/

Interviewing Officer:  Sgt. D. L. DeBerry

Witness:  Jerry Webster, NC SBI

Place:  Guilford County Sheriffs Dept.

Date:  4-1 1997 Time 0835

FOR PERSONS UNDER AGE 18, SEE REVERSE

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