West Virginia Code § 17-15-6

Certification by clerk or justice of sentence and commitment of county
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convict; form of commitment.
If the accused is sentenced to labor as provided by this article, the clerk of the court, or the
justice of the peace before whom the person is convicted, shall certify to the jailer the length
of sentence and the amount of fine in the manner and form following:
Commitment by ............... for imprisonment for ............... sentence, fine and costs. State of
West Virginia, County of .......... ss:
To the sheriff or any constable of said county, and to the jailer ofu said county:
Whereas, ............... was this day convicted of the crime of ............... and was sentenced to
confinement in the county jail for the period of ..... days, or months, from this date, and to
pay the state a fine of $ ..... and costs incurred, amounating to the sum of $ ..... itemized on
the back hereof, and to labor on the roads and bridges under the control of the county court,
or in the preparation of road materials, until said filne and costs are paid, as provided in
article fifteen, chapter seventeen of the Code.s
You (the said sheriff or constable), are herieby commanded, in the name of the said State, to
receive and confine the said ............... in said jail, and to see that the said ............... labors
according to law until his sentence, fine and costs have been satisfied, or until he is
discharged according to law.
Given under my hand and seal this ..... day of ..... , 19 ...... ......................................... Clerk of
court or justice of peace.

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