Sch. Sch. 4 4 Hepburn Shire Council Warrnambool City Council Hindmarsh Shire Council Shire Council Horsham Rural City Council Shire Council Indigo Shire Council Wodonga City Council Latrobe City Council Yarriambiack Shire Council __________________ SCHEDULE 4 * * * * * Sch. 4 Forms 1–8 revoked by S.R. No. 159/2009 reg. 9(a). 9 Regulation 24 Children, Youth and Families Act 2005 (Section 390(1)) To (name) of (address) On (insert at the (insert you date of sentencing), name and address of court), were placed on a youth supervision order for a period of (insert number) weeks. A special condition of this order is that— (insert condition if any)
Hepburn Shire Council Warrnambool City Council Hindmarsh Shire Council Shire Council Horsham Rural City Council Shire Council Indigo Shire Council Wodonga City Council Latrobe City Council Yarriambiack Shire Council __________________ SCHEDULE 4 Sch. 4 Sch. 4 Forms 1–8 revoked by S.R. No. 159/2009 reg. 9(a). * * * * * 9 Sch. 4 Regulation 24 Children, Youth and Families Act 2005 (Section 390(1)) To (name) of (address) On (insert date of sentencing), at the (insert name and address of court), you were placed on a youth supervision order for a period of (insert number) weeks. A special condition of this order is that— (insert condition if any)