The [City’s] [State’s] burden of proof is satisfied if the evidence shows, beyond a reasonable doubt, the following essential elements:

1) On or about [month] [day] [year], in [City] [County], North Dakota, the Defendant, _______________, drove a vehicle in _______________, on a [highway] [street] [or] [on public or private areas to which the public has a right of access for vehicular use]; and,

2) Any one of the following:

[Defendant had an alcohol concentration of at least eight one-hundredths of one percent by weight at the time of the performance of a chemical test within two hours after the driving.]

[The Defendant was under the influence of intoxicating liquor.] [The Defendant was under the influence of any drug or substance or combination of drugs or substances to a degree which renders that person incapable of safely driving.]

[The Defendant was under the combined influence of alcohol and any other drugs or substances to a degree which renders that person incapable of safely driving.] *

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