|
. ._� .,.
<br /> �. � _ .
<br /> r - _� a - _��. l _ < <l� 1:.�f} .•:" � f _ -
<br /> . .. .�. . .:s. -. . . . - ...
<br /> . . - -
<br /> : - . . '�_ . �'. _ .
<br /> ., �.. .,. .. -. : . _ �.:.
<br /> .t �•s `'_ r ���' t:-, �` 4� �#� ,y+� .. ;+ �.�,r -�� 'y .`'�- -s"-.
<br /> '• � �^�� ��r �. ._. ,� - -i '�.e , ";,•+ - -.S'.. - ..:R<c- x, c+,. -a-1
<br /> � ' � .� � . '�. , ..�
<br /> 4��� � y ay -... 4 ye' 9 t "y . � � . . .. � __ ._ t . � �,'��
<br /> � �ae '� �4� 3 tr'�",�D '4 _�J�J�;-� �a."�.,.Ki3,'r� � w¢-� .i cc �c -..q� es;���"�Y'��'f . d''T����d*`t r.erc� •�•,,.� ,�.•t c ��
<br />,r K'� v4. r.�y ��,e,� -- a ,a _` r � �.: �� ti�. x .z. '�'ew �.,. h-�xy ..,s'Y�,�; •�'i+�. •,�;'6� .�"� _ • . �;-
<br /> < � .�� ������:.�� K� �{X -:.4�£ ..�.,.'tti w ��'x. �,. ��'~s x'�".t7',j �1' 4 L'ie i� �v°7.'+- __t�, .s: fA,.,� - f�'� y��,,,c .:,{rf� '?',y( �.�:.� -
<br /> 1 . � .;, s ' : . �c+ � "' �'' �w . ,.. _ ' . --n
<br /> i : i '�-i' -.. 1 �:,�„ ♦.� :. �.�r ��(, s�^... . . L �.. ..��.r"` sw�.: _ .✓. e�i.. .
<br /> ti ��"� � t � --. . .: . . � > 'A...r x- - -o- --+--.t.-�.1',.k t�ss„mu 11.Y x�4 y�,a+r.Z .a4.+
<br /> '�'Nsx-„'""A-+a��k.c*,�`.d t+yy `c s-•� +a � ^F n ?-, s�.:. `w.,'.�; ......�.,.,. _ , �. �+a...r._ . .._ 3,.. �•. �, ,•�ts ,i�r };a.i
<br /> .t ♦,:.'rti,� �.:��5 J � . s •s.,Rn_�� •:i� �- .}��~ , � `M� . : .. ���' c .
<br /> �r�Y �,"Fy► �S , �5 , � �MC 4587(&91) � _ ,�. , .y�.. . ,�� � ��u OF WNNlSF N � *' �
<br /> .
<br /> ' . ' �'T�UNIFORMCnATIONNO � +++� �;�' ;��'�^��A'x"`�
<br /> �Y NT1/OF NENN PI •4 }
<br /> .�x. '� .�T •" T ;s.`'rs)���Q� � .srY�., - . . � . .-O�TR�T COURT ' ..;Yt r' .^r.'� }.
<br /> ' � .._ ..� . .�.. . ., r _ 3' - Y
<br /> -,+� s,��' r 3 v � }' � . ' _ The Msuing .ottber states that Me �n ; _ ,�s -
<br /> z 392 0 419 6 3 :� ������������� x
<br /> ,�r =�. �" �` ` ��: ,1. `_ �� :�: ;-
<br /> ,2-:.. 4a.r �a_- `w„ -
<br /> �..�• t ..'«. .�-._ .^ .. r . . t^' - .�
<br /> = g. . r . .. ., '
<br /> v F � -F" �y� ,��r� .:�= �,:*;, ' DRIVER'SLICENSENUMBER . _ ...:... . ..:. r'�- z.��,i _
<br /> . .� : STATE �
<br /> s- z;�..T„�.f�`st+�,�'�: � c f`,xa,.. -vo-`'�"` "' `s- a.�-g��;+� �� -�.`�' .�a� �� "'� �'`u� '1.'�,r,.�, �a� - �.� v .p '�� �+,4p ,�.,+`:.a? ���.
<br /> .. � .. "�.." - . . •-.; . -- - -- - - _ :. ,
<br /> � •
<br /> + �• - r ` _r � NAME-�LAST,FlRST,MIDDLE/MAIDEN . . . . �- . �
<br /> r ...s-�_'a' Y � --�-af 'v- . + `t"`
<br /> ? ,.t"%Y.LS ' S �`yxy . . b?" � .
<br /> � � -` s .'" U =� Q E ,N o �1F�� �R; d -
<br /> ,� � * �' '�
<br />� � _ ,�.� _r ! ,�;� .h
<br /> � ir_ }�; � '_� ._.
<br /> -- ., �_ , ADDRESS 8 CITV . _
<br /> ,_.��� �, rr', ,� �- �� �- r" � �p Q $IHI� �. 1 N G O 1 `v ' -
<br /> '-"f-: :>,f• "s:`�L. .,��' �.<, J:.'�` � . . STATE ZIP CODE Y ,�
<br /> a,t
<br /> .�.._ a.... � , r• a �� v 1� d � ; J M /V 1 � - r�..k �.a�s
<br /> y - . �i,... �;. c. . �. �s -'f.� �.. w+, y ���� r .
<br /> r ; " .."r` y""'`�'X e3 Fc �`vr�-aS".i. '�' �� . . - ,R�+��,�N
<br /> ^�+t.e}•.'rte. �.r3��a- a��"'t����e���`��.�^�.�i<Rr .'�`5�� ':., DATEOFBIRTH � EYES . .. NEIGHT � � WEIfiFiT -. SEX .. ��. .ty'}.'���..
<br /> o.�a " ° � �'�e MO. DAY VEAR -».':1 .t§ t�`�` ��� {.
<br /> c �
<br /> �� ..� � r,Jv�.� � .'Fti �aj,Sx'ri.���e;' e. �.< M . . � �� . - . .. . " w5'h��e� �- ,�'t,
<br />�^ �ar .� T'_:.r-� i i. .��.t�^ "�_^����,�� w� . M � } �-.,;,s -`'
<br />`.C,�yy't�/�'�?,�'"��r� "`�tl"'&�y'A��'y:t',�„K . , . �+'� �"�..� q��w!.
<br /> r ,� � .0� . '1 �'6 . .. .. .. .. ��VIOIATON INFORYATION . ^.
<br /> ,�.- � .,r,.., ✓ , '�. C_i e �� . . TIME -' - METERNUMBER -.:' ti s r�:E.w.''.�
<br /> �' t� r "c .. pATE OF OFFEN3E ` . �� }.-�
<br /> 't..4 _ . ' ` .... '
<br /> Y y. C � � �J� � S z� � / 2 � Z O C I '+ �' 3+�
<br /> » °'��� t::�` � ,.7 ._� � VEHICLE LICENSE PLATE � STATE YEAR MAKE � MOOEL �-- w�x
<br /> � R•`�+.�. ~ _ ( � • ' ~ •'
<br /> "� x+ r� 'Y ' � . ..� . � -us' y 4..ry�i"
<br /> i � w+:� s , . . .
<br /> �v.,.,>,�e,.,t x,�t7'-� fr, �,� t� �? r . * CIX.OR LOCATION d CITY � . .. . . . � I . �, g "' .�,`'r'a'-° r_h.,f-:.
<br />� '�y,°Y+4�''- ��r F P�S-� .._.. tr L ;1 t.'y.5 , . ' V � V v i w� C7�D IL. � . � �� Y F '�'tl,^'ti !S fr�-tiF.
<br /> . .��, � � x ; t C. �N C's > -� -�
<br />#'`�•�r��.�;��`� ��a%s-r.�' ���ti��3= t{'���c '`"� . V � ::, � !v O ,n � . .� � � r"`�.��"t�;�}'.�e-�',fh��`:.
<br /> t�t +o;z� s`j'� -r' .+.as�t�s..Lar�� �'� �ss ... ,-,:__;' - .. DESCRIPTION "R
<br /> � ,:•
<br /> 4'S �- �� "� -ti'� ' . ' 'R"'Y STAME OR ORDINANCE NO �"
<br /> _ . ,.. �. �� ��.
<br /> � +J"„�:. .,n.� .:;- .x.-.- ss, - r..�.. Fa�.'. � , `j-i � �
<br /> �.'a.p .:t» '� ��e,� ._�-!e,x '1-, -�-t.: '�,� O /` b K � .s � ^� • 5 'Q ����(p �C _� r r�' ,z, �'�t .
<br />��. f Y� -� ,- ,�` �-t _ . A o Pi Q r - ' � �
<br /> :� 3 .'. '.. :: ; �_.
<br /> _ y-
<br /> �.,y �� � � - � e � � ,,;�-�� ....�,.,� 4- -
<br /> �„� ,,. '- ' �-r - < __ com coa. cr.av �crrvrrv sae��i �,:,.� �
<br /> + `IT
<br /> 2 M t`i' :�. i .�S" . .�A � t Y�
<br /> F .F�, �� +, ... ` __ r f-� y.� .
<br /> d v ��'~' �" _ }- �"",s.�f � : r��a. n �1 ..ti,�� z �+t,,,.. ��{_
<br /> �, * - � ' - ` y A. F � � : � �rT �'. � � � � r ':
<br />�«.r'' ��.i� a� s -�, y� .'._e .� a '� " . - � .�. > � � :'
<br /> r� ,y�� ^'�`` �� y..�� 7 � ,:'r'�� , �EndanysrLlfe �Accident Unsafe Commerelal �Hazardous �r� k � -�r-�3�,'�„*„��
<br /> ., �.r " S :'^ ,a� , <-.�" - -+q -1` F' Or Propsrty '�Condltloes �Whicis Meteriel �',,r ` a ���.,•.t r�:
<br /> I �Y -f 3 • t F t_'r M'-- .-.e' "i � � .�,,,. ' .. � .
<br /> K . .i :.; '. .� ' �. :'.. . - .� - _ :
<br /> �. i � �, � �- BADOE NUMBER Ofii NUMBER , :
<br /> �� �y ` " +,.Y K �,� . a.,,. y . �-, Y I M .N O ,, � . 5. O p :,� �� ; �-,,.
<br /> �Gr .c.r�+'�Y"R."t�ti 1 t 1 -,S M �4 -� 'i � w �; .:� .-� .�.� -�.�R.'1Y'�''F�� ; ��=:v�:
<br /> �ws .y� � t... r � ''� .✓?'d3. s-„'4„ti�w. w'� fai� - .. s.
<br /> ,� " ll you�fall to rerpond to th/a cltatlon w/thln 7 days, Ineroased penal!!es wlU '� � "���'`,,
<br /> .,.- : ` � '� ��.
<br /> r �,t .�'�, k, :-e � ` �� �� • � -�, be sasessed and a wsrrant may be lasued for your arroat If a warrant!s .,. `R �r � � 4 ,' �,
<br /> n. �� . � �' •.
<br /> . , � r � ^ = 3. -� -�z '.� ? �(aausd,e penalty o1 s30.00 wiU be added to the fins ,��,�,, ; � „. q �,,,� .���w����,
<br /> y� fv*,��y���„��i .�i� .a; r�4j-..++'�y�N tr�. �� Y V�.�., �" F .. .+ _� r t.
<br /> � . � ~p o x `Z v M� 2 � v N 4 , c� ��.., � �,�.���:tx
<br /> , , � ti �..
<br /> 'n 4� s,� + }.�+�3 �� ,�.. .. �r��£ � �'. �, f r.�; a� x�7 . �.. ...,. �..:;, t� a.,.� aa 1'�j?,t �2➢,,.i .�' .at
<br /> a �.� � s- � " a ,.t e � �,
<br /> w``, p'`$,���r �''i�T Y��Iti,�Q-`e�F aCer•.�.��?k rs��'"�. �/V �'.. e � rv � I �.. � � ��� #�;� �„ � � '�d.r-�
<br />�,,�, �� � -� �, ��. � �.. rJ �� c' �A `� ' S '�'� o � P R o-�l e ��. `�` .�� �� � ,
<br /> v �,:��w ��_^��w1��t t'§«�� '�F-�'�"��'�,.�Sw4:`F'`.� �.c. 1 � -.,g , . �i ...'� ��..�.in r. t,� .. �+ .H, � . . ..
<br /> �' e *. 3. -� -t. n +S��tf�n�, ,x k��- p x �� M
<br />'�y�� :.� r -vh ='�y. ..s.'�. .�t ,?a"t,�,,.. �.A.� "t;-�` �..C F � �. � 3.��� (j 1� 0 ,� .��'�,n, �s.,� ��a 7y,
<br /> } �,,�x yraf�r K..'� � ,�, ' r''^t ? �; ., �y�r �? %Y �Ma ` T v��"}�f� 4 '� ,
<br /> b "1" .;,�7�r jF���e,.�f$'t��iy k...3�f 3y�q��1�� �h�ia f'A W�+�ii� �� ". �� 'i. �� '�*���< 1 "3 ".,dj'a�' }F�Z" �4��'"�P¢ ''}�, !m. .?���.�""t„�',r{`• ...i�'�,.
<br /> "� ` �_�.��+sa,�,4a.��� .�,'�A�'-*Ya..3�i"c`,b,,�":'�+t,.� a+'t'� 1� aT �'�� PJ ox� 'T' .�-... C :t �.x t. ^{' N . +�- ,�� A-.
<br />� �•y'���6.4;t.+Mr�.`�ii'•^L'r.q�-"'F. tdt..«z.: '.�A'`1it'�4�.�ix� " � - �. . ` .¢��.
<br /> "` ;,���,���� '"- . -:L � -'�,` ,�-��,'�y_������3��!;'COURT.COPI( '�DO NOT WRITE ON REVERSE z+,���x � .�"`; _:�':'��`
<br /> ��X`�g, ��TF S
<br /> �., �i:n ."'{7F� 4 � .- �'•>fi.- ,H-�+"V=-'$�'�,f r : w .: Y�' �, �: .,^'7� . .._y-RKpw•'7f-'�"'R',+Z+s�'��"��8 ��"`i�+�'S"�t'���.,��
<br /> w r..u�y�..�a'� °�'cr�i�'?i '<+"" +n7`�c' _.'i ) �� y'�.*p�'�'.�('�'^irb��°s w^f �"�w'3 Yj .�i� �s�'t`+��"".��._F °,�,r.s F`4Y :,.. �d . ak h- �.:�.
<br /> ,� .s i,,,..a� rs. r*�, � ` v u,. s,� �,Fr`..�+ - -.x
<br /> �:::� �.t r � y
<br /> z i r , - w f r. � ""i t-;�
<br /> F'S r. .'b' t .,+,�1 6 .i+i. , R"" a a`yy te a _ a n� y s �r �n;:i^ a 'L�.i��" °:.':
<br /> 3 � ,�t _ 2 3'«� S �� �,. �s ...{ w r ;�Fa .' ?_..
<br /> tY r r,�,. • y �,t n � . ( ,,,� � '" r x�zt r t'� y �3 .
<br /> ; - ,
<br /> � . _
<br /> � , ,��r .� ;r :
<br /> = .
<br /> ; v _ i � ti. .s .'3' ..t � s< a .+-
<br /> _ :
<br /> ..
<br /> � .... .. �: _ +c+ - y._ ' i '�.r''.:�' .?,^�.
<br /> �.,.. .� .._.,.. ..:• _.. .. .- � -- . . , -. - �r
<br /> x.�, '.` '*' �*'� �.�.t
<br /> x, � �
<br /> �r�, t a f'-...*`., ��r '� ,t"�. 1+„ �t ° f a'�;4 �.•a,^�'r,r,-w� s .W�ylr ,S`y j�i��; �' "� � ���'v:�°"�,+'�r�1C��-F h"'.�.."i=t"��� n r+",��` "4�.�, r.�y,��`���,tr'}`'�`"���;'��_.
<br /> ,r�<�y i '' T � _-�, s rr' 4 � _u � -r.,c.r�r� �.,r- e �, e o e" "�'s.��sa-�w ���.�..,�ra.z��... e�. � '�i- ,,;�" ,-, ^'.,�J'(,� t�'" �.
<br /> w � t �� r „P ` ^3 '� "' .xwd`'��,,� ,,.t- t �8::.n t�_�.� r .;+ ,�,,�r'''✓"�. ."K J •r0r,t pa��;L�y��
<br /> «, � e.:rPt4++,�+Y'P,aY.';;`ty;aa^%.:3".�...�+r�l;�`..:;Sv+ kth'.>Frw'Ye,,,Tf��"F�:i�d�YYi#�'"}`Cy�,A�w.v�.xY:>�y.''d��q"t:ir`N�,"r{�H'�'��r}'i�"*Y�`�,�n9'�"'s'�,�"C3;'��'�'t'f,'x.?'`'k��'c�`'r,y°��'t�,�"�,�� 4���P';?'� ''�..
<br />
|