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� _ _ <br /> HC 4567(9/99) <br /> • D STRICT COURT E IN I IIII I!III II III�IlI II III II(II II III II III II III II III II III((III <br /> UNIFORM C/TATION NO. 7�c 3 Q Q Q 2 (� 8 O ]� S * <br /> 3 0 0 0 2 6 8 015 The issuing officer states that the person named <br /> below committed the oflense described in <br /> violation of the section indicated. <br /> TYPE DEGREE SHADED AREA FOR �2 MO COURT <br /> Qp O0 Qp�M❑G OFFlCE USE ONLY ❑ ❑ <br /> � DRIVER'S LICENSE NUMBER STATE <br /> � NAME-LAST,FIRST,MIDDLFJMAIDEN <br /> � � � c. K s o N c- E t� <br /> ADDRESS 8 CITV <br /> � � I 43 1 2 S �} � C <br /> STATE ZIP CO�E <br /> jj �. A ING nnN55Y3 <br /> DATE OF BIRTH EVES HEIGHT WEIGHT SEX <br /> MO DAY YEAR <br /> VIOLATION INFORMATION <br /> NEIGHBORHOOD DATE OF OFFENSE TIME METER NUMBER <br /> 0 3 � y o o � 2 � d <br /> VEHICLE LICENSE PIATE STATE VEAR MAKE MODEL <br /> COLOR �OCATON 8 CITY <br /> � son s � x � H Av� lv <br /> ORonro nr s5 3S � <br /> STATUTE OR ORDINANCE N0. DESCRIPTION <br /> o2onro . 3� �u�i v RN , nr � <br /> p f i � r E r> �} f �R <br /> � COM CODE CT.DN. ACTIVIN SPECPdBCV <br /> � p-L 5 � `� o <br /> ENDANGERLIFE �ACqDENT ❑�CONOITIONS � VEHICIEC� ❑ HAZARDOUS <br /> �OR PROPERTY <br /> BADGENUMBER ORINUMBER <br /> 5 �3 MNv2 � � soo <br /> WARNING: <br /> Fallure to resportd to thls cltadon wlthln/ourteen(14)days wlll resuk 7n lncreaaed penaltles <br /> and faes asseased;a WARRANT msy be issued lor your ARREST and your DrNer's Ucense <br /> may be SUSPENDED. The amount due may be re%rred ro the Minnesota Departrnent of <br /> Revenue,whlch has eolleeHon autho�ity and they may aceess non-publ(e govemment data <br /> /or fhe purpose o/axpedlNng collecdon. <br /> COURT COPY DO NOT WRITE ON REVERSE � <br /> '•1 <br /> ,,\` <br />