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� HC 4567(9i98) <br /> ` HC 4567(9/98) <br /> STATE OF MINNESOTA I I � STATE OF MINNESOTA I IIII II III �I�I I�I�I II��I II�lI!� fl I I I I II II II III I IIII <br /> D STRICT COURTNEPIN I IIII II III II I�I II III II I�I I��II�II II III II III II III II III I II�I D STR CT�COURTNEPIN � <br /> 1 <br /> UNIFORM ClTATION NO. * 3 9 9 Q 4 � S 2 1 3 * UN/FORM CITATION NO. * � 9 9 � 4 0 S 2 2 1 * <br /> The issuing officer states that the person named The issuing officer states that Ihe perscn named <br /> 3 9 9 0 4 0 5 213 3 9 9 0 4 0 5 2 21 be�oW committed the offense descnbed �� <br /> below committed the offense descnbed in violation ot Ihe section indicated. <br /> violation of the section i�dicated. <br /> TYPE DEGREE gHqOEDAREAFOR 12t"�a COURT TYPE DEGREE SHAOEDAAEAFOR 12MQ CCURT <br /> Qp 0T QC QP�MJQG OFFlCE USE ONLY ❑ � ��T� ��� OFFICE t1SE ONLY ❑ � <br /> CAIVER'S LICENSE NUMBER STATE DRIVER'S LICENSE NUMBER S;qTE <br /> NAL1E-IAST.FIRST.MIDOLE MAIDEN NAM1fE-L>ST.FIRST,MIDCL�MAIDEN <br /> vV U L �' �= S'U H N � A T fZ � C k i W U L. F' C �'0 1� r.� P A�' R � C (� <br /> ADDRESS 8 CITV <br /> II Aooaess a cm <br /> 28Z 1 CAS G� c� o n� T R4�. � 2 �6 � � CA SGo Poi N i CZ O <br /> STATE ZIP COOE STATE ZIP COC- <br /> �RON (� (V� N " 53 9 1 � � (� l� lv O MN � S 3ci ( <br /> ,, <br /> DATE OF BIRTH EYES HE!GHT 'NEIGHT ScX <br /> DA'EOFBIRTH EVES HEIGHT WEIGHT SEX I MQ, (DAY YEA � <br /> MO DA� VEA •- � ..� <br /> f /1/� <br /> VIOLATION INFORFlAT10N VIOLATION INFORMATION <br /> NEIGHBORHOO�DATE OF OFFENSE TIME METER NUMBE� NEIGHBORHOCC DATE OF OFFENSc TIME METER VUMBER <br /> 8 26 `I `1 1 Z. 00 o �3Zc� q5 tzao <br /> VEHICLE LICENSE PL4TE S7A7E VEAR NAKE MODEL VEHICLE LICENSE?LATE STATE vEAF MAKE ?AC�c'� <br /> COIOP LOC.ITION 8 GTV COIOfi �OCATION 8 CITY <br /> 2g � 1 Gr45C, � Pc, � �vT 29 '1 � CV� sGo o , Nr <br /> �2o r� � D � nNo M � ss 3 � �.o ,ah c� 2orv 553 � r <br /> 3TATUTE OR ORDINANCE N0. CESCFIPTION STATUTE OR ORDINANCE N0. DESCRiPTION <br /> 0 pnsQ 1 D. �(7513 EXTC RI 0 Q. 0 N � 12 OZ �. v N5 �L � <br /> R s r � R A G E � n, 2 (J r 5 T C-�r c � n� W 't" 1�- o v T' ER�� r <br /> COM CC�EI CT.DIV. ACTIVITV SPEC AGCY '�. COM COCE CT.DIV. ACTIVITV S%«.1GC <br /> QtL ? s gyp3 4fy o3 <br /> � OR PROP RTV E ❑ACCIDENT ❑COND TIONS � VEHIC�CIAL � MATERipOUS ❑ OR�PFlO ERTY E �ACCIDENT ❑CONDITIONS � VEHICLE CIAL � MATER A�US <br /> aADGE NUh1BER ORI NUMBER BADGE NUMBER ORI NUMBER <br /> S �v I M N (9 2 7 SO O S � 1 M N O 2 '� l $ D U <br /> Failure fo respond to fhis citation wilhin/ourteen(14)days will result in increased penalties Failure to respond to this citafion within lourteen(14)days will result in increased penalties <br /> and lees assessed:a WARRANT may be issued(ar your ARREST and your Oriver's License and fees assessed;a WARRANT may be issued lor your ARREST and your Driver's Licens� <br /> may 6e SUSPENOED. The amount due may be referred to the Minnesota Departmen[ol may be SUSPENDED. The amount due may be re%rred to the Minnesota Department o. <br /> Revenue,which has collection authority and they may access non-public governmenf data Revenue, which has collection authority and fhey may access nan-public government date <br /> lar the purpose o!expediting collection. lor the purpose ol expediting collection. <br /> COURT COPY DO NOT WRITE ON REVERSE COURT COPY DO NOT WRITE ON REVERSE <br /> � <br />