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HC 4567(9/91) —_—_—_____.._.___—,_____'_'—�——
<br /> UNIFORM CITATION NO. STaTE oF MiNNEsora ;
<br /> COUNTY OF HENNEPIN �
<br /> , . DISTRIC7 COURT �
<br /> 392- �j � �� , � The issuing officer states that the person
<br /> ��M1!„ �Y kti'� a^ named below committed the ofiense described
<br /> in violation of the section indicated.
<br /> 7VPE ' DEOHEE �
<br /> �Q� a�� SHADEb AREA FOR 1z M�� . COURT .
<br /> OFFICE USE ONI.Y � - � �� � ❑
<br /> DRIVER'S LICENSE NUMBER � �
<br /> � � STATE
<br /> i
<br /> . , ; , : . �. � � ' �, � , � �
<br /> NAME—LAST,FIRST,MIDDLE/MAIDEN �
<br /> ��� � �n n �e ����-���� i,� �� � � � � �
<br /> �:_ , , � �'� 1 �`Ca y-, ,_�
<br /> � �j,�� ' \, I
<br /> ��~��, �( . , .
<br /> ADDRESS 8 CITY � .
<br /> Z � � �t �' r= -� -I.
<br /> l�q� 'y i � {' (� � /. STATE ZIP CODE I
<br /> (� 4 q /� ✓ :
<br /> n �
<br /> DATEOFBI TH � �r�� � -��'�� .
<br /> DAv EYES HEIGHT WEIGH7 ' SEx
<br /> MO. ' , VEAR � �
<br /> �
<br /> � VIOLqT10N INFORMATION � '
<br /> DATE OF OFFENSE 71ME �
<br /> METERNUMBER �
<br /> �� ::./ (7 � ' <-� ��i I ; � r.., (',,
<br /> r
<br /> VEHICLE LICENSE PLA7E � (
<br /> . STATE YEAR MAKE
<br /> . �, � ' MODEL
<br /> COLOR LOCATION 8 CITY � �
<br /> , . j'�. .7 � .�. .
<br /> i) j" �
<br /> �..) '�: !�,-; - r _ '�;.
<br /> STATUTE OR ORDINANCE N0. ' ' �
<br /> ,` :,/' . , DESCqIPTION '
<br /> V �/ 0 t"�,(? I � ) ` � �)"(_� � � / '
<br /> 1 V ' oc� � � �:C_. , ) i L/ (-�/ ��� �./_ ' �
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<br /> � �_, c. � ,�.�- '� � , i
<br /> ; j �'
<br /> Com Code CL DIV. ACTIVITY
<br /> z� ' � , Spec Agcy �
<br /> �Endanger Llte
<br /> Or Property ❑Accident Unsafe �Commerclal� ��
<br /> �Conditlons Vehicie �Hazardous
<br /> BADGE NUMBER M8�01'iel
<br /> ORI NUMBEfi
<br /> 1 i ;
<br /> ; i , M N ' ' i
<br /> ��you /all to respond to th/s citation with/n 7 days, increased penaldes w!I/
<br /> be assessed and a warrant may be issued fo� yaur arrest. I/a warrant is
<br /> lssued,a penalty o/$30.00 wil/be added to the/ine.
<br /> � �� 1� � � ' � ,-� Cl I � �, ��l �� � � ( � �j
<br /> �; ! i ,�� . ;f'' I.� �. '� �1: � �1'1 �-� � `�� ,� �
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<br /> - -----.._.___.------ OFFICER'S COPY �
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