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�. � <br /> � <br /> ' o ' � <br /> � ' ' <br /> W i <br /> I STATE OF MINNESOTA ' � � � <br /> HC 4567(952) COUNTY OF HENNEPIN i <br /> � UNIFORM CITATION NO. o�S7aicT couai� �� � � <br /> � <br /> 4� The issuing officer states that the person <br /> ; 3 � ; <br /> 3�/"'}-0 4 0�3 6 6 named below committed the offense described , <br /> in vioiation of he sechon indicated �. <br /> � ''�7ypE �".',-DEGREE � ... .. - 12M(5 �,� COURT.- � 1 <br /> i �� �� �.E, SHADEO.AftEA FOR �, �i Y sK� � i <br /> ..'��t—Q �.�,��a�� �i,>._��OFFICE USE ONLY 1. ��:,�� , •'❑.� , � <br /> I � 1 <br /> DRIVER'S LICENSE NUMBER . . STATE � + <br /> I . . . .. . . j .. , r . . , . .. � j. . .. � <br /> INAME—LAST.FIRST,MIDOIEiMAIDEN . , � � _ <br /> � I, . , _ � _ v � a � : � o , <br /> ' t i m <br /> � i O <br /> A�DRESS 8 CITY <br /> C T <br /> I . f ' . . . ;� ' � � <br /> I , . , ' , � � STATE ZIP CODE 1 W I�1 <br /> � l ) D <br /> � T. L. o � ti S l� K ►hN S ' W = <br /> DATE OF BIRTH EYES HEIGHT WEIGHT SEX ; Q y <br /> I MO. DAY VEAR � ' 6 < <br /> j W m <br /> i � <br /> VIOLATION INFOfiMATION O <br /> I d <br /> � DaTE OF OFFENSE TIME METER NUMBER X <br /> W <br /> O <br /> H <br /> I VEHICLELICENSE PLATE STATE VEAR MAKE MODEL , W <br /> � <br /> � <br /> II W <br /> COIOR LOCATION 8 CITV � <br /> I <br /> � <br /> � <br /> S ATUT OR OFiDINANCE NO. � DESCFIPTION � <br /> . . . � i . . � � i � <br /> . V L � T i ' <br /> I � ' Com Cotla CT.DIV. ACTIVITV Soec Agcy , <br /> � <br /> I � � ANc� t <br /> � Endanger Lifa q�cident �Unsafe �Commercial �Hazardous i � <br /> Or Property � Conditions Vehicle Material I � <br /> � BADGE NUMBER ORINUMBER , . � � <br /> i � m <br /> � � M N 0 t � �' � � ' � � <br /> 0 <br /> 1/you fail to respond to this citation within 7 days, increased penalties will m <br /> be assessed and a warrant may be issued for your arrest. If a warrant is E � <br /> issued,a penalty of 530.00 will be added to the/ine. ` y <br /> w ^' i ' <br /> > a <br /> I � a <br /> W 2 � � <br /> ! = y , <br /> O � <br /> < < <br /> ` W m 1 <br /> N <br /> For a court appearance or information,contact the Violations Bureau on the front of , g i � <br /> ` the envelope unless another address is listed above. w i � <br /> f SEE INSTRUCTIONS AND FINE SCHEDULE ON BACK OFTHIS SHEET. � F <br /> IDEFENDANTS COPY ' o � <br /> , � <br /> W � <br />