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- COMPLAINT <br /> State of Minnesota Hennepin County-Fourth Judicial <br /> District <br /> City of: .��.�� <br /> Court Division : II����II��I����I��'������� <br /> � a � � 3 Q 8 O 3 2 5 5 2 9 � <br /> � Community Code : �,A Citation# 3 0 8 0 3 2 5 5 2 9 <br /> d`- <br /> � Drivers License State <br /> � <br /> � Number ❑MN <br /> ; Name—Last,First,Middle� <br /> � • <br /> I ��GnG��! a�n �Cc� <br /> a <br /> : Address—Street,Apt# ' <br /> ; �p c�lc.n�er� � <br /> � City State Zip <br /> 1�"�a �� s3 � <br /> � DOB(mm/dd/yyyy) yes eight eight ender ace <br /> '{ b� �� �3�5 /�1� s` � ` l� ' <br /> i Vehi le Li ense No. tate late Year ake odel olor <br /> I <br /> '� Date of Offense ime of Offense ccident <br /> � �� � p 0 7 ❑Injury ❑Property <br /> Parking eter No. Neighborhood <br /> ❑Parked ❑Owner ❑Passenger ❑Driver <br /> Offense L.ocation <br /> o(� e 1G� ;�� <br /> i No I Offense Statute/ d. tate Patrol <br /> j ode <br /> I �� � <br /> ; �c.5 �� S <br /> NO 2 CDSe S[a[u[e/Oid. �ate Patrol <br /> 'ode <br /> I'� —�------...-- — ---------��----- ------ ---- <br /> No 3 Offense j Sta'tute/Ord. �tate Patrol <br /> I ode <br /> j <br /> ❑NO PROOF OF INSURANCE 169.791 (sub ) <br /> 1409 <br /> ❑SPEED MS169.14(sub_):_mph in a_mph zone ❑NO SEAT BELT <br /> 1004 1103 UseMS 169.686 <br /> ❑Hazardous Material(DOT) ❑Commercial Vehicle <br /> ❑Unsafe Conditions ❑Endangering Life/Property <br /> Identification: ❑DL ❑Photo ID ❑Other <br /> Comments: � �� �� r <br /> F . J �' � f����E2� <br /> ! <br /> r _— _ __---- ---- , <br /> Badge No(s). CC'N#/7CR#i �iting A�enc� <br /> ,,� <br /> � � - -- -- --� _ . _ __ �-C��� � <br /> --- ____ <br /> ' � OUkT CQPI'DO NOT V1'RITF ON :�'ERSE _ <br /> �=.�i <br />