, - --
<br />� ,� - , - -- STATE OF MINNESOTA �— �
<br /> � - HC 4567(9191) _._. ....... COUNTY OF HENNEPIN . , I
<br /> UNIFORM CITATION NO.
<br /> � ' � ' DISTRICTCOURT � -- '
<br /> _ �
<br /> '�`�".1 The issuing ofticer states that the person , .
<br /> 0 419 6 7 ��� named below committed the offense described i �
<br /> 392- �
<br /> .�.� in violation of the sectlon indlcate . �
<br /> ..�_�. , . . -._�.. . .�. :. ..._��_. . ...:_, _. . �.i :� DEGPEE �� ppnvcvAREFCFQR- �� � T� _ .. -
<br /> ,72 MO. COUR �.
<br /> t;�(�j. � � .�
<br /> TVPE�: a- . .
<br /> - . . . . - �0� ��LI�4��OFFI6EUSEO�` �f E
<br /> Q ^+�'�' � STATEx
<br /> ' � DRIVER'S LICENSE NUMBER , ' � � � � _� ' ' � � .
<br /> � I �1 'i � �� i -1 � � � ' � ' .
<br /> � 4 1 1 1 ' ' ,
<br /> � -'- � � �� -- � - � NAME-LAST,FIRST,MIDDLE/MAIDEN _ . - . ...
<br /> , � ����; !�
<br /> -. . . , , , ,._� - -�-
<br /> � � .� � ;
<br /> �
<br /> , ' � - ,_ ;
<br /> _ - - _ � � ip�pi�� _ � ' t i 1 � a � i ��
<br /> � � { � i j �� �j �� � � r � ; �� 1
<br /> _ � � 4 � �
<br /> � --. � - -- --. �. - ADDRESS&CITY ; t i � ! � i � � j � t
<br /> F �
<br /> � � � � i I 1 1 !� �K?Hi'!o 'o'.I� � iW.Y��
<br /> 2� 1 �5� ,K` Y ��� �
<br /> � .. � �� � � � 22 , � � I � i � i �M��j �s-15-13�.9 �1 � � � �
<br /> � I 1 �1 � I � � �
<br /> � � vJ�A �`� ��Z�A '��� ° �
<br /> WEIGHT SEX ;
<br /> � EVES �HEIGHT . � � �. .
<br /> - DATE OF BIRTH � t _
<br /> t 1_
<br /> . . . . MO. � DAY YEAR ' � � 1 I- I M I
<br /> 1 � i � 1 ' t _ _
<br /> �� ,,`��� 3- . . y�p�qT10N INFORMATION �);
<br /> • � � � ' TIME METER NUMBER �{.tr, , .
<br /> � - ' � DATE OF OFFENSE , . �
<br /> 2 � S ; �
<br /> " ' - ... _ .. . . . . jO� , I� '�� '� YEAi MAKED MODEL � ..
<br /> � . . - _ STATE � � � � � ' � . �,
<br /> � � '" -- VEHICIE LICENSE PIATE ' � , � I � � : .
<br /> .:� . ._: : ..,.. .. ..�. - � � �� S . .
<br /> . _ ; � �
<br /> __
<br /> � � , , l �-
<br /> - � ' � � �� �� � COLOR IOCATION 8 CITY ' i� {A 1 .
<br /> y � � 3i2„ig �,o'� ;N ;A;V AiRf21€� '"
<br /> - , , : �N� �S.t i �; t� ;
<br /> � � . � _ � j Oi�iolN �p i iV� ' :
<br /> DESCRIPTION �
<br /> � - STATUTE OR OFDINANCE NO. � j �, � �� � � � � .
<br /> :. �-� . --: : _ � � � � i� l� {p � i� io :a i3 i5vb 1 {
<br /> _ � _ �� , .
<br /> ,
<br /> � � � �� .. �� � �N1 Co� �W� T��E�-� 0 ��3 ITl �� P�E�R �M 1
<br /> . -- , '
<br /> �. .. 4 Com Coda CL DN. ACTNITY ' ... .
<br /> Spec AgcY
<br /> _ _ � �z � t � � � � � 1 i i �;ti � �3 fi r _ _
<br /> _ _ ..; �
<br /> .�n , .�
<br /> _,.. �. .. � � '� i i
<br /> -- �. - ;. '- -- � � ` Unsate Commercial . . .
<br /> Hazardaus ;
<br /> -_ ' � .❑Vehicle- -..-....�Material . ..' .
<br /> • � ` • � '"'- '" � Endaoger LRe . ❑pccldent . -�Condltlons
<br /> • , , ._ _. ❑Or Property _ . .
<br /> _ �;
<br /> - ' � " ORINUMBER � _
<br /> � - � BADGE NUMBER , � � ;. � � I, �
<br /> - _ � ! I � igi � MIN (Oi2' 7il IS` Ojc�� I � `
<br /> + { 5� � 5 Increased penalties w111
<br /> be lssued for your arrest. !f a warrant !s
<br /> . . . _ . _ - N you fai! to respond to this cltatlon wlthln 7 day ,
<br /> � be assessed and a warrant may
<br /> , " �� Issued,a penalty of 530.00 wi11 be added to the tine.
<br /> 4, �L, y�i G� �w� � �.5., �,�. p �v T'' _
<br /> FI � � � IE`�C C �a '
<br /> � � E rL1 1 � i �I 1�� � � 5
<br /> � �C..,vI Ci,� � ICI � R �
<br /> _ ( iDid� � � �
<br /> � . � , l� n� ITII !� ',�►,� �I � s� 'f � � t .
<br /> : . �:�' ' �.U '� ,R.�=.'Q� � `�
<br /> ' + 'COURT COPY -D� i
<br /> _ - ,
<br /> __ p`,E; �
<br /> - - "' f O NOT WRITE ON REVERSE _
<br /> i �_ OFFICER'S COPY -1
<br /> � �a
<br />
|