6/07/2012 C2 tickets CITY OF PPELL,TEXAS al<LAS CO. ❑ DENTON CO. 0 0 013 8 NUMBER OF CHARGES
DATE OF A TIME OF DL CDL CLASS STATE SOCIAL SECURITY#
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OFFENSE +D OFFENSE 10: 1} PM 13E5 \-1 p,� 3 t Y/N
•ak '6S, �14� -7\3 1r �0 DOB�IJii I(e' RACE SEX HGT WGT HAIR EYES
RACE/ETHNICITY(Descent) �J Vf 1 to/ii
❑ ❑ ❑ ❑ ❑ ❑ ❑ ETHNICITY KNOWN PRIOR TO CONTACT W
MIDDLE EASTERN CAUCASIAN AFRICAN HISPANIC ASIAN NATIVE AMERICAN OTHER
ABi3RES PT# CITY STATE ZIP RES PHONE -I 1.4 Vr�� t NI�, ��Qt 1 1 �D i�j ( fir 'S�sS a�1 t
BUS.ADDRESS CITY STATE ZIP BUS.PHONE JD
( ) 2
H
VEH LICENSE STATE ' MAKE TYPE YEAR COLOR CMV ACCIDENT HAZ-MAT Cl)
I
Y/N Y/N Y/N 7I
CHARGE(1) j� 3, ' -\ ' ( C9- ❑ ❑ ❑ ❑ G
LQCAi'i9h�) �r/'�lrly{�rl�/ �^ t Lry�"n�P3nTrnC�-r�i, /'�� t /
SEARCH YES NO CONSENT? YES NO n
CHARGE(2) �- O„i 1+ -Tr.r., 01.1 7' V■ i non' l'i ) lr
CD
FA SED OF ADDRESS
Lcacta,.,.., IFED OF PARENT:
2
❑ ASSAULT ❑ CONTACT ❑ THREAT ❑ VIOLENCE REPORT NO. ❑ALCOHOL ❑MINOR CO CONSUME ❑ DUI MINOR P
❑ SPEEDING MPH ❑ SCHOOL ZONE ❑N3P.C RT. EXPIRED ❑PUBLIC INTOXICATION ❑ UNDER 21 ❑CO SEAT BELT DV 6/PASS Co
❑ OVER 21 V
IN A ZONE OCCUP ❑NOG VALID EXPIRED ❑ DWLI(a)(1) ❑ DWLI(a)(2) 0 DWLI(a)(3) ❑ DWLI(a)(4) v
❑ CONST.ZONE ro
RADAR NO. TRAVEL ❑FINANCIAL ESPONSIBILITY ❑ LLIIGHTED ❑STDY ❑CW LN ❑SIGN
TRAVEL
O)
❑ NO VALID DATE D.L. FAIL TO ❑ OTHER VIOLATION FFI
DL EXPIRED ❑ DISPLAY _, � �• 1' ID#(`_L� O�
Disposition of above charge(s)MUST be made on or before Due Date.Failure to dispose of charge(s)WILL result in warrants being issued.Failure to Appear(constitutes a separate offense.You are
advised to carefully read reverse side.CHILD UNDER 17 AND THEIR PARENT MUST PROVIDE COURT CURRENT ADDRES ND RESIDENCE INFORMATION.
I promise to appear in Coppell Municipal Court No.1 at 130 Town Center Blvd.,Coppell,Texas 75019,on or before the DATE>nd atpt ll subsequent court dates.
SIGNATURE: � �� % 1 DUE DATE..—day of 20 0. by 2:00 p.m. This is not a plea of Guilty °a
INSTRUCTIONS ON BACK WHITE COURT BLUE:VIOLATOR BUFF:POLICE
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