429 \)I06U-0 ‘SuspiRev Check C1 Yes NoG TOO vc, Motte End Licenses Noo a rata war Ned GE, abet Aarons aaa: [zip Pode G27" 35 Dyer vo GPERATOR ANDIOR OWNER OF VEHICLE BEARING LICENSE Prato No. ne LR] oT [PA | 8 [ome Reg. pes [ear] eon] Oue [Otor =] cw [Fond] wonda one] Oo Pau] TOT|N" Hher Ben] va = jor eo CT Pais 3 ate : — IED ABOVE IS CHARGED AS FOUL Ipsoe fifa pe Toe 13 sec J sw 2D ‘Description dt Vikan, i Not Shown Bolow.(Hiroumable 6 Criminal Gout, ndicate Court Locabon end Dato ‘of Appearanen below: :,AND SIGN INFORMATION ON REVERSE SIDE.) ata of en Repesrance 9 ayo Pow yom TE Tparsenaly obsoned he comission of he fons charged above False sialamenis ade orein ae punishable as a Class A Misdemesnor pursuant to Section 210.45 of tne Panal Law. Affamed lunder penalty of perury RankiFul Si of Compra Complaindat's Full rina) [Command Code fv az i ep Wifey lA _| ae Lee toa oO Son. onsen wy Looe sd and eT ‘with the instructions on my copy, and tat my signature below is not an admission of quit.WARRANT CHECK EK Ves Ono S PERSONALLY OBSERVED THE COMMISSION OF THE OFFENSE CHARGED HEREIN, FALSE STATE. MENTS MADE HEREIN ARE PUNISHABLE AS ACLASS A MISDEMEANOR PURSUANT TO SECTION 210.45, OF THE “in LAW, AFFIRMED UNDER PENALTY OF PERJURY. f Signatore DEFENDANT DESCRIPTION Eye Color Hair Color Ethnicity Ht. wt. Phone # ARRAIGNMENT Defendant pleads 1 Guilty D Not Guilty Date sudge oO (ACC A TU waAesissesosx