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429 \)I06U-0 ‘SuspiRev Check C1 Yes NoG TOO vc, Motte End Licenses Noo a rata war Ned GE, Si “Apt Na. GPERATOR ANDIOR OWNER OF VEHICLE BEARING LICENSE Frate No. ne per] or [Px] ns [omer Fag. Dpres Sa aR ahs aa ae a oy = fom Pr aad hw Pas 7 ae aN . o— IED ABOVE IS CHARGED AS FOUL Itt Are |Sz aoe WW VIOLATION OF 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.) Date of Aepearence 9: aha Pow valores T personaly absorved ine commision of Ue offense charged above, False sataments made Porein nfs purighable an Claas A Misdemeanor pursuant to Section 210 48 of te Penal La. Armed tnedor penalty of perry RankiFull Signgjerayot Compra Conrplaindas Fula (pnteg) [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

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