11A-009 1 ( A009
0451 9
CITY OF NORTHAMPTON NOTICE OF VIOLATION
OF CITY ORDINANCE RULE OR REGULATION
DATE OF THIS NOTICE /19 Y �/3
NAME OF OFFENDER r 1 •'X54)j-v
CIS ,Z{j,'C�DE
1A",A ®iO s 3 DATE OF BIRTH OF OFFENDER
MY OPERATOR LILICENSE,'NUMBER VEHICLE REGISTRATION NUMBER
OFFENSE: 350-- 4 {'°7�'
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TIME AND DATE OF VIOLATIO 3+�+ P'n, j�4100(A.M.) J• .
AT LOC�TI1OF v 'qy,_R /R
I/ \ �y��.,,,,t j �•/IE]]v E OR VPERSRSON `J ENFORCI�.�1' �JAHTry57,l�
•W 1Q1_1 I HEREBY KNOWLEDGE RECEIPT OF TE FOREGO(I�NJGtCITTAJTION
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Unable to obtain signature of offender. Date Mailed /0 q
THE NONCRIMINAL FINE FOR THIS OFFENSE IS$
YOU HAVE THE FOLLOWING ALTERNATIVES IN THIS MA ER:
Either option(I)or option(2)will operate as a final disposition,with no resulting criminal record.
(1)You may choose to pay the above fine, either by appearing in person or
through a duly authorized agent or by mailing a check, money order or postal note ,
WITHIN 21 DAYS OF THE DATE OF THIS NOTICE to:
Northampton City Clerk
210 Main Street
Northhampton,MA 01060
(2) If you desire to contest this matter, you may do so by making a written
request for a noncriminal hearing, and enclosing a copy of this citation, WITHIN 21
DAYS OF THE DATE OF THIS NOTICE to:
Clerk-Magistrate
Northampton District Court
15 Gothic Street
Northampton,MA 01060
Attn:210 Noncriminal Hearings.
(3)If you fail to pay the above fine or to request a hearing within 21 days,or if
you fail to appear for the hearing or to pay any fine determined at the hearing to be due,
a criminal complaint may be issued against you.
❑I HEREBY ELECT THE FIRST OPTION above,confess the offense charged,and
enclose payment in the amount of$
❑I HEREBY REQUEST A NONCRIMINAL HEARING on this matter.
Signature
CITY CLERK'S COPY