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NOTICE OF
VIOLATION
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BYLAW OR
REGULATION
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ADDRESS OF OFFENDER: J o) >,' G x
CITATION NO.: YAR 0771.7
DATE OF VIOLATION: I o " S�'— � �
TIME OF VIOLATION:
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I HEREBY ACKNOWLEDGE RECEIPT OF CITATION
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YOU HAVE THE FOLLOWING ALTERNATIVES IN THIS MATTER: Either option (1) or option (2) will operate as a final disposition, with no resulting criminal record.
(1) You may choose to pay the above fine, whether 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:
Town Clerk, Town of Yarmouth, 1146 Route 28, South Yarmouth, MA 02664.
(2) If you desire to contest this matter, you may do so by making a written request for a non -criminal hearing, and enclosing a copy of this citation, WITHIN 21 DAYS OF THE DATE OF THIS NOTICE to: Clerk Magistrate,
District Court Dept., First Barnstable Division, Main Street, Barnstable, MA 02630.
(3) If you fall to pay the above fine, or to request a hearing within 21 days, or If you fall 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 NON CRIMINAL HEARING on this matter.
Signature Date