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TOWN OF NAME OF OFFENDER: CITATION NO: YAR 0255
YARMOUTH NOTICE LEFT WITH: DATE OF VIOLATION:
ADDRESS OF OFFENDER: TIME OF VIOLATION:
• CITY: STATE: ZIP:
•
LIC. #& ST. DATE OF BIRTH:
YOU HAVE BEEN OBSERVED VIOLATING:
NOTICE OF BY: (specify bylaw or regulation)
VIOLATION (act constituting violation)
AT: FINE AMOUNT:
OF TOWN (place of violation)
BYLAW OR I HEREBY ACKNOWLEDGE RECEIPT OF CITATION:
(signature of offender/recipient)
REGULATION BY: EMPLOYEE NUMBER:
G,Unable to obtain signature of offender.
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 elect to pay the above fine, by appearing in person between 8:30 A.M.and 4:00 P.M., Monday through Friday, legal holidays excepted.WITHIN TWENTY-ONE.DAYS OF 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 TWENTY-ONE DAYS OF DATE OF THIS
NOTICE to:i>,OUTHEAST HOUSING COURT, 139 HATHAWAY ROAD, NEW BEDFORD,MA 02746,ATTN:21D Noncriminal Hearings and enclose a copy of this citation fora hearing.
(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"crlmrtial complaint may be issued
against you.
❑ I HEREBY ELECT THE FIRST OPTION above,confess the offense charged, and enclose payment in the amount of$ -TOWN
OVVN
o I HEREBY REQUESTA NON CRIMINAL HEARING on this matter. YARMOUTH M
Signature: Date:
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SENDER: COMPLETE THIS SECTION
COMPLETE THIS SECTION ON DELIVERY
A. Signature 4
I ■ Complete items 1,2,and 3. ❑Agent
I X 74 / �! ❑Address(
■ Print your name and address on the reverse
so that we can return the card to you. B. Receivlyd by(l�ri ed Name) C. Date Delive
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■ Attach this card to the back of the mailpiece, rr
I or on the front if space permits. ❑Yes
1, Article Addressed to: D. s delivery address different from item 1?
If YES,enter delivery address below: 0 No
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Nantucket Homes Builders LLC
Maldonado
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Cj&- ioris H rvldldonado,
3, nabea Ln Unit D
Nantucket, MA 02554 ❑Priority Mail ExpressC
I ■!{ 3. Service Type 0 Registered teMd lExpr
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0 Adult Signature Restricted Delivery 0 Registered Mail Restr
O Certified Mails Delivery
❑Certified Mail Restricted Delivery 0 Signature Confirmati(
9590 9402 97$6 5266 9104 98 OD on Delivery ❑Signature Confirmati(
I ❑Collect on Delivery Restricted Delivery Restricted Delivery
2. Article Number(Transfer from service label) 0 Insured Mail
r,r n rl n'"1 in cm-in a L 1.; n n n r 4 1 0 Insured Mail Restricted Delivery