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general Information - Responsible Party +
Citation Number: TC030003918 Date: 11/01/2017 Time: 3:41PM
Owing (this citation): $0,00 This person: S9,0 This plate: 0 00
Agency: Temple City
Department: Parking
Original Citation Information - Attachments
Plate: 4GLC545 State: CA Year: VIN: Citation Images
Make: PLYM Color: GLD Body: VAN Model: Y�1 t
Reg. Exp: 06/2017 Permit: Meter: lip IIS
Location: DISTRICT LOT 7 Badge: 107 Citation Videos
Comments: EXPIRED TABS, PHOTOS TAKEN No Citation Videos Found.,.
(Vehicle hIs[orv) Citation Recordings
No Citation Recordings Found...
Citation Documents
No Citation Documents Found...
Appeal Documents
Violation Information - Charges, Fees and Adjustments
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Municipal Code Description Amount
5204A CVC REGISTRATION TABS $55.00
Payment Information +
Notice History +
Appeal Information +
Transaction History +
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Citation: TC030003918
Location:
DISTRICTLOT7
Plate:
4GLO545 State: CA
VIN:
Expire:
06/2017
Make:
PLYMOUTH
Model:
Body:
VAN
Color.
GOLD
Violation 1:
REGISTRATION TABS
Code: 5204(a) CVC
Amount: $55.00
*"*TOTAL FINE: $55.00 ***
Comments:
EXPIRED TABS, PHOTOS TAKEN
PLEASESEEREVERSEFORINSTRUCTIONS
Issued: 11/01/201703:41 PM
Officer: 107
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CITY OF TEMPLE CITY
REQUEST FOR ADMINISTRATIVE REVIEW - PARKING CITATION
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To request an administrative review of your parking citation, complete SECTIONS 1, 2, AND 3. This request must be
made with 21 CALENDAR DAYS from the date of issuance of the citation or within 14 CALENDAR DAYS from the date
of mailing of a courtesy notice. Return this form and a copy of your citation to Temple City Public Safety, 9701 Las Tunas
Drive, Temple City, CA 91780.
Address:
Apt. No.: City:
State:6Zip
Code: No.
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To Request a Hearing:
If you are dissatisfied with the results of the Administrative Review, you may request an Administrative Hearing by following the instructions
below.
1. Submit a request for an Administrative Hearing within 21 calendar days of the mailing date of your Administrative Review Result online at
www,Cltation ProcessingCeiiter.com or via Mail using this form.
2. Remit payment for the Total Amount Due online at www.CitatiotiProcessingCenter.com or via Mail using this form. PLEASE NOTE: No
Hearing will be scheduled if the correct Total Amount Due does not accompany the Administrative Hearing
Hearing Request Received. By: 12/6/2017
If you are requesting an Administrative Hearing and cannot pay the Total Amount Due: Determination of Inability to pay Is governed by CVC
Section 40215(b) and may allow a waiver of the deposit of the amount due, provided the issuing agency is in possession of sufficient proof
and has granted a variance. To request a waiver, please do so using this form.
HEARING fiY WRITTEN DECLARATION
I am requesting a hearing to contest the citation indicated on the front of this form. I choose to contest by written
declaration. The reason I am contesting this citation is:
(For more space, use a separate form)
I DECLARE UNDER PENALTY OF PERJURY THAT THE FORGOING IS TRUE AND CORRECT.
ignature: _ Date: I ZL
i
PLEASE NOTE: NO ADMINISTRATIVE HEARING WILL BE SCHEDULED IF THE CORRECT PENALTY AMOUNT DOES NOT ACCOMPANY REQUEST.
Materials submitted with an Administrative Hearing Request will not be returned.
If you have requested a HearingJn Person or by Telephone, the Hearing Schedule Date, Time and Location will be mailed to the address
located on the front of this form within 2-4 weeks.
Results of the Administrative Hearing will be mailed to you at the address located on the front of this form within 2-4 weeks.
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I DECLARE UNDER PENALTY OF PERJURY THAT THE FORGOING IS TRUE AND CORRECT.
ignature: _ Date: I ZL
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PLEASE NOTE: NO ADMINISTRATIVE HEARING WILL BE SCHEDULED IF THE CORRECT PENALTY AMOUNT DOES NOT ACCOMPANY REQUEST.
Materials submitted with an Administrative Hearing Request will not be returned.
If you have requested a HearingJn Person or by Telephone, the Hearing Schedule Date, Time and Location will be mailed to the address
located on the front of this form within 2-4 weeks.
Results of the Administrative Hearing will be mailed to you at the address located on the front of this form within 2-4 weeks.
OEPARBIJBIlf0 RSOMENAFFAIRS• BUSINESS, CONSUMER SERVICES, ANDHOUSINO AGENCY -#GOVERNOR EDMUND O. BRowN JR. yo
I CONSUMER ASSISTANCE PROGRAM
l 10949 North Mather Boulevard, Rancho Cordova, CA 95670
Toll -Free (866) 272-9642 Local (916) 403-8800 1 wivw.bar.ca.gov
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9oread df Automotive Repair
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LETTEROPELIGIBILITYFOR„VEHICLE,RETIREMENT �V11��
10/2/2017
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Lieyen Hu b1 CAP ID#:
VIN: _ r
IGIBIL)TYAMO..UNT: t i
11�aw�•'
EXPIRATION D TE: 110 8017 . SC11
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Your application for the,Consume Udnn
frarn (CAP) Vehicle Retirement Program has been approved. You must••
=present this Letter of Eligibility (p0' a :Bureau :of Automotive Repair (BAR) contracted auto dlsmantle�,
6N financial assistance is pilabjlity of funds, we encourage you to retire;your vehicle a9 soon as
possible.
IN Read this letter carefully andfollow the'steps listed %below to completethe Vehicle Retirement process: In
Nn
Step 1: Choose an auto dismantler authorized to retire your vehicle through CAP. IThe includedllst of BAR authorized
dismantlers Is also available online at www.bar ca aov or by palling (800) 952-5210.
Step 2; Gontaot'the dismantler prior to arriving to ensure they accept CAP vehicles. Some auto dismantlers require
appointments.
Step 3: You must, I drive Nthe vehicle to the auto dismantler„site underJts owh'power. A vehicle towed:;o the auto
dismantler site for.any reason milli be (ejected. ,Note: The vehicle must be, free of any personalitems; trash
and hazardous waste.
i§ Step 4: Yoi
ro� j
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to visit for further in
3.: Your vehicle s regi:
4. Your validArlVer's
complete a Privacy
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If any bf the redisl
original DMV POWE
designee must pre
reglstered owners;
IN
Please note. You i
iri order to complet1
d Lelterof Ehgibilily.
roving documents.
AN
(pink &lip);, If you do not have yout onglnaititle or the vehicle s t(tle
or have ah altered title, you MUST contact tlie'dismantler you Mari
rat(on�card: ,
cense or other official 'photo identification; (Some, auto dismartlers may regwre you to
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ed owners are notable to be present .at the dismantler site, awinpleted and signed:
of Attorney (REG 260 or RE%G 262) form rrtust be provided to the, auto dismantler, The
ent their driver's license or other official photo identification, as well as a copy of"the
photo id%entification:%11
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ay be required to complete additional forms/documents to comply Wth DMV requiremenfa
thIN
e retirement process.
resle tive% will perforrn an,equipment and operational inspection do your_vehiole I%Inf your 3 r
pment and operational Inspection you will 'recelve a check made out to the reglstered v
STOMER RE IPT COPY***
MARB YR MODEL YR 1ST SOLD
PLYM 1999 1999
Dim MnnE MP MO
SV GYY
TYPE VEHICLE USE DATE ISSUED
AUTOMOBILE 11/02/17
RSGISTSRED OWNER
HU LIEYEN
LIBNNOLDER
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REG EXP. 06/24/2018
VLF CLASS *YR TYPE VHH TYPE LIC LICHNSH NU4IDBR
AE 2015 12S 11 4GLC545
VEHICLE ID NUMBER
CC/ACCO DT FSB RSCVD PIC
19 11/02/17 0
PR EXP DATE /24/201
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$ 95.00
AUOUNT DUE AMOUNT RECVD /y
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CIO Citation Processing Center RESULT �F
P.O. Box 11024
Newport Beach, CA 92658 ADMINISTRATIVE REVIEW
DTA7114A • 7000000292 00.0003.0076 292/1
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NQV 22 2017
Mailing Date:
Amount Due if RECEIVED
ON OR BEFORE 12/6/2017:
Results:
Citation # Citation Dale a TIM01 License I Violation - Disposition
TG03;#p0a078 11/1/20174GLO545-CA 52C$A CVC :R"GIG' ATION TAGG L'pLeld
3:41 PM
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Adjudication Comments:
We have received the information you submitted to contest the above citation(s). The following comments have beent
provided as a result of the Administrative Review: Ke&') k
Valid Citation, Argument presented on appeal does not
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To Request a Hearinq: Please see the back of this form.
Total amount due must be received within 21 calendar days of Mailing Date of this Letter.
TO PAY BY CREDIT CARD:
TO PAY BY MAIL:
1. Pay Online: www.CitationProcessfngCenter.com.
1. Send CHECK or MONEY ORDER. NO CASH. (US Funds Only)
2. Pay by phone: (800) 969-6158.
2. Print Citation Number on Payment.
11/1/20173:41
3. Return Bottom Portion of this Notice with Payment.
A convenience fee may be applied.
4. Make Checks Payable to: Temple City
HU LIEYEN 0AUA�„
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A convenience fee may applied. j
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Mailing Date: �u�Z�
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AmoLpt Due If RECE_�E /� $55.00
ON OREFORE 1216/2017:
.Due on or
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Signature
Phone/
AL34946570 0783
T 030003918
11/1/20173:41
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12/7/2017 110.00
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Temple City
C/O Cltatlon Processing Center
P.O. Box 11024
Newport Beach, CA 92658
Plato
/CttSTOMER`RE' IPT COPY*** REG EXP: O /24/2018 _
1MI<6 YR MODELYR 1ST SOLD VLC CLASS "YR TYPE VAR TYPE LIC LICENSE NUMBER'l�
PL1999 1999 AE 2015 12S 14GLC545
m BR Mnn 41P MO VEHICLE ID NUMBER
gY f
SV Go YY
TYPE VESICLE USE DATE ISSUED CC/ALCO ET FRE RECVD BIC
AUTOMOBILE 11/02/17 19 11/02/17 0 PR EXP DATE�6/2/201
C� �rlirll�� \� � s 5 x
REcxsmeL YE (W_Il9_.(1l: . '—/ WLV 9 .00
HU LIEIENmar- ,` ..,. ;, ,M(y
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***CUSTOMER RECEIPT COPY***
MAKE YR MODEL YR IST SOLD
VLF
PLYM 1999 1999
BODY TYPE MODEL MP No
SV G YY
TYPE VEHICLE USE DATE ISSUED
AUTOMOBILE 11/02/17
REGISTERED OVMER
HU LIEYEN
LIENHOLDER
CC/ACCO DT FEE' RECVD PIC
19 11/02/17 0
V1'f�
T$ r1ft / /LUYI'Qt
V
REG EXP: 06/24/2018
TYPE LIC LICENSE NUMBER
11 4GLC545
VEHICLE IO NUMBER
PR EXP DATE: 06/24/2011
AMOUNT PAID
$ 95.00
AMOUNT DUE AMOUNT RECVD
$ 95.00 CASH
CHCK
CRDT -95.00
L01 509 A5 0009500 0017/ CS li01 110217 11 4GLC545 469
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C46NOV 032017 -
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Member ServicesMon-Fri 9:00 a.m.-5:00 p.m.
Sat -10:000.m.-2:00 p.m,
420 East
Huntington Drive (626) 294-4510
Arcadia, CA 91006 (626) 445-4608 Fax
CLASS
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TYPE VEH
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2015
12S
CC/ACCO DT FEE' RECVD PIC
19 11/02/17 0
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V
REG EXP: 06/24/2018
TYPE LIC LICENSE NUMBER
11 4GLC545
VEHICLE IO NUMBER
PR EXP DATE: 06/24/2011
AMOUNT PAID
$ 95.00
AMOUNT DUE AMOUNT RECVD
$ 95.00 CASH
CHCK
CRDT -95.00
L01 509 A5 0009500 0017/ CS li01 110217 11 4GLC545 469
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C46NOV 032017 -
- sem.
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Member ServicesMon-Fri 9:00 a.m.-5:00 p.m.
Sat -10:000.m.-2:00 p.m,
420 East
Huntington Drive (626) 294-4510
Arcadia, CA 91006 (626) 445-4608 Fax
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