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AGENDA
ON HOLD 04/23/18: Hearing - Request Accepted.
General Information - Responsible Party -h
Citation Number: TC030006090 Date: 02/22/2018 Time: 2:35AM
Owing (this citation): $0.00 This person: $0.00 This plate: $000
Agency: Temple City
Department: Parking
Original Citation Information - Attachments
Plate: 43DH883 State: CA Year: VIN: 9841 Citation Images
Make: LINC Color: GRN Body: 4 DOOR Model:
Reg, Exp: 11/2018 Permit: Meter: is
Location: 9444 BROADWAY Badge: 113 Citation Videos
Comments: NO PERMIT DISPLAYED/VISIBLE No Citation Videos Found,,,
(vehicle hlslorv) Citation Recordings
No Citation Recordings Found...
Citation Documents
No Cltatlon Documents Found,,,
Appeal Documents
l�`1
Violation Information - Charges, Fees and Adjustments +
Municipal Code Description Amount
3-3A-20 TCMC OVERNIGHT PARKING 2-5 AM $55100
Payment Information +
Notice History +
Appeal Information +
Transaction History +
0 2010 Citation Processing Center. All Rights Reserved
[IlentServlces®OalaTicket mm 1-ee0-752-0512 Mission
Statement
• SI90 out
Citation: TC030006090
Location:
9444 BROADWAY
Plate:
4JDH883 State: CA
VIN:
9841
Expire:
11/2018
Make:
LINCOLN
Model:
Body:
4 DOOR
Color.
GREEN
Violation 1:
OVERNIGHT PARKING 2-5 AM
Code: 3.3A-20 TCMC
Amount: $55.00
*"*TOTAL FINE: $55.00 ***
Comments:
NO PERMIT DISPLAYEDNISIBLE
PLEASESEEREVERSEFORINSTRUCTIONS
Issued: 02/22/2018 02:35 AM
Officer: 113
CITY OF TEMPLE CITY
£ REQUEST FOR ADMINISTRATIVE REVIEW - PARKING CITATION
To request an administrative review of your parking citation, complete SECTIONS 11 21 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.
SECTION 1
Citatlon No. X 0360 0 (o QQ O Issue Date: License Plate No.:
Code Section(s): w3 _ A ` �20 t C (A U
Name: Rortewo 1p Il�(CI
Address: Apt. No.: City: R PL` G
rry
State: Zip Cod ane No.
SECTION 2
List all pertinent information as to why you believe this parking violation was issued in error or should be dismissed.
Documents, photos, etc. submitted will be retained by the City as part of the citation file.
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SECTION 3
By signing below, I certify or declare under the penalty of perjury that the foregoing statements are true and correct to the
best of my knowledge.
Signature Date:
FOR OFFICE USE ONLY
Received By:
Notes:
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DIVISION
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Auto Insurrflia ance oof
Allstate.
Auto Insurance lard
Allstate Northbrook lndemnilyCompany You're in good hand:,
PO Dox 66059& Da1k; TX 75266U59S
sgglo &Morella Plot
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This policy meets the requirements of the applicable California financial
responsibility la y(s).
Pnnry uuFRnve YEAR/MAKE/MODEL
EFfECTIVEDATE 1999EIncoinTown Car
VFHIrI Fin NI ISARPU
FXPIRATinunATC .
This card must be carried In the vehicle at all times as evidence of Insurance.
REGISTPAiIP4 VAlIorflQll TYPE lICE115EI1O1.IBER
AUTO 11/22/2017 TO 11/22/2018 11 4JDH883
VFNICIEWENFIFICAMNIIIUAIBER NN� TUNE '
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SD 00/00/1999 JD 1999
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11/16/2017 120 G 5122 1900
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DEPARTMENT OF MOTOR VEHICLES
VALIDATED REGISTRATION CARD
READ REVERSE SIDE • IMPORTANT INSTRUCTIONS
2 03ao�,00Ya _
DEPARTMENT OF MOTOR VEHICLES PLACARD NUMBER: 049286K
meacxuturtxu DISABLED PERSON EXPIRES: 06/30/2019
' PLACARD IDENTIFICATION DATE ISSUED: 03/17/2017
CARD/RECEIPT
A Pnhlil
This Identification card or, facsimile copy is to be carried by the placard owner. Present it to any
peace officer upon demand. Immediately notify DMV by mail of any change of address. When
parking, hang the placard from the rear view mirror, remove it from the mirror when driving.
TYPE: N1 TV: 92
DOB:
ISSUED TO
PIERI SERGIO
CO: 19
When your placard is properly displayed, .
you may park In or on:
Disabled person parking spaces (blue zones)
Street metered zones without paying.
` Green zones without restrictions to time limits.
'Streets where preferential parking privileges are given tc
residents and merchants.
�P.
e:
o �
r ,
c
Purchase of fuel
You may not park In or on:
Re
Cr
pa
(Business &Professions Code
State law requires service stations to refuel a
tlsabled person's vehicle at self-service rates
axcept self-service facilities with only one cashier.
d, Yellow, White or Tow Away Zones.
osshatch marked spaces next to disabled person
rking sp' III .
° It is considered misuse to:
Di
tra
Display a placard unless the disabled owner is being
nsported.
splay a placard which has been cancelled or revoked.
Loan your placard to anyone, including family members.
Misuse is a misdemeanor (section 4461VC) and can
result In cancellation or revocation of the placard, loss
of parking privileges, and/or fines.
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D E P A R T M E N T O F
D I S A B L E D P E R S O N
E X P I R E S : 0 6 / 3 0 / 2 0 1 9
S f A H 6 G N W N N A
' P L A C A R D I D E N T I F I C A T I O N D A T E I S S U E D : 0 3 / 1 7 / 2 0 1 7
C A R D / R E C E I P T
T h i s i d e n t i f i c a t i o n c a r d o r f a c s i m i l e c o p y i s t o b e c a r r i e d b y t h e p l a c a r d o w n e r . P r e s e n t I t t o a n y
p e a c e o f f i c e r u p o n d e m a n d . I m m e d i a t e l y n o t i f y D M V b y m a d o f a n y c h a n g e o f a d d r e s s . W h e n
p a r k i n g , h a n g t h e p l a c a r d f r o m t h e r e a r v i e w m i r r o r , r e m o v e i t f r o m t h e m i r r o r w h e n d r i v i n g .
W h e n y o u r p l a c a r d i s p r o p e r l y d i s p l a y e d ,
y o u m a y p a r k I n o r o n :
T Y P E : i t : T V : 9 2 C O : 1 9 " D i s a b l e d p e r s o n p a r k i n g s p a c e s ( b l u e z o n e s )
D O B : ' S t r e e t m e t e r e d z o n e s w i t h o u t p a y i n g .
' G r e e n z o n e s w i t h o u t r e s t r i c t i o n s t o t i m e l i m i t s .
I S S U E D T O " S t r e e t s w h e r e p r e f e r e n t i a l p a r l < I n g p r i v i l e g e s a r e g i v e n t c
r e s i d e n t s a n d m e r c h a n t s .
P s E R : : H O R � N A Y o u m a y n o t p a r k I n o r o n :
2 ��" .
' R e d , Y e l l o w , W h i t e o r T o w A w a y Z o n e s .
C r o s s h a t c h m a r k e d s p a c e s n e x t t o d i s a b l e d p e r s o n
0 , p a r k i n g s p a c ` .
w I t I s c o n s i d e r e d m i s u s e t o :
r _ 4 D i s p l a y a p l a t r d u n l e s s t h e d i s a b l e d o w n e r i s b e i n g
1 t r a n s p o r t e d :
u " D i s p l a y a p l a . a n d w h i c h h a s b e e n c a n c e l l e d o r r e v o k e d .
P u r c h a s e o f f u e l L o a n y o u r p l a c a r d t o a n y o n e , i n c l u d i n g f a m i l y m e m b e r s .
( B u s i n e s s & P r o f e s s i o n s C o d e 1 3 6 6 0 ) :
S t a t e l a w r e q " i r z s s e r v i c e s t a t i o n s t o r e f u e l a M i s u s e i s a m i s d e m e a n o r ( s e c t i o n 4 4 6 1 V C ) a n d c a n
d i s a b l e d p e r s o n s v e h i c l e a t s e l f - s e r v i c e r a t e s r e s u l t i n c a n c e l l a t i o n o r r e v o c a t i o n o f t h e p l a c a r d , l o s s
e x c e p t s e l f - s e r v i c e f a c i l i t i e s w i t h o n l y o n e c a s h i e r . o f p a r k i n g p r i v i l e g e s , a n d / o r f i n e s . 0 0 3
O P P 0 0 0 R e v ( 4 .
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To obtain proof of correction, send this certificate of correction along with $10.00 per violation to the addressrlocated on the front of this
CERTIFICATE OF CORRECTION
Section Certified By I IDN
Date
To Request a Hearing:
If you are dissatisfied with the results of the Administrative Review, you may request an Administrative Hearing by followingthe 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,CitationProcessit)gCenter.com or via Mail using this form.
2. Remit payment for the Total Amount Due online at www.CitationProcessingCenter.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: 4%20/2018
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 BY 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:
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You may request an Administrative Bearing without payment of Total Amount Due upon satisfactory proof of inabil-
ity to pay. To request an Indigent Form, please sign here:
Signature Date:
Please select one of the following:
Hearing in Person
Hearing in Writing
Signature:
If you are requesting an Administrative Hearing, please provide a
phone number and/or email address where you can be reached if
necessp ol^
Phone:
Email:
(For more space, use a separate form)
I DECLARE UNDER PENALTY OF- PERIURY ThIATTHE FORGOING IS TRUEAND CORRECT.
Date:
PLEASE NOTE: NO ADMINISTRATIVC• HEARING WILL BE SCHEDULED IF THE CORRECT PENALTY AMOUNT DOES NOT ACCOMPANY REQUEST.
Materials submitted with an Administrattve Hearing Request will not be returned.
If you have requested a Hearing In Person or by Telephone, the Hearing Schedule Date, mean 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 farm within 24
weeks. _