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, , CITY OF TEMPLE CITY
-2REQUEST FOR ADMINISTRATIVE REVIEW - PARKING CITATION
fir 144
To request an administrative review of your parking citation, complete SECTIONS 11 21 AND 3. This request must be
made with 27 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. On III III
led
SECTION 1 (NJ II
x`ds)1Q.�� I•S I'G� ' Z'Z� 2U �- License Plate No.: �
f:lratinn No. I tX Ul Issue Date
Code S1ecti
Almnn• L
�— Apt. No,: City:
o, Zip Code: Phone No,
SECTION 2
List all pertinent information as to why you believe this
_..w...�ae.r will hp retained by the
SECTION 3
By signing b
violation was issued in error or should be dismissed.
C1 < the dk;
-(-,`M c ..e 41.17 - )i
I certify or declare under the penalty of perjury that the foregoing statements are true and correct to the
FOR OFFICE USE ONLY
ReI By: D
Notes:
Su��l'I
2 2 2017 I QUI
M
CITATION: T030004513
Location: 5916 MUSCATEL AVE
Plate: State: CA
VIN:
Make: HONDA
Body: HATCHBACK
Color: RED
Violation 1:
OVERNIGHT.PARKING 2-5 AM
Code: 3-3A-20 TCMC
Amount: $55.00
*** TOTAL FINE: $55.00 ***
Comments:
NO PERMIT DISPLAYED/VISIBLE
PLEASE SEE REVERSE FOR INSTRUCTIONS
Issued: 22/17 2:400-5—AM
Officer: 113
TEMPLE CITY
OVERNIGHT PARKING
Ol NIGHT mull
LICENSE PLATE
Trans; 039520
Time; 039520
Date; FEB 22 2017
/Cost; $ 3.00
Paid; $ 3.00
Card: ************421
Auth; 04642C
-------....--------------
PERMIT EXPIRES;
FEB22 2017
5:.59AM
- ------ -
---------------
DISPLAY
ON
DASHBOARD
S I DR DRIVE'S
Of 7EMP�f
Cq l ppN��' 9701 LAS TUNAS DRIVE • TEMPLE CITY • CALIFORNIA 91780-2249 • (626) 285-2171
Date: 11
Name: L 4 C 0 l h
Subject: Citation No. -ry 3 060 q 6 !3
Notice of Administrative Hearing
Your request to appear at an administrative hearing to dispute your parking citation
No. Vo S000 q5 is scheduled for Wednesday, A yr i io2 2017 at
7:30 p.m.
Please report to the City Hall Council Chamber located at, 5938 Kauffman Avenue, on the date
and time listed above. If you need additional information, please call the, Public Safety Division
It (626) 285-2171.
Temple City Public Safety