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AGENDA
General Information
Citation 7020002028 Dam 02110/17 Timei 07:10 AM
Amt Owing this Citation: $0.00 This Personal This Plato: $0.00
Issuing Agency:/ Temple City Depl:l Parking
Slalus:� ON HOLD 03121/17: Hearing -Request Accepted,
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Number! tofi
Responsible Party Information
Atldreec:
Clly/Slale2lp:
Show all Panels I Hitle all Panals
Cimllon Informelion
Type
Review Request
02/14/17
Accepted
03102117
Plate:
4974N Stale: CA Ver.
1
VIN:
03/08117
Generate
Make!
TOYT Color. WHT Body: 4 DOOR
Permll:
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lse om I
Location:
6137CAMELLIAAVE M t r.
Badgelk
112
Comments:
NO PARKING BAM-I IAM- STREET SWEEPING -Photos Taken
Reg Exp,
Violation Informallon
Bail Code Descipllon Ball Amount
16.20.070 LACC OBDEDIENCE TO TRAFFIC SIGNS $68.00
m Fee History
GI Payment History
Dale Dasulpllon i Appellant
LINDA CANZONERI
'APPEAL TAKEN AT THE COUNTER
Vlolalion Upheld
l
Reylewer. BA. Violation Upheld, Violator must respond by 312 712 01 7.
Mall Dale: 316/2017~ Valid Citation, Argument presented on appeal does
not Invalidate violation.
LINDA CANZONERI
HEARING REQUEST SENT TO AGENCY FOR PROCESS - WRITTEN
OB Citation History
Type
Review Request
02/14/17
Accepted
03102117
Violation Upheld
Anneal Letter
03/08117
Generate
Hearing Request
03/21/17
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Accepted
Appeal Uploaded Files
32579910
land/ 32579810 2.0d
haps://www.citationprocessingcenter.com/agency-citation-found.aspx 5/2/2017
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haps://www.citationprocessingcenter.com/agency-citation-found.aspx 5/2/2017
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CITATION: �rO20002028
Location: 6137 CAMELLIA
CAE
Plato:
Make: TOYOTA
Body: 4 DOOR
Color: WHITE
Violation 1:
OBDEDIEN15.20.TRAFFIC
070 CCSIGNS
Code:
Amount: $55.00
***
TOTAL FINE: $55.00 ***
comments:
SWEEPIINGNGPIot slAMTakeSTREET
PLEASE SEE 'REVERSEFOIL' INSTRUCTIONS
Issued: ----210!17 7:10x26 AM
Officer: 112
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Citation Processing Center: Citation Images
RETURN
Page 5 of 5
https://www.citationprocessingcenter.com/CiteImage.aspx 5/2/2017
To obtain proof of correction, send this certificate of correction along with $10.00 per violation to the address located on the front of this form.
CERTIFICATE OF CORRECTION
:Section Certified By Ion Date
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.CitationProcessingCenter.com or via Mail usingthis form.
2. Remit payment for the Total Amount Due online at www.CitationProcesshtgCenter.com or via Mall 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: 3/27/2017
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 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:
ity to pay. To request an Indigent F lease sign here:
Signature:
Please select one of the following:
Hearing in Person
Hearing in Writing
you are requesting an Administrative Hearing, please provide a
hone number and/or email address where you can be reached if
ecessary:
(For more space, use a separate form)
I DECLARE UNDER PENALTY OF PERJURY THAT THE FORGOING IS TRUE AND CORRECT.
Signature: Date:1����•
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 Hearing In 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 24 weeks,
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ity to pay. To request an Indigent F lease sign here:
Signature:
Please select one of the following:
Hearing in Person
Hearing in Writing
you are requesting an Administrative Hearing, please provide a
hone number and/or email address where you can be reached if
ecessary:
(For more space, use a separate form)
I DECLARE UNDER PENALTY OF PERJURY THAT THE FORGOING IS TRUE AND CORRECT.
Signature: Date:1����•
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 Hearing In 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 24 weeks,
CITY OF TEMPLE CITY
4
REQUEST FOR ADMINISTRATIVE REVIEW -PARKING CITATION
ro
N
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 Citv, CA 91780,
FOR OFFICE USE ONLY
FEB 13 2017
S
By
Received By:
Notes:
SECTION 1
Citation No. U
Q Issue Date: ^
d 6 `
License Plate
No.: v
Code Section s1:
O�) 10 L Ar" C -
Name: 1 Cl G
C
I
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f
Address:
Apt.
No.:
Citi
`— `
nn
State: Cr1
Zip Code:
Phone 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,
S r�
Date: J
Signature:
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FOR OFFICE USE ONLY
FEB 13 2017
S
By
Received By:
Notes: