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ON HOLD 08/03/17: Hearing -Request Accepted.
General Information - Responsible Party +
Citation Number: TC030001388 Date: 06/07/2017 Time: 2:47AM
Owing (this citation): $0.00 This person: $0.00 This plate: $0.00
Agency: Temple City
Department: Parking
Original Citation Information -
Plate: 6GPP989 State: CA Year:
Make: TOYT Color: WHT Body: SUV
Reg, Exp: 06/2017 Permit: Meter:
Location: 5340 PAL MAL AVE
Comments: NO PERMIT DISPLAYED/VISIBLE
(vehicle history)
V1N: 6798
Model: HIGHLANDER
Badge: 113
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Appeal Documents
1111777111
Violation Information - Charges, Fees and Adjustments +
Municipal Code Description Amount
3-3A-20 TCMC OVERNIGHT PARKING 2-5 AM $55.00
Payment Information +
Notice History +
Appeal Information +
Transaction History +
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Citation: TC030001388
Location:,
5340 RAL MAL AVE
Plate:
6GPP989 State: CA
VIN:
6798
Expire:
06/2017
Make:
TOYOTA
Model:
HIGHLANDER
Body:
SUV
Color.
WHITE
Violation 1:
OVERNIGHT PARKING 2-5 AM
Code: 3-3A-20 TCMC
Amount: $55.00
**'TOTAL FINE; $55,00 ***
Comments:
NO PERMIT DISPLAYEDNISIBLE
PLEASESEE REVERSE FOR INSTRUCTIONS
Issued: 06/07/2017 02:47 AM
Officer: 113
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To obtain proof of correction, send this certificate of correction along with $10,00 per violation to the address Ionated on the front of this
Section
Certified Ry
CERTIFICATE OF CORRECTION
IDN
Date
To Request a l Fearing:
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.CiWtionProressingCenteccom or via Mail using this form.
2. Remit payment for the Total Amount Due online at wwwCitationProcessingCenter:com or via Mail using this form. PLEASE NOTE: No
Nearing will be scheduled if the correct Total Amount Due does not accompany the Administrative Hearing
Hearing Request Received By: 7/27/2017
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 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 l3Y WRITTEN'DECLARATION
I am requesting a hearing to contest the citation Indicated on the frgnt of this form. I choose to contest by writCen
declaration. The reason I am contesting this citation is:
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You mayrequest an Aclministratiye Hearing without payment of TotaPAmountbue upon satisfactory proof of inabil-
ity to pay. To request an Indigent Form, please sign here:
I'gnature;
. DatA:
Please select one of the'following:
Hearing in Person
_ Hearing in Writing
If you are requesting an
(For
Administrative Hearing, please provide a
phone number and/or email address where you can he reached if
necessary:
Phone: _
Email _
more space, use a separate form)
I DECLARE i mrnFP-;raniaJTvtiF UFR a iRv THAT TFIE FORGOING I5 TRUE AND CORRECT:
Signature: U / Date:
PLEASE NOTE: NO ADMINISTRATIVE HEARING VL 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 Admin(strative Hearing will be mailed to you at the address located on the front of this farm within 2.4weeks.
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i
You mayrequest an Aclministratiye Hearing without payment of TotaPAmountbue upon satisfactory proof of inabil-
ity to pay. To request an Indigent Form, please sign here:
I'gnature;
. DatA:
Please select one of the'following:
Hearing in Person
_ Hearing in Writing
If you are requesting an
(For
Administrative Hearing, please provide a
phone number and/or email address where you can he reached if
necessary:
Phone: _
Email _
more space, use a separate form)
I DECLARE i mrnFP-;raniaJTvtiF UFR a iRv THAT TFIE FORGOING I5 TRUE AND CORRECT:
Signature: U / Date:
PLEASE NOTE: NO ADMINISTRATIVE HEARING VL 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 Admin(strative Hearing will be mailed to you at the address located on the front of this farm within 2.4weeks.
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