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CITY OF NORTHAMPTON NOTICE OF VIOLATION
OF CITY ORDINANCE RULE OR REGULATION
DATE OF THIS NOTICE £ T
NAME OF OFFENDER -^"" i
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CITY; TATE, ZIP CO -
!,`. DATE OF BIRTH OF OFFENDER
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MY OPERATOR LICENSE NUMBER VEHICLE REGISTRATION NUMBER
OFFENSE: f 4' ( r y;,+1 C.) f�
TIME AND DATE OF VIOLATION
A.M. P.M. ty
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SIGN ( ATURE:Qf NNFQFIQI PE�S�Nj' ENFORCING OEPAR ENT t
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�I HEREBY ACTOWLEDGE RECEIPT OF THE FOREGOING CITATION
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THE NONCRIMINAL FINE FOR THIS OFFENSE IS $ l (- L r
YOU HAVE THE FOLLOWING ALTERNATIVES IN THIS MATTER:
Either option (1) or option (2) will operate as a final disposition, with no resulting c urinal record.
(1) You may choose to pay the above fine, either by appearing in person or
through a duty authorized agent or by mailing a check, money order or postal mote
WITHIN 21 DAYS OF THE DATE OF THIS NOTICE to:
Northampton City Clerk
210 Main Street
Northhampton, MA 01060
(2) If you desire to contest this matter, you may do so by making a written
request for a noncriminal hearing, and enclosing a copy of this citation, WITHIN 21
DAYS OF THE DATE OF THIS NOTICE to:
Clerk -Magistrate
Northampton District Court
15 Gothic Street
Northampton, MA 01060
Atm: 210 Noncriminal Hearings.
(3) If you fail to pay the above fine or to request a hearing within 21 days, or it
you fail to appear for the hearing or to pay any fine determined at the hearing to be due,
a criminal complaint may be issued against you.
❑ I HEREBY ELECT THE FIRST OPTION above, confess the offense charged, and
enclose payment in the amount of $
❑ I HEREBY REQUEST A NONCRIMINAL HEARING on this matter.
Signature
SERVING OFFICER'S COPY
Postal
CERTIFIED MAIL RECEIPT
(Domestic Mail Only,- No insurance
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CITY OF NORTHAMPTON
OFFICE OF THE CITY CLERK
NOTICE OF PAYMENT OF NON -CRIMINAL VIOLATION
TO: CLERK/MAGISTRATE
NORTHAMPTON DISTRICT COURT
15 GOTHIC STREET
NORTHAMPTON, MASSACHUSETTS 01060
Payment for the following non -criminal violations has been made to this office as
follows:
TICKET # ISSUED TO
— I eaay ffiFonczyk
765 Florence Road
Northampton, MA 01060
DATE OF ISSUE FINE
May 5, ZUUJ $°fIIiJ.00
(Wetland Violation)
Please enter these violations as "PAID" in your records. Your cooperation is
greatly appreciated.
947 e
Christine Skorupski
City Clerk
Date : May 20, 2003