FLORIDA UNIFORM TRAFFIC CITATION A51X06E COMPLAINT WHEN PRESENTED TO THE VIOLATOR, THE FOLLOWING AMOUNT WAS ENTERED. COUNTY OF OTHER A PALM BEACH FLORIDA HIGHWAY PATROL CITY CASE NO DOCKET NO PAGE NO LAKE WORTH IN THE COURT DESIGNATED BELOW THE UNDERSIGNED CERTIFIES THAT HEISHE HAS JUST AND REASONABLE GROUNDS TO BELIEVE AND DOES BELIEVE THAT ON DATE WEEK MONTH DAY YEAR AM. MON 03 07 2016 I 08:03 DPM NAMEPNNTI FIRST MIDDLE LAST BAIL FIXED AT OR CASH DEPOSIT OF ALSON JACQUET STREET IF DIFFERENT THAN ONE ON DRIVER LICENSE HERE 236 SE 3RD AVE CITY STATE ZIP CODE SIGNATURE OF PERSON GIVING BAIL DELRAY BEACH FL 33483 TELEPHONE NUMBER DATE OF MO DAY YEAR RACE SEX HGT BIRTH 01 20 1980 601 SIGNATURE OF PERSON TAKING BAIL 32:; J230000800200 NUMBER STATE CLASS YR. LICENSE EXP. ERCIAL - LE FL Es 2020 Es 0 YR. VEHICLE MAKE STYLE COLOR PLACARDED HAZ. MATERIAL 2011 VOLK 4D BLK Des Elm REQUIRED BY COURT SCHEDULE VEHICLE LICENSE NO TRAILER TAG NO. STATE YEAR TAG EXPIRES 16 PASSENGERS 473KLT FL 201 7 as UPON A PUBLIC STREET OR HIGHWAY, OR OTHER LOCATION, NAMELY 1-95105 OF 1am AVE. (jigs SIGNATURE OF CLERK COMPANION ES 0 FT MILES as DE EN OF ME CONTI NUANCE TO REASON DID UNLAWFULLY COMMIT THE FOLLOWING OFFENSE. CHECK ONLY ONE OFFENSE EACH CITATION. DJNLAWFUL SPEED MPH SPEED APPLICABLE MPH CONTI NUANCE To REASON DCONSTRUCTION WORKERS PRESENT) DNTERSTATE I ISCHOOL ZONE SPEED MEASUREMENT DEVICE: DEARELESS DRIVING DOHILD RESTRAINT EIEXPIRED DRIVER LICENSE IOLATION OF TRAFFIC EAFETY BELT VIOLATION (6) MONTHS OR LESS CONTROL DEVICE XPIRED DRIVER LICENSE MPROPER OR UNSAFE AILURE TO STOP AT QUIPMENT MORE THAN SIX (6) MONTHS A TRAFFIC SIGNAL EXPIRED TAG VALID DRIVER LICENSE DMPROPER LANE CHANGE SIX (6) MONTHS OR LESS RIVING WHILE LICENSE OR COURSE XPIRED TAG SUSPENDED OR REVOKED RIVING UNDER HE INFLUENCE Passenger Under 18 BAL MORE THAN SIX (6) MONTHS 0 PROOF OF INSURANCE DMPROPER PASSING IOLATION OF RIGHT-OF-WAY BOND ESTREATED WARRANT ISSUED VIOLATOR FAILED TO APPEAR-DRIVER LICENSE SUSPENDED OTHER VIOLATIONS OR COMMENTS PERTAINING TO OFFENSE: FAILURE TO OBEY HIGH OCCUPANCY VEHICLE (HOV) LANE REQUIREMENT DL SEIZED IN VIOLATION OF STATE STATUTE SECTION 316.0741(3) SUB-SECTION DAGGRESSIVE DRIVING DIES N0 N0 CRASH PROPERTY DAMAGE INJURY TO ANOTHER DYES ENC DYES ENG SERIOUS BODILY INJURY TO ANOTHER FATAL ES NO ES NO CRIMINAL VIOLATION. COURT APPEARANCE REQUIRED. AS INDICATED BELOW. INFRACTION. COURT APPEARANCE REQUIRED. AS INDICATED BELOW. INFRACTION WHICH DOES NOT REQUIRE APPEARANCE IN COURT. A51X06E CIVIL PENALTY 166-00 PALM BEACH SOUTH COUNTY COURTHOUSE 200 WEST ATLANTIC AVE. COURT LOCATION DELRAY BEACH, FL 33444 561?274?1530 ARREST DELIVERED TO DATE AGREE AND PROMISE TO COMPLY AND ANSWER TO THE CHARGES AND INSTRUCTIONS SPECIFIED IN THIS CITATION. WILLFUL REFUSAL TO ACCEPT AND SIGN THE CITATION MAY RESULT IN ARREST. UNDERSTAND MY SIGNATURE IS NOT AN ADMISSION OF GUILT OR WAIVER OF RIGHTS. IF YOU NEED REASONABLE FACILITY ACCOMMODATIONS TO COMPLY WITH THIS CITATION, CONTACT THE CLERK OF THE COURT. VIOLATOR ARRAIGNED ON (DATE) PLEA: FINDING: ADJUDICATION: SENTENCE: FINE COST JAI LED DAYS DRIVER IMPROVEMENT SCHOOL OTHER DRIVER LICENSE SUSPENDED OR REVOKED FOR DAYS RECOMMEND DRIVER LICENSE SUSPENSION FOR DAYS RECOMMEN E-TEST SIGNATURE OF JUDGE TESTIMONY - NOTES (OR OTHER COURT ORDERS): SIGNATURE OF VIOLATOR (SIGNATURE IS REQUIRED IF INFRACTION REQUIRES AN APPEARANCE IN COURT) W- TROOPER J.J. MENARD 1519 APPEAL BOND OF RANK - NAME OF OFFICER BADGE NO. ID NO. TROOP I UNIT I CERTIFY THIS CITATION WAS DELIVERED TO THE PERSON CITED ABOVE HSMV 75901 (REV. 07/12) FINGERPRINT WHEN APPLICABLE