FLORIDA UNIFORM TRAFFIC CITATION

A7NHUDE 

 

 

 

 

 

COM LAI NT

WHEN PRESENTED TO VIOLATOR, THE FOLLOWING AMOUNT WAS
ENTERED.

PAY A CIVIL PENALTY IN THE AMOUNT OF 35
CASE NO

DOCKET NO PAGE NO

DATE COURT ACTION AND OTHER ORDERS

 

 

 

 

 

 

 

 

 

 

 

 

BAIL FIXED AT OR CASH DEPOSIT OF 

 

SIGNATURE OF PERSON GIVING BAIL

 

SIGNATURE OF PERSON TAKING BAIL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

COUNTY OF Elm FHP FD. 3(3) 3.0, Ci (4) OTHER
PALM BEACH FLORIDA HIGHWAY PATROL
CITY OF (IF APPLICABLE)
IN THE COURT DESIGNATED BELOW THE UNDERSIGNED CERTIFIES THAT HEISHE COMPLAINT
HAS JUST AND REASONABLE GROUNDS To BELIEVE AND DOES BELIEVE THAT ON (RETAINED BY COURT)
DAY OF WEEK MONTH DAY YEAR AM
WED 05 24 I 2017 I 08:33 PM
NAME (PRINT) FIRST MIDDLE LAST
ALSON JAC QU ET
STREET IF DIFFERENT THAN ONE ON DRIVER LICENSE HERE
PO BOX 8084 I
CITY STATE ZIP CODE
DELRAY BEACH FL I33482
TELEPHONE NUMBER DATE OF MCI DAY YEAR RACE SEX HGT
BIRTH 01 20 980 601
J230000800200
3552:: STATE CLASS COL LICENSE YR. LICENSE EXP. VEHICLE
FL I DIES .10 20 DES .on
YR VEHICLE MAKE STYLE COLOR PLACARDED HAZ. MATERIAL
2005 MERC 4D WHI U55 
VEHICLE LICENSE NO TRAILER TAG NO. STATE YEAR TAG EXPIRES I6 PASSENGERS
YBOHCA FL 2019 DES [0
UPON A PUBLIC STREET OR HIGHWAY, OR OTHER LOCATION, NAMELY 
NB SR9 5 OF SR 882 IZIIO
COMPANION CITATIONIS)
ES ENG
FT MILES UV CE. CF DIV OF NODE 
DID UN LAWFU LLY COMMIT THE FOLLOWING OFFENSE. CHECK ONLY ONE OFFENSE EACH CITATION.

 

 

 

DINLAWFUL SPEED

(DNTERSTATE I ISCHOOL ZONE

SPEED MEASUREMENT DEVICE:

MPH SPEED APPLICABLE MPH
ECONSTRUCTION WORKERS PRESENT 

EARELESS DRIVING BEHILD RESTRAINT XPIRED DRIVER LICENSE

IOLATION OF TRAFFIC AFETY BELT VIOLATION IX MONTHS OR LESS
ONTROL DEVICE MPROPER 0R UNSAFE XPIRED DRIVER LICENSE
AILURE TO STOP AT OUIPMENT MORE THAN SIX MONTHS
A TRAFFIC SIGNAL TAG VALID DRIVER LICENSE
QIPROPER LANE CHANGE SIX (6) MONTHS OR LESS RIVING WHILE LICENSE
COURSE FRED SUSPENDED OR REVOKED

RIVING UNDER
HE INFLUENCE

DPassenger Under 18 

TAG
MORE THAN SIX MONTHS

DMPROPER PASSING

PROOF OF INSURANCE
JIOLATION OF RIGHT-OF-WAY

 

BAL
OTHER VIOLATIONS OR PERTAINING TO OFFENSE: REFEXAM
FAILURE TO OBEY HIGH OCCUPANCY VEHICLE (HOV) LANE REQUIREMENT. DIES .NO
CTR MED DL SEIZED
IN0
IN VIOLATION OF SECTION SOD-SECTION

 

 

AGGRESSIVE DRIVING

 

 

STATE STATUTE

CRASH PROPERTY DAMAGE INJURY TO ANOTHER SERIOUS BODILY INJURY TO ANOTHER FATAL
EYES EYES IS EYES EYES ENG DES ENG

CRIMINAL VIOLATION. COURT APPEARANCE REQUIRED. AS INDICATED BELOIN.

316.0741 (3)

 

 

 

 

 

INFRACTION. COURT APPEARANCE REQUIRED AS INDICATED BELOW

A7NHUDE

INFRACTION WHICH DOES NOT REQUIRE APPEARANCE IN COURT.

CIVILPENALTV 15$ 166-00
PALM BEACH NORTH COUNW COURTHOUSE

FINE IN THE AMOUNT OF RECEIVED AS
REQUIRED BY COURT SCHEDULE

SIGNATURE OF CLERK

CONTINUANCE TO REASON
CONTINUANCE TO REASON

 

BON ESTREATED

 

 

WARRANT ISSUED

 

 

VIOLATOR FAILED TO LICENSE SUSPENDED

 

 

 

3188 PGA BLVD. 
LOCATION

PALM BEACH GARDENS, FL 33410 561-624-6608

 

ARREST DELIVERED T0 DATF

I 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.

 

 

SIGNATURE OF VIOLATOR (SIGNATURE IS REQUIRED IF REQUIRES AN APPEARANCE IN 

TROOPER P.L. ASSAROUPE 2154 I.
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. 

 

 

 

 

 

 

VIOLATOR ARRAIGNED ON (DATE)
PLEA:
FINDING:
ADJUDICATTON:
SENTENCE: FINE COST
JAILED DAYS
DRIVER IMPROVEMENT SCHOOL
OTHER
DRIVER LICENSE SUSPENDED OR REVOKED FOR DAYS
RECOMMEND DRIVER LICENSE SUSPENSION FOR DAYS

ECOMMEN RE-TEST

 

 

SIGNATURE OF JUDGE

 

TESTIMONY - NOTES (OR OTHER COURT ORDERS):

 

APPEAL BOND OF 

 

FINGERPRINT
APPLICABLE