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CITATION - i+
State of Minnesota Ramsey DisVict Court ' i
City of '
' Citation# I IIIIII IIIII IIIi)(�II�IIII IIIII IIIII II�I IIIII IIIII IIII��III III)I�
620900215505 620900215505
DL Number State
❑MN ❑CDL
Name
First Middle Last
Address— Street,Apt#
City Sta�e Zip
DOB(mm/dd/yyyy) Eyes Height Weight Sex Race Ethnicity
Vehicle License No. Plate Year State Make Type Model Color ''
Date of Offense Time of Offense ❑Aa�;ident/Crash
A
❑Properry ❑Injury ❑Fatal ❑Pedestnan �
Parking Meter Number Neighborhood Co�e ❑ Housing/Building Code N
�
❑Booked �ParWOperate ❑Owner ❑Passenger ❑Driver O
Offense Location �
No 1 Offense Statute/Ordinance
� �
C�1
NO 2 OffeflSe Stamte/Ordinance Q
�
No 3 Offense Statute/Ordinance �
O Speed 169.14(subd ): mph zone
❑No Seat Belt Use 169.686.1(a) ❑No Proof of Insurance 169.791(2)
AC Taken—AC: Test type: ❑ Refused ❑ Breath ❑ Blood ❑ Urine
0 Hazardous Material (DOT) ❑Unsafe Conditions ❑School Zone
❑Endangering Life & Property ❑Work Zone ❑Commercial Veh. DOT#
Identification: ❑DL ❑DVS Web ❑Photo ID ❑Other
See back of citation for information on paying your fine. �
If cited for No Proof of Insurance or No Driver's License in Possession. Proof of Insurance and/or' o
Driver's License must be shown at one of the�Violations Bureau locations !isted on the back of this
citation within 21 days from the date the citation is filetl with the Court.
Please read the back of this citation carefully and respond.
Officer(s)Name(s)
Officer No(s). CN# ; Citing Dept
How Issued ❑In Person ❑Mailed �Left at Scene
�
DEFENl�ANT
� To find out if your citation is payable without a court appearance,how much to pay,or to pay
your fine,choose one of the following methods:
. • Onlirie: Access 2ndwebpay.courts.state.mn.us
• By Phone: Call 651-266-9202
'You will need your citation number—VISA and MasterCard accepted.'
• Maii Payments To: Ramsey District Court
Traffic Violations Bureau
15 West Kellogg Boulevard-Room 130
St.Paul,MN 55102
Make checks payable to: Ramsey District Court
(A charge of up to$30.00 will be assessed on all returned checks)
^ Violations Bureau Locations
St. Paul Court Suburban Court Law Enforcement Center
15 W. Kellogg Bivd., Rm 130 2050 White Bear Avenue 425 Grove Street
� St. Paul, MN 55102 Maplewootl, MN 55109 St. Paul, MN 55101
� � Office Hours: 8:Q0 AM -4:30 PM Montlay-rriday(Exclu�ing Holidays)
�— -- fi�:.^.g�bsers--&y��,.^.�iaY�„2*�t a:»y. �-�U'�f'i51-266-92G?1 -
Payment and Penalties
If you wish to plsatl guilty and submit payment for the offense(s)on the reverse side of the citatior,you must
do so evithin 21 days from the date the citation is filed with the Court. It is your responsibility to preserT your
payment in a timely manner. Please allow 5 busin2ss days for processing.A$5.00!ate fee is added to all
unpaid fine balances.After 40 days from the date the citation is filetl with the Court,an adtlitionai tlelinquent
fee may be added to all unpaid fine amounts.
Atlditional Penalties rriay include: 1) referral to the Department of Public Safety for driver's license suspension,
2) referral to a collections agency,antl/or 3)arrest warrant issuetl.
If ihe offense is a petty mistlemeancr,failure to appear will be considered a plea of guilty and waiver af the right to
trial un!ess the failure to appear is due to c;rcumstances beyo�d the persor's control(IN.S.169.9?)and{M.S.009.491)
Appeal
To plead rot guilty. or to plead gui�iy ard offer an explanstion,take the follo!Ning steps:
�� 1) after?0 �usiness days, call 65i-266-9202 to confirm that the citation has been�iled wilh the Court,and
2) request a hearing officer appoi�tment.You mest have a phote ID�^�ith you wher maeting with a H2aring
Officer.
f
. -
I under�tand that D;, +��•,this fine I am entering a plea of guilty to this offense(s)and voluntarily waive the
following rights to:
a. a trial to the court, if offensE ^ petty mistlemeanor,
b. a trial to the court or to a jury�• ��rsons,if the offense is a misdemeanor,
c. representation by counsel,if the on,, '>a misdemeanor,
i d. a presumption of innocence until proven �;,iy beyond a reasonable doubt,
e. confront and cross-examine all witnesses against me,antl
f. either remain silent or to testify in my own behalf.
I also understand that if this offense is a petty mistlemeanor,the maximum possible sentence is$300.00;
if this offense is a misdemeanor,the maximum possible sentence is a$?,000.00 fine and/or 90 days imprisonment.
l