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F ENTERED <br />CASE #: 1 2-9499 <br />4 <br />ROUTED BY: 543 <br />CAD #: 46654 <br />(T CUSTODY <br />F LODGED <br />I- C <br />c <br />I (- J <br />Pat Assign <br />_ <br />CITY STATE ZIP . I <br />, / <br />iv <br />l sue. <br />OTHER: <br />CHARGE VIO PARK RULES <br />pinterpreter Se�No: Page .-L— of _2 n <br />OREGON UNIFORM CITATION AND COMPLAINT m cn <br />CRIMINAL ANDATORY APPEARANCE (SEE BACK.) ON- TRAFFIC D <br />13VIOLATION @OPTIONAL APPEARANCE (SEEBACK.) ® RAFFIC Z <br />STATE OF OREGON icipal <br />StC b' ® Juvenile -2727 Centennial Blvd. <br />CITY OF EUGENE 0Circuit -125 E. 8th Ave. See (Reverse Side.) <br />COUNTY OF LANE ® Central Lane Justice -220 51h, Spfld I Other court, see below <br />" ' ,�` T I INDER51CaNED,_CE9TIEIES AND;SAY$ <br />NAME: LA^ r T MIDDLE <br />7yv�nJ 11JAWJN C. <br />ADDRESS <br />PHONE <br />_ <br />CITY STATE ZIP . I <br />, / <br />iv <br />l sue. <br />`v\ <br />Yz� SSN OR OTHER ID EMPLOYMENT /SCHOOL <br />- <br />t: <br />Z DRIVER LICENSE NO. <br />STATE <br />■ COL <br />B EMPLOYED TO DRIVE <br />�.. <br />° .",f.?�i�,+,•. <br />■ NONCDL <br />.PASSENGER <br />DATE BI ` RAC SEX HEIC�HT� WEIGHT R <br />►yr g S y 2vona v <br />(i� <br />_� <br />94 l�Af yf#Etp1 pWI1JGTt L Dt , _;CE} INS : bV� MEPIT►OfiIED'fATE�AND E OUNTYi= <br />. <br />I mo+ OFFENSE DATE MONTH DAY Y � ■AM's <br />Z 1`F> d�m vlT <br />• ON OR ABOUT: [' . <br />r AT OR 71 LOCATION: ■ SAFETY <br />CORRIDOR <br />IBS <br />r <br />UID � P `f}tE� L },�Fj�.C $�E,S4OPEN�?TO,,,�'G}1 ;PU�UC•'�`� <br />VEHICLE LICENSE NO. STATE 0 DRIVER NOT ACCIDENT: 0 PEFSONAL INJURY <br />REG. OWNER OPROPERTY DAM AGE <br />-n <br />VEH.YR. MAKE MODEL STYLE <br />° <br />m PUC NO. - ■PEDESTRIAN ■ HAZ MAT <br />■BICYCLE .O COL RELATED <br />.. <br />_ ..... _ _.., y <br />WUiT FlEN ! ;P O �'SE(51 ' #�"M� <br />/� 0 V SPD D ■RADAR <br />1. VIOLATED IO. BASIC RULE ZONE/PSTD SP <br />ORS/ / 9 ■VIO. DES SPD ■LIDAR <br />.u� <br />(C . . <br />ORD.RULEf !� 0PACE <br />s <br />CHAP 6 1y PRES. <br />2 VIOLATED CHARGE <br />` (a O'W - <br />Fes PRES. FWE/SEC. <br />A VIOLATED CHARGE <br />PRES. FINE/SEC. <br />"z <br />I CERTIFY UNDER ORS 153.045 AND 153.090THAT i HAVE $UFFIGENT GROUNDS TO AND DD BELIEVE THATTHE ABOVE <br />MENTX�NED PER COMMITTEDTHE ABOVE OFFENSES) AND I HAVE SERVED THE PERSON WRIT THIS C <br />\ SO O N <br />LUTE ISSUED OFFICERS SIGNATURE - OFFICER AD <br />NAME OFARRESTING PERSON, IF NOT OFFICER <br />g4 a <br />MO. DAY YEAR 'TIME 0AM LOCATION (IF NOT LIST ED ABOVE):' <br />o6 11 Z <br />X50276 <br />