Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule R-1.005(3), you are hereby <br />notified that you art prohibited from (check box) <br />V <br />The basis for this Notice of Restriction of Use is that on j4,—TlLq—, you violated Section <br />and Open Space Rules, andJor Section q <br />of the E ugene Code, 1971, andJor ORS <br />(Description of the violation.) <br />To wit, you <br />!4-1 V -1) Z <br />102-11 <br />This restriction arrest is effective beginning on *7, and shall remain in effect until <br />If you enter in or use any City of Eugene park open space or facility during the effective period of this Notice, you tnay be <br />arrested and charged with criminal trespass in the second degree. <br />Pursuant to Park and Open Space Rule R-1,074 you are entitled to an informal hearing to contest this Notice, A request for an <br />informal hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division Director" <br />within 48 hours (cxclusive of weekentls of receipt ofthis Notice at the following address. 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />consider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to the <br />incident. The Division Director may exclude anyone, other than you and those presenting testimony, from the infomial hearing. <br />This Notice shall remain In effect pending any requested hearing. <br />This Notice of Exclusion was delivered to the person named at the top of this Notice at the date and tirric shown above by: <br />A/t/o <br />(Sig ture of person issuing/defiverin n <br />g otice) <br />I ture <br />I V <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />(Signature of person being issued the notice) <br />Whae [t ray: Puhhc Work, Green Copp: File Yellow Copy: RcTori Copy Pink Copy� Recipient Gold Copy 0 Ifficer Appeal notic Rcv, 04'03 <br />Name: Last First k—liddle <br />DO B <br />Race/Sev <br />Address City <br />State <br />I Zip <br />Res. Phone: <br />WOTk Phone. <br />La rtes. <br />Under the authority of Administrative Order No. 58-03-24-F and Park and Open Space Rule R-1.005(3), you are hereby <br />notified that you art prohibited from (check box) <br />V <br />The basis for this Notice of Restriction of Use is that on j4,—TlLq—, you violated Section <br />and Open Space Rules, andJor Section q <br />of the E ugene Code, 1971, andJor ORS <br />(Description of the violation.) <br />To wit, you <br />!4-1 V -1) Z <br />102-11 <br />This restriction arrest is effective beginning on *7, and shall remain in effect until <br />If you enter in or use any City of Eugene park open space or facility during the effective period of this Notice, you tnay be <br />arrested and charged with criminal trespass in the second degree. <br />Pursuant to Park and Open Space Rule R-1,074 you are entitled to an informal hearing to contest this Notice, A request for an <br />informal hearing must be made in writing and filed with the Parks & Open Space Division Director ("the Division Director" <br />within 48 hours (cxclusive of weekentls of receipt ofthis Notice at the following address. 1820 Roosevelt, Blvd., Eugene, OR <br />97402. <br />consider testimony from you, City personnel involved in the incident that resulted in this Notice, and other witnesses to the <br />incident. The Division Director may exclude anyone, other than you and those presenting testimony, from the infomial hearing. <br />This Notice shall remain In effect pending any requested hearing. <br />This Notice of Exclusion was delivered to the person named at the top of this Notice at the date and tirric shown above by: <br />A/t/o <br />(Sig ture of person issuing/defiverin n <br />g otice) <br />I ture <br />I V <br />I hereby acknowledge receipt of the above Notice on the date and time indicated above. <br />(Signature of person being issued the notice) <br />Whae [t ray: Puhhc Work, Green Copp: File Yellow Copy: RcTori Copy Pink Copy� Recipient Gold Copy 0 Ifficer Appeal notic Rcv, 04'03 <br />