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F ENTERED <br />CASE #:11 - 21116 <br />ROUTED BY: 745 <br />CAD #: 1007061. <br />F CUSTODY <br />I F LODGED. <br />F C <br />F M <br />F CP <br />r ] <br />Pat Assign <br />Spec Inv <br />BASE FINEISEC. <br />DETT WILLIAMS <br />OTHER: <br />RESIST/VPR/ <br />CHARGE: CON + <br />❑ I nte rp reter Case No. [ I Page of �7 <br />n <br />OREGON UNIFORM CITATION AND COMPLAINT R <br />❑ C IMINAL ❑ MANDATORY APPEARANCE (SEE BACK.) N -TRAFFIC <br />> CD <br />1,5K IOLATION PTIONAL APPEARANCE (SEE BACK. ❑ TRAFFIC <br />STATE OF OREGON unicipal -777 Pearl St., Rm 194 El Juvenile-2727 Centennial Blvd.-I-I -P:b <br />CITY OF EUGENE '0 Gircuit -125 E. 8th Ave. See (Reverse Side.) Zip: 97401 Co <br />COUNTY OF LANE ❑ Central Lane Justice ---220 5th; Spfld ❑ Other court, see below <br />. .. ... - ......� ...... ... .. ........ .::.:.- .c.n.::.r.NC•: y,..s•. ....- ..e... -... e....�e Ka r.....:r r::..:r+w•r:�.:•.r... i.'..' e': KAY "..:e:u• w..:r..: .a �:. e. ....,.......�.. .... - ..:::i -: ".:..; .. -._ ..y...���...:v '.: ice.`.':" '..3 . <br />�' s..p „ t. �; f ; .3�� . ;, �:�,:�. ::,x- :.'' ":";:,..• r = i`i� uF.•.% fir::. i; =�:� „Y ';.'.�L <br />.'<- =:•..! �..y'.'s;F ,:t.4... G ? ..s: <br />wsa'•`:� ': 3 .:.;b, t..r .v r ? s'..:e •.irx.�:,. a`�P . _ {..� ` :: ?- '- '- ° .i.:� . x. -.'. <br />a'c. <br />FIE ND AY TH.. <br />E D • A <br />ND <br />FIRST MIDDLE g ;` <br />NAME: LAST RST <br />� a= <br />ADDRESS PHONE <br />R <br />p= <br />CITY STATE ZIP ' <br />w. <br />r "`% <br />' g SSN OR OTHER ID EMPL -" . <br />(]'�MENTISCHOOL .: <br />DRIVER LICENSE NO. STATE ❑ EMPLOYED TO DRIVE <br />,> <br />IZ3 El PASSENGER <br />DATE OF BIRTH RACE 5Ex HEIGHT WEIGHT HAIR EYES <br />w p <br />L, <br />�1 AT,THE Ft a = OVIIINGATIME�ANt?' PAGEINTHEABVEP�IIENTIQNEDSTATEANDGOLtNTY �- o <br />_ .f- .L- _......ay.. - - -�lL . .. . .... ... . ....�:a.. _i. m <br />OFFENSE DATE MONTH DAY YEAR TIME <br />I =' ON OR ABOUT: Lhd L{ 3 ❑ PM <br />r AT OR NEAR LOCH I `: ' ` :n <br />ern: <br />7 <br />S P,4 <br />� - <br />LID Ca3PEF 4TE' "M OLL c �NING�.VEHICLEf N7 A!HIGHINAYIPREMISES UPEN WT. H, E F'� U B�IC <br />�Cx•, z - :�wcc$ro� .��eC�a.- .a.:,aa� ...e..a� ..,.a.A,- ..,w�.53�+.... .�► a ,��.:�,r ^eAa+.s..s. �. f �„ ,.r xea:d�3 • <br />VEHICLE LICEN"O. STATE ❑ DRIVER NOT ACCIDENT: ❑ PERSONAL INJURY <br />REG. ❑ ❑ PROPERTY DAMAGE <br />VEH. YR: MAKE MOD STYLE COLOR <br />s' <br />it <br />" <br />4 <br />n PUC NO. , ❑PEDESTRIAN ❑ HAZ MAT <br />�. <br />— 1 BICYCLE ❑ C❑ . _ Y� <br />}f <br />L RELATE <br />bl d TflU`THERE.GCMIVIIT THE F�ILLOVII�NG�C�FFENSE(� }. <br />. � a ��a ��.:.� v� ! n s• lzd.�ws �.?Y s . " : n�;x':7>£ ci�Ts >: -.:- -sex' . <br />s: ,S a: - ��::.- •,�.:. .. ... r¢ -x� aware¥.. >rx . c:.,,� ��. � -� <br />1. VIOLATED ❑ VIO. BASIC RULE ALLEGED SPD ZONEIPSTD SPD ❑ RADAR -: <br />(CITE ORSI ❑ VIO. DES SPD ❑ LIDAR <br />A ❑PACE I R 3:03 <br />r ORD RULE) i f <br />CHARGE BASE FINE/SEC. o� <br />' <br />�3[lR CQ[lfiFT APPF4fix, CE �aTF 7 Im AfIfD L�GA "!DN 9 <br />f..�� R iV • <br />O'er L <br />gym' <br />2. VIOLATED <br />(CITE ORSI <br />ORD RULE) <br />CHARGE <br />f <br />BASE FINEISEC. <br />5 <br />3. VIOLATED <br />CHARGE <br />( CITE ORSI <br />ORD RULE) <br />BASE FINEISEC. <br />f <br />I CERTIFY UNDER ORS 153.045 AND 153.990 THAT I HAVE SUFFICIENT GROUNDS TO AND DO BELIEVE THAT THE ABOVE <br />MENTIONED PERSON COMMITTED THE ABOVE OFFENSE(S) AND I HAVE SERVED THE PERSON WITH THIS COMPLAINT. <br />DATE ISSUED OFFICER'S SIGNATURE OFFICER ID <br />• Flt:tU ,:� �; . � �• <�, <br />NAME OF ARRESTING PERSON, IF NOT OFFICER a <br />..... <br />�3[lR CQ[lfiFT APPF4fix, CE �aTF 7 Im AfIfD L�GA "!DN 9 <br />MO DAY' YEAR TIME ❑ AM LOCATION (IF NOT LISTED ABOVE): <br />h� <br />^• ry�' ` � y x <br />617949 <br />' shefton turn6u[ll EUGENE, OR (541) 687- 1214.1 -800- 543 -9062 <br />