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FENTERED <br />CASE #: 12-13131 <br />ROUTED BY: so <br />C AD #: 66817 <br />F CUSTOD <br />Fv LODGED <br />C <br />f <br />p <br />1 171 <br />Pat Assign <br />AT OR NEAR LOCATION: SAFETY <br />COR RIDOR <br />P, j <br />z BE "rf MME U] <br />4, <br />EDRVVER'NOT ACCIDENT: ERSO <br />VEHICLE LICENSE NO. STATE :PERSO INJURY <br />REG. OWNER : DAMAGE <br />MOD EL STYLE <br />VEH. YR.—T COLOR <br />MAKE <br />- .N <br />PUC NO. NPEDESTR IAN 2 HAZ MAT <br />: BICYCLE ICDLRELATED <br />; FO &.CNM(S <br />OTHER: <br />CHARGE: Viol Park Rules <br />alnterpreter66 @ 17case No r (3 f 3k — Page of <br />0 <br />OREGON UNIFORM CITATION AND COMPLAINT <br />CRIMINAL <br />a 0 LATION <br />I �MA APPEARANCE (SEE BACK ) <br />0)p ONAL APPEARANCE (SEE BACK) <br />IKNON-TRAFFIC <br />INTRAFFIC <br />( - 0 <br />N) <br />STATE OF OREGON AMunicipal Vjuvenile- V27 Centennial Blvd. N) <br />CITY OF EUGENE 0 Circuit -1 E _ . 8th Ave, See (Reverse Side.) 00 <br />COUNTY OF LANE I Central4-ane Justice-220 5th, Spfld A Other court, see below <br />tOS IdN H <br />NAME: LA Y ST FIRST MIDDLE <br />X' V 1 0 <br />ADDRESS <br />:a )f) L t5 D5 D P S <br />n CITY I STATE ZIP <br />ig P, <br />SSN OR OTHER ID EMPLOYMENT /SC HOOL. <br />STATE 9 CDL <br />DRIVER CE SE.NO. - 8 EMPL DRIVE - v <br />:NON-COL HPASSENGER <br />T HAIR <br />?HEIGHT WEIGH EYES <br />� -��lo) � <br />��� M <br />t -tTATE AN6".CIJU aT <br />VE M D,� � <br />OFFENSE DATE MONTH DAY YEAR TIME HAM <br />X <br />ON OR ABOUT: <br />AT OR NEAR LOCATION: SAFETY <br />COR RIDOR <br />P, j <br />z BE "rf MME U] <br />4, <br />EDRVVER'NOT ACCIDENT: ERSO <br />VEHICLE LICENSE NO. STATE :PERSO INJURY <br />REG. OWNER : DAMAGE <br />MOD EL STYLE <br />VEH. YR.—T COLOR <br />MAKE <br />- .N <br />PUC NO. NPEDESTR IAN 2 HAZ MAT <br />: BICYCLE ICDLRELATED <br />; FO &.CNM(S <br />2 <br />" R%41 <br />M= 1. VIOLATED ' BASIC RU ALL EGED DSPD :RADAR <br />(C IT E R DES SPD LIDAR <br />9 PACE RD RU L E) <br />4rT 4 - <br />FRE5. FINEtSEC. <br />CHARGE <br />M, <br />P e <br />49-AS. <br />;-7171 VVIOLATED R pf <br />CHA RG E wK R U <br />f <br />�M ( CIT E R OR D E) <br />Z1 RUL 0 L911, <br />Nb ICI yl <br />PRES. FINE/SEC. <br />CHARGE <br />3. VIOLATED <br />R <br />(CITE R S/"' <br />UL E) <br />PRES. FINE/SEC. <br />m <br />4' <br />x " <br />j <br />C ERTIFY UNDER ORB 153.045 AND 153. 990 I HAVE SUFFICIENT GROUNDS TO AND DO BELIEVE THAT THE ABOVE <br />M ENTIONED PERSON COMMITTED THE E FENSE( S) AND I HAVE SERVED THE PERSON WITH THIS COMPLAINT. <br />-FA <br />"W" <br />DATE ISSUED ' OFFICER'S SIGNATURE OFFICER ID <br />NAME OF ARRESTING PERSON, IF NOT OFFICER <br />A <br />01 <br />MO DAY YEAR TIME HAM LOCATION (IF NOT LISTED ABOVE): <br />A M <br />'6A ..... ..... <br />L <br />649228 <br />Un <br />Moon tUM6 EUGENE, OR (541) 687 - 1214.1- 800 - 543-03062 <br />