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r4LIFORNIA DEPARTMENT OF rsm & GAME A 20627 <br /> NOTICE TO APPEAR <br /> DIJIT <br /> MISDEMEANOR NON-TRAPPIC <br /> S �1 Uf. ❑PM D Y OF WEEK SF <br /> E—FMID LAST 7 <br /> D U4SDA, �Oy <br /> gHJ�� I <br /> � H <br /> 10 ID4E A ES ��f2r I�� GM/J S rr� <br /> G�o1 oftrOWAT SbCK'�ON T . <br /> 31NE3a��AppDgE33 _ <br /> .w- IF4MIAiAWL GL 25E�{�$ZO CF <br /> OgNER$LICEN4E NO. STATE <br /> BIRTHDATE <br /> SE% <br /> F HAIR EYES HEIGHT WEIGHT OTHER DES <br /> M <br /> OCCUPATION <br /> TELEPHONE NO. <br /> VEHICLE LICENSE No. STATE MAKE MODEL _ <br /> FFENSEI31 <br /> FISH a GA E <br /> ODE C.G.R. <br /> TITL@ 14 <br /> So <br /> L <br /> N E <br /> t'SLyKg-L._ CSR <br /> B OKING <br /> �o =10—TIONINI I UIRED <br /> LACGOV TY J CO MITTED IN MY PRE NCH.DECLARE ON IN ORMIATION I OICALTY OR PIpJVgY UNp[q TN! LwWa OP TME wT! CAYPORMA <br /> TRVlLtN COINS . <br /> U <br /> X CwTE B.PGa Aft.. DOR IesUq <br /> NAME OF ARRESTING OFFICER IF DIFFERENT FROM ISSUING OFFICER <br /> WITHOUT ADMITTING GUILT, I PROMISE TO APPEAR AT THE TIME <br /> AND PLAC CATED BELO <br /> X SIGNATU Ifill,AIL <br /> BEFOgE-A JUDGE OR CLERK ff TME MU PAL OR 4U3TICE COURT <br /> 1'r�UNI 2T— <br /> ' cc (NwMe R cOUgT1 �y <br /> ' ADDRESS: <br /> DAJ] TIME; M Jl <br /> ❑JUVENILE COUgT ❑TO BE NOTIFIED LIUNENILEI <br /> THE DEFENDANT IS TO BE ADMITTED TO BAIL IN THE SUM <br /> OF DOLLARS. <br /> I <br /> -SIGNATURE OF MA-I ATE <br /> • DATE <br /> COURT <br /> ' COUNTY.CITY OR TOWN <br /> COURT DISPOSITION <br /> FORM APPROVED BY THv::;: COUNCIL <br /> OF CALIFORNIA. 10- QSq P.C.;".a COURT COPT <br /> FG-900 IRBV. TO-B9) <br /> Be BSaBO <br />