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Officer Information:
Name: Christopher Diaz
DOB: March 1. 1986
Number: ICV01
Rank: Detective Corporal
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Vehicle Information:
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License Plate Number: N/A
Drivers License Number: 012-345-678
Make: Pro Street
Model: Enforcer
Color: White
Year: 2012
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Driver Information
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Name: Jonathan Donovan
DOB: Dec. 25 / 1980
License Number: 012-345-678
Sex: Male
Signature: JONATHAN DONOVAN
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Occupied: 1[X] 2[ ] 3[ ] 4[ ] 5[ ] 6[ ]
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Location Information:
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Street Name: Joxpork St. & Bristol St.
Block Number: N/A
Please of Road: Side [X] Middle of Road [ ] Parking Lot [ ]
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Citation Type:
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Speeding [ ]
Street Sign/Light Violation [ ]
Parking Violation [ ]
Invalid License Plate [X]
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Officer Signature: CHRIS DIAZ
Violator Signature: JONATHAN DONOVAN
Officer Information:
Name: Christopher Diaz
DOB: March 1. 1986
Number: ICV01
Rank: Detective Corporal
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Vehicle Information:
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License Plate Number: N/A
Drivers License Number: 012-345-678
Make: Pro Street
Model: Enforcer
Color: White
Year: 2012
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Driver Information
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Name: Jonathan Donovan
DOB: Dec. 25 / 1980
License Number: 012-345-678
Sex: Male
Signature: JONATHAN DONOVAN
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Occupied: 1[X] 2[ ] 3[ ] 4[ ] 5[ ] 6[ ]
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Location Information:
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Street Name: Joxpork St. & Bristol St.
Block Number: N/A
Please of Road: Side [X] Middle of Road [ ] Parking Lot [ ]
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Citation Type:
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Speeding [ ]
Street Sign/Light Violation [ ]
Parking Violation [ ]
Invalid License Plate [X]
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Officer Signature: CHRIS DIAZ
Violator Signature: JONATHAN DONOVAN