TEXAS DEPARTMENT OF PUBLIC SAFETY H903421

VIOLATOR LAST NAME FIRST MIDDLE

RESIDENCE ADDRESS CITY STATE ZIP CODE TELEPHONE

DRIVER LICENSE NO C.D.L. STATE DATE OF BIRTH SEX RACE HEIGHT

PASSENGERS HAZ MAT PLAC ADDITIONAL INFORMATION

VEHICLE LICENSE NO STATE COLOR YEAR MODEL MAKE TYPE

COUNTY DATE TIME WEATHER TRAFFIC ACCIDENT

ROUTE MILE POST LOCATION CONSTRUCTION ZONE WORKERS PRESENT ALLEGED SPEED
YES____ NO_____ YES____ NO_____
to appear at the time and place designated in this notice.

VIOLATION(S) SPEED LIMIT

SIGNATURE:______________________________________

2 RADAR CAL.
THIS IS NOT A PLEA OF GUILTY

REASON FOR STOP VEHICLE SEARCH TYPE OF SEARCH CONTRABAND FOUND TYPE OF CONTRA
WARNING_______ YES______ CONSENT____ INC. TO ARREST____ YES_____
CITATION_______ NO_______ PC ______ INVENTORY______ NO______

OTHER CONDITIONS

WARNING(S) NO PENALTY FOR THE FOLLOWING OFFENSE(S):

1

2
I hereby promise

YOU ARE HEREBY NOTIFIED TO APPEAR BEFORE

JUDGE______________________________________________ CT. _________ PCT&PLACE_________ TELEPHONE_____________________
AT ________________________________________________________ ON OR BEFORE_____________________ 20 ______ AT ________M

ISSUED BY ID NO REGION DISTRICT AREA

PLEASE FIND THE AMOUNT OF YOUR TICKET USING THE GRAPH FEATURE
OF YOUR GRAPHING CALCULATOR.

FEE SCHEDULE ON BACK

SCHDULE OF FINES

SPEEDING: $85.00 plus (+) $5.00 per mile over the posted speed limit.

Rick Sanchez and Abby Hernandez

CAMT Summer 2005
TEKS and TAKS with Wireless Technology: The TI-Navigator System
 If in a School Zone or Construction/Maintenance Zone, (with
workers present) $85.00 plus (+) $9.00 per mile over the posted
speed limit.

All other offenses in a Construction/Maintenance Zone, (with

workers present) the fine is $185.00.

OTHER TRAFFIC OFFENCSES: (If your charge is not listed below, YOU MUST
contact the Court to determine the fine amount).

Disregard No Passing/Zone, Running Stop Sign or Traffic Light, Fail to Drive in Single
Lane, Fail to Yield Right-of-Way, Fail to Control Speed or Unsafe Speed, Violate
Driver’s License Restriction, Following too Closely, Passing with Insufficient Clearance,
Unlicensed Driver or Failure to Display Driver’s License, the fine is $185.00.

SEAT BELT VIOLATION:

Adult: $130.00
Child: $235.00

EXPIRED VIOLATIONS:
Vehicle Registration/Driver’s License: $125.00
Inspection Sticker: $125.00

NO INSURANCE VIOLATIONS:
Fail to Display Proof of Liability Insurance 1st Offense $385.00
2nd Offense $685.00

ILLEGALLY OVERTAKING AND PASSING A SCHOOL BUS, the fine is $550.00

VIOLATE PROMISE TO APPEAR (by appearance date on citation) the fine is $300.00

“IF FINES ARE PAID BY INSTALLMENTS, AN ADDITIONAL $25 FEE IS

REQUIRED BY LAW”

REMIT BY CASHIER’S CHECK OR MONEY ORDER. DO NOT MAIL CASH

OR PERSONAL CHECK.

Rick Sanchez and Abby Hernandez

CAMT Summer 2005
TEKS and TAKS with Wireless Technology: The TI-Navigator System