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ITATION AND COMPLAINT DCN bist. oF ot bist. oF ASSIGN. occur. DEPT LANDST BODY OF WATER: ® COMPLAINT A PEOPLE OF THE STATE “* Brauersoang en uskin TLUNOIS, bSsd5s{d Vv COMPLAINT ee StSMarkrak 2d ro ckne: sville LLC aa th Page Cluicense Clrennnr wo. The Undersigned states that ono 1OY (QO iQtT au Gm dretendon did untawtully: REGSTA. ‘STATE YEAR NO. “huaz yaa gas T|o/™ tarry us pars WAKE Unk Ty YEAR COLOR (Ly PEDESTRIAN s2(] FASSENGEA CAR con] weLcK VEHICLE EJ womuennercismenonasarerract [] aosrReosTRAnN & SAFETY Act Offense cuapTerR@QAD___ it. coupien stat. act. 2 secrion: “Plnpurecons —_[] stare park acoucanons rsHcone © [C]vewciecone — ([] Forestry Law covmencuat woToa venice: ves] no C] PLACARDED HAZ aTERIAt: ESL] no L] BOR MOREPASS. VEHICLE: veSC] no C) OTHER, [Junsanisnicr (Claow.rine ome sua cHaPTER. PART. CIVIL PENALTY $ aeodewrriee: — [Jonvenwavavonty 2 oD jaro. ty}commanr 2] RanaR aC] Ancaarra{ ost. sCJorat FO Fa PROPcaTY ANDIOR EQUIPMENT SEIZED AS EVIDENCE: a wip p) Visser = Cosnplaivd _ gy 7UWHY_ METHOD OFRELEASE —(scomixse portion. back rite of Gold cony) Epica APE 854 Joverener s____[Jeaans____ wm i$ Pg om P78 (Cj2monversucense [Ja.ponocarpno______issueney,, a < Cewo con cournen at PH Cagsoncetoarrean (]z.promsetocomrty [Je.niowipyaL sono (ruuujanounr s— tj) WITHOUT ADMITTING GUILT, ! promise to comply with the terms of this Ticket and Retease. sianarune X CIRCUIT COURT LOCATION AND DATE re: ADDRESS / CourtHouse “FORM SECTION, (Clea. rewaury autHorizen: ‘O Chapter 515, Section 5120-35 | Chapter 520, Section 513.5 egtion 575-25 oO Chapter 520, sac 5/2.36(a) count ROOM NO. dodt My PB, OUT. ‘APP ARANCE REQUIRED, (no courr APPEARANCE REQUIRED (Dewi PENALTY AUTHORIZED —_Sce Instructfons on top portion, back sive of Gold copy Under penales as provided by lav for falsa coriiction pursuant to Section T-109 ofthe Coda of Chil Frocacura and perjury pursvant to Section 92-2 of the Crimina! Code ot 2072, the undersigned certifies thatthe statement set forth in this instrument are tue end correct o1_3l aa Jf 374 eee OF Per ‘BODY On WATER, 2] a ie © ADDRESS z Bis «taskenk an fay cy WA Z Ty Gaaz Ti s i "Kuaa 4239 9355 f ucexse []renmir no. ‘The Undersigned states that D2 aad i Ale AnQ@m)petendant did unlawfully: aa Sa w NO lace Yen coe = [we 053{_] PEDESTRIAN oor [C] ALLTERRAINVEHECLE ' 03 [[] woToRCYCLEY] commencrat MOTOR VEMCteE: es) No C] Bm 052 (] PASSENGERCAR 006 [[] BOATIWATERCRAFT o7o [7] SNOWOBLERY pLACARDED HAZWATEMAL: yes] ao LD] cerheh, TRUCK CD omer copes) GOR MOREPASS. VEHICLE: YES[_] KO Upon a Public Highway, or other Location, specitoay CDutEr Vokes : a , Geluen (Loew. Bri dog, i Located In the County and State Aforesa!d and Did Thow'and There Commit the Following Offense | URBAN DISTRICT cHarrer SS uccompuzpstar.act, S-_ secnon_ B= (waourecove = ]starerarkrecuanons Be) sncone = ]vewcuecone = [[] ronestrv avr SNOMICBLE REGSTRAMOWaSAFETYAcT [] BoxTREGstamONasAFeract C]oTHER, Dlaowninue me UB CHAPTER part secon [em renaury autHonizen: C1) chapter $18, Section 520-35 [I chapter 520, Section 83.5 CIVIL PENALTY § ___: [] chapter 51 ¥ Section 5-25 } ure 520, Section —_ NATURE OF OFFENSE. Potuti Lorn py PEeoexrrwe:— [CJonvenvuurrony [Jeaorenrvounce [Jpensoxa VIOLATION of ]ratron 1 Queaner 2O]raman 3D} amcrarra{]peran 5 rere ix EQUIPMENT SEIZED AS EVIDENCE: : METHODOFRELEASE — (ecomilddle portion, back side of Gold copy) f Corus t.cash leuprexcr s___[iesu ¢___ au ; tet Qo [ie omvenss ucense [Ja noxn canoe, IssuEDB: [csowpeostepownexerso__ [7] s. Woop conten ar. Tiganorcetoarrean (] 7.pRowseto coupcy [_Je. nw nuaL BOND FUL AMOUNT §, WITHOUT ADMITTING GUILT, | promise to comply with the terms of this Ticket and Release. svorarune X IRGUIT COURT LOCATION ANB DATE ADDRESS / counTHouse “% OVE INCIDENT Se a a z = = I 8 Under penalies as provided by law for false ceriieation pursuant to Section 1-109 ol the Code ol Givi Procedure and peal ury pursuant to Section 32-2 cof the Criminal Code of 2012, the undersigned certifies that the statements sel forth In this Instrument are true end casroct, o1 Al 22

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