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SIIIPLIFIED IIFORIIAIONiCERIIFICATE CONCERIIITIG VIOLATIOX Of LAW RELATIIIG TO VEHICLES

Tne people of tn. Sht ol N.w Yort

POLICE NT
Local Polic€ Code oate ol Aaraignment
vs.
Larl Name(0elendanl) FirstName M.r Courl Adjoumment Record Docket Number
J 24040106.01
NLrmber and Streel Apl. No
EX39nt','E Dale From Code Date To Rquesled By
1504 FALLEN LEAF TER
cl/ State Zip Coie Owner is Lc C,lass

WEBSTER NY 14580 0per. o

Clrenl 0 Number Sex Dat6 Exptes
794134062 F 07 t23t2025
Lic Slate Date of Birih Coor
NY 07t23t1963 1 2022 CHEV BK
Reg Slate Reghtralion €xpires
Dale Receipt No.
KYD8485 NY
BA
ThE PERSON DESCRIBEDABOVE IS CHARGEOAS FOLLOWS

Tme IN VIOTATION OF

06:00PM 04122t2024 VTL I

V olaton Seclron Trallic

lnfaclion Misd Feony S!rcharge
1180 0D
X oo MPH ZONE
SPEED IN ZONE 55 35
US DOI#

B!s
U o
CiTrvrName Caunty Loc.Code
TOWN OF WEBSTER MONROE 2867
StreetName Hl/vy Type NCTCiORT

PHILLIPS ROAD 4 o2767

AFFiRI\4ED UNDER PENALTY OF PER]URY

SEGTION 1EO7 OF THE VEHICLE AND TRAFFIC LAW

PROVIDES THAT DEFENDANT, IN CERTAIN CASES,
MUST BE INFORMEO IN SUBSTANCE AS FOLLOWS:
ollicer operal n0 raiar
"A plea of guilty to this charge is equivalanl to a cooviclion after trial.
DBle ol Altirmation Anest Type Badge/Shield Officels Com /Div./Stat lfyou are convicled, not only wi,lyou be liable to a pena,ty but in
addition your lic€nse lo ddve a motor vehicle or motorcycle. and your
04t22t2024 1 - Patrol 6045 certificate ot regislration, il any, are sublect to suspension and
oficer s Lasl Narne revocation as prescrib€d by law."
CRISAFULLI
Firsl Nan€ To Judge or Cled ol Coui: Chec,(mek he appopiale box

c
IH S MAITER IS SCNEDL]LED TO BE I]ANDLEO ON THEAPPEARANCE DATE BELOWIN
]HEREBY CERTIFY THAT

WEBSTER TOWN COURT tr ljpon arrai0nm6nl lhal lhe above instruclion was !ven orelly
lo h€ defendant

,|
02 RIDGE RO
clv State Zp
.t4580
tr Tho defendanl appeaed In esponse lo a lickot upon wiich lhe
atove inslircljons ir/efe printed ifl bold lype, in &codarc€
WEBSTER wilh Setion 1807 ol the Vehiiis md Trafi. ta
Roturn by nrall be,o.e or in p€rson cn Date Tme
O Muslappear in pe6on on

FOR COURT USE ONLY

tr Defendanl enl€rcd apleaofguilty in {riling
Se.lion 1 805 o, lh6 Vshiclo and Tntfrc Larr
plrslantlo

Cou( Cod€ Justice Code Date Adjudicaled oale Sentonce lmposed

2722'1J 26429 I heEby certjt lhat h€ informallon gilen on his cedifcale is a tru€
Charge Convcled ol O ASABOVE O WL O Oher oispos I odsenlence
S abstrel trom he records of $is couat.
SurcharEe Signalure of Judge or Cleft oI Courl Dale
I
$-
Bail Forleiture Dal,.
O Lrc
Amounll
O REG O Rev O Susp O Mand O Pem
DAYSAIONTHSIfEAR Narne ot Judge
DW T€slType DW TestResults

Suppodlng Deposiiion lssued: Non6 O Sp€6ding(Gon101) X Non - Speedlng(C*n101a) O

Pnnbdr 05/0824
uTG1.7(4i02)
 SUPPORTING DEPOSITION / CPL 710.30 NOTICE TO
SUPPORT SIMPLIFIED TRAFFIC INFORMATION
LOCAL CRIMINAL COURT
COUNTY OF MONROE
STATE OF NEW YORK
THE PEOPLE OF THE STATE OF NEW YORK
vs
SANDRA J. DOORLEY
UTT NUMBER IWT4HZJDOT
Officer C GRISAFULLI of the Webster Police Department
a Police Officer and the Complainant alleges that the Defendant committed a violation of
1 . (Lawsection/Subsection) VTL1180 0D 010

2. Description of Violation SPEEO lN ZONE

3. Dale 0412212024 Time 06:00:00 P C/T/V ofTOWN OF WEBSTER
4. Vehicle Yeat 2022 Make CHEV Color BK
License Plate No. KYD8485 State NY
5. General Direction of Travel by Defendant NORTH
6. Highway (Type/Name) 4 / PHILLIPS ROAD
7. Defendant's Speed 55 MPH in a 35 MPH Zone
8. Charge based on Officer's Direct observation
9. Speed Verified by RADAR Model STALKER DUAL
10. Additional lnformation

TO THE ABOVE NAMED DEFENDANT:

PLEASE TAKE NOTICE THAT PURSUANT TO SECTION 710.30(1XA) OF THE CRIIVIINAL PROCEDURE LAW, THE
PEOPLE INTEND TO OFFER AT A IRIAL OF THE ABOVE ENTITLED ACTION EVIDENCE OF A STATEIV]ENT IUADE BY
\OU ON A412212024 AT 06:00:00 P AT PHILLIPS ROAD, To Officer Name C CRISAFULLI a public servant

IN WHICH YOU SUBSTANTIALLY STATED AS FOLLOWS:

I was coming home from work, so what I was golng 20 milqs ovgr the speed limit.

FALSE STATEIV]ENTS fu]ADE HEREIN ARE PUNISHABLE AS A CLASS A

MISOEi/EANOR PURSUANT TO SECTION 2,10,45 OF THE PENAL LAW OF THE
STATE OF NEW YORK

Affirmed Under Penalty ot Perjury

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