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DRIVERS LICENSE NO.
DATE OF BIRTH
VEHICLE LICENSE NO.
THIS IS NOT A PLEA OF GUILTY
I hereby promise to appear at the time and place designated
in this notice.
WARNING(S) NO PENALTY ASSESSED FOR THE FOLLOWING OFFENSE(S)
1 ILLEGAL U-TURNS
INC TO ARREST
YOU ARE HEREBY NOTIFIED TO APPEAR BEFORE JUSTICE COURT OF:
If you fail to appear in court as required by law, you may be denied the renewal of your driver’s license and assessed an additional fee .
A second or subsequent conviction of failure to maintain financial responsibility will result in the suspension of your driver’s license and motor
vehicle registration unless you file and maintain proof of financial responsibility with the Department of Public Safety for (1) one year from date of
conviction. The department may waive the requirement to file proof of financial responsibility if you file satisfactory evidence with the department
showing that at the time this citation was issued, the vehicle was covered by a liability insurance policy or that you were otherwise exempt from the
requirements to provide evidence of financial responsibility.
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