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AFFIDAVIT IN SUPPORT OF A REQUEST FOR REOPENING AFFIDAVIT L APPUI D UNE DEMANDE DE R OUVERTURE Form / Formule 102 Courts of Justice Act Loi sur les tribunaux judiciaires O. Reg* / R gl* de l Ont. 200 ONTARIO COURT OF JUSTICE Under Section 11 or Subsection 19 1 of the Provincial Offences Act or COUR DE JUSTICE DE L ONTARIO Section 205. 13 or Section 205. 23 of the Highway Traffic Act PROVINCE OF ONTARIO En vertu de l article 11 ou du paragraphe 19 1 de la Loi sur les infractions PROVINCE DE L ONTARIO provinciales ou de l article 205. 13 de l article 205. 23 du Code de la route I Je soussign e name / nom of de address / adresse make oath/affirm and say as follows d clare sous serment et affirme ce qui suit I was convicted without a hearing on the day of J ai t reconnu e coupable sans la tenue d une audience le jour de contrary to contrairement la au yr. an of the offence of de l infraction de section article a I was unable to appear at my hearing through no fault of my own because Je n ai pu compara tre mon audience sans faute de ma part parce que state reason / donner la raison or / ou b a notice or document relating to the offence was not delivered to me namely un avis ou un document concernant l infraction ne m a pas t livr notamment identify document / pr ciser quel document The conviction first came to my attention on the J ai pris connaissance de la d claration de culpabilit pour la premi re fois le jour de Sworn/Affirmed before me at Fait sous serment/affirm devant moi this le jour de A Commissioner etc* / Commissaire etc* Signature of Defendant / Signature du d fendeur/de la d fenderesse NOTE Section 86 of the Provincial Offences Act provides Every person who makes an assertion of fact in a statement or entry in a document or form for use under this Act knowing that the assertion is false is guilty of an offence and on conviction is liable to a fine of not more than 2 000. REMARQUE Selon l article 86 de la Loi sur les infractions provinciales Est coupable d une infraction et passible sur d claration de culpabilit d une amende d au plus 2 000 quiconque affirme un fit dans une d claration ou l inscrit dans un document ou une formule dont la pr sent loi pr voit l usage et sait que cette affirmation est fausse. FOR INFORMATION ON ACCESS TO ONTARIO COURTS POUR PLUS DE RENSEIGNEMENTS SUR L ACC S DES PERSONNES HANDICAP ES FOR PERSONS WITH DISABILITIES CALL AUX TRIBUNAUX DE L ONTARIO COMPOSEZ LE 1-800-387-4456 416-326-0111 TORONTO AREA POA 0801 CSD rev* 11/03 R GION DE TORONTO 416-326-0111. Reg* / R gl* de l Ont. 200 ONTARIO COURT OF JUSTICE Under Section 11 or Subsection 19 1 of the Provincial Offences Act or COUR DE JUSTICE DE L ONTARIO Section 205. 13 or Section 205. 23 of the Highway Traffic Act PROVINCE OF ONTARIO En vertu de l article 11 ou du paragraphe 19 1 de la Loi sur les infractions PROVINCE DE L ONTARIO provinciales ou de l article 205. 13 or Section 205. 23 of the Highway Traffic Act PROVINCE OF ONTARIO En vertu de l article 11 ou du paragraphe 19 1 de la Loi sur les infractions PROVINCE DE L ONTARIO provinciales ou de l article 205. 13 de l article 205. 23 du Code de la route I Je soussign e name / nom of de address / adresse make oath/affirm and say as follows d clare sous serment et affirme ce qui suit I was convicted without a hearing on the day of J ai t reconnu e coupable sans la tenue d une audience le jour de contrary to contrairement la au yr.

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