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Get Nebraska Uniform Citation And Complaint

Court Copy Uniform Citation and Complaint Plaintiff State of Nebraska Case Number In the VS. Name Address First Defendant Last MI DL Exp. Vehicle Year DL Class Type DL End. Lic* Plate Carrier Year at In the City of Haz Mat US DOT Hair ICC Zip Code did unlawfully commit the following offense s at or near location Hwy Mile Marker Location Violation Type Violation Code In violation of Code Section Speed Eye Color CMV City The undersigned being duly sworn says the defendant on Gender Race Wgt. Model Zip Code Phone Hgt. DL Res* Make VIN DOB Suffix DL State O F E N S DL mph in Offense Description BAC Pct mph Zone Tracked Comments Fine Actual Wt Lbs OverWt A check in any of the following boxes means Yes. Road Const. Zone Legal Wt Pct. OverWt School Court Appearance This is an appearance only not a trial date. If you choose to appear in court report to the below named court on Badge Number LOCATION Reporting Officer Dated I promise that I will appear in court at the above time and place. Signature of Defendant Your signature above is not an admission of guilt but a promise to appear. Failure to comply with the terms of this citation is punishable by jail or fine or both and may result in suspension of your operator s license. Lic* Plate Carrier Year at In the City of Haz Mat US DOT Hair ICC Zip Code did unlawfully commit the following offense s at or near location Hwy Mile Marker Location Violation Type Violation Code In violation of Code Section Speed Eye Color CMV City The undersigned being duly sworn says the defendant on Gender Race Wgt. Model Zip Code Phone Hgt. DL Res* Make VIN DOB Suffix DL State O F E N S DL mph in Offense Description BAC Pct mph Zone Tracked Comments Fine Actual Wt Lbs OverWt A check in any of the following boxes means Yes. Model Zip Code Phone Hgt. DL Res* Make VIN DOB Suffix DL State O F E N S DL mph in Offense Description BAC Pct mph Zone Tracked Comments Fine Actual Wt Lbs OverWt A check in any of the following boxes means Yes. Road Const. Zone Legal Wt Pct. OverWt School Court Appearance This is an appearance only not a trial date. Road Const. Zone Legal Wt Pct. OverWt School Court Appearance This is an appearance only not a trial date. If you choose to appear in court report to the below named court on Badge Number LOCATION Reporting Officer Dated I promise that I will appear in court at the above time and place. If you choose to appear in court report to the below named court on Badge Number LOCATION Reporting Officer Dated I promise that I will appear in court at the above time and place. Signature of Defendant Your signature above is not an admission of guilt but a promise to appear. Failure to comply with the terms of this citation is punishable by jail or fine or both and may result in suspension of your operator s license. Lic* Plate Carrier Year at In the City of Haz Mat US DOT Hair ICC Zip Code did unlawfully commit the following offense s at or near location Hwy Mile Marker Location Violation Type Violation Code In violation of Code Section Speed Eye Color CMV City The undersigned being duly sworn says the defendant on Gender Race Wgt. Model Zip Code Phone Hgt. DL Res* Make VIN DOB Suffix DL State O F E N S DL mph in Offense Description BAC Pct mph Zone Tracked Comments Fine Actual Wt Lbs OverWt A check in any of the following boxes means Yes. Road Const. Zone Legal Wt Pct. OverWt School Court Appearance This is an appearance only not a trial date.

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