`
`COMPLAINT
`(RETAINED BY COURT)
`YEAR
`
`Da".
`
`FLORIDA UNIFORM TRAFFIC CITATION
`COUNTY OF
`O16)s.0.
`[](1) FHP ep.
`DUVAL
`FLORIDA HIGHWAY PATROL
`CITY OF (IF APPLICABLE)
`JACKSONVILLE
`IN THE COURT DESIGNATED BELOW THE UNDERSIGNEDCERTIFIES THAT HE/SHE
`HAS JUST AND REASONABLE GROUNDSTOBELIEVE AND DOES BELIEVE THAT ON
`DAY OF WEEK
`MONTH
`DAY
`NAME (PRINT) FIRST
`MIDDLE
`TASHAWNDRA
`BRESHAE
`STREET
`7679 JANA LN S
`CITY
`JACKSONVILLE
`TELEPHONE NUMBER
`
`(1@oTHER
`
`WHEN PRESENTED TO VIOLATOR, THE FOLLOWING AMOUNT WAS ENTERED.
`PAY A CIVIL PENALTY IN THE AMOUNTOF $
`CASE NO.
`DOCKET NO.
`
`PAGE NO.
`
` COMPLAINT
`
`COURT ACTION AND OTHER ORDERS BAIL FIXED AT §,
`
`LAST
`SOLOMON
`IF DIFFERENT THAN ONE ONDRIVER LICENSE "X" HERE
`>
`
`ZIP CODE
`
`SEX
`
`HGT
`
`STATE
`FL
`RACE
`YEAR
`MO
`DAY
`DATE OF
`B
`12 30 [1992
`BIRTH
`DRIVER
`$455802929700
`LICENSE
`STATE
`CLASS
`DL LICENSE
`YR. LICENSEEXP.
`COMMERCIAL VEHICLE
`NUMBER
`PF 52 "Se
`[xo
`YR. VEHICLE
`MAKE
`STYLE
`COLOR
`PLACARDEDHAZ. MATERIAL
`isoe
`2019
`VEHICLE LICENSE NO.
`TRAILER TAG NO.
`STATE
`YEAR TAG EXPIRES |=
`_16 PASSENGERS
`UPON A PUBLIC STREET OR HIGHWAY, OR OTHER LOCATION, NAMELY
`MOTORCYCLE
`INTERSTATE95 NB/ INTERSTATE 295
`
`MILES
`FT.
`DID UNLAWFULLY COMMIT THE FOLLOWING OFFENSE.
`
`Dy CB CE DW oFnone
`CHECKONLY ONE OFFENSE EACH CITATION.
`
`ICOMPANION CITATION(S)
`| eS
`xO
`
`DATE
`
`OR CASH DEPOSIT OF $______
`
`SIGNATURE OF PERSON GIVING BAIL
`
`SIGNATURE OF PERSONTAKING BAIL
`
`FINE IN THE AMOUNTOF§
`REQUIRED BY COURT SCHEDULE.
`
`RECEIVED AS
`
`SIGNATURE OF CLERK
`
`REASON
`
`REASON
`
`CONTINUANCE TO
`
`CONTINUANCE TO
`BOND ESTREATED
`
`[UNLAWFULSPEED
`[[]scHoor zone
`(LDnterstate
`SPEED MEASUREMENTDEVICE:
`
`MPH
`MPH SPEED APPLICABLE
`—[_J CONSTRUCTION WORKERS PRESENT)
`
`WARRANTISSUED
`VIOLATOR FAILED TO APPEAR-DRIVER LICENSE SUSPENDED
`
`OTHERVIOLATIONS OR COMMENTSPERTAINING TO OFFENSE:
`
`OPERATING A MOTORVEHICLE/USING A MOBILE HOMEWITH AN EXPIRED
`
`Ly}es [xo
`REGISTRATION: EXPIRED 6 MONT.EXP 9/23 PC SPEED
`DL SEIZED
`
`
`Ly}es [x]}xo
`
`IN VIOLATION OF
`SUB-SECTION
`SECTION
`
`
`
`
`
`[accressive DRIVING
`STATE STATUTE
`320.07(3)(a)
`
`
`CRASH INJURY TO ANOTHER|SERIOUS BODILY INJURY TO ANOTHER|FATALPROPERTY DAMAGE
`
`
`
`
`
`[Jno Lhes [Xo Les [x]}so
`Lhes [x]}xo Les $
`[hes [X]o
`
`
`oO CRIMINAL VIOLATION. COURT APPEARANCE REQUIRED. AS INDICATED BELOW.
`LJ INFRACTION. COURT APPEARANCE REQUIRED.AS INDICATED BELOW.
`INFRACTION WHICH DOES NOT REQUIRE APPEARANCEIN COURT.
`
`VIOLATOR ARRAIGNED ON
`PLEA:
`FINDING:
`ADJUDICATION:
`SENTENCE: FINE
`JAILED
`DRIVER IMPROVEMENT SCHOOL
`OTHER—W
`DRIVER LICENSE SUSPENDED OR REVOKED FOR____DAYS
`RECOMMEND DRIVER LICENSE SUSPENSION FOR ___DAYS
`RECOMMENDRE-TEST_W___
`
`SIGNATURE OF JUDGE
`
`TESTIMONY- JUDGE'S NOTES (OR OTHER COURT ORDERS):
`
`APPEAL BOND OF $ _____
`
`VIOLATOR'S FINGERPRINT WHEN
`APPLICABLE ——p
`
`[_FarELess DRIVING
`IOLATION OF TRAFFIC
`ONTROL DEVICE
`‘AILURE TO STOP AT
`‘A TRAFFIC SIGNAL
`MPROPER LANE CHANGE
`R COURSE
`0 PROOF OF INSURANCE
`IOLATION OF RIGHT-OF-WAY
`
`[ERHILb RESTRAINT
`AFETY BELT VIOLATION
`MPROPER OR UNSAFE
`QUIPMENT
`Bekxriren ta
`SIX (6) MONTHS OR LESS
`XPIRED TAG
`MORETHANSIX (6) MONTHS
`[merorer PASSING
`
`XPIRED DRIVER LICENSE
`1X (6) MONTHS OR LESS
`XPIRED DRIVER LICENSE
`MORE THANSIX (6) MONTHS
`O VALID DRIVER LICENSE
`RIVING WHILE LICENSE
`SUSPENDED OR REVOKED
`RIVING UNDER
`HE INFLUENCE
`
`Lrassenger Under 18 Yrs
`BAL
`
`AT49Z4E
`
`1 36.00
`CIVIL PENALTY IS $
`TRAFFIC COURT
`501 WEST ADAMSSTREET- 1ST FLOOREASTSIDE LOBBY
`(904) 255-2300
`JACKSONVILLE, FLORIDA 32202.
`‘°*"°"
`SEE INSTRUCTIONS ONRIGHT IF NO COURT APPEARANCE REQUIRED PAYABLE ONLINE
`AT: WWW.DUVALCLERK.COM
`
`ARRESTDELIVERED TO—___ DATE
`| AGREE AND PROMISE TO COMPLY AND ANSWERTO THE CHARGESAND INSTRUCTIONS
`SPECIFIEDIN THIS CITATION. WILLFUL REFUSAL TO ACCEPT AND SIGN THE CITATION MAY RESULT
`IN ARREST. | UNDERSTAND MY SIGNATUREIS NOT AN ADMISSION OF GUILT OR WAIVER OFRIGHTS.
`IF YOU NEED REASONABLEFACILITY ACCOMMODATIONSTO COMPLYWITHTHIS CITATION,
`CONTACT THE CLERK OF THE COURT.
`
`X SIGNATURE OF VIOLATOR(SIGNATUREIS REQUIREDIF INFRACTION REQUIRES AN APPEARANCEIN COURT)
`
`MARIN, OLIVIA
`TPR
`RANK - NAME OF OFFICER.
`
`BADGE NO.
`
`4988
`ID NO.
`
`G
`TROOP/ UNIT
`
`[x] CERTIFY THIS CITATION WAS DELIVERED TO THE PERSON CITED ABOVE AND CERTIFY THE CHARGE ABOVE
`Additional Officer:
`
`RANK - NAME OF OFFICER
`
`BADGE NO.
`
`ID NO.
`
`TROOP/ UNIT
`
`HSMV75901 (REV. 06/19)
`
`