Attachment D - Final Draft - 2022 Paper Citation Book 10-4-2022.pdf

PROOF

8110062174

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OUTSIDE FRONT COVER

KENTUCKY

UNIFORM CITATION

FORMS

REVISED FEBRUARY 1, 2006

DATE ISSUED:

TO:

INVESTIGATING OFFICER

DEPARTMENT

KENTUCKY STATE POLICE

CRIMINAL IDENTIFICATION & RECORDS BRANCH

Printed with State Funds

This proof is submitted for your review and approval. It is supplied for content, layout, and version review and does not reflect paper or ink match. Please review your proof carefully.

INSIDE FRONT COVER

For Violation Codes go to www.kentuckystatepolice.org

On the Crime & Traffic Information page, click on KY Uniform Crime Reporting Codes

OUTSIDE BACK COVER OF TRIAD

8110062174

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PROOF 1

GENERAL GUIDELINES FOR COMPLETING

KENTUCKY’S UNIFORM CITATION FORM

1. A Uniform Citation must be written for all felonies, misdemeanors, and violations of traffic laws and State Statutes.

2. Those Citations which require a court disposition are to be coded per the actual Violation Code related to the charge and are to be forwarded to the appropriate court clerk through normal District Court channels.

3. Citations which do not require a court disposition are to be forwarded directly to the Kentucky State Police Criminal ID and

Records Branch through agency administrative or computerized channel.

4. The following table shows the five types of citations and the paperwork and coding process for each.

Citation Type Code Citation Type Violation Code / KRS Paperwork To

TRAFFIC

NON-TRAFFIC / CRIMINAL

BENCH WARRANT / SHOW CAUSE ORDER

CRIMINAL SUMMONS

JUVENILE*

Actual Charge

Actual Charge

Actual Charge

Actual Charge

Actual Charge

Court

Court

State Police Records

Court

State Police Records

*ALL Juvenile information (i.e., names, address and identifiable information) shall be included. The juvenile block shall be marked accordingly. ALL

JUVENILES shall be completed the same as adults.

NOTE: On a citation inclusive of both traffic and criminal offenses, "2" should be entered as the Citation Type.

5. The following citations are to be coded, as follows, and forwarded directly to the Kentucky State Police Criminal ID and Records

Branch.

02900 73200 73300 02643 03004 02906 02889 02902

SERVING WARRANT FOR OTHER POLICE AGENCY

FUGITIVE FROM ANOTHER STATE (Warrant Required) FUGITIVE FROM ANOTHER STATE (Warrant Not Required) FUGITIVE FROM ANOTHER STATE (Misdemeanor)

MENTALLY ILL AND DANGER TO SELF OR OTHERS, ARREST OF PERSON

SERVING BENCH WARRANT FOR COURT

EXECUTE WARRANT (For Federal Court) JUVENILE PETITION *Use Statute for actual Charge, and enter “5” in TYPE (next to citation Control Number)

6. Up to four (4) separate charges may be entered with the arrest or citation of one individual contingent upon local agency/court policy. Enter the appropriate Violation Code, KRS, and abbreviation of charge title in the spaces provided. Multiple counts must be treated as separate charges. If there are more than four (4) charges or counts, continue by using additional citation forms as necessary,

7. Enter ASCF Code next to Violation Code for:

1 = ATTEMPT 2 = SOLICITATION 3 = CONSPIRACY 4 = FACILITATION 5 = COMPLICITY 6 = ENHANCEMENT

8. Post-Arrest Compliant: Carefully describe pertinent details as completely as the Court may require for Post-Arrest documentation. At a minimum, include the activities of the violator/ offender which constitute the required elements for each specific charge. The Statutory Title for each charge must be clearly written, together with the essential facts constituting the specific offense(s). DO NOT ABBREVIATE. Note how the offense or violation was observed and/or reported. Also note any physical evidence or tests administered which substantiate the charge(s).

Vehicle Type Codes 01 Passenger Car, Van, Jeep, Pickup Truck, Station Wagon 02 Car and Trailer 03 Truck 04 Tractor Trailer 05 Other Truck Combination 06 Farm Tractor or Form Equipment 07 Taxicab 08 Bus 09 School Bus 10 Motorcycle

Violation Key Codes 01 Radar 02 Moving Radar 03 Blood Alcohol Tests 04 Vascar 05 Aircraft

11 Motor Scooter, Moped, Motor Bicycle 12 Other (Heavy Equipment, Motor Home) 13 Not Stated 14 Emergency Vehicle 15 Military Vehicle 16 Other Public Owned Vehicle 17 Go Cart 18 Bicycle 19 Pedestrian 20 Train 21 Riding Animal or Animal Drawn Vehicle

Citation Key Codes 01 Traffic 02 Non-Traffic / Criminal 03 Bench Warrant / Show Cause Order 04 Criminal Summons 05 Juvenile

9. CDL Section: Is Vehicle a Commercial Vehicle? Yes, if Gross Vehicle Weight Rating is 10,000 pounds or more.

*This is not the Registration weight.

Placarded Hazardous vehicle? Yes, if vehicle placarded for Hazardous Materials.

CDL License? Yes, if Operator’s License is a CDL, regardless of whether the driver is operating a Commercial Vehicle or not.

Class A B or C? Designated on Operator’s License

1A

8110062174

8110062174

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1A

FACE 1

JUVENILE OFFENDER

(PERF)(PERF)

KSP 206 (REV 2/1/06)

UNIFORM CITATION

HOME PHONE

EMERGENCY PHONE

KENTUCKY RESIDENT STATUS

F. FULL TIME P. PART TIME N. NON RESIDENT

MARITAL STATUS

VICTIM’S RELATIONSHIP TO OFFENDER

ETHNIC ORIGIN

HISPANIC NON HISPANIC

HEIGHT WEIGHT HAIR COLOR EYE COLOR

ALCOHOL/DRUG INVOLVEMENT (SPECIFY)

NO YES UNK

ATTN:

ORI:

ZIP:STATE:

S.S. NUMBER

RACESEX

SKIP A SPACE BETWEEN NAMESNAME (L-F-M)

AGENCY

ALIAS

ADDRESS (RFD/STREET/APT. NO., ETC.)

CITY

I.D. TYPE/STATE I.D. NUMBER

DATE OF BIRTH

MALE FEMALE

PLACE OF EMPLOYMENT / OCCUPATION CITY

AM. INDIAN

OR ALASKAN ASIANBLACKWHITE

STATE

COLOR TOP/BOTTOMVEH. YEARVEH. TYPEVEH. MAKE

REG. STATE REG. YEAR

VIOLATION TIMEVIOLATION DATE

DATE OF ARREST TIME OF ARREST

REGISTRATION NO.

EXACT LOCATION OF VIOLATION / ARREST

VEHICLE IDENTIFIERS MPH IN MPH ZONE VOL. KEY

B.A. RESULTS

COUNTY OF VIOLATION SECTORCITYDIRECTIONMILES

CHARGESSTATUTE / ORD.ASCF

VIOLATION

CODE

PLEA FIND-

ING

DISPN.

CODE

FINEFINAL

VIOLATION CODE

COSTS FEE JAIL /

PRISON

PROB.

TIME

COURT LOCATION COURT CASE NO. DISPN. DATE TRIAL CLERKS

INITIALSB J

N

COURT DATE COURT TIME

PAYABLE

COURT

AM

PM

POST-ARREST COMPLAINT

KY

COMMONWEALTH OF KENTUCKY

CDL LICENSE

COMMERCIAL VEHICLE

NAME OF WITNESS

NAME OF WITNESS

No

No

Yes

Yes

PLACARDED HAZARDOUS VEHICLE

CDL CLASS

No Yes

A B C

ADDRESS

ADDRESS

CITY/STATE

CASE NO.

CARRIED FOR UCR BY CONTRIBUTOR:

OTHER AGENCY: SPECIFY

OFFICER’S SIGNATURE

1 2

IN-CAR VIDEO

BADGE / I.D. NUMBER

FINGER PRINTS

PHOTOS

EVIDENCE HELD

ASSIGNMENT

3 4

Y E

A R

C O

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C O

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PROOF 1

COUNTS

8110062174

8110062174 RR Donnelley ©2011. All rights reserved. — 0667

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2A2B

2A2B

FACE 2; SCREEN 20%

JUVENILE OFFENDER

(PERF)(PERF)

KSP 206 (REV 2/1/06)

UNIFORM CITATION

HOME PHONE

EMERGENCY PHONE

KENTUCKY RESIDENT STATUS

F. FULL TIME P. PART TIME N. NON RESIDENT

MARITAL STATUS

VICTIM’S RELATIONSHIP TO OFFENDER

ETHNIC ORIGIN

HISPANIC NON HISPANIC

HEIGHT WEIGHT HAIR COLOR EYE COLOR

ALCOHOL/DRUG INVOLVEMENT (SPECIFY)

NO YES UNK

ATTN:

ORI:

ZIP:STATE:

S.S. NUMBER

RACESEX

SKIP A SPACE BETWEEN NAMESNAME (L-F-M)

AGENCY

ALIAS

ADDRESS (RFD/STREET/APT. NO., ETC.)

CITY

I.D. TYPE/STATE I.D. NUMBER

DATE OF BIRTH

MALE FEMALE

PLACE OF EMPLOYMENT / OCCUPATION CITY

AM. INDIAN

OR ALASKAN ASIANBLACKWHITE

STATE

COLOR TOP/BOTTOMVEH. YEARVEH. TYPEVEH. MAKE

REG. STATE REG. YEAR

VIOLATION TIMEVIOLATION DATE

DATE OF ARREST TIME OF ARREST

REGISTRATION NO.

EXACT LOCATION OF VIOLATION / ARREST

VEHICLE IDENTIFIERS MPH IN MPH ZONE VOL. KEY

B.A. RESULTS

COUNTY OF VIOLATION SECTORCITYDIRECTIONMILES

CHARGESSTATUTE / ORD.ASCF

VIOLATION

CODE

PLEA FIND-

ING

DISPN.

CODE

FINEFINAL

VIOLATION CODE

COSTS FEE JAIL /

PRISON

PROB.

TIME

COURT LOCATION COURT CASE NO. DISPN. DATE TRIAL CLERKS

INITIALSB J

N

COURT DATE COURT TIME

PAYABLE

COURT

AM

PM

POST-ARREST COMPLAINT

KY

COMMONWEALTH OF KENTUCKY

CDL LICENSE

COMMERCIAL VEHICLE

NAME OF WITNESS

NAME OF WITNESS

No

No

Yes

Yes

PLACARDED HAZARDOUS VEHICLE

CDL CLASS

No Yes

A B C

ADDRESS

ADDRESS

CITY/STATE

CASE NO.

CARRIED FOR UCR BY CONTRIBUTOR:

OTHER AGENCY: SPECIFY

OFFICER’S SIGNATURE

1 2

IN-CAR VIDEO

BADGE / I.D. NUMBER

FINGER PRINTS

PHOTOS

EVIDENCE HELD

ASSIGNMENT

3 4

Y E

A R

C O

N T

R O

L N

U M

B E

R T

Y P

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X X

X X

X X

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P O

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-A R

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C O

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C D

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A S

E

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C O

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P O

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IC

E

8110062174

8110062174 RR Donnelley ©2011. All rights reserved. — 0667

(PERF)(PERF)

This proof is submitted for your review and approval. It is supplied for content, layout, and version review and does not reflect paper or ink match. Please review your proof carefully.

3A3B

3A3B

FACE 3; SCREEN 20%

JUVENILE OFFENDER

(PERF)(PERF)

KSP 206 (REV 2/1/06)

UNIFORM CITATION

HOME PHONE

EMERGENCY PHONE

KENTUCKY RESIDENT STATUS

F. FULL TIME P. PART TIME N. NON RESIDENT

MARITAL STATUS

VICTIM’S RELATIONSHIP TO OFFENDER

ETHNIC ORIGIN

HISPANIC NON HISPANIC

HEIGHT WEIGHT HAIR COLOR EYE COLOR

ALCOHOL/DRUG INVOLVEMENT (SPECIFY)

NO YES UNK

ATTN:

ORI:

ZIP:STATE:

S.S. NUMBER

RACESEX

SKIP A SPACE BETWEEN NAMESNAME (L-F-M)

AGENCY

ALIAS

ADDRESS (RFD/STREET/APT. NO., ETC.)

CITY

I.D. TYPE/STATE I.D. NUMBER

DATE OF BIRTH

MALE FEMALE

PLACE OF EMPLOYMENT / OCCUPATION CITY

AM. INDIAN

OR ALASKAN ASIANBLACKWHITE

STATE

COLOR TOP/BOTTOMVEH. YEARVEH. TYPEVEH. MAKE

REG. STATE REG. YEAR

VIOLATION TIMEVIOLATION DATE

DATE OF ARREST TIME OF ARREST

REGISTRATION NO.

EXACT LOCATION OF VIOLATION / ARREST

VEHICLE IDENTIFIERS MPH IN MPH ZONE VOL. KEY

B.A. RESULTS

COUNTY OF VIOLATION SECTORCITYDIRECTIONMILES

CHARGESSTATUTE / ORD.ASCF

VIOLATION

CODE

PLEA FIND-

ING

DISPN.

CODE

FINEFINAL

VIOLATION CODE

COSTS FEE JAIL /

PRISON

PROB.

TIME

COURT LOCATION COURT CASE NO. DISPN. DATE TRIAL CLERKS

INITIALSB J

N

COURT DATE COURT TIME

PAYABLE

COURT

AM

PM

POST-ARREST COMPLAINT

KY

COMMONWEALTH OF KENTUCKY

CDL LICENSE

COMMERCIAL VEHICLE

NAME OF WITNESS

NAME OF WITNESS

No

No

Yes

Yes

PLACARDED HAZARDOUS VEHICLE

CDL CLASS

No Yes

A B C

ADDRESS

ADDRESS

CITY/STATE

CASE NO.

CARRIED FOR UCR BY CONTRIBUTOR:

OTHER AGENCY: SPECIFY

OFFICER’S SIGNATURE

1 2

IN-CAR VIDEO

BADGE / I.D. NUMBER

FINGER PRINTS

PHOTOS

EVIDENCE HELD

ASSIGNMENT

3 4

Y E

A R

C O

N T

R O

L N

U M

B E

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Y P

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A S

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Press hard • ball-point pen • all copies legible!

V

IO

L A

T O

R

8110062174

8110062174 RR Donnelley ©2011. All rights reserved. — 0667

(PERF)(PERF)

This proof is submitted for your review and approval. It is supplied for content, layout, and version review and does not reflect paper or ink match. Please review your proof carefully.

4A4B

4A4B

FACE 4; SCREEN 50%

JUVENILE OFFENDER

(PERF)(PERF)

KSP 206 (REV 2/1/06)

UNIFORM CITATION

HOME PHONE

EMERGENCY PHONE

KENTUCKY RESIDENT STATUS

F. FULL TIME P. PART TIME N. NON RESIDENT

MARITAL STATUS

VICTIM’S RELATIONSHIP TO OFFENDER

ETHNIC ORIGIN

HISPANIC NON HISPANIC

HEIGHT WEIGHT HAIR COLOR EYE COLOR

ALCOHOL/DRUG INVOLVEMENT (SPECIFY)

NO YES UNK

ATTN:

ORI:

ZIP:STATE:

S.S. NUMBER

RACESEX

SKIP A SPACE BETWEEN NAMESNAME (L-F-M)

AGENCY

ALIAS

ADDRESS (RFD/STREET/APT. NO., ETC.)

CITY

I.D. TYPE/STATE I.D. NUMBER

DATE OF BIRTH

MALE FEMALE

PLACE OF EMPLOYMENT / OCCUPATION CITY

AM. INDIAN

OR ALASKAN ASIANBLACKWHITE

STATE

COLOR TOP/BOTTOMVEH. YEARVEH. TYPEVEH. MAKE

REG. STATE REG. YEAR

VIOLATION TIMEVIOLATION DATE

DATE OF ARREST TIME OF ARREST

REGISTRATION NO.

EXACT LOCATION OF VIOLATION / ARREST

VEHICLE IDENTIFIERS MPH IN MPH ZONE VOL. KEY

B.A. RESULTS

COUNTY OF VIOLATION SECTORCITYDIRECTIONMILES

CHARGESSTATUTE / ORD.ASCF

VIOLATION

CODE

PLEA FIND-

ING

DISPN.

CODE

FINEFINAL

VIOLATION CODE

COSTS FEE JAIL /

PRISON

PROB.

TIME

COURT LOCATION COURT CASE NO. DISPN. DATE TRIAL CLERKS

INITIALSB J

N

COURT DATE COURT TIME

PAYABLE

COURT

AM

PM

POST-ARREST COMPLAINT

KY

COMMONWEALTH OF KENTUCKY

CDL LICENSE

COMMERCIAL VEHICLE

NAME OF WITNESS

NAME OF WITNESS

No

No

Yes

Yes

PLACARDED HAZARDOUS VEHICLE

CDL CLASS

No Yes

A B C

ADDRESS

ADDRESS

CITY/STATE

CASE NO.

CARRIED FOR UCR BY CONTRIBUTOR:

OTHER AGENCY: SPECIFY

OFFICER’S SIGNATURE

1 2

IN-CAR VIDEO

BADGE / I.D. NUMBER

FINGER PRINTS

PHOTOS

EVIDENCE HELD

ASSIGNMENT

3 4

Y E

A R

C O

N T

R O

L N

U M

B E

R T

Y P

E

X X

X X

X X

X

O F

F E

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H A

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P O

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-A R

R E

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C O

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L A

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C D

L C

A S

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X

Press hard • ball-point pen • all copies legible!

D E

T E

N T

IO

N

8110062174

8110062174 RR Donnelley ©2011. All rights reserved. — 0667

(PERF)(PERF)

This proof is submitted for your review and approval. It is supplied for content, layout, and version review and does not reflect paper or ink match. Please review your proof carefully.

5A

5A

FACE 5; SCREEN 10%

JUVENILE OFFENDER

(PERF)(PERF)

KSP 206 (REV 2/1/06)

UNIFORM CITATION

HOME PHONE

EMERGENCY PHONE

KENTUCKY RESIDENT STATUS

F. FULL TIME P. PART TIME N. NON RESIDENT

MARITAL STATUS

VICTIM’S RELATIONSHIP TO OFFENDER

ETHNIC ORIGIN

HISPANIC NON HISPANIC

HEIGHT WEIGHT HAIR COLOR EYE COLOR

ALCOHOL/DRUG INVOLVEMENT (SPECIFY)

NO YES UNK

ATTN:

ORI:

ZIP:STATE:

S.S. NUMBER

RACESEX

SKIP A SPACE BETWEEN NAMESNAME (L-F-M)

AGENCY

ALIAS

ADDRESS (RFD/STREET/APT. NO., ETC.)

CITY

I.D. TYPE/STATE I.D. NUMBER

DATE OF BIRTH

MALE FEMALE

PLACE OF EMPLOYMENT / OCCUPATION CITY

AM. INDIAN

OR ALASKAN ASIANBLACKWHITE

STATE

COLOR TOP/BOTTOMVEH. YEARVEH. TYPEVEH. MAKE

REG. STATE REG. YEAR

VIOLATION TIMEVIOLATION DATE

DATE OF ARREST TIME OF ARREST

REGISTRATION NO.

EXACT LOCATION OF VIOLATION / ARREST

VEHICLE IDENTIFIERS MPH IN MPH ZONE VOL. KEY

B.A. RESULTS

COUNTY OF VIOLATION SECTORCITYDIRECTIONMILES

CHARGESSTATUTE / ORD.ASCF

VIOLATION

CODE

PLEA FIND-

ING

DISPN.

CODE

FINEFINAL

VIOLATION CODE

COSTS FEE JAIL /

PRISON

PROB.

TIME

COURT LOCATION COURT CASE NO. DISPN. DATE TRIAL CLERKS

INITIALSB J

N

COURT DATE COURT TIME

PAYABLE

COURT

AM

PM

POST-ARREST COMPLAINT

KY

COMMONWEALTH OF KENTUCKY

CDL LICENSE

COMMERCIAL VEHICLE

NAME OF WITNESS

NAME OF WITNESS

No

No

Yes

Yes

PLACARDED HAZARDOUS VEHICLE

CDL CLASS

No Yes

A B C

ADDRESS

ADDRESS

CITY/STATE

CASE NO.

CARRIED FOR UCR BY CONTRIBUTOR:

OTHER AGENCY: SPECIFY

OFFICER’S SIGNATURE

1 2

IN-CAR VIDEO

BADGE / I.D. NUMBER

FINGER PRINTS

PHOTOS

EVIDENCE HELD

ASSIGNMENT

3 4

Y E

A R

C O

N T

R O

L N

U M

B E

R T

Y P

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X X

X X

X X

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H A

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E (S

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P O

S T

-A R

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C O

M P

L A

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C D

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A S

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Press hard • ball-point pen • all copies legible!

A G

E N

C Y

B-1A

8110062174

8110062174

(PERF)(PERF)

This proof is submitted for your review and approval. It is supplied for content, layout, and version review and does not reflect paper or ink match. Please review your proof carefully.

B-1A

SECOND POLICE OFFICER

BADGE/I.D.#

DEAF?

FOREIGN LANGUAGE?

YES NO

YES NO

IF YES, WHAT LANGUAGE?

JUVENILE INFORMATION

WHEREAS , a child alleged to be within the purview of Chapter 610, Kentucky Revised Statutes, was this day taken into custody by the under-signed officer by reason of acts alleged to have occurred and to thereby bring such child under the purview of said ACT; and it appearing that the alleged occurrence, or circumstances surrounding same were such as not require detention of said child, the child is now released to:

the parent, or other responsible person who by signature hereto agrees to produce such child before the court upon notification of date and time to appear.

Mother Father

***(OPTIONAL)***

Parents Notified? Yes No If not why?

Property Stolen or Damaged:

Recovered: Property Owner

Address

Accomplices:

R. THUMB

BACK 1; HEAD TO HEAD; SCREEN 50%

(PERF)(PERF)

8110062174

(PERF)(PERF)

This proof is submitted for your review and approval. It is supplied for content, layout, and version review and does not reflect paper or ink match. Please review your proof carefully.

B-2A

B-2A

BACK 2; HEAD TO HEAD; SCREEN 50%

R. THUMB

8110062174

(PERF)(PERF)

This proof is submitted for your review and approval. It is supplied for content, layout, and version review and does not reflect paper or ink match. Please review your proof carefully.

B-3A

B-3A

BACK 3; HEAD TO HEAD; SCREEN 50%

You have been issued this citation for an alleged violation of state or local law.

PLEA OF GUILTY AND PREPAYMENT OF COURT COST AND FINE(S):

Many violations are payable prior to the court date. If your citation is marked “Payable” you may prepay the court cost and fine(s) by mail or in person. By prepaying, you are pleading guilty to the violation(s) for which you were cited. If you wish to plead guilty, you may avoid going to court if you pay the fine and costs before the court date. The total fine and costs set by the court for this violations is $

Prepayment or conviction of a traffic offense may result in points against your license.

You may pay in person or by mail to the Circuit Court Clerk’s Office of the county in which you were cited. Mailed payments should be in the form of a certified check or money order in the amount specified above, made payable to the Commonwealth of Kentucky. DO NOT SEND

CASH. All mailed payments must be postmarked at least seven (7) business days prior to the court date on your citation. Be sure to mail this citation with your payment or bring the citation with you if you intend to pay in person.

Payments made in person may be in the form of cash, certified check or money order.

Canadian checks must indicate that payment is in “U.S. dollars.”

PLEA OF NOT GUILTY AND COURT APPEARANCE

If you wish to plead not guilty, or if “Court” is checked on the front of this citation, you must appear in court on the date written on your citation.

STATE TRAFFIC SCHOOL

If you have a valid driver’s license with your current address and have not been assigned to

State Traffic School in the last twelve (12) months, you may be eligible. TO REQUEST STATE

TRAFFIC SCHOOL, CONTACT THE CIRCUIT COURT CLERK. If you are permitted to attend State Traffic School, you must provide the Circuit Court Clerk a written request to attend State

Traffic School, a copy of your citation and payment for the court costs. Since court costs vary by county, you must contact the Circuit Court Clerk to verify the appropriate amount.

FAILURE TO RESPOND TO THIS CITATION MAY RESULT IN SUSPENSION OF YOUR

DRIVERS’S LICENSE.

8110062174

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B-4A

B-4A

BACK 4; HEAD TO HEAD; SCREEN 50%

R. THUMB

Detention

If vehicle towed:

Wrecker Service

If vehicle not towed:

Location of vehicle

Scars/Marks/Tattoos:

8110062174

(PERF)(PERF)

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B-5A

B-5A

BACK 5; HEAD TO HEAD; SCREEN 50%

R. THUMB

SUPPLEMENTARY AGENCY (BEFORE USING THIS SIDE - SEPARATE SHEETS)

OWNER/LEASE

LAST NAME

FIRST NAME MIDDLE NAME

STREETR.F.D./NO. CITY STATE

ADDITIONAL INFORMATION: OFFENDER

ALIAS #2:

WARNING CODE:

MARKS/SCARS/TATTOOS

ALIAS #3:

TYPE

TYPE

LOCATION

LOCATION

HAND:

BUILD:

HANDICAP:

TEETH:

FACIAL HAIR:

SPEECH:

COMPLEXION:

GLASSES:

DEFORMITIES/

ARTIFICIAL PARTS: TYPE LOCATION

EVIDENCE

SERIAL

NUMBER:

OTHER OFFICERS: