Non-Traffic Ticket - City Of Houston

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CITIIZEN COPY
CITY OF HOUSTON MUNICIPAL COURTS
Pay or Resolve this ticket before your court date
or
YOU MUST APPEAR
Ticket #
1400 Lubbock
8300
Mykawa*
3203 S. Dairy
Ashford*
Houston, TX 77002-1556
Houston, TX 77048
Houston, TX 77082
7:00 A.M. to 10:00 P.M.
8:00 A.M. to 10:00 P.M.
8:00 A.M. to 9:00 P.M.
Court #
Time
Date
A.M. / P.M.
Monday - Saturday
Monday - Friday
Monday - Friday
Month
Day
Year
HPD North
Command*
or visit
For other locations see page 4, call 311 or (713) 837-0311,
9455 W. Montgomery Rd.
Monday - Friday
8:00 A.M. to 5:00 P.M.
*Closed 12 P.M. - 1 P.M.
Last
First
DL
CDL
Name
Name
MI
ID
MC #
ST
Veh
Occ
Occ
Race
Sex
DOB
Age
Height
Lic
ST
Color
Make
Model
Front
Back
Month
Day
Year
Home
Area
Home
Address
City
ST
ZIP
Code
Phone
Work
Area
Work
Address
City
ST
ZIP
Code
Phone
#1
#2
#3
Road
OFFENSE DATE
TIME
A.M. / P.M.
(issue date if different)
If commercial (vehicle, learners permit) include SSN
Service
Month
Day
Year
Month
Day
Year
Commercial
Locations:
Y / N
Y / N
Vehicle
HAZMAT
Weather
Traffic
OFFICER
#
NAME
Emp #
Dist
Beat
Your failure to appear, failure to pay, or failure to satisfy a judgment ordering
#
SEARCH
Y / N
payment of a fine and costs, may result in: 1) a warrant issued for your arrest;
2) a charge of Failure to Appear and $215 fine; 3) denial of Driver’s License
#
CONSENT
Y / N
renewal; 4) denial of motor vehicle registration of renewal; and 5) a $30 DPS
fee for each violation charged.
This is not an admission of guilt, but I do
ARREST
Y / N
Notes / Witness name, address, phone / Witness Name and ID#.
acknowledge receipt of this notice and I will appear in court at the time and
place designated above. I am the person named and identified in this ticket.
Signature:
REVISED 10/2009

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