3826-SEL CHECK DIGIT 6



# PALM BEACH

## EST PALM BEACH

THE COURT DESIGNED BELOW THE UNDERSTANDED CERTIFIES THAT HEISHAS ATTEND REASONABLE GROUDS TO BELIEVE AND DOES BELIEVE THAT ON

**DAY OF WEEK**
**HURSDAY** 10 MONTH 19 DAY 2006 YEAR 06:17 AM PM

### SUMMONS
(DEFENDANT'S COPY)

#### MODEL
W

#### LAST
PARR

#### IF DIFFERENT THAN ONE OR DRIVE LICENSE X HERE

### STATE
FL

### ZIP
ZIP

#### TELEPHONE NUMBER
DATE OF BIRTH

### DRIVER LICENSE NUMBER
STATE FL CLASS E COLICENSE N YR LICENSE EXP 2007 IF COMMERCIAL MTR. VEN. X HERE

#### VR. VEHICLE
2004 MAKE LNDR STYLE UT COLOR BLU IF PLACARDED HAZARDOUS MATERIAL X HERE

#### WRITING LICENSE NO.
J52THE TRAILER TAG NO. STATE FL TEM ANSWER 2007 IF COMPANION CITATION X HERE

#### WITH A PUBLIC URGE OR NISSAN VEHICLE OFFER LOCATION SIMILY
195 SE 1 MILE SOF 45TH STREET

---

### FT. MILES N S E W OF HODE

### DID UNLAWFULLY COMMIT THE FOLLOWING OFFENSE. CHECK ONLY ONE OFFENSE EACH CITATION.

- **UNLAWFUL SPEED** MPH SPEED APPLICABLE MPH
  - INTERSTATE 4-LANNE NHV WITH 26 FT. MEDIAN OUTSIDE BUS, OR RBG. DIST.)
  - CARPLESS DRIVING
    - VOLLATION OF TRAFIC CONTROL, DEVICE
      - IMPROPER OR UNSAFE EQUIPMENT
        - FOUR (4) MONTHS OR LESS
      - VOLLATION OF RIGHT OFWAY
        - EXPRESSED TAG
          - MORE THAN FOUR (4) MONTHS
      - IMPROPER CHANGE OF LANE OR COURSE
        - SIX (6) MONTHS OR LESS
      - IMPROPER PASSING
        - MORE THAN SIX (6) MONTHS
      - CHILD RESTRAINT
          - NO PROOF OF INSURANCE
            - FAILURE TO STOP AT A TRAFFIC SIGNAL

- DRiving Under the Influence of Alcoholic Beverages, Chemical or Controlled Substances, Driving Actual Physical Control, While Impaired, Or Driving Actual Physical Control, With Unlawful Bloodborne Alcohol Level, BAL.

- OTHER VIOLATIONS OR COMMENTS PERFORMING TO OFFENSE

- **ENDED VEHICLE TRAVELING IN SAME DIRECTION**





## NEXT Financial Associates Inc.



Zurich Mortgage Solutions
Robert W. Parr, II
Principal



EFTA00090716