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Certified Mail Provides:
o A mailing receipt
a A unique identifier for your mailpiece
o A record of delivery kept by the Postal Service for two years
Important Reminders:
o Certified Mail may ONLY be combined with First-Class Mail®or Priority Mail®.
a Certified Mail is notavailable for any class of international mail.
a NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For
valuables,please consider Insured or Registered Mail.
n For an additional fee,a Return Receipt may be requested to provide proof of
delivery.To obtain Return Receipt service,please complete and attach a Return
Receipt(PS Form 3811)to the article and add applicable postage to cover the
fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for
a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is
required.
a For an additional fee, delivery may be restricted to the addressee or
addressee's authorized agent.Advise the clerk or mark the mailpiece with the
endorsement"Restricted Delivery".
m If a postmark on the Certified Mail receipt is desired,please present the arti-
cle at the post office for postmarking. If a postmark on the Certified Mail
receipt is not needed,detach and affix label with postage and mail.
IMPORTANT:Save this receipt and present it when making an inquiry.
PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047
r NAME OF OFFENDER ]BAR
1 .
423
TOWN OF ADDRESS OF OFF DEH10"4tr' �� ! fat• j. P !l� f tj
BARNSTABLE CITY,STATE,ZIP CO.DTTLL
drt iqk, MV/MB REGISTRATION NUMBER
OFF SE
HAHVSTAH6E. I ,,},
.1usS. 8' t(`r �. t t?Y\ D. v t b t' ^"F U54 or-e' 'e'4 -er 4e,K /Ow 5639.
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�toru+� d ��'a. G f���J j V1%� i.lEro'+ei t np+ �✓/R.�+ �/C �+ CC Yf`5� >
TIME AND DATE OF VIOLAT N. OC TION OF VIOLATION Z
NOTICE OF :0 v ,(A.M / P.M.)ON 20 f .} yet �a },a y'�
VIOLATION SIGNATURE OF RCING'P N ENFORCIN�EPT. BADGENO. W
.. -� I � Cn
OF TOWN r o
I HEREBY ACKNOWLEDG R EIPT OF CITATION X a
ORDINANCE Unable to obtain signature of o der. THE NONC L FINE FOR THIS OFFENSE IS IS
Date mailed LU
w
OR YOU HAVE THE FOLLOWIN ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL n
DISPOSITION WITH NO RESULTING CRIMINAL RECORD. LLI
co
REGULATION 1 You ma elect to a the above fine,either b appearing in person between 8:30 A.M.and 4:00 P.M.,Monda through Friday,legal holida s excepted Q
( ( ) Y pay Y PP A P 9 Y, 9 P LU
before:The Barnstable Clerk,200 Main Street,Hyannis,M 02601,or by mailing a check,money order or posts note to Barnstable Clerk,P. .Box 2430,
t Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. a
B W you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST
NSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA 02630,Attn:21D Noncriminal Hearings and enclose a copy of this
citation for a hearing.
(3)if you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the
hearing to be due,criminal complaint may be issued against you.
❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$
Signature
COMPLETE •N COMPLETE THIS SECTION ON DELIVERY.
■ Complete items 1,2,and 3.Also complete A. Signature
item 4 if Restricted Delivery is desired: ❑Agent
■ Print your name and address on the reverse X ❑Addressee
so that we can return the card to you. eived by(Printed Name) G—pate f elive
■ Attach this card to the back of the mailpiece, �
or on the front if space permits. vvv
' D. Is delivery address different from item 1? ❑Yes
1. Article Addressed to: If YES,enter delivery address below: ❑No
1410f*Aeo�yf 6ki-
Ig-Hi 11 3. Service Type
Da 6� f$Certified Mail® ❑Priority Mail Express"'
❑Registered JR Return Receipt for Memhandiss
o ❑Insured Mail ❑Collect on Delivery
4. Restricted Delivery?(Extra Fee) ❑Yes
2. A' 7012 101D 00'00 42 47' 8773" q,�"j
n
PS Form 3811,July 2013 Domestic Return Receipt
UNITED STAT111111
E*i# STAL'SEIZY/ICE' First-Class Mail
Postage&fees Paid
USPS
Permit No.G-10
• Sender:Please print your name, address, and ZIP+4®in this box*
F,Tom Town of Barnstable
f Health Division
200 Main Street J
Hyannis,MA 02601
1!'
TOWN OF BARNSTABLE BAR-w .
Ordinance or Regulation
WARNING NOTICE
Name of Offender/Manager1 �,,,, ,(
Address of Offender MV/MB Reg.#
Village/State/ZiJp� A
Business Name t"4 v�" �_ r+-� a t , G� 1 r r-� ' r'am/pm, on 20 f
tw
Business Address
Signature of,,Enforcing Officer
Village/State/Zip ��`�� ►'?��, ►'�/ �
Location of Offense ,���f„}-�, r s•-� Cn .?v ,()��r� ``
�+ Enforcing Dept/Division
Offense t �� %�►/ v1. r/ lG� - I.a . `TC�(fir .lt/`at ���riC "t, rt '��'�' I�rtiv� r,("
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Facts
This will serve only as a warning! At this time no legal action has been taken.
It is the goal of Town agencies to achieve voluntary compliance of Town
Ordinances, Rules and Regulations. Education efforts and warning notices are
attempts to gain voluntary compliance. Subsequent violations will_ result in
appropriate legal action by the Town.
WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT.
TOWN OF BARNSTABLE BAR-W .
Ordinance or Regulation
WARNING -NOTICE
ti
Name of Offender/Manager mot. �_
Address of Offender MV/MB Reg.#
-" Village/State/Zip
Business Name � as
.a a -. f j /pm, on 4 20 f
Business Address
/ Signature of"Enforcing Officer
Village/State/Zip f4�'� � ►'° v�# r�`
Location of Offense AA
Enforcing Dept/Division
• F
rt
Offense � o e � , . �t !�' r,. t < t t_�:< '.r .r ?E' - ° ,,• < _
Facts
This will serve only as a warning: At this time no legal action has been taken.
It is the goal of Town agencies to achieve voluntary compliance of Town
Ordinances, Rules and Regulations. Education efforts and warning notices are
attempts to gain voluntary compliance. Subsequent violations will result in
appropriate legal action by the Town.
WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT.