On October 23, 2021 a
Criminal Matters
was filed
involving a dispute between
and
Da Silva, Cristiano Moreira,
in the District Court of Indian River County.
Preview
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IMUM ot o=pcoF ro.
FLORIDA but UNIFORM TRAFFIC CITATION AAOSKAE
TOR OF Dore, Caen. Byso, Oworter
INDIAN RIVER (32)
“EHV EFAPPOORECET AGENCY NAME ZRCSO
a+ a+ AGENCY # ELO310000
"THE COURT DEDHNATEDOFLGW THE UNOERGGNED CORTAGS THAT WEE
‘WAEJUHT ANG REASORADLEGAOUNDS TOBELEYEANDDCES BELIEVE TAATON (RETANED BY COURT)
Tar eF Wa Ta
SAT
Tana pe POT
10 23 2021 [o1:18Be
CRISTIANO MOREIRASER TON ENDASN SILVA SE
1845 ROBALO DR APT 101D
a
VERO BEACH i" 32960
TELPRONE NER oaaor
eam ae re
02 [M17 ["77 [| M [5-07
raven
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Nomen ae paar TC USERET TO [SSNORTRCAT VETTE
E [Ova 2026 (Ow Bro
Tee STE ROTA
= BLK8 ETAES [TeDivesPASSENERD Bano
=
20 [avon
VEEL Vena a ae
HWIF85 EL | 2022 (Ovs Brno
TARTIGE AIREY On WEAF ON OTE a
1100 BLOCK OF 7S. HIGHWAY 1 ICs Bo
revranoverTanona)
VERO BEACH, FL Ores ne
OQ a: qz wyPe oF woos,
010 UNLAWFULLY GOWNIT THE OFFENSE OF ORVNG UNDER THE INFIUENCE OF ALCOROLIG BEVERAGES, CHEWCAL OR
‘CONTROLLED SUBSTANCES; DID DRIVE, OR WAS IN ACTUAL PHYSICA. CONTROL OF A VEMICLE. WHILE UNDER THE INFLUENCE
OF AN ALCOHOLIC BEVERAGEICHEMICAL SUBSTANCEICOVTROLLED SUBSTANCE TO THE TG vor Faoucres wee
IMPAIRED, OR WITH A BLOOD OF BREATH ALCOMOL LEVEL OF 05 OR ABOVE OF
ere tira cE
PaSneaE S| surance |" Taam
Cir Boo
snonessxe ON UTves uo
TSO ROFERTT
316.193(1
HR ToaROTRER
Dves Bho [Ores Diu [Cree _D5lno [res no
‘THIS IS A CRIMINAL VIOLATION, COURT APP CE rant IGATED BELOW.
7
TO BE SET
oa
SHAT TIST SEAT
ue
woei
wera IRC TAIL one 10/23/21 oS
agate
eat Mp Prowse gy mg wen 19 TREbea
GARDE Nib MBTRUCTEND SPEED Twa GTATCR MLA EEA. TO ACCEPL AN con HG 2
Sreoaosae ana COUALY wih THR E7RTE,Wy EOMAEY THE CLERK =OF on LF a WAN oF ROME. Bou AGED REO ot 1S
eTEor TET on
x cx ze
[EFFECTIVE INNEDIATELY, YOUR DRIVING PRNILEGE IS SUSPENDEDIDISGUALINED FOR: m2 oS
{R] DRING WITH aN UNLAWFUL BLOOD OR BREATH ALCOHOL LEVEL TH'S SUSPENSION IS FOR A PERLOOOF 61K NOMTHS ea
JF THIS (3 THE FIRST VIOLATION OR ONE YEAR IF PREVIOUSLY SUSPENDED FOR DRIVING WITH AN UNLAWFUL BLOOD OR
BREATH ALCOHOL LEVEL (F YOU HOLD A CDL OR YOU ARE OPERATING A CHW, YOUR CONNIERCIAL DRVER
ILL_ALSO BE CISGUALIFIED FOR ONE YEAR FOR THE FIRST OFFENS (OR PERMANENTLY
DISQUAUIFED FOR A SUBSEQUENT OFFENSE,
&
[7 ReFusat To SUBMIT To LAWFUL BREATH, BLOOD OR URINE TEST SECTION 9222615, F. 8. THIS SUSPENSION (S FOR A.
‘PERIOD OF ONE YEAR IF THIS IS A RST REFUSAL OR 16 BONTHS IF PREVIOUSLY SUSPENDED FOR TH'S OFFENSE. IF YOU
HOLD A COL OR YOU ARE OPERATING A CMV, YOUR COMMERCIAL DRIVER LICENSEMPRIVILEOE Witt ALSO BE DISQUALIFIED
FOR A PERIOD CF ONE YEAR FOR A FIRST REFUSAL OR PERMANENTLY CISCUALIFED FOR A SUBSEQUENT REFUSAL,
LIGENSE SURRENDERED? Bres Cho reason REFUSED TO B
ELIGIBLE FOR PERMA? Ores Blxo peason REFUSED TO B
‘UNLESS INELIGIBLE, This CITATION SHALL SERVEAS A TEMPORARY DRIVER LICENSE AND WALL EXPIRE AT MONIGHT OW THE
‘WTHLDAY FOLLOWING THE DATE OF SUSPENSION.
aTTHE ORLANDO [BUREAU OF ADMINISTRATIVE REVIEWS OFFICE,
‘YOU MAY REQUEST, WITHIN 1 DAYS AFTER THE OATE OF SUSPENSION, A REVIEW OF SUSPENSION BY THE DEPARTMENT OF
HIGHWAY SAFETY AND R VEXICLES OR A REV.EW TO DETERMINE ELIGIBILITY FOR & RESTRICTED LICENSE fF THIS 1S
‘YOUR FIRST DUI RELATED OFFEN
S BRANDON MCKENZIE 505. 9 PATROL
‘Ux eNATUREOFOFFCER HADEN,
SMU TEb0¢ ay, 1:1) 4 "1
CASE NUMBER: 2021-00137852
COMPLAINT
CASE NO. DOCKET NO. PAGENO,
DATE COURT ACTION AND OTHER ORDERS
BAIL FIXED AT $ OR CASH DEPOSIT OF $
‘SIGNATURE OF PERSON GIVING BAIL
‘SIGNATURE OF PERSON TAKING BAIL
FINE IN THE AMOUNT OF $ RECEIVED AS
Re RHINER Rhy RALIn® AREA
+ wes
‘
‘
I.
LULA 2034 crootiah:
FLORIDA DUI_UNIFORM TRAFFIC CITATION AAOSKAE "
TOOTOF Dineae. Dee. Biyso. Oworner
INDIAN RIVER (32)
TAF POETRY AGENCY NAME ZRCSO
wen--nnnee AGENCY # FLO310000
THE COURT DESGWATED FLOW THE UNDERSHONED CTRIESTHAT FE ‘ABSTRACT OF COURT RECORD FOR STATE,
REASONADLECRDMOSTOBELEVEARODOFSBELEVETHATONLIGENSING AUTHORITY REPORT OF DISPOSITION
TAT OF WEE TORT
SAT
oa FT
10 23 2021 [o1:18 Bhan Ora.
CRISTIANO MOREIRA.
TOPPER
DA SILVA
TOT ONE ORWER EIST We
1845 ROBALO DR APT 101D >
AE
VERO BEACH
LEAN NDE raaiear
ster ve 02 17 [77 [sh
aves
Geese
WowoER
pi2l4 fafa [a sels tor
Ta uCeEEES [COMERS CT
"EL ae eet 2026 jOve no
TEER RacRROES RSL TERA
020 HYUN, Bro
VERSLE LCR ROL aa 7m Prom
HWIFS5 — 2022 ves Bro
Wey apocerneer oR RaTaRCTET
2100 BLOCK OF UUe 3. “HIGHWAY 1 Gres Bio
FeupaceneraTionsy
VERO BEACH, FL es
n. vas G = a orNane
Dow Tl LY COWRA THE OFFENSE OF ORVING UNDE THE RALUENCE OF ALGONOUG BEVERAGES, CHEWGAL OR
(CONTROLLED SUBBTANCES: DID DRIVE, OR WAS IN ACTUAL PHYSICAL CONTROLOF A VEHICLE, WHILE UNDER THE INFLUENCE
OF AN ALCOHOUG BEVERAGEICHENICAL SUBSTANCEICONTROLLED SUBSTANCE TO THE GTR NORA FaCULTES we
IMPAIRED,
SORTER ORTEVATH.AEt BREATH ALC: L OF 28 OR ABOVEOF a
clear
MISD PIssH eet es Base
iaecTOn 13
1G secre mien |g
SIKGETS WER RRSPERTT pnw TRA ARTE | 316.193 (1)
nO aL MMAR ea oo}
Dlves Baro rest Bro [Ores Dano Ives Eno ve Bo
‘THIS IS A CRIMINAL VIOLATION, COURT AFPEARANCE REQUIRED, AS INDICATED, BELOW.
BRTONT
TO BE SET E
s =
AAT TAT So.
xsseis 7
sseestonmesoe IRC JAIL mre 20/23/22 a
as 2
ag
ARE ng a 72 ener ETE i man so #4 UTCA four ESTE
Gr OM weOX RAH
GEDOF RANE
A Tav1HS ACCT ATE
‘EeouoobatontTO COMAY TS ATEN COMIC HE EM OF ie
HRMS WORTOT Ss
EFFEGTIVE IMMEDIATELY, YOUR DRIVING PRIVILEGE 1$ BUSPENDEDIMISQUALIFED FOR:
a IF THIS ISWITHTHE ANFIRSTUNLAWFUL BLOOD OR BREATH ALCOHOL LEVEL. THIS SUSPENSION IS FOR A PERIOD OF SIX MONTHS.
VIOLATION OR ONE YEAR IF PREVIOUSLY SUSPENDED FOR DRIVING WITH AN UNLAWFUL BLOOD OR
‘ALCOHOL LEVEL %F YOU HOLD A COL OR YOU ARE OPERATING A CMV, YOUR COMMERCIAL DANER
UCENSEPRIMLEGE WILL ALSO BE DISQUALIFIED FOR ONE YEAR FOR THE FIRST OFFENSE OR PERMANENTLY
DISQUALIFIED FOR A SUBSEQUENT OFFENSE.
(C7 RErUsAL to susuitro LAWFUL BREATH, 81009 OR URINE TEST SECTION 2222518 FS. TH SUSPENSION 5 FOR A
PERIOD OF ONE YEARIF THIS IS A PIRST REFUSAL OR 18 NONTHS IF PREVIOUSLY SUSPENDED FOR THIS OFFEKSE. IF YOU
1D A COLOR YOU ARE OPERATING A CHV, YOUR COMMERCIAL DRIVER LICENSE/PRIVILEGE WILL ALSO BE DISQUALIFIED
FORA PERIOD OF ONE YEAR FOR A FIRST REFUSAL OR PERMANENTLY DISQUALIFIED FOR A SUBSEQUENT REFUSAL,
UceNe SURRENDERED? Bes Cw person REFUSED TO B.A.L
ELIGIBLE FOR PERMIT? Oves Biv retson REFUSED TO B.A.L
‘UNLESS INELIGIBLE, TH's CITATION SHALL SERVE AS A TEMPORARY DRIVER LICENSE AND WILL EXPIRE AT FIDAIGHT ON THE
‘TH DAY FOLLOWING THE DATE OF SUSPENSION,
AT THE ORLANDO. [BUREAU OF ADUINISTRATVE REVIEWS OFFICE,
‘YOU WAY REQUEST, WITHIN 19 DAYS AFTER THE DATE OF SUSPENSION, A REVIEWOF SUSPENSION BY THE DEPARTHENT OF
HIGHWAY SAFETY AND HOTOR VEHICLES OR A REVIEWTO DETERMINE ELIGIBILITY FOR A RESTRICTED LICENSE IF THIS (8
‘YOUR FIRST BUI RELATED OFFENSE. SEE REVERSE SIDE.
D/S BRANDON MCKENZIE 6059 PATROL
"UK. SOATURE OF OFNCER ADEN, "HOOP
SMU Tae en TONE 1 "1
CASE NUMBER; 2021-00137852
UNIFORM TRAFFIC RATIONN REPORT OF DISPOSITION
T OF COURT RECORD
DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES
MUST BE REPORTED WITHIN 10 DAYS AFTER FINAL ADJUDICATION
|, COURT ACTION
DEFENDANT'S PLEA: (CHECK ONE) CGuiLtY CINoT GUILTY CINOLO CONTENDERE
TRIAL: O1wury C12 NONJURY
(11 DEFENDANT REPRESENTED BY COUNSEL (12 DEFENDANT WAIVED COUNSEL
TOTAL FINE AMOUNT | TOTAL COURT COSTS
VERDICT SENTENCE
CHECK ONLY ONE: CHECK ONLY WHEN VERDICT IS GUILTYOR
ADJUDICATION WITHHELD BY JUDGE
O1 O1 ‘SERVED TIME
Document Filed Date
October 25, 2021
Case Filing Date
October 23, 2021
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Preview
. oo -. IMUM ot o=pcoF ro. FLORIDA but UNIFORM TRAFFIC CITATION AAOSKAE TOR OF Dore, Caen. Byso, Oworter INDIAN RIVER (32) “EHV EFAPPOORECET AGENCY NAME ZRCSO a+ a+ AGENCY # ELO310000 "THE COURT DEDHNATEDOFLGW THE UNOERGGNED CORTAGS THAT WEE ‘WAEJUHT ANG REASORADLEGAOUNDS TOBELEYEANDDCES BELIEVE TAATON (RETANED BY COURT) Tar eF Wa Ta SAT Tana pe POT 10 23 2021 [o1:18Be CRISTIANO MOREIRASER TON ENDASN SILVA SE 1845 ROBALO DR APT 101D a VERO BEACH i" 32960 TELPRONE NER oaaor eam ae re 02 [M17 ["77 [| M [5-07 raven cesar pi2[4a[1[2[a 3{|7(7}0/5{7|0 Nomen ae paar TC USERET TO [SSNORTRCAT VETTE E [Ova 2026 (Ow Bro Tee STE ROTA = BLK8 ETAES [TeDivesPASSENERD Bano = 20 [avon VEEL Vena a ae HWIF85 EL | 2022 (Ovs Brno TARTIGE AIREY On WEAF ON OTE a 1100 BLOCK OF 7S. HIGHWAY 1 ICs Bo revranoverTanona) VERO BEACH, FL Ores ne OQ a: qz wyPe oF woos, 010 UNLAWFULLY GOWNIT THE OFFENSE OF ORVNG UNDER THE INFIUENCE OF ALCOROLIG BEVERAGES, CHEWCAL OR ‘CONTROLLED SUBSTANCES; DID DRIVE, OR WAS IN ACTUAL PHYSICA. CONTROL OF A VEMICLE. WHILE UNDER THE INFLUENCE OF AN ALCOHOLIC BEVERAGEICHEMICAL SUBSTANCEICOVTROLLED SUBSTANCE TO THE TG vor Faoucres wee IMPAIRED, OR WITH A BLOOD OF BREATH ALCOMOL LEVEL OF 05 OR ABOVE OF ere tira cE PaSneaE S| surance |" Taam Cir Boo snonessxe ON UTves uo TSO ROFERTT 316.193(1 HR ToaROTRER Dves Bho [Ores Diu [Cree _D5lno [res no ‘THIS IS A CRIMINAL VIOLATION, COURT APP CE rant IGATED BELOW. 7 TO BE SET oa SHAT TIST SEAT ue woei wera IRC TAIL one 10/23/21 oS agate eat Mp Prowse gy mg wen 19 TREbea GARDE Nib MBTRUCTEND SPEED Twa GTATCR MLA EEA. TO ACCEPL AN con HG 2 Sreoaosae ana COUALY wih THR E7RTE,Wy EOMAEY THE CLERK =OF on LF a WAN oF ROME. Bou AGED REO ot 1S eTEor TET on x cx ze [EFFECTIVE INNEDIATELY, YOUR DRIVING PRNILEGE IS SUSPENDEDIDISGUALINED FOR: m2 oS {R] DRING WITH aN UNLAWFUL BLOOD OR BREATH ALCOHOL LEVEL TH'S SUSPENSION IS FOR A PERLOOOF 61K NOMTHS ea JF THIS (3 THE FIRST VIOLATION OR ONE YEAR IF PREVIOUSLY SUSPENDED FOR DRIVING WITH AN UNLAWFUL BLOOD OR BREATH ALCOHOL LEVEL (F YOU HOLD A CDL OR YOU ARE OPERATING A CHW, YOUR CONNIERCIAL DRVER ILL_ALSO BE CISGUALIFIED FOR ONE YEAR FOR THE FIRST OFFENS (OR PERMANENTLY DISQUAUIFED FOR A SUBSEQUENT OFFENSE, & [7 ReFusat To SUBMIT To LAWFUL BREATH, BLOOD OR URINE TEST SECTION 9222615, F. 8. THIS SUSPENSION (S FOR A. ‘PERIOD OF ONE YEAR IF THIS IS A RST REFUSAL OR 16 BONTHS IF PREVIOUSLY SUSPENDED FOR TH'S OFFENSE. IF YOU HOLD A COL OR YOU ARE OPERATING A CMV, YOUR COMMERCIAL DRIVER LICENSEMPRIVILEOE Witt ALSO BE DISQUALIFIED FOR A PERIOD CF ONE YEAR FOR A FIRST REFUSAL OR PERMANENTLY CISCUALIFED FOR A SUBSEQUENT REFUSAL, LIGENSE SURRENDERED? Bres Cho reason REFUSED TO B ELIGIBLE FOR PERMA? Ores Blxo peason REFUSED TO B ‘UNLESS INELIGIBLE, This CITATION SHALL SERVEAS A TEMPORARY DRIVER LICENSE AND WALL EXPIRE AT MONIGHT OW THE ‘WTHLDAY FOLLOWING THE DATE OF SUSPENSION. aTTHE ORLANDO [BUREAU OF ADMINISTRATIVE REVIEWS OFFICE, ‘YOU MAY REQUEST, WITHIN 1 DAYS AFTER THE OATE OF SUSPENSION, A REVIEW OF SUSPENSION BY THE DEPARTMENT OF HIGHWAY SAFETY AND R VEXICLES OR A REV.EW TO DETERMINE ELIGIBILITY FOR & RESTRICTED LICENSE fF THIS 1S ‘YOUR FIRST DUI RELATED OFFEN S BRANDON MCKENZIE 505. 9 PATROL ‘Ux eNATUREOFOFFCER HADEN, SMU TEb0¢ ay, 1:1) 4 "1 CASE NUMBER: 2021-00137852 COMPLAINT CASE NO. DOCKET NO. PAGENO, DATE COURT ACTION AND OTHER ORDERS BAIL FIXED AT $ OR CASH DEPOSIT OF $ ‘SIGNATURE OF PERSON GIVING BAIL ‘SIGNATURE OF PERSON TAKING BAIL FINE IN THE AMOUNT OF $ RECEIVED AS Re RHINER Rhy RALIn® AREA + wes ‘ ‘ I. LULA 2034 crootiah: FLORIDA DUI_UNIFORM TRAFFIC CITATION AAOSKAE " TOOTOF Dineae. Dee. Biyso. Oworner INDIAN RIVER (32) TAF POETRY AGENCY NAME ZRCSO wen--nnnee AGENCY # FLO310000 THE COURT DESGWATED FLOW THE UNDERSHONED CTRIESTHAT FE ‘ABSTRACT OF COURT RECORD FOR STATE, REASONADLECRDMOSTOBELEVEARODOFSBELEVETHATONLIGENSING AUTHORITY REPORT OF DISPOSITION TAT OF WEE TORT SAT oa FT 10 23 2021 [o1:18 Bhan Ora. CRISTIANO MOREIRA. TOPPER DA SILVA TOT ONE ORWER EIST We 1845 ROBALO DR APT 101D > AE VERO BEACH LEAN NDE raaiear ster ve 02 17 [77 [sh aves Geese WowoER pi2l4 fafa [a sels tor Ta uCeEEES [COMERS CT "EL ae eet 2026 jOve no TEER RacRROES RSL TERA 020 HYUN, Bro VERSLE LCR ROL aa 7m Prom HWIFS5 — 2022 ves Bro Wey apocerneer oR RaTaRCTET 2100 BLOCK OF UUe 3. “HIGHWAY 1 Gres Bio FeupaceneraTionsy VERO BEACH, FL es n. vas G = a orNane Dow Tl LY COWRA THE OFFENSE OF ORVING UNDE THE RALUENCE OF ALGONOUG BEVERAGES, CHEWGAL OR (CONTROLLED SUBBTANCES: DID DRIVE, OR WAS IN ACTUAL PHYSICAL CONTROLOF A VEHICLE, WHILE UNDER THE INFLUENCE OF AN ALCOHOUG BEVERAGEICHENICAL SUBSTANCEICONTROLLED SUBSTANCE TO THE GTR NORA FaCULTES we IMPAIRED, SORTER ORTEVATH.AEt BREATH ALC: L OF 28 OR ABOVEOF a clear MISD PIssH eet es Base iaecTOn 13 1G secre mien |g SIKGETS WER RRSPERTT pnw TRA ARTE | 316.193 (1) nO aL MMAR ea oo} Dlves Baro rest Bro [Ores Dano Ives Eno ve Bo ‘THIS IS A CRIMINAL VIOLATION, COURT AFPEARANCE REQUIRED, AS INDICATED, BELOW. BRTONT TO BE SET E s = AAT TAT So. xsseis 7 sseestonmesoe IRC JAIL mre 20/23/22 a as 2 ag ARE ng a 72 ener ETE i man so #4 UTCA four ESTE Gr OM weOX RAH GEDOF RANE A Tav1HS ACCT ATE ‘EeouoobatontTO COMAY TS ATEN COMIC HE EM OF ie HRMS WORTOT Ss EFFEGTIVE IMMEDIATELY, YOUR DRIVING PRIVILEGE 1$ BUSPENDEDIMISQUALIFED FOR: a IF THIS ISWITHTHE ANFIRSTUNLAWFUL BLOOD OR BREATH ALCOHOL LEVEL. THIS SUSPENSION IS FOR A PERIOD OF SIX MONTHS. VIOLATION OR ONE YEAR IF PREVIOUSLY SUSPENDED FOR DRIVING WITH AN UNLAWFUL BLOOD OR ‘ALCOHOL LEVEL %F YOU HOLD A COL OR YOU ARE OPERATING A CMV, YOUR COMMERCIAL DANER UCENSEPRIMLEGE WILL ALSO BE DISQUALIFIED FOR ONE YEAR FOR THE FIRST OFFENSE OR PERMANENTLY DISQUALIFIED FOR A SUBSEQUENT OFFENSE. (C7 RErUsAL to susuitro LAWFUL BREATH, 81009 OR URINE TEST SECTION 2222518 FS. TH SUSPENSION 5 FOR A PERIOD OF ONE YEARIF THIS IS A PIRST REFUSAL OR 18 NONTHS IF PREVIOUSLY SUSPENDED FOR THIS OFFEKSE. IF YOU 1D A COLOR YOU ARE OPERATING A CHV, YOUR COMMERCIAL DRIVER LICENSE/PRIVILEGE WILL ALSO BE DISQUALIFIED FORA PERIOD OF ONE YEAR FOR A FIRST REFUSAL OR PERMANENTLY DISQUALIFIED FOR A SUBSEQUENT REFUSAL, UceNe SURRENDERED? Bes Cw person REFUSED TO B.A.L ELIGIBLE FOR PERMIT? Oves Biv retson REFUSED TO B.A.L ‘UNLESS INELIGIBLE, TH's CITATION SHALL SERVE AS A TEMPORARY DRIVER LICENSE AND WILL EXPIRE AT FIDAIGHT ON THE ‘TH DAY FOLLOWING THE DATE OF SUSPENSION, AT THE ORLANDO. [BUREAU OF ADUINISTRATVE REVIEWS OFFICE, ‘YOU WAY REQUEST, WITHIN 19 DAYS AFTER THE DATE OF SUSPENSION, A REVIEWOF SUSPENSION BY THE DEPARTHENT OF HIGHWAY SAFETY AND HOTOR VEHICLES OR A REVIEWTO DETERMINE ELIGIBILITY FOR A RESTRICTED LICENSE IF THIS (8 ‘YOUR FIRST BUI RELATED OFFENSE. SEE REVERSE SIDE. D/S BRANDON MCKENZIE 6059 PATROL "UK. SOATURE OF OFNCER ADEN, "HOOP SMU Tae en TONE 1 "1 CASE NUMBER; 2021-00137852 UNIFORM TRAFFIC RATIONN REPORT OF DISPOSITION T OF COURT RECORD DEPARTMENT OF HIGHWAY SAFETY AND MOTOR VEHICLES MUST BE REPORTED WITHIN 10 DAYS AFTER FINAL ADJUDICATION |, COURT ACTION DEFENDANT'S PLEA: (CHECK ONE) CGuiLtY CINoT GUILTY CINOLO CONTENDERE TRIAL: O1wury C12 NONJURY (11 DEFENDANT REPRESENTED BY COUNSEL (12 DEFENDANT WAIVED COUNSEL TOTAL FINE AMOUNT | TOTAL COURT COSTS VERDICT SENTENCE CHECK ONLY ONE: CHECK ONLY WHEN VERDICT IS GUILTYOR ADJUDICATION WITHHELD BY JUDGE O1 O1 ‘SERVED TIME