Preview
Case# 2021TR000000 File Date 09/01/2021 10:46 AM Tara S. Green Clay County Clerk of Court
IMPORTANT INSTRUCTIONS REGARDING A NON-CRIMINAL TRAFFIC
INFRACTION NOT REQUIRING A COURT APPEARANCE
'
as | AD4ZVME ™l If you were charged with a civil infraction, you must complete one of the following options
FLORIDA UNIFORM TRAFFIC CITATION within 90 calendar days of the date of this citation. If you fail to comply within 90 calendar
more pymeo pym@so pymoner days, your driving privilege will be suspended until you comply.
You will then be subject to
CLAY FLORIDA HIGHWAY PATROL additional penalties.
The contact information for the
Clerk of Court in CLAY County, where
this violation occurred, is:
CLAY COUNTY COURT, 825 NORTH ORANGE AVE., GREEN
COVE SPRINGS, FLORIDA 32043-0698, (904) 269-6302
COURT DESIGNATED
BELOW
THIIDERSIGNED.CERTIFIES THAT HE/SHE ~
a - - - —— _ an _ —_—— —— - ~_— —— — -- a
DAY OF WEEK
FRI FIRST WONT
08 Day
27 YEAR
2021 04:35) G4"
fem | Option 1: You may pay the civil penalty in the amount of $164.00 to the Clerk of the Court
=piont
TENE PRET) DOLE at = of CLAY County.
You must enclose this citation if you mail payment, which may be a money
MARLON RANDALL BENNETT order or a cashier's check.
You may pay this citation on-line at www.payflclerk.com.
182 FOXRIDGE RD
an
IF DIFFERENT
Se
THAN ONE ONDRIVERLICENSE"x"n“
TP CODE
|| Payment of You
the civil
applicable.
penalty is considered a conviction and points will be assessed, if
will be required to complete a driver improvement course if you are
ORANGE PARK 32065 convicted of running a red light or passing a school bus.
Your driving privilege will be
‘foes suspended if you are convicted of not providing proof of insurance.
Accumulation of points
DRNER 0556632970 may increase the cost of your insurance.
Mail Fine to: CLAY COUNTY COURT -
ieswe (BSS : WWW.MYFLORIDACOUNTY.COM, POST OFFICE BOX 698, GREEN COVE SPRINGS,
NUVBER 2027 |Thes Bebo FLORIDA 32043-0698.
Pay in Person: CLAY COUNTY COURT, 825 NORTH ORANGE
AVE., GREEN COVE SPRINGS, FLORIDA 32043-0698, 8:30 A/M - 4:30 P/M,
M-F.Make
2014 _ovT CRY ee HS Payatie to: CLAY COUNTY CLERK OF THE COURT.
UPON
A PUBLIC STREET OR HIGHWAY, OR OTHER LOCATION, NAMELY Option2: If you were cited for expired driver license, failure to display a valid driver license,
BOLTON ROAD / STATE ROAD 21 Ls =e expired tag, failure to possess a valid registration, or no proof of insurance, you may show
progr to the Clerk of Court in CLAY County that you had a valid driver license, tag/registration,
or insurance, whichever is applicable, at the time of the offense.
The charge will be
OE EE OY OE ——| dismissed upon payment of a dismissal fee.
[untawrut SPEED MPH SPEED APPLICABLE
___ MPH Option 3: If you do not hold a commercial driver license and you were cited for driver license
cee NTERSTATE >[1 scroo.
.
ZONE —__L] CONSTRUCTION WORKERS PRESENT) expired
§ months or less, expired tag 6 months or less, failure to display a valid driver license,
failure to possess a valid registration, no proof of insurance, or driving while license
suspended [see s. 322.34(10)(a), F.S.J, you may elect to show proof of compliance to the
“falcanecess DRivine-————
-[]Jcritp RESTRAINT”~~ DIgerined DRIVER LICENSE
“~~ Clerk ofCourtih
CLAY County
in the form of a Valid driver license, régistration,
orproof of "ss —™
Lyviotation
oFTRaFFic
THRAILURE ToSTOPAT
Lenten onunrs
EQUIPMENT
[exPIRED
OE
DRIVER
LICENSE
RIGOe
insurance,
whichever
isapplicable.
Youmay makeonlyonesuchelection
per
period and no more than three elections in your lifetime.
12 month
You must pay court costs and
[mprorer LANE CHANGE TexpiREDTac
SIX (6) MONTHS
OR LESS H DRIVING WHILE LICENSE adjudication will be withheld.
OR COURSE Cexpirep TAG SUSPENDED OR REVOKED
EreMosFeOTe SEV ey
OR WA ene
Lime pteeee LopRIVING
UNDERUnder 18 Yrs
[]Passenger Option
complete4:aIfyou
Floridadodriver
not hold
a commercial
improvement driverYoulicense,
course. must you
maythebe Clerk
contact eligibleof toCourt
electintoCLAY
BAL County to make this election.
You may make only one such election per 12 month period and
OTHER VIOLATIONS OR COMMENTS PERTAINING TO CFFENSE RE-EXAM no more than five elections in your lifetime.
Please visit www.flhsmv.gov for a
list of approved
CRUDENT ENOUGH MARINER TOA OID OeUre COERETICLE IN LS Eel? courses and to determine your eligibiliy for this election.
Adjudication will be withheld and
Les [igo points will not be assessed.
You must pay a civil penalty and court costs.
This option is not
; 7 TN VIOLATION OF SECTION SUB-SECTION available for certain traffic offenses, including driver license, tag, and registration violations.
Ly -seressecavis
| STATE STATUTE 316.1925(1) Completion of a driver improvement course is required if you are cited for running a red
CRASH
ves []>0| PROPERTY
[x] DAMAGE
[x] ves s 800
Lore}INJURY
TOammner
Lives[x]xo | SERIOUS
[]vesBODILY
[x]noINJURY TO ANOTHER =| FATAL
Lives[x]xo light/traffic control device, even if you do not make this election.
O Neeser cet ibtantee
tenth weunecieen Option5: You may elect a court hearing by contacting the Clerk of Court in CLAY Counly.
If
[ig]
FRACTION WHICH DOES NOTREGUIRE APPEARANCE IN COURT
AD4ZVME you request a hearing and the County Judge/Magistrate/Hearing Officer determines that you
civ penury iss
164.00 have committed the offense, the County Judge/Magistrate/Hearing Officer may impose a
. ipaeneemend
CLAY COUNTY COURT penalty
: of up to $500 (or $1,000
: if a fatality occurred)
Raa and/or require
: completion
: of:
a driver
B25 NORTH ORANGE AVEO CN
oF __ committed, no cost oF penalties shall be imposed.
improvement course.
Points may be assessed.
If it is determined that no infraction has been
GREEN COVE SPRINGS, FLORIDA 32043-0608 (904) 269-6302
Option 6: If you were cited with a non-criminal violation of operating a motor vehicle in an
unsafe condition (s. 316.610 F.S.} or not properly equipped (s. 316.610, F.S. ors. 316.2935,
5 7 a “7 FS), yyourmayy have"thedefect’corrected= then-contact yourlocal-county-or-city-law—-
_———-—-—--
enforcement agency to have the correction certified below.
You must pay the local law
enforcement agency [$_______] for this service.
You may then mail or present this affidavit
aPREST
CELIVERED TOTO
PREST CELIVERED
TE , of compliance
. Pp . along 9 with
. [$___]
7 to the Clerk
.of Court within 90 calendar days of the
. date
\AGREE
ANDPROMISE
IN ARREST, TO COMPLYANDANSWERTO:THESuances
My SIGNATURE IS NOT AN ADMISSION OFGAND
| UNDERSTAND UILEINSTRUCTIONS
OR WAWEROF RIGHTS. of this citation.
vehicle No bus
pointsowned
or a transit will beby assessed.
This option
entity. does
a governmental not apply to a commercial motor
IF YOU NEED REASONABLE FACILIFY ACCOMMODATIONS TO COMPLY WITH THIS CITATION,
CONTACT THE CLERK OF THE COURT. FAULTY EQUIPMENT AFFIDAVIT OF COMPLIANCE
(Law Enforcement Use Only)
“ASIGHIRTURE OF MIGYATOR ISIGRATISE JS REGUIRED F-NIRRCTION REGURES AN APPEARANCE IN COURT)
| certify that the defective equipment described herein has been corrected and complies with the
dét tera requirements of the Florida traffic laws.
TPR A.E. WHEELER
RANK - NAME OF OFFICER BADGE NO
4040
ID NO
G
TROOP / UNIT
Date: ASSIGNED DHSMV AGENCY #
FI I CERTIFY THIS CITATION WAS DELIVERED TO THE PERSON CITED ABOVE AND CERTIFY THE CHARGE ABOVE
Signed: -
Adaibonal Otter (Name, Title, ID#)
HSMV 75901 (REV. 06/19)
Preview
Case# 2021TR000000 File Date 09/01/2021 10:46 AM Tara S. Green Clay County Clerk of Court IMPORTANT INSTRUCTIONS REGARDING A NON-CRIMINAL TRAFFIC INFRACTION NOT REQUIRING A COURT APPEARANCE ' as | AD4ZVME ™l If you were charged with a civil infraction, you must complete one of the following options FLORIDA UNIFORM TRAFFIC CITATION within 90 calendar days of the date of this citation. If you fail to comply within 90 calendar more pymeo pym@so pymoner days, your driving privilege will be suspended until you comply. You will then be subject to CLAY FLORIDA HIGHWAY PATROL additional penalties. The contact information for the Clerk of Court in CLAY County, where this violation occurred, is: CLAY COUNTY COURT, 825 NORTH ORANGE AVE., GREEN COVE SPRINGS, FLORIDA 32043-0698, (904) 269-6302 COURT DESIGNATED BELOW THIIDERSIGNED.CERTIFIES THAT HE/SHE ~ a - - - —— _ an _ —_—— —— - ~_— —— — -- a DAY OF WEEK FRI FIRST WONT 08 Day 27 YEAR 2021 04:35) G4" fem | Option 1: You may pay the civil penalty in the amount of $164.00 to the Clerk of the Court =piont TENE PRET) DOLE at = of CLAY County. You must enclose this citation if you mail payment, which may be a money MARLON RANDALL BENNETT order or a cashier's check. You may pay this citation on-line at www.payflclerk.com. 182 FOXRIDGE RD an IF DIFFERENT Se THAN ONE ONDRIVERLICENSE"x"n“ TP CODE || Payment of You the civil applicable. penalty is considered a conviction and points will be assessed, if will be required to complete a driver improvement course if you are ORANGE PARK 32065 convicted of running a red light or passing a school bus. Your driving privilege will be ‘foes suspended if you are convicted of not providing proof of insurance. Accumulation of points DRNER 0556632970 may increase the cost of your insurance. Mail Fine to: CLAY COUNTY COURT - ieswe (BSS : WWW.MYFLORIDACOUNTY.COM, POST OFFICE BOX 698, GREEN COVE SPRINGS, NUVBER 2027 |Thes Bebo FLORIDA 32043-0698. Pay in Person: CLAY COUNTY COURT, 825 NORTH ORANGE AVE., GREEN COVE SPRINGS, FLORIDA 32043-0698, 8:30 A/M - 4:30 P/M, M-F.Make 2014 _ovT CRY ee HS Payatie to: CLAY COUNTY CLERK OF THE COURT. UPON A PUBLIC STREET OR HIGHWAY, OR OTHER LOCATION, NAMELY Option2: If you were cited for expired driver license, failure to display a valid driver license, BOLTON ROAD / STATE ROAD 21 Ls =e expired tag, failure to possess a valid registration, or no proof of insurance, you may show progr to the Clerk of Court in CLAY County that you had a valid driver license, tag/registration, or insurance, whichever is applicable, at the time of the offense. The charge will be OE EE OY OE ——| dismissed upon payment of a dismissal fee. [untawrut SPEED MPH SPEED APPLICABLE ___ MPH Option 3: If you do not hold a commercial driver license and you were cited for driver license cee NTERSTATE >[1 scroo. . ZONE —__L] CONSTRUCTION WORKERS PRESENT) expired § months or less, expired tag 6 months or less, failure to display a valid driver license, failure to possess a valid registration, no proof of insurance, or driving while license suspended [see s. 322.34(10)(a), F.S.J, you may elect to show proof of compliance to the “falcanecess DRivine-———— -[]Jcritp RESTRAINT”~~ DIgerined DRIVER LICENSE “~~ Clerk ofCourtih CLAY County in the form of a Valid driver license, régistration, orproof of "ss —™ Lyviotation oFTRaFFic THRAILURE ToSTOPAT Lenten onunrs EQUIPMENT [exPIRED OE DRIVER LICENSE RIGOe insurance, whichever isapplicable. Youmay makeonlyonesuchelection per period and no more than three elections in your lifetime. 12 month You must pay court costs and [mprorer LANE CHANGE TexpiREDTac SIX (6) MONTHS OR LESS H DRIVING WHILE LICENSE adjudication will be withheld. OR COURSE Cexpirep TAG SUSPENDED OR REVOKED EreMosFeOTe SEV ey OR WA ene Lime pteeee LopRIVING UNDERUnder 18 Yrs []Passenger Option complete4:aIfyou Floridadodriver not hold a commercial improvement driverYoulicense, course. must you maythebe Clerk contact eligibleof toCourt electintoCLAY BAL County to make this election. You may make only one such election per 12 month period and OTHER VIOLATIONS OR COMMENTS PERTAINING TO CFFENSE RE-EXAM no more than five elections in your lifetime. Please visit www.flhsmv.gov for a list of approved CRUDENT ENOUGH MARINER TOA OID OeUre COERETICLE IN LS Eel? courses and to determine your eligibiliy for this election. Adjudication will be withheld and Les [igo points will not be assessed. You must pay a civil penalty and court costs. This option is not ; 7 TN VIOLATION OF SECTION SUB-SECTION available for certain traffic offenses, including driver license, tag, and registration violations. Ly -seressecavis | STATE STATUTE 316.1925(1) Completion of a driver improvement course is required if you are cited for running a red CRASH ves []>0| PROPERTY [x] DAMAGE [x] ves s 800 Lore}INJURY TOammner Lives[x]xo | SERIOUS []vesBODILY [x]noINJURY TO ANOTHER =| FATAL Lives[x]xo light/traffic control device, even if you do not make this election. O Neeser cet ibtantee tenth weunecieen Option5: You may elect a court hearing by contacting the Clerk of Court in CLAY Counly. If [ig] FRACTION WHICH DOES NOTREGUIRE APPEARANCE IN COURT AD4ZVME you request a hearing and the County Judge/Magistrate/Hearing Officer determines that you civ penury iss 164.00 have committed the offense, the County Judge/Magistrate/Hearing Officer may impose a . ipaeneemend CLAY COUNTY COURT penalty : of up to $500 (or $1,000 : if a fatality occurred) Raa and/or require : completion : of: a driver B25 NORTH ORANGE AVEO CN oF __ committed, no cost oF penalties shall be imposed. improvement course. Points may be assessed. If it is determined that no infraction has been GREEN COVE SPRINGS, FLORIDA 32043-0608 (904) 269-6302 Option 6: If you were cited with a non-criminal violation of operating a motor vehicle in an unsafe condition (s. 316.610 F.S.} or not properly equipped (s. 316.610, F.S. ors. 316.2935, 5 7 a “7 FS), yyourmayy have"thedefect’corrected= then-contact yourlocal-county-or-city-law—- _———-—-—-- enforcement agency to have the correction certified below. You must pay the local law enforcement agency [$_______] for this service. You may then mail or present this affidavit aPREST CELIVERED TOTO PREST CELIVERED TE , of compliance . Pp . along 9 with . [$___] 7 to the Clerk .of Court within 90 calendar days of the . date \AGREE ANDPROMISE IN ARREST, TO COMPLYANDANSWERTO:THESuances My SIGNATURE IS NOT AN ADMISSION OFGAND | UNDERSTAND UILEINSTRUCTIONS OR WAWEROF RIGHTS. of this citation. vehicle No bus pointsowned or a transit will beby assessed. This option entity. does a governmental not apply to a commercial motor IF YOU NEED REASONABLE FACILIFY ACCOMMODATIONS TO COMPLY WITH THIS CITATION, CONTACT THE CLERK OF THE COURT. FAULTY EQUIPMENT AFFIDAVIT OF COMPLIANCE (Law Enforcement Use Only) “ASIGHIRTURE OF MIGYATOR ISIGRATISE JS REGUIRED F-NIRRCTION REGURES AN APPEARANCE IN COURT) | certify that the defective equipment described herein has been corrected and complies with the dét tera requirements of the Florida traffic laws. TPR A.E. WHEELER RANK - NAME OF OFFICER BADGE NO 4040 ID NO G TROOP / UNIT Date: ASSIGNED DHSMV AGENCY # FI I CERTIFY THIS CITATION WAS DELIVERED TO THE PERSON CITED ABOVE AND CERTIFY THE CHARGE ABOVE Signed: - Adaibonal Otter (Name, Title, ID#) HSMV 75901 (REV. 06/19)