2. Plea Entered*
   -- Select One --GuiltyNo Contest
4. First Name*
5. Last Name*
7. Address*
9. City*
10. State*
11. Zip*
13. Date of Birth*
14. Phone Number*
15. Email Address*
17. Citation Number*
18. Issue Date*
19. Violation*
21. Citation Number
22. Issue Date
23. Violation
25. Citation Number
26. Issue Date
27. Violation
29. Citation Number
30. Issue Date
31. Violation
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