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1 REPLY FORM : VIOLATION CHARGED: _____________________________________________________________ I enter a plea of NOLO CONTENDERE and request to take a DSC to satisfy this citation. I meet all of ( ) The requirements. ( ) I enter a plea of NOT GUILTY and request a trial by ( ) Judge ( ) Jury ( ) I enter a plea of GUILTY and waive appearance for trial. I have enclosed a Cashier’s Check or Money Order for payment of all fines and costs. ( ) I enter a plea of NOLO CONTENDERE and waive an appearance for trial. I have enclosed a Cashier’s Check or Money Order for payment of all fines and costs. Date _________________ Signature ______________________________________________________

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