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2. Village of Bratenahl vs.*
3. Case / Ticket Number*
5. Plea of Guilty Without Personal Appearance

   Pursuant to Traffic Rule 13, I hereby waive my right to trial and enter a plea of GUILTY to the AMENDED charge of Unsafe Vehicle in violation of Village of Bratenahl Codified Ordinance Section 337.01 which is a zero-point violation. I understand that my total fines and costs will be $195.00 and that I will have 7 days to pay said fines and costs. *** If you have a License Forfeiture or an Active Warrant you are ineligible for this program. Please contact the court to resolve these matters***

7. First Name*
8. Last Name*
10. Address
12. City
13. State
14. Zip Code
16. Phone Number*
17. Email Address*
21. Please sign and date to acknowledge you accept this plea.
23. Signature*
    Print / Sign Name
24. Date *
    Date
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26. 1. Receive an email copy of this form.
27. Email address

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28. Submit Submit and Print

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