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Department of….
Town of
Municipal police
Street….
51511
Business:
Report:
Parts:
NATURE OF THE INFRINGMENT
Code NR HAS T I NR F
Infringment of classify
Part (S) united (S):
Identity of the contravener:
Name:
First names:
Birth date:
Profession:
Residence:
Civilly responsible:
Name:
First names
Addresses
For a society:
Its name
Its head office
P J Has
Grade and name:
Considering and forwarded:
(Date)
Chief of Post
(name and grade)
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R E P U B L I Q U.E. F R WITH NR SALES I S.E.
STATEMENT OF INFRINGMENT
The year two thousand and it (date).
Us, undersigned (Grade and Name), assisted (Grade and name), Legal associated, duly approved and sworn in, in administrative residence with the Municipal police of .
Considering the items:
- L 2292 5 subparagraph 2 of the General Code of the Territorial collectivities
- 21-2 of the criminal procedure code
- 78-6 of the Criminal procedure code
Let us bring back the following operations which we carried out, acting in uniform and in accordance with the commands of our chiefs
This day, with (hour), of patrol of general surveillance on board our vehicle of allocation (mark and standard), of passage (place), our attention is drawn by (type of infringement)
OBSERVATIONS
Exposed
DECLARATIONS
ON THE FACTS
DIFFERENT MENTIONS
ENCLOSE AND TRANSMISSION
Consequently, waited until the facts that we have just reported are provided for and repressed by the items ..... of the Code ........, let us inform it (it) contravening (E) of the drafting of this official report of infringment.
Closed fact and with , it (date)
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