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DEPARTMENT OF
JUSTICE
(ATTORNEY-GENERALS
DEPARTMENT)
VICTORIA		 STATEMENT OF FINES AND PENALTIES IMPOSED
00000011 Court Ref    A00232111
    Court Address
      CNR MALVERN & FRANCIS ST
      PRAHRAN VIC 3181
               PH 03 - 95292088
 To:
         JOHN D CITIZEN
         10 SEATTLE ST
         BRIGHTON           VIC 3186

On 30/04/1997 your case was heard in the PRAHRAN Magistrates' Court.

The following sums of money were ordered to be paid
Item    Total   
Total Fines
Costs
Statutory Costs
Court Fund
Other
Total Ordered
Paid		 50.00
30.00
0.00
0.00
0.00
80.00
0.00
Total Due $ 80.00
Amount
50.00		 Charge(s)
FAIL TO VOTE W'O VALID/SUFFICIENT REASON
   

If you cannot pay the full amount by the due date you must apply to the Clerk of Courts for an instalment order or for more time to pay. Any Clerk of Courts can provide advice about making this application.

If you do not follow these instructions a WARRANT TO ARREST (for amounts other than compensation) will be issued empowering the Sheriff to enforce the outstanding amount.
This warrant may include additional costs.
If the penalty relates to the use of a motor vehicle, action may be taken to have your drivers licence or vehicle registration suspended until the penalty is paid.

Detach here when making payment
Due : $   80.00 must be Paid by 28/05/1997 Court Ref.: A00232111
TO PAY THE FULL AMOUNT: FILL OUT THE BANK SLIP BELOW AND TAKE IT WITH THIS SECTION AND THE MONEY TO ANY BRANCH OF THE NATIONAL AUSTRALIA BANK. THE TELLER WILL STAMP THIS SECTION AS A RECEIPT.
NOTE: OTHER BANKS WILL ACCEPT PAYMENT BUT MAY CHARGE A FEE.

PAYABLE AT ANY BANK

 MICR No.: 1997000111
PAID      /      /19      

BANK STAMP

National Australia Bank Limited
NATIONAL BANK HOUSE BRANCH, 500 BOURKE STREET, MELBOURNE, VIC.

NOTE: NOT PAYABLE AT A BANK AFTER 28/05/1997
Name: JOHN D CITIZEN
Court case No.: A00232111

CREDIT        
DEPOSIT SLlP

MICR No. 1997000111

DATE:      /      /      
DRAWER BANK              BRANCH           CHQ.    
Where the deposit is lodged at a bank or branch other than that shown above it will be transferred under the bank's internal procedures. The Bank is not to be responsible for delays in transmission. Cheques etc. included in this credit not to be available until collected. PAID IN BY (SIGNATURE) No. OF CHQ. TELLER      NOTES    
COINS    
CREDIT ATTORNEY GENERAL'S DEPT. (VICTORIA) CLEARANCE ACCOUNT No. 1 60 TOTAL     80. 00
   "'1997000111    "'083=054|:03873=1116"'    

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DO NOT IGNORE THIS DOCUMENT

If you do not understand it, you should immediately have it interpreted and explained to you. You may then get advice from:

[The rest of this page only has translations of the above two paragraphs in: Arabic, Chinese, Greek, Macedonian, Serbian, Turkish, Cambodian, Croatian, Italian, Polish, Spanish, and Vietnamese.]