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Barangay Citation Ticket

This citation ticket notifies a violator that they have broken a city or barangay ordinance, including the nature of the offense, location, date and time. It indicates if it is a first, second or third offense. The violator must pay a fine to the city or barangay treasurer's office, and sign the ticket to acknowledge receipt.

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Nino Quirino
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2K views1 page

Barangay Citation Ticket

This citation ticket notifies a violator that they have broken a city or barangay ordinance, including the nature of the offense, location, date and time. It indicates if it is a first, second or third offense. The violator must pay a fine to the city or barangay treasurer's office, and sign the ticket to acknowledge receipt.

Uploaded by

Nino Quirino
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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OFFICE OF THE SANGGUNIANG BARANGAY OFFICE OF THE SANGGUNIANG BARANGAY

CITATION TICKET CITATION TICKET

Date: ____________ No. : 2020-_______ Date: ____________ No. : 2020-_______

NAME: _________________________________________ NAME: _________________________________________


Notice is hereby served that you have violated Notice is hereby served that you have violated
City/Barangay Ordinance No. _________ City/Barangay Ordinance No. _________
Nature of offense: _________________________________ Nature of offense: _________________________________
Place of Violation: _________________ Place of Violation: _________________
Date: ____________ Time: ___________ Date: ____________ Time: ___________
First Offense First Offense
Second Offense Second Offense
Third Offense Third Offense

Fine: Php ____________ Fine: Php ____________


Payment of the fine should be paid to the Payment of the fine should be paid to the
Office of the City/Barangay Treasurer. Office of the Barangay Treasurer.

________________________________ ________________________________
Authorized Apprehending Officer Authorized Apprehending Officer

_________________________________ _________________________________
Name and Signature of Violator or Name and Signature of Violator or
His/Her Authorized Representative His/Her Authorized Representative

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