DPS - TEST
1151 Gayland Ave Hacienda Heights, CA 90666
8883424833 - www.CompanyWebsite.com
License #
PPO-0225899

Violation Notice
Citation ID #
TEST12
Other ID #
TEST21
Violations(s)
ILLEGAL LODGING
Property
Southwind Regional
Violater Information
  Last Name: SMITH
  First Name: JOHN
  Middle Name: S.
  Gender: M
  DL / ID #:
  State / ID Type
  Race:
  Weight:
  Eye Color:
  Address 1: 123 FAKE STREET
  Address 2:
  City: LOS ANGELES
  State: CA
  Zip Code: 90021
  DOB: 11/27/1990
  Height:
  Hair Color:

Violator Resident Of Property
Yes
If Not, Is Guest Of
Warned of Arrest Upon Return
Yes
Amount Of Fine
12
Location / Comments
TEST
Violation Date
Submitted Date
Officer Name
Signature
Employee ID
2019-12-27 19:00:03 2013-02-14 05:33:41 DAN ESPARZA DJR
SAVE A TREE - DON'T PRINT ME!