Road Traffic (Infringements) Amendment Regulations 1991 (WA)

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1064 GOVERNMENT GAZETTE, WA [8 March 1991
9 November and 21 December 1990.1

POLICE

PE301

ROAD TRAFFIC ACT 1974

ROAD TRAFFIC (INFRINGEMENTS) AMENDMENT REGULATIONS 1991
Made by His Excellency the Governor in Executive Council.
Citation
1. These regulations may be cited as the Road Traffic (Infringements)

Amendment Regulations 1991.

Principal regulations

2.    In these regulations the Road Traffic (Infringements) Regulations 1975* are

referred to as the principal regulations.

[*Reprinted as at 14 March 1990. For amendments to 21 February 1991 see
Gazettes of 30 March, 6 April, 4 May, 8 June, 3 August, 28 September,

8 March 19911 GOVERNMENT GAZETTE, WA 1065

Second Schedule amended

3. The Second Schedule to the principal regulations is amended by deleting

Form 1 and substituting the following Form—

PART C DEFENDANTS COPY This space for COSh regster knpruyt
To be retained
by Cashl4r.
OFFICE COPY ONLY

Please do not detach from Part B.

PART B DEFENDANTS COPY mrs space for cash mgist& koprint P.149
GENERAL TRAFFIC

INFRINGEMENT NOTICE

Road Traffic Act, Section 102

IIURIIIUIuRuIIIIUIiuiiii

'uuuuiiIiiiu.iii.iiiiuiI IuIIIiluI....IIII.III.IIi
DRIVER'S UCENCE NUMBER _____ EXPIRY DATE CLASS STATE PROB.
U I I 1 I/I I I/I I I F I 1 I I
DATE OF BIRTH /_Th/I I
P PLATES ATTACHED YESINO DRIVER / OTHER
RSS.N.W I H I I/L11
It is alleged that at I Lll I/[Th1/W cornmrttcd the offence of

p

Id I I I 1 I 1 I 1 1 1 I 1 I 1 1 I 1 I 1 1 1 I I J
LHIIWIHIIPIIIiJJIiIi] STATION ______________ POUCE OFFICER ________________—______ No.__________

Before making payoent please pratt your Motor Drivers Lkencn No. and Date of Birth lithe boxes provided if the officer has not tilreac' done tins.

D D M M Y Y DRIVER'S LICENCE NUMBER

)ATE OF BIRTH

TAKE NOTICE THAT I_Fl/I_Li/JI m
U you do not wish to have a complaint of the afleged offence heard and determined by a coral, pay to the officer

ecrfred on the reverse of this notice, withIn 28 days, the prescribed penalty.

If withIn 28 days from the Date of Issue you do not pay the penalty above, FURTHER ACTION Will. BE TAKEN In

respect of the offence. and you wit Incur further costs,

àOIJRT:

ft you nInb are ff=tW to be doefl wet, by a cerat do ref pay Ure kdose,ouet Ne',ce. Von atexAl we,we the TrefiSe Swreronw Sactron of of wra beentioet in wntreft. before the an, 0 ononwea bthce sours ,ai be nsxred.

CREDIT CARD PAYMENTS:- COMPLETE All DETAILS

Pt-EASE DEB1 MY CREDIT CARD ACCOUNT:-

BANKCARD EJ MASTERCARD VISA CARD F1 AMOUNT

(RD( BO)Q

CARD liii I I I LI I I H i

CARDHOLDER NAME

SIGNATURE DATE

Reverse of Form

WHO TO PAY

(The officer to whom payment may be made is to be specified here.)

By His Excellency's Command,

L. AULD, Clerk of the Council.

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