Peace Officer's Written Statement in Lieu of Personal Apperance

PEACE OFFICER'S WRITTEN STATEMENT IN LIEU OF PERSONAL APPEARANCE PURSUANT TO NRS 484A615(2)(B)
IN THE JUSTICE COURT OF SPARKS TOWNSHIP

COUNTY OF WASHOE, STATE OF NEVADA
Case Number
Citation Number
THE STATE OF NEVADA

Plaintiff,

vs.

Defendant's Name

Defendant,
Don't Delete*
Written Statement

0/1750
Additional Details (Optional)

0/1310
Pursuant to NRS 53.045, I declare under penalty of perjury that the forgoing is true and correct.

Date Signature Print Name

Mailing Address City, State, Zip Phone Number Email
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PEACE OFFICER'S WRITTEN STATEMENT IN LIEU OF PERSONAL APPEARANCE PURSUANT TO NRS 484A615(2)(B)