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CITY CURRENT ADDRESS DAY TIME PHONE # STUDENT ID# STATE CITATION(S) # ZIP CODE DATE(S) ISSUED REASON FOR APPEAL: FOR OFFICE USE ONLY NOTICE OF HEARING: The Traffic Appeals Court will hear your traffic citation appeal on / / at p.m. in located in the Coyote Student Center. TRAFFIC APPEALS COURT DECISION: 1. Appeal granted, all fines RETRACTED. 2. Appeal partially granted, FINE DUE 3. Appeal rejected, ALL FINES DUE 4. Petitioner failed to appear.

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