Cob 0 Fare or ID lAisdemeerer 0 Plea or 0 Trbl Saba Axillzial District Intemtbsnel J. CI II gee Matters Date Also complete "Senon Other CYO Matters Data: Judryneni_ _" Judicial Outedne _.• Amount S Suspension: Years._ Months C. Summons Date* 0 Federal °Local G. U.S. Cede Violation Required