Case Number Name Amount ($) 4.5% Convenience Fee($) Total to be charged($)

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Card Holder: Card Number: Card Exp Date: Receipt Email:
SwipeCard
Person Name PEREZ, PORFIRIO ABELINO
Drivers License
State
Drivers License #
Date Of Birth 12111984
Case Number TR18-0000791
TicketNumber T3512423
Issue Date 07012018
Court Date 08012018
Offense Description 32-5A-171; SPEEDING
Total Fine 179.00
Date Paid
Auth Num