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BUREAU COUNTY CIRCUIT CLERK

BUREAU COUNTY CIRCUIT CLERK . I, the undersigned, do herby plead guilty to the charge of_____. with ticket #_____. I understand my right to a trial, that my signature to this plea of guilty will have the same force and effect as a judgment of court and that this record will be sent to the Secretary of this State (or of the State where I received my license to drive). I hereby PLEAD GUILTY to the above stated offense, GIVE UP my right to trial and agree to pay the penalty required. Defendant's Signature:_____ Date:_____.

BUREAU COUNTY CIRCUIT CLERK I, the undersigned, do herby plead guilty to the charge of_____ with ticket #_____. I understand my right to a trial, that my

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Transcription of BUREAU COUNTY CIRCUIT CLERK

1 BUREAU COUNTY CIRCUIT CLERK . I, the undersigned, do herby plead guilty to the charge of_____. with ticket #_____. I understand my right to a trial, that my signature to this plea of guilty will have the same force and effect as a judgment of court and that this record will be sent to the Secretary of this State (or of the State where I received my license to drive). I hereby PLEAD GUILTY to the above stated offense, GIVE UP my right to trial and agree to pay the penalty required. Defendant's Signature:_____ Date:_____.

2 Defendant's Printed Name:_____. Mailing Address:_____ Street_____. City_____ State_____ Zip_____. Please send this form to: BUREAU COUNTY CIRCUIT CLERK Traffic Department 700 South Main Street Princeton IL 61356.


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