INCORPORATED VILLAGE OF VALLEY STREAM
APPEARANCE TICKET
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Village Justice Court
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Village of Valley Stream
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123 South Central Avenue
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Valley Stream, New York
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TO:..........................
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ADDRESS:.....................
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.............................
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YOU ARE HEREBY SUMMONED to appear
before the Presiding Justice of the Incorporated Village of Valley
Stream at 123 South Central Avenue, in the Village of Valley Stream,
County of Nassau, New York, on the .... day of ............ 19 ....,
at 7:30 p.m. to answer a charge made against you for violation of
Chapter ......, Section..........., of the Code of the Incorporated
Village of Valley Stream, in that you did, on the .... day of...............,
at (location).................., commit the violation of............................
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..................................
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Authorized Signature
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UPON YOUR FAILURE TO APPEAR, A WARRANT MAY BE
ISSUED FOR YOUR ARREST.
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