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Agenda 10-11-23 Special Magistrate for Red Light Camera Violations OCTOBER 11th, 2023 1:00 P.M. 2100 HIGH RIDGE ROAD, Boynton Beach, FL 33426 AGENDA Page 1 1. Call to order by local Hearing Officer, JAMES D. STOKES 2. Amendments to the Agenda 3. Approval of Minutes 4. Swear in witnesses 5. Violation Hearings: Failure to comply with a steady red signal VIOLATOR ISSUING NOTICE # OFFICER A.1 DJOULINE ALINCAR PSA OSPINA 1852300227447 B.2 JONAS LEHMAN BAIR PSA OSPINA 1852300246736 C.3 HEBE NOEMI BALEIRON PSA OSPINA 1852300200899 D.4 PAULETTE LISA CATAFFO PSA OSPINA 1852300251074 E.5 KAMERON JAMAAL DAVIS PSA OSPINA 1852300209205 F.6 URSZULA DLUGOPOLSKI PSA OSPINA 1852300207027 G.7 MARIA ALEJANDRINA FALCONI PSA OSPINA 1852300251140 1-1.8 MARIA ALEJANDRINA FALCONI PSA OSPINA 1852300244574 I.9 WILLIAM GALLART PSA OSPINA 1852300144170 J.10 MICHEAL GUGLIELMI PSA OSPINA 1852300232330 K.11 SAUL STUART KIMMEL PSA OSPINA 1852300226779 L.12 CHAD MICHAEL LEADENS PSA OSPINA 1852300236620 M.13 ADAM FRANK LEVINE PSA OSPINA 1852300250993 N.14 DANIEL MORALES HERNANDEZ PSA OSPINA 1852300226076 0.15 MICHAEL REYNOLDS PSA OSPINA 1852300237453 P.16 TRACEY ANN SMITH PSA OSPINA 1852300239640 Q.17 MARLON THEODORE SOBERS PSA OSPINA 1852300113050 R.18 KAY WEITZEL PSA OSPINA _ 1852300216390 S.19 PSA OSPINA T.20 NOTICE: If any decision of the Special Magistrate Violation Hearings affects you,and you decide to appeal any decision at this meeting with respect to any matter considered,you will need to ensure that a verbatim record of the proceedings is made, in which the records includes the testimony and evidence upon which the appeal is to be based.(The above NOTICE is required by State Law. Anyone desiring a verbatim transcript shall have the responsibility,at his or her own cost,to arrange for the transcript.) City of Boynton Beach CITY OF BOYNTON BEACH ..4\__"1:1"4 Intersection Safety Program .• PO Box 22091 NOTICE OF VIOLATION 0\, Tempe,AZ 85285-2091 NOTICE#: 1852300227447 PIN: 0506 l/f View your video and pay with your Visa or MasterCard at www.Violationlnfo.com Amount Due: $158.00 III II II 1111111111II I II II II II II Due Date: 10/02/2023 DJOULINE ALINCAR • 2124 CATHERINE DR APT 4 DELRAY BEACH, FL 33445 • ON/(Date) AT TIME AT LOCATION COUNTY 07/27/2023 05:30 AM WB W WOOLBRIGHT RD @ S CONGRESS AVE PALM BEACH DATA TIM AM21 AMUAMUAult 1J0111 nut 01211/2023 05 30.11.11 AM 3.0 000 013 A 032.1 l A 11•012-M 11 1A10W11.2 AD 2 3 WPDAAA11 AVA NAME DJOULINE ALINCAR , STREET ADDRESS 2124 CATHERINE DR APT 4 ii CITY STATE ZIP CODE I DELRAY BEACH FL 33445 DID UNLAWFULLY • OPERATE/DRIVE 0 PARK V YEAR MAKE MODEL STYLE COLOR E 2015 NISS UT BLU H C °"T11 r" " t AMR 521325 MAR re MUML NUMBER STATE REGISTRATION NUMBER 01/21/2021 05.10.20.0 AA 5.0 011 P 032.5 1 11 E LBZU50 FL 03062101 2111212-1.P AD01MI0w w 5 P 0241o21A33 ATA Did then and there commit the following offense: FAILURE TO COMPLY WITH A STEADY RED SIGNAL The recorded images relating to the vehicle stated above are evidence of this violation. 1 IN VIOLATION OF. Florida Statutes§§316.0083,316.074(1)and 316.075(1)(c)1 I t POLICE DEPARTMENT 14.1.! ID#094 The traffic infraction enforcement officer or law enforcement officer named above has reviewed the recorded images ISSUE DATE evidencing the red light signal violation,has identified the license tag number of the violating vehicle and has found 08/03/2023 reasonable and probable grounds that an offense has been committed. STATUTORY PENALTY OF $158.00 IF YOU HAVE QUESTIONS ABOUT THIS NOTICE, PLEASE GO TO WWW.VIOLATIONINFO.COM Pay with your Visa or MasterCard at www.Vlolationlnfo.com or mail your check or money order with this coupon to the address below. tAQ♦1 vim NAME: DJOULINE ALINCAR DUE: 10/02/2023 a, II111111111 1 1 10111 1 11I 111111 I 111111 I II II II NOTICE#: 1852300227447 VERSION: 1 ISSUED: 08/03/2023 PLATE: LBZU50 STATE: FL TYPE: •Si necesita ayuda en Espanol,favor(lame al 1.866.225.8875. No points will be assessed for this Notice of Violation nor will it affect • PLEASE RESPOND WITH PAYMENT,REQUEST A HEARING,OR vehicle insurance rates. SUBMIT AN AFFIDAVIT POSTMARKED ON OR BEFORE THE DUE DATE TO AVOID ISSUANCE OF A UNIFORM TRAFFIC CITATION ("UTC").SEE INSTRUCTIONS ON REVERSE SIDE. City of Boynton Beach •Pay with your Visa or MasterCard at www.Violationlnfo.com or mail Payment Processing Center your check or money order with this coupon to the address to the right. PO Box 35131 •Make your check or money order payable to City of Boynton Beach. Seattle, WA 98124-5131 • DO NOT MAIL CASH. •Write the Notice#located above on the front of your payment. • Insert this tear-off coupon in the enclosed envelope with the address to the right showing through the window. AMOUNT DUE: $158.00 1 1852300227447 000032275289 158000 Your vehicle was observed by a traffic infraction detector failing to comply with a steady red light signal, in violation of Florida Statutes§§ 316.0083, 316.074(1)and 316.075(1)(c)1, at the intersectign, date, and time stated on the front page of this Notice of Violation ("Notice"). This is a non-criminal infraction of state law. No points will be assessed and this infraction may not be used to set motor vehicle insurance rates. This Notice has been issued by the City of Boynton Beach. You have the following three options: a)Pay this violation in the amount of$158.00 on or before the due date specified on the front of this Notice;or b)Submit an affidavit by following the instructions below;or c)Request a hearing by signing and mailing the form below.You will be notified by letter of the time,location and date of the hearing. If you request a hearing and the Local Hearing Officer concludes that no infraction has been committed, this Notice will be dismissed and no costs or penalties shall be imposed. If the Local Hearing Officer concludes that an infraction has been committed,the Local Hearing Officer will uphold the infraction,and you will be responsible for payment of a$158.00 fine as well as additional administrative fees and costs not to exceed$250.00 as imposed by the Local Hearing Officer. SUBMISSION OF AFFIDAVIT: You may download an affidavit at www.Violationlnfo.com.As the registered owner of the vehicle, you are deemed responsible for the violation and the payment of a $158.00 penalty unless, in compliance with Florida Statute § 316.0083(1)(d)1.a-d, you establish by a sworn affidavit that a statutory exemption applies. The exemptions are that the motor vehicle: (a)passed through the intersection in order to yield the right-of-way to an emergency vehicle or as part of a funeral procession; (b)passed through the intersection at the direction of a law enforcement officer; (c)was. at the time of the violation, in the care, custody, or control of another person; or (d)a Uniform Traffic Citation ("UTC") was issued by a law enforcement officer to the driver of the motor vehicle for the violation of Florida Statutes §§ 316.074(1) and 316.075)1))c)1 stated in this Notice.The affidavit must be sworn before a notary public or other person authorized to administer oaths. If you assert that the vehicle was in the care, custody,or control of another person, you must provide the name, address, date of birth, and. if known, the driver's license number of the person who leased, rented, or otherwise had care, custody, or control of the vehicle at the time of the violation. If the vehicle was stolen, then the affidavit must include a copy of a police report showing the vehicle to have been stolen. If you assert that a UTC was issued by a law enforcement officer for the violation of Florida Statutes§§ 316.074(1)and 316.075(1)(c)1 stated in this Notice, then you must include the serial number of the UTC. For faster processing,you may, but are not required to, include a copy of the UTC. If your affidavit complies with the requirements of Florida Statute § 316.0083, then no further action will be taken against you. The submission of a false affidavit is a misdemeanor of the second degree, punishable under Florida Statute§775.082 or§775.083 by a term of imprisonment not to exceed sixty (60)days andlor a fine not to exceed$500.00.If submitting an affidavit, it must be postmarked on or before the due date specified on the front page of this Notice in order to be appropriately processed.The affidavit should be mailed to City of Boynton Beach,c/o Intersection Safety Program.PO Box 22091,Tempe,AZ 85285-2091. Do not send payment or affidavit to the Clerk of the Court. If you fail to respond as outlined above, postmarked by the due date,a UTC will be issued to you. Upon issuance of a UTC, you shall have the remedies specified in Florida Statutes§§ 316.0083 and 318.14, which include (a)the right to pay the civil penalty in the amount of$264.00; (b)the right to submit an affidavit; or(c)the right to have a hearing before a designated official. who shall determine whether an infraction has been committed. If the official concludes that no infraction has been committed, the UTC will be dismissed and no costs or penalties shall be imposed. If the official concludes an infraction has been committed.the official will uphold the UTC and may impose an additional civil penalty not to exceed$500.00 and court fees and costs.Failure to pay,submit an affidavit,or request a hearing on the UTC could result in your driving privileges being suspended. VIEW YOUR IMAGES AND VIDEO EVIDENCE FOR THIS INFRACTION:The recorded images and video of your violation will be submitted as evidence for the disposition of this violation. You may view your images and video online at www.Violationlnfo.com. You will need your Notice#and PIN printed on the front of this Notice inside the red box. If you do not have internet access,you may view your video and images at any public library. QUESTIONS:If you have any questions,please contact Customer Service toll free at 1-866-225-8875. (You must be the registered owner of the vehicle to discuss this violation with Customer Service.) PAYMENT INSTRUCTIONS ONLINE PAYMENT:The fastest and easiest way to pay your$158.00 penalty is online. Go to www.Violationlnfo.com and log on with your Notice#and PIN shown in the red box on the front of this notice.Click the Pay button.There is a convenience/service fee for this service. PAYMENT BY PHONE:Call toll free 1-866-225-8875 available 24 hours a day,7 days a week.There is a convenience/service fee for this service. PAYMENT BY MAIL: Mail your check or money order(payable to City of Boynton Beach)in the enclosed envelope with the coupon printed at the bottom of the reverse side of this Notice. PLEASE DO NOT MAIL CASH. Be sure to put the Notice # (see reverse) on the face of your payment. Payment must be postmarked on or before the due date. PAYMENT IN PERSON:No walk-in payments will be accepted. HEARING REQUEST FORM To request a hearing on the above referenced Notice pursuant to Florida Statute§316.0083,please submit the signed and dated coupon below in the envelope provided.The petitioner understands they will be notified of the date,time and location of the hearing.The Local Hearing Officer shall issue a final administrative order. If the Notice of Violation Is upheld, the petitioner will be required to pay$158.00 and may also be required to pay county or municipal costs,not to exceed$250.00. NOTE:Per Florida Statute,you may cancel your appearance before the local hearing officer by paying the$158.00 penalty assessed,plus$50 in administrative costs,before the start of the hearing.The amount due will be$208.00. Detach here and return bottom portion as a request for an Administrative Hearing before a Local Hearing Officer. 1852300227447 I submit this form as a request to contest this Notice of Violation and acknowledge that it must be postmarked by the due date of this Notice to be a valid request. I understand that I must attend this 11111 1111 11111111111 hearing in person. unless represented by counsel appearing in person on my behalf. Please sign and print name using blue or black ink. Signature: Printed Name: Phone Number: City of Boynton Beach Police Department 2100 High Ridge Road Q`lice Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300227447 Document Information: Violation Information: Document Type: VIOLATION DATA REPORT Violation Date/Time: 7/27/2023 5:30:20AM Version: v 1.0 Violation Location: WB W WOOLBRIGHT RD @ S CONGRESS AVE BOYNTON BEACH, FL Issue Date: 08/03/2023 Plate No./State: LBZU50 FL Appearance Date: 10/02/2023 Make/Model/Year:: NISS/2015 Registered Owner: DJOULINE ALINCAR Name/Address 2124 CATHERINE DR APT 4 DELRAY BEACH, FL 33445 Driver: DJOULINE ALINCAR Name/Address 2124 CATHERINE DR APT 4 DELRAY BEACH, FL 33445 State Exhibit: /11X-W41.21 VPS 10/02/2023 5:08AM Page 1 of 5 City of Boynton Beach Police Department 2100 High Ridge Road Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300227447 DATE TIME AMBER SPEED PHASE RTIME LANE FRAME 07/27/2023 05:30:17.8 AM 5.0 013 R 032.3 1 A BB012-WB W WOOLBRIGHT RD @ S CONGRESS AVE • State Exhibit: %Axs:svPs4 10/02/2023 5:08AM Page 2 of 5 City of Boynton Beach Police Department 4,x44, 2100 High Ridge Road &"`" . Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300227447 DATE TIME AMBER SPEED PHASE RTIME LANE FRAME 07/27/2023 05:30:20.0 AM 5.0 013 R 034.5 1 B BB012-WB W WOOLBRI GHT RD @ S CONGRESS AVE • I I I II State Exhibit: :" sibcsisvps 10/02/2023 5:08AM Page 3 of 5 City of Boynton Beach Police Department 2100 High Ridge Road Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300227447 4- • • t • . s • • • ft I • t • State Exhibit: Axsis VPS 10/02/2023 5:08AM Page 4 of 5 City of Boynton Beach Police Department �,,:•w<3 2100 High Ridge Road Boynton Beach, FL 33426 • Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300227447 NOTES Note Added By Added Date RO requested hearing via landline-- provided time and date of hearing. YPEREZ 09/28/2023 11:24:13 AM Hearing Scheduled ON: 10/11/2023 AT 01:00 PM YPEREZ 09/28/2023 11:11:06 AM State Exhibit: Axsis vPs' 10/02/2023 5:08AM Page 5 of 5 • City of Boynton Beach Police Department 2100 High Ridge Road Boynton Beach, FL 33426 Camera Log Report Document#: 1852300227447 Location: BB012 - WB W WOOLBRIGHT RD @ S CONGRESS AVE Event Date/Time Status Deployment Start 7/27/2023 3:53:58AM Operational Tests Passed Violation 7/27/2023 5:30:20AM Deployment End 7/28/2023 2:06:31AM Operational Tests Passed State Exhibit AacstsvPs 10/02/2023 5:08AM Page 1 of 1 �� oL,�� PO Box 22091 Dat O o Tempe,AZ 85285-2091 1011111 MINIM III I IIIIIIIIII IIII IIIIII DATE: 09/28/2023 DJOULINE ALINCAR 2124 CATHERINE DR APT 4 PLATE: FL LBZU50 DELRAY BEACH, FL 33445 RE: Notice of Violation: 1852300227447 Version # : 1 ADMINISTRATIVE HEARING NOTIFICATION LETTER The hearing date for the above mentioned Notice of Violation ("Notice") has been scheduled for: Wednesday, October 11, 2023 at 1:00 PM Boynton Beach Police Department, 2100 High Ridge Rd, Boynton Beach, FL 33426 You may reschedule this hearing once by submitting a written request to the designated clerk to the Local Hearing Officer at Boynton Beach Traffic Division, 2100 High Ridge Rd, Boynton Beach, FL 33426. Your written request to reschedule must be received by the clerk to the Local Hearing Officer at least five (5)calendar days before the day of the originally scheduled hearing. If you have already rescheduled your hearing you may not reschedule it again. If you are receiving a new Administrative Hearing Notification Letter please review the Date, Time and Location of your hearing as one or all of them may have been updated with new information. Please disregard the earlier Administrative Hearing Notification Letter and use only the information provided on the last notification received. You may cancel your appearance before the Local Hearing Officer by paying the civil penalty of$158.00 assessed, plus $50.00 in administrative costs, before the scheduled hearing time. To make a payment online please go to www.Violationlnfo.com or to make a payment by phone call 1-866-790-4111. There may be a convenience/service fee for this service. If you choose not to appear, you waive the right to contest this violation and must pay the civil penalty of$158.00, plus administrative costs up to $250.00. City of Boynton Beach °"`° '' CITY OF BOYNTON BEACH 020 , Intersection Safety Programx PO Box 22091 NO ICE OF VIOLATION Z ,01 ; Tempe,AZ 85285-2091a. ' oa dil 0 6.2 - �v NOTICE : 1852300246736 /„ PIN: 7069 ( 7, View your video and pay with your Visa or MasterCard at www.Violationlnfo.com Amount Due: $158.00 III II II I I III Hill I IIIIII II II Due Date: 10/23/2023 JONAS LEHMAN BAIR 9768 KAMENA CIR 111111/111 BOYNTON BEACH, FL 33436 ON/(Date) AT TIME AT LOCATION COUNTY 08/09/2023 10:18 AM EB W BOYNTON BEACH BLVD / NW 2ND AVE @ N PALM BEACH DAM *•• 002 0� "•*=K wa reA s 041/00/2023 1000:41.7 IN 8.0 042 A 001.5 4 A CONGRESS AVE , .7-4111.001laamv/saeAYR aoCAMP=AVIS NAME JONAS LEHMAN BAIR STREET ADDRESS 01111, 9768 KAMENA CIR CITY STATE ZIP CODE BOYNTON BEACH FL 33436 44 - DID UNLAWFULLY • OPERATE/DRIVE 0 PARK ~ V YEAR MAKE MODEL STYLE COLOR E 2023 HOND 4D WHI HMEMI C L NUMBER STATE REGISTRATION NUMBER °"" i1' '"'O1°®a�'f0 """'� 3300?®2M 0420401 022C0 LVO/MM2M0 AVE•2 2O2f AMASS AK E NDBP68 FL 10593727 _. --"T""-...-4,-, Did then and there commit the following offense: a FAILURE TO COMPLY WITH A STEADY RED SIGNAL _ 1161111.1', The recorded images relating to the vehicle stated above are evidence of this violation. IN VIOLATION OF. Florida Statutes§§316.0083,316.074(1)and 316.075(1)(c)1 POLICE DEPARTMENT _ - _„� }-11.e..." -.1- ID#094 "` `x'1►. The traffic infraction enforcement officer or law enforcement officer named above has reviewed the recorded images ISSUE DATE evidencing the red light signal violation.has identified the license tag number of the violating vehicle and has found 08/24/2023 reasonable and probable grounds that an offense has been committed. STATUTORY PENALTY OF $158.00 IF YOU HAVE QUESTIONS ABOUT THIS NOTICE, PLEASE GO TO WWW.VIOLATIONINFO.COM Pay with your Visa or MasterCard at www.Vlolatlonlnfo.com or mail your check or money order with this coupon to the address below. 0 ; 1115.4MIMI NAME: JONAS LEHMAN BAIR DUE: 10/23/2023 �'"� /i III II II I I III II II I I IIII 111111111 II ' NOTICE#: 1852300246736 VERSION: 1 ISSUED: 08/24/2023 PLATE: NDBP68 STATE: FL TYPE: •Si necesita ayuda en Espanol,favor lame al 1.866.225.8875. No points will be assessed for this Notice of Violation nor will it affect •PLEASE RESPOND WITH PAYMENT,REQUEST A HEARING,OR vehicle insurance rates. SUBMIT AN AFFIDAVIT POSTMARKED ON OR BEFORE THE DUE DATE TO AVOID ISSUANCE OF A UNIFORM TRAFFIC CITATION ("UTC").SEE INSTRUCTIONS ON REVERSE SIDE. City of Boynton Beach •Pay with your Visa or MasterCard at www.Violationlnfo.com or mail Payment Processing Center your check or money order with this coupon to the address to the right. PO Box 35131 •Make your check or money order payable to City of Boynton Beach. •DO NOT MAIL CASH. Seattle, WA 98124-5131 •Write the Notice#located above on the front of your payment. • Insert this tear-off coupon in the enclosed envelope with the address to the right showing through the window. AMOUNT DUE: $158.00 1 1852300246736 000032374034 158003 Your vehicle was observed by a traffic infraction detector failing to comply with a steady red light signal, in violation of Florida Statutes§§ 316.0083. 316.074(1)and 316.075(1)(c)1, at the intersection, date, and time stated on the front page of this Notice of Violation ("Notice"). This is a non-criminal infraction of state law. No points will be assessed and this infraction may not be used to set motor vehicle insurance rates. This Notice has been issued by the City of Boynton Beach. You have the following three options: a)Pay this violation in the amount of$158.00 on or before the due date specified on the front of this Notice;or b)Submit an affidavit by following the instructions below:or c/Request a hearing by signing and mailing the form below.You will be notified by letter of the time,location and date of the hearing. If you request a hearing and the Local Hearing Officer concludes that no infraction has been committed, this Notice will be dismissed and no costs or penalties shall be imposed. If the Local Hearing Officer concludes that an infraction has been committed,the Local Hearing Officer will uphold the infraction,and you will be responsible for payment of a$158.00 fine as well as additional administrative fees and costs not to exceed$250.00 as imposed by the Local Hearing Officer. SUBMISSION OF AFFIDAVIT: You may download an affidavit at www.Violationlnfo.com.As the registered owner of the vehicle,you are deemed responsible for the violation and the payment of a $158.00 penalty unless, in compliance with Florida Statute § 316.0083(1)(d)1.a-d, you establish by a sworn affidavit that a statutory exemption applies. The exemptions are that the motor vehicle: (a)passed through the intersection in order to yield the right-of-way to an emergency vehicle or as part of a funeral procession: (b)passed through the intersection at the direction of a law enforcement officer; (c)was, at the time of the violation, in the care, custody, or control of another person; or (d)a Uniform Traffic Citation ('UTC") was issued by a law enforcement officer to the driver of the motor vehicle for the violation of Florida Statutes §§ 316.074(1) and 316.075(1)(c)1 stated in this Notice.The affidavit must be sworn before a notary public or other person authorized to administer oaths. If you assert that the vehicle was in the care, custody, or control of another person, you must provide the rranme, address. date of birth, and. if known, the driver's license number of the person who teased, rented, or otherwise had care, custody, or control of the vehicle at the time of the violation. If the vehicle was stolen, then the affidavit must include a copy of a police report showing the vehicle to have been stolen. If you assert that a UTC was issued by a law enforcement officer for the violation of Florida Statutes§§ 316.074(1)and 316.075(1)(c)1 stated in this Notice, then you must include the serial number of the UTC. For faster processing, you may, but are not required to, include a copy of the UTC. If your affidavit complies with the requirements of Florida Statute§ 316.0083, then no further action will be taken against you. The submission of a false affidavit is a misdemeanor of the second degree, punishable under Florida Statute§775.082 or§775.083 by a term of imprisonment not to exceed sixty (60)days and/or a fine not to exceed $500.00. If submitting an affidavit, it must be postmarked on or before the due date specified on the front page of this Notice in order to be appropriately processed. The affidavit should be mailed to City of Boynton Beach, c/o Intersection Safety Program,PO Box 22091.Tempe.AZ 85285-2091. Do not send payment or affidavit to the Clerk of the Court. If you fail to respond as outlined above, postmarked by the due date,a UTC will be issued to you. Upon issuance of a UTC, you shall have the remedies specified in Florida Statutes§§ 316.0083 and 318.14, which include (a)the right to pay the civil penalty in the amount of$264.00; (b)the right to submit an affidavit: or(c)the right to have a hearing before a designated official. who shall determine whether an infraction has been committed. If the official concludes that no infraction has been committed, the UTC will be dismissed and no costs or penalties shall be imposed. If the official concludes an infraction has been committed. the official will uphold the UTC and may impose an additional civil penalty not to exceed$500.00 and court fees and costs.Failure to pay.submit an affidavit,or request a hearing on the UTC could result in your driving privileges being suspended. VIEW YOUR IMAGES AND VIDEO EVIDENCE FOR THIS INFRACTION:The recorded images and video of your violation will be submitted as evidence for the disposition of this violation. You may view your images and video online at www.Violationlnfo.com. You will need your Notice#and PIN printed on the front of this Notice inside the red box. If you do not have internet access,you may view your video and images at any public library. QUESTIONS:If you have any questions,please contact Customer Service toll free at 1-866-225-8875. (You must be the registered owner of the vehicle to discuss this violation with Customer Service.) PAYMENT INSTRUCTIONS ONLINE PAYMENT:The fastest and easiest way to pay your$158.00 penalty is online. Go to www.Violationlnfo.com and log on with your Notice#and PIN shown in the red box on the front of this notice.Click the Pay button.There is a convenience/service fee for this service. PAYMENT BY PHONE:Call toll free 1-866-225-8875 available 24 hours a day,7 days a week.There is a convenience/service fee for this service. PAYMENT BY MAIL: Mail your check or money order(payable to City of Boynton Beach)in the enclosed envelope with the coupon printed at the bottom of the reverse side of this Notice. PLEASE DO NOT MAIL CASH. Be sure to put the Notice # (see reverse) on the face of your payment. Payment must be postmarked on or before the due date. PAYMENT IN PERSON:No walk-in payments will be accepted. HEARING REQUEST FORM To request a hearing on the above referenced Notice pursuant to Florida Statute§316.0083,please submit the signed and dated coupon below in the envelope provided.The petitioner understands they will be notified of the date,time and location of the hearing.The Local Hearing Officer shall issue a final administrative order. If the Notice of Violation is upheld, the petitioner will be required to pay$158.00 and may also be required to pay county or municipal costs,not to exceed$250.00. NOTE:Per Florida Statute,you may cancel your appearance before the local hearing officer by paying the$158.00 penalty assessed,plus$50 in administrative costs,before the start of the hearing.The amount due will be$208.00. Detach here and return bottom portion as a request for an Administrative Hearing before a Local Hearing Officer. 1852300246736 I submit this form as a request to contest this Notice of Violation and acknowledge that it must be postmarked by the due date of this Notice to be a valid request. I understand that I must attend this 11111 1111111 1111 11111 hearing in person, unless represented by counsel appearing in person on my behalf. Please sign and print name using blue or black ink. Signature: Printed Name: Phone Number: City of Boynton Beach Police Department 2100 High Ridge Road • Boynton Beach, FL 33426 HEARING REQUEST Document Number: 1852300246736 Date Created: 1/1/0001 12:00:00 AM Received On 9/9/2023 HEARING SCHEDULED By RFAUCHER SJONESI-9/12/2023 REQUEST FOR LOCAL HEARING - RED LIGHT VIOLATION Mail, Fax or Email the COMPLETED Form to: Florida Hearing Request P.O. Box 22091 Tempe,AZ 85285-2091 Fax: 480-990-4819 Email: info(dviolationinfo.com Driver/Vehicle Owner and Notice of Violation Information(NOV)(To be provided by requestor) Date: 9/5/20203 Name(Typed or printed): Jonas Bair Mailing Address: 9768 Kamena Cir City: Boynton Beach State: FL Zip: 33436 'telephone Number: 561 628 4088 Fax: E-mail: thebigbonus@gmail.com NOV Number: 1852300246736 8/9/2023 NOV Date: N DB P68 B600-432-80-241-0 Tag Number: Driver License Number Agency/Issuing Authority: Boynton Beach PD Issuing Officer/Agent Name: Unknown Badge#: 094 Local Court or Hearing Officer Information(To be provided by local authority) Local Court or Hearing Officer: Address: City: State: Zip: POC Telephone Number: Fax: THIS PAGE OF THE DOCUMENT MUST BE INCLUDED WITH THE AFFIDAVIT ON THE NEXT PAGE! City of Boynton Beach Police Department 2100 High Ridge Road Boynton Beach, FL 33426 HEARING REQUEST Document Number: 1852300246736 Date Created: 1/1/0001 12:00:00 AM Received On 982023 HEARING SCHEDULED By:RFAUCHER SJONESI-9/122023 Affidavit Requesting Hearing and Forfeiting Ability to Contest Delivery I Jonas Bair hereby request a formal hearing (NAME) before a hearing officer in the county of Palm Beach . I understand that I must submit (COUNTY) this request to the clerk for the assigned local hearing officer within 60 days from the date posted on the Notice of Violation(NOV). I understand that by filing a request for this hearing,I waive my ability to contest the delivery of the NOV as set forth in F.S.S. 316.0083(c)and(d). I understand that 1 have the option to reschedule a hearing once by notifying the appropriate clerk for the local hearing officer in writing at least 5 days prior to the scheduled hearing. I understand that if I do not reschedule my hearing and I fail to appear for this hearing that I will be adjudicated guilty and I am responsible for all fines and/or fees and that a vehicle registration stop will be placed on my record. I also understand that if the NOV is affirmed by the court and/or local hearing officer,that I am responsible for the payment of the original penalty plus up to$250.00 in local fees as set forth in F.S.S. 316.0083(5).I attest that I fully understand the stipulations of these laws and the associated penalties. Sworn by me on 9/5/2023 and affirmed by my signature below. (DATE) Printed Name: Jonas Bair Li, • . ., 4 Signature of Requestor: _____ ,V___ 9/5/2023 Date Signed: City of Boynton Beach Police Department 2100 High Ridge Road Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300246736 Document Information: Violation Information: Document Type: VIOLATION DATA REPORT Violation Date/Time: 8/9/2023 10:18:46AM Version: v 1.0 Violation Location: EB W BOYNTON BEACH BLVD/NW 2ND AVE @ N CONC BOYNTON BEACH, FL Issue Date: 08/24/2023 Plate No./State: NDBP68 FL Appearance Date: 10/23/2023 Make/Model/Year:: HOND/2023 Registered Owner: JONAS LEHMAN BAIR Name/Address 9768 KAMENA CIR BOYNTON BEACH, FL 33436 Driver: JONAS LEHMAN BAIR Name/Address 9768 KAMENA CIR BOYNTON BEACH, FL 33436 State Exhibit: "'�'� �..Ps 09/26/2023 9:16AM Page 1 of 5 City of Boynton Beach Police Department .'•4t. 2100 High Ridge Road pilot* Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300246736 DATE TIME ABIDER SPEED PHASE RTIME LANE FRAME 08/09/2023 10:18:45.7 AM 5.0 042 R 001.5 4 A BB007-EB W BOYNTON BEACH BLVD / NW 2ND AVE @ N CONGRESS AVE ir i.:., ,•'mel 4IRprtiii 11 r ,_ ,, f i State Exhibit: saxsisvPs 09/26/2023 9:16AM Page 2 of 5 City of Boynton Beach Police Department .1 - 'le 2100 High Ridge Road 42"`" Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300246736 DATE TIME AMBER SPEED PHASE RTIME LANE FRAM 08/09/2023 10:18:46.6 AM 5.0 042 R 002.4 4 B BB007-EB W BOYNTON BEACH BLVD / NW 2ND AVE @ N CONGRESS AVE •'►z"ir- '��r . ....... �}�� —44.,y, F ape, _- - _ +a r i t, i ii 7 i- _411 . ti , ' iii x.. ..ter I sT State Exhibit: '!' svPS' 09/26/2023 9:16AM Page 3 of 5 City of Boynton Beach Police Department 2100 High Ridge Road Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300246736 „s 1 . State Exhibit: sax$is VPS 09/26/2023 9:16AM Page 4 of 5 City of Boynton Beach Police Department ,"w 44 2100 High Ridge Road Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300246736 NOTES Note Added By Added Date ACTION -SCHEDULE HEARING SJONES1 09/12/2023 11:45:57 AM Hearing Scheduled ON: 10/11/2023 AT 01:00 PM SJONES1 09/12/2023 11:45:49 AM PENDING FURTHER ACTION RFAUCHER 09/08/2023 01:24:40 PM Received email from drh.bha@gmail.com 09/05/2023 AMENDOZA1 09/08/2023 10:46:57 AM Responded included hearing request docs received & in review State Exhibit: sucsisvPs 09/26/2023 9:16AM Page 5 of 5 • City of Boynton Beach Police Department 2100 High Ridge Road Boynton Beach,FL 33426 Camera Log Report Document#: 1852300246736 Location: BB007 - EB W BOYNTON BEACH BLVD/NW 2ND AVE @ N CONGRESS AVE Event Date/Time Status Deployment Start 8/9/2023 2:09:01AM Operational Tests Passed Violation 8/9/2023 10:18:46AM Deployment End 8/10/2023 12:32:36AM Operational Tests Passed State Exhibit AXiif VPs 09/26/2023 9:16AM Page 1 of 1 VERRA MOBILITY SYSTEM LOG REPORT 1. JASON LANG ,do hereby swear that: 1. I am employed by American Traffic Solutions,Inc.,d/b/a Verra Mobility(Verra Mobility). 2. I am of sound mind,capable of making this certification,over the age of 18,and execute this certification based upon my own personal knowledge of Verra Mobility's business and the method by which Verra Mobility created, transmitted,and stored the information contained in the Verra Mobility System Log Report. 3. I am the duly authorized custodian of the Verra Mobility System Log Report,and in such capacity,I have authority to certify the Verra Mobility System Log Report is a true and correct copy of an original record maintained by Verra Mobility. 4. The Verra Mobility System Log Report referenced below is a copy of a business record which was made automatically by the AXSIS Smart Mobility Platform,at or near the time of the self-test of the automatic red light enforcement system. 5. I certify that the testing that was conducted and is contained in the Verra Mobility System Log Report is a regular practice in the course of Verra Mobility's regularly conducted business activities and is kept in the ordinary course of Verra Mobility's regularly conducted business activities. I DECLARE UNDER PENALTY OF PERJURY IN THE STATE OF FLORIDA THAT THE AFOREMENTIONED INFORMATION IS TRUE AND CORRECT. JASON LANG Verra Mobility System Log Report 8/9/2023 Location: BB007-EB W BOYNTON BEACH BLVD/NW 2ND AVE @ N CONGRESS AVE Date: 08/09/2023 Event Time Status Automated Self-Test 02:09:01 AM All Tests Passed oK Po,,,�� PO Box 22091 04/*^( `nr.,,, Tempe,AZ 85285-2091 111111111III 11 111 1 1111 1111li ii DATE: 09/12/2023 JONAS LEHMAN BAIR 9768 KAMENA CIR PLATE: FL NDBP68 BOYNTON BEACH, FL 33436 RE: Notice of Violation: 1852300246736 Version # : 1 ADMINISTRATIVE HEARING NOTIFICATION LETTER The hearing date for the above mentioned Notice of Violation ("Notice") has been scheduled for: Wednesday, October 11, 2023 at 1:00 PM Boynton Beach Police Department, 2100 High Ridge Rd, Boynton Beach, FL 33426 You may reschedule this hearing once by submitting a written request to the designated clerk to the Local Hearing Officer at Boynton Beach Traffic Division, 2100 High Ridge Rd, Boynton Beach, FL 33426. Your written request to reschedule must be received by the clerk to the Local Hearing Officer at least five (5)calendar days before the day of the originally scheduled hearing. If you have already rescheduled your hearing you may not reschedule it again. If you are receiving a new Administrative Hearing Notification Letter please review the Date, Time and Location of your hearing as one or all of them may have been updated with new information. Please disregard the earlier Administrative Hearing Notification Letter and use only the information provided on the last notification received. You may cancel your appearance before the Local Hearing Officer by paying the civil penalty of$158.00 assessed, plus $50.00 in administrative costs, before the scheduled hearing time. To make a payment online please go to www.Violationlnfo.com or to make a payment by phone call 1-866-790-4111. There may be a convenience/service fee for this service. If you choose not to appear, you waive the right to contest this violation and must pay the civil penalty of$158.00, plus administrative costs up to $250.00. City of Boynton Beach CITY OF BOYNTON BEACH ��POL2eF ,e Q ?� Intersection Safety Program o Q_"..`�p Po Box 22091 NOTICE OF VIOLATION a Tempe,AZ 85285-2091 3 6�` ay ,[J� i, o/ NOTICE#: 1852300200899 P1------ PIN: 2364 View your video and pay with your Visa or MasterCard at www.Violationlnfo.com Amount Due: $158.00 III II II I I III II II I I II III 11111 II Due Date: 09/03/2023 HEBE NOEMI BALEIRON 702 N FEDERAL HWY APT B9 LAKE WORTH, FL 33460 ON/(Date) AT TIME AT LOCATION COUNTY ""— 06/24/2023 05:49 PM NB S FEDERAL HWY @ SE 23RD AVE PALM BEACH oA t Ara seta rwu Axt r5ua 06;34/2023 00 0].19 49 P PM 1.0 013 R 003 0 001 0 3 A 2101:01-MIDt 5 FIAAL WY 0 St MD Av NAME el e HEBE NOEMI BALEIRON • STREET ADDRESS , 702 N FEDERAL HWY APT B9 L . CITY STATE ZIP CODE LAKE WORTH FL 33460 ! --_ DID UNLAWFULLY • OPERATEDRIVE 0 PARK V YEAR MAKE MODEL STYLE COLOR /� E 2002 TOYT 4D WHI H I C L NUMBER STATE REGISTRATION NUMBER an t51t Ara arta east MIS LAM 55015 L01/24/2023 03.45.50.5 PM 4.0 042 5 002.1 3 5 E c CJ8721 FL 02747937 ..Parrs FUGAL 11142.R 25521 AK oDid then and there commit the following offense: O • FAILURE TO COMPLY WITH A STEADY RED SIGNAL The recorded images relating to the vehicle stated above are evidence of this violation. 0 IN VIOLATION OF. Florida Statutes§§316.0083, 316.074(1)and 316.075(1)(c)1 SIB POLICE DEPARTMENT .�,--2 i- ID#094 The traffic infraction enforcement officer or law enforcement officer named above has reviewed the recorded images ISSUE DATE ,./71.7".".'":11r< evidencing the red light signal violation.has identified the license tag number of the violating vehicle and has found 07/05/2023 reasonable and probable grounds that an offense has been committed. STATUTORY PENALTY OF $158.00 IF YOU HAVE QUESTIONS ABOUT THIS NOTICE, PLEASE GO TO WWW.VIOLATIONINFO.COM �rou0io Pay with your Visa or MasterCard at www.Violationlnfo.com or mail your check or money order with this coupon to the address below. A IFNAME: HEBE NOEMI BALEIRON DUE: 09/03/2023 III II II I It II 1111111111111111 NOTICE#: 1852300200899 VERSION: 1 ISSUED: 07/05/2023 0. PLATE: CJ8721 STATE: FL TYPE: •Si necesita ayuda en Espanol,favor flame al 1.866.225.8875. No points will be assessed for this Notice of Violation nor will it affect •PLEASE RESPOND WITH PAYMENT,REQUEST A HEARING,OR vehicle insurance rates. SUBMIT AN AFFIDAVIT POSTMARKED ON OR BEFORE THE DUE DATE TO AVOID ISSUANCE OF A UNIFORM TRAFFIC CITATION ("UTC").SEE INSTRUCTIONS ON REVERSE SIDE. City of Boynton Beach •Pay with your Visa or MasterCard at www.Violationinfo.com or mail Payment Processing Center your check or money order with this coupon to the address to the right. PO Box 35131 •Make your check or money order payable to City of Boynton Beach. Seattle, WA 98124-5131 • DO NOT MAIL CASH. •Write the Notice#located above on the front of your payment. • Insert this tear-off coupon in the enclosed envelope with the address to the right showing through the window. AMOUNT DUE: $158.00 1 1852300200899 000032061689 158002 Your vehicle was observed by a traffic infraction detector failing to comply with a steady red light signal, in violation of Florida Statutes§§ 316.0083. 316.074(1)and 316.075(1)(c)1, at the intersection, date, and time stated on the front page of this Notice of Violation ("Notice"). This is a non-criminal infraction of state law. No points will be assessed and this infraction may not be used to set motor vehicle insurance rates. This Notice has been issued by the City of Boynton Beach. You have the following three options: a)Pay this violation in the amount of$158.00 on or before the due date specified on the front of this Notice;or b)Submit an affidavit by following the instructions below;or c)Request a hearing by signing and mailing the form below.You will be notified by letter of the time, location and date of the hearing. If you request a hearing and the Local Hearing Officer concludes that no infraction has been committed, this Notice will be dismissed and no costs or penalties shall be imposed. If the Local Hearing Officer concludes that an infraction has been committed,the Local Hearing Officer will uphold the infraction,and you will be responsible for payment of a$158.00 fine as well as additional administrative fees and costs not to exceed$250.00 as imposed by the Local Hearing Officer. SUBMISSION OF AFFIDAVIT: You may download an affidavit at www.Violationlnfo.com.As the registered owner of the vehicle,you are deemed responsible for the violation and the payment of a $158.00 penalty unless, in compliance with Florida Statute § 316.0083(1)(d)1.a-d, you establish by a sworn affidavit that a statutory exemption applies. The exemptions are that the motor vehicle: (a)passed through the intersection in order to yield the right-of-way to an emergency vehicle or as part of a funeral procession; (b)passed through the intersection at the direction of a law enforcement officer; (c)was, at the time of the violation, in the care, custody, or control of another person; or (d)a Uniform Traffic Citation ("UTC") was issued by a law enforcement officer to the driver of the motor vehicle for the violation of Florida Statutes §§ 316.074(1) and 316.075(1)(c)1 stated in this Notice.The affidavit must be sworn before a notary public or other person authorized to administer oaths. If you assert that the vehicle was in the care, custody, or control of another person, you must provide the name, address, date of birth, and, if known, the driver's license number of the person who leased, rented, or otherwise had care, custody, or control of the vehicle at the time of the violation. If the vehicle was stolen, then the affidavit must include a copy of a police report showing the vehicle to have been stolen. If you assert that a UTC was issued by a law enforcement officer for the violation of Florida Statutes§§ 316.074(1)and 316.075(1)(c)1 stated in this Notice, then you must include the serial number of the UTC. For faster processing, you may, but are not required to, include a copy of the UTC. If your affidavit complies with the requirements of Florida Statute § 316.0083, then no further action will be taken against you. The submission of a false affidavit is a misdemeanor of the second degree, punishable under Florida Statute§775.082 or§775.083 by a term of imprisonment not to exceed sixty (60)days and/or a fine not to exceed $500.00. If submitting an affidavit, it must be postmarked on or before the due date specified on the front page of this Notice in order to be appropriately processed. The affidavit should be mailed to City of Boynton Beach, c/o Intersection Safety Program,PO Box 22091,Tempe.AZ 85285-2091. Do not send payment or affidavit to the Clerk of the Court. If you fail to respond as outlined above,postmarked by the due date,a UTC will be issued to you. Upon issuance of a UTC,you shall have the remedies specified in Florida Statutes§§ 316.0083 and 318.14,which include (a)the right to pay the civil penalty in the amount of$264.00; (b)the right to submit an affidavit; or(c)the right to have a hearing before a designated official. who shall determine whether an infraction has been committed. If the official concludes that no infraction has been committed, the UTC will be dismissed and no costs or penalties shall be imposed. If the official concludes an infraction has been committed, the official will uphold the UTC and may impose an additional civil penalty not to exceed$500.00 and court fees and costs.Failure to pay,submit an affidavit,or request a hearing on the UTC could result in your driving privileges being suspended. VIEW YOUR IMAGES AND VIDEO EVIDENCE FOR THIS INFRACTION: The recorded images and video of your violation will be submitted as evidence for the disposition of this violation. You may view your images and video online at www.Violationlnfo.com. You will need your Notice#and PIN printed on the front of this Notice inside the red box. If you do not have internet access,you may view your video and images at any public library. QUESTIONS:If you have any questions.please contact Customer Service toll free at 1-866-225-8875. (You must be the registered owner of the vehicle to discuss this violation with Customer Service.) PAYMENT INSTRUCTIONS ONLINE PAYMENT: The fastest and easiest way to pay your$158.00 penalty is online. Go to www.Violationlnfo.com and log on with your Notice#and PIN shown in the red box on the front of this notice.Click the Pay button.There is a convenience/service fee for this service. PAYMENT BY PHONE:Call toll free 1-866-225-8875 available 24 hours a day,7 days a week.There is a convenience/service fee for this service. PAYMENT BY MAIL:Mail your check or money order(payable to City of Boynton Beach)in the enclosed envelope with the coupon printed at the bottom of the reverse side of this Notice. PLEASE DO NOT MAIL CASH. Be sure to put the Notice # (see reverse) on the face of your payment. Payment must be postmarked on or before the due date. PAYMENT IN PERSON:No walk-in payments will be accepted. HEARING REQUEST FORM To request a hearing on the above referenced Notice pursuant to Florida Statute§316.0083,please submit the signed and dated coupon below in the envelope provided.The petitioner understands they will be notified of the date,time and location of the hearing.The Local Hearing Officer shall issue a final administrative order. If the Notice of Violation is upheld, the petitioner will be required to pay$158.00 and may also be required to pay county or municipal costs,not to exceed$250.00. NOTE:Per Florida Statute,you may cancel your appearance before the local hearing officer by paying the$158.00 penalty assessed,plus$50 in administrative costs,before the start of the hearing.The amount due will be$208.00. Detach here and return bottom portion as a request for an Administrative Hearing before a Local Hearing Officer. 1852300200899 I submit this form as a request to contest this Notice of Violation and acknowledge that it must be postmarked by the due date of this Notice to be a valid request. I understand that I must attend this 11 111 00 111 hearing in person, unless represented by counsel appearing in person on my behalf. Please sign and print name using blue or black ink. Signature: Printed Name: Phone Number: City of Boynton Beach Police Department 2100 High Ridge Road Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300200899 Document Information: Violation Information: Document Type: VIOLATION DATA REPORT Violation Date/Time: 6/24/2023 5:49:50PM Version: v 1.0 Violation Location: NB S FEDERAL HWY @ SE 23RD AVE BOYNTON BEACH, FL Issue Date: 07/05/2023 Plate No./State: CJ8721 FL Appearance Date: 09/03/2023 Make/Model/Year:: TOYT/2002 Registered Owner: HEBE NOEMI BALEIRON Name/Address 702 N FEDERAL HWY APT B9 LAKE WORTH, FL 33460 Driver: HEBE NOEMI BALEIRON Name/Address 702 N FEDERAL HWY APT B9 LAKE WORTH, FL 33460 State Exhibit: //AxstsvPs 09/26/2023 11:54AM Page 1 of 5 City of Boynton Beach Police Department s "4t • 2100 High Ridge Road �t�"°� Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300200899 DATE TIME AMBER SPEED PHASE RTIME LANE FRAME 06/24/2023 05:49:49.8 PM 4.0 042 R 001.0 3 A BB001-NB S FEDERAL HWY @ SE 23RD AVE D ',11.111.ftwilftwAr„ • a �►ssx State Exhibit: VPS- 09/26/2023 11:54AM Page 2 of 5 City of Boynton Beach Police Department .k4 2100 High Ridge Road Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300200899 DATE TIME AMBER SPEED PHASE RTIME LANE FRAME 06/24/2023 05:49:50. 9 PM 4.0 042 R 002.1 3 B BB001—NB S FEDERAL HWY @ SE 23RD AVE D 1 . • . -- _ __ _ i .......... ,or State Exhibit: AacsisvP6- 09/26/2023 11:54AM Page 3 of 5 City of Boynton Beach Police Department ;kJ ;.mak,, f. 2100 High Ridge Road ;kJI 9P Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300200899 • `' 10 fk; ise ' aliommumur JyV' State Exhibit: AbcsisvPs 09/26/2023 11:54AM Page 4 of 5 City of Boynton Beach Police Department i,n)n 44. 2100 High Ridge Road Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300200899 NOTES Note Added By Added Date Hearing Scheduled ON: 10/11/2023 AT 01:00 PM SYSTEM 08/31/2023 04:24:40 PM cz//adv sign and return HBORREGO 08/22/2023 06:05:50 AM cz called to contest violation and ask for payment ext//per rh not an option//hearing info per city rules// WTHOMAS3 07/13/2023 06:58:44 AM info provided State Exhibit: saxsisvPS- 09/26/2023 11:54AM Page 5 of 5 City of Boynton Beach Police Department 2100 High Ridge Road • Boynton Beach, FL 33426 Camera Log Report Document#: 1852300200899 Location: BB001 - NB S FEDERAL HWY @ SE 23RD AVE Event Date/Time Status Deployment Start 6/24/2023 3:19:14PM Operational Tests Passed Violation 6/24/2023 5:49:50PM Deployment End 6/25/2023 2:08:01AM Operational Tests Passed State Exhibit AscifsvPS- 09/26/2023 11:54AM Page 1 of 1 • VERRA MOBILITY SYSTEM LOG REPORT I, JASON LANG ,do hereby swear that: 1. I am employed by American Traffic Solutions,Inc.,d/b/a Verra Mobility(Verra Mobility) . 2. I am of sound mind,capable of making this certification,over the age of 18,and execute this certification based upon my own personal knowledge of Verra Mobility's business and the method by which Verra Mobility created, transmitted,and stored the information contained in the Verra Mobility System Log Report. 3. I am the duly authorized custodian of the Verra Mobility System Log Report,and in such capacity,I have authority to certify the Verra Mobility System Log Report is a true and correct copy of an original record maintained by Verra Mobility. 4. The Verra Mobility System Log Report referenced below is a copy of a business record which was made automatically by the AXSIS Smart Mobility Platform,at or near the time of the self-test of the automatic red light enforcement system. 5. I certify that the testing that was conducted and is contained in the Verra Mobility System Log Report is a regular practice in the course of Verra Mobility's regularly conducted business activities and is kept in the ordinary course of Verra Mobility's regularly conducted business activities. I DECLARE UNDER PENALTY OF PERJURY IN THE STATE OF FLORIDA THAT THE AFOREMENTIONED INFORMATION IS TRUE AND CORRECT. Ci JASON LANG Verra Mobility System Log Report 6/24/2023 Location: BB001 -NB S FEDERAL HWY @ SE 23RD AVE Date: 06/24/2023 Event Time Status Automated Self-Test 03:19:14 PM All Tests Passed N POLf F PO Box 22091 Q,i ,\\ Tempe,AZ 85285-2091 \ a? Y 111111111 ill 11111 01111111 11 DATE: 08/31/2023 HEBE NOEMI BALEIRON 702 N FEDERAL HWY APT B9 PLATE: FL CJ8721 LAKE WORTH, FL 33460 RE: Notice of Violation: 1852300200899 Version # : 1 ADMINISTRATIVE HEARING NOTIFICATION LETTER The hearing date for the above mentioned Notice of Violation ("Notice") has been scheduled for: Wednesday, October 11, 2023 at 1:00 PM Boynton Beach Police Department, 2100 High Ridge Rd, Boynton Beach, FL 33426 You may reschedule this hearing once by submitting a written request to the designated clerk to the Local Hearing Officer at Boynton Beach Traffic Division, 2100 High Ridge Rd, Boynton Beach, FL 33426. Your written request to reschedule must be received by the clerk to the Local Hearing Officer at least five (5)calendar days before the day of the originally scheduled hearing. If you have already rescheduled your hearing you may not reschedule it again. If you are receiving a new Administrative Hearing Notification Letter please review the Date, Time and Location of your hearing as one or all of them may have been updated with new information. Please disregard the earlier Administrative Hearing Notification Letter and use only the information provided on the last notification received. You may cancel your appearance before the Local Hearing Officer by paying the civil penalty of$158.00 assessed, plus $50.00 in administrative costs, before the scheduled hearing time. To make a payment online please go to www.Violationlnfo.com or to make a payment by phone call 1-866-790-4111. There may be a convenience/service fee for this service. If you choose not to appear, you waive the right to contest this violation and must pay the civil penalty of$158.00, plus administrative costs up to $250.00. City sBoynton Beach CITY OF BOYNTON BEACH ern.rr, Intersection ction Safety Program Q '\ PO Box 22091 NOTICE OF VIOLATION o 00 1;‘) a= Tempe,AZ 85285-2091 / oa� 1\) NOTICE#: 1852300251074 PIN: 9284 View your video and pay with your Visa or MasterCard at www.Violationlnfo.com Amount Due: $158.00 111 II II III VIII 1111111111 IIII II 111 II Due Date: 10/28/2023 PAULETTE LISA CATAFFO • 4657 GREENTREE PL APT 104A BOYNTON BEACH, FL 33436 ® • ON/(Date) AT TIME AT LOCATION COUNTY 0812012023 08:31 PM SB NW 8TH ST @ W BOYNTON BEACH BLVD/SR 804 PALM BEACH _>.:,a'w» �µ NAME WEN • • PAULETTE LISA CATAFFO I STREET ADDRESS 4657 GREENTREE PL APT 104A CITY STATE ZIP CODE - BOYNTON BEACH FL 33436 DID UNLAWFULLY • OPERATE/DRIVE 0 PARK ✓ YEAR MAKE MODEL STYLE COLOR E 2013 CHEV 4D GRY • L NUMBER STATE REGISTRATION NUMBER ., ' __ E IC63PX FL 06215028 Did then and there commit the following offense: a FAILURE TO COMPLY WITH A STEADY RED SIGNAL The recorded images relating to the vehicle stated above are evidence of this violation. IN VIOLATION OF: Florida Statutes§§316.0083, 316.074(1)and 316.075(1)(c)1 - POLICE DEPARTMENT ID#094 The traffic infraction enforcement officer or law enforcement officer named above has reviewed the recorded images ISSUE DATE evidencing the red light signal violation,has identified the license tag number of the violating vehicle and has found 08/2912023 reasonable and probable grounds that an offense has been committed. STATUTORY PENALTY OF $158.00 IF YOU HAVE QUESTIONS ABOUT THIS NOTICE, PLEASE GO TO WWW.VIOLATIONINFO.COM Pay with your Visa or MasterCard at www.Vlolatlonlnfo.com or mail your check or money order with this coupon to the address below. I -" MEM VISA NAME: PAULETTE LISA CATAFFO DUE: 10/28/2023 �g' III II II I 111111 II 11I II I I III II II II NOTICE#: 1852300251074 VERSION: 1 ISSUED: 08/29/2023 `, PLATE: IC63PX STATE: FL TYPE: •Si necesita ayuda en Espanol.favor name al 1.866.225.8875. No points will be assessed for this Notice of Violation nor will it affect •PLEASE RESPOND WITH PAYMENT,REQUEST A HEARING,OR vehicle insurance rates. SUBMIT AN AFFIDAVIT POSTMARKED ON OR BEFORE THE DUE DATE TO AVOID ISSUANCE OF A UNIFORM TRAFFIC CITATION ("UTC").SEE INSTRUCTIONS ON REVERSE SIDE. City of Boynton Beach •Pay with your Visa or MasterCard at www.Violationlnfo.com or mail Payment Processing Center your check or money order with this coupon to the address to the right. PO Box 35131 • Make your check or money order payable to City of Boynton Beach. Seattle, WA 98124-5131 •DO NOT MAIL CASH. •Write the Notice#located above on the front of your payment. •Insert this tear-off coupon in the enclosed envelope with the address to the right showing through the window. AMOUNT DUE: $158.00 1 1852300251074 000032450774 158009 Your vehicle was observed by a traffic infraction detector failing to comply with a steady red light signal,in violation of Florida Statutes§§ 316.0083, 316.074(1)and 316.075(1)(c)1, at the intersectipn, date, and time stated on the front page of this Notice of Violation ("Notice"). This is a non-criminal infraction of state law. No points will be assessed and this infraction may not be used to set motor vehicle insurance rates. This Notice has been issued by the City of Boynton Beach. You have the following three options: a)Pay this violation in the amount of$158.00 on or before the due date specified on the front of this Notice;or b)Submit an affidavit by following the instructions below;or c)Request a hearing by signing and mailing the form below.You will be notified by letter of the time,location and date of the hearing. If you request a hearing and the Local Hearing Officer concludes that no infraction has been committed, this Notice will be dismissed and no costs or penalties shall be imposed. If the Local Hearing Officer concludes that an infraction has been committed,the Local Hearing Officer will uphold the infraction,and you will be responsible for payment of a$158.00 fine as well as additional administrative fees and costs not to exceed$250.00 as imposed by the Local Hearing Officer. SUBMISSION OF AFFIDAVIT: You may download an affidavit at www.Violationlnfo.com.As the registered owner of the vehicle,you are deemed responsible for the violation and the payment of a $158.00 penalty unless, in compliance with Florida Statute § 316.0083(1)(d)1.a-d, you establish by a sworn affidavit that a statutory exemption applies. The exemptions are that the motor vehicle: (a) passed through the intersection in order to yield the right-of-way to an emergency vehicle or as part of a funeral procession; (b) passed through the intersection at the direction of a law enforcement officer; (c)was, at the time of the violation, in the care, custody, or control of another person; or (d)a Uniform Traffic Citation ("UTC") was issued by a law enforcement officer to the driver of the motor vehicle for the violation of Florida Statutes §§ 316.074(1) and 316.075(1)(c)1 stated in this Notice.The affidavit must be sworn before a notary public or other person authorized to administer oaths. If you assert that the vehicle was in the care, custody, or control of another person, you must provide the name, address, date of birth, and. if known, the driver's license number of the person who leased, rented, or otherwise had care, custody, or control of the vehicle at the time of the violation. If the vehicle was stolen, then the affidavit must include a copy of a police report showing the vehicle to have been stolen. If you assert that a UTC was issued by a law enforcement officer for the violation of Florida Statutes§§ 316.074(1)and 316.075(1)(c)1 stated in this Notice,then you must include the serial number of the UTC. For faster processing, you may, but are not required to, include a copy of the UTC. If your affidavit complies with the requirements of Florida Statute § 316.0083, then no further action will be taken against you. The submission of a false affidavit is a misdemeanor of the second degree, punishable under Florida Statute§775.082 or§775.083 by a term of imprisonment not to exceed sixty (60)days and/or a fine not to exceed $500.00. If submitting an affidavit, it must be postmarked on or before the due date specified on the front page of this Notice in order to be appropriately processed.The affidavit should be mailed to City of Boynton Beach, c/o Intersection Safety Program,PO Box 22091,Tempe,AZ 85285-2091. Do not send payment or affidavit to the Clerk of the Court. If you fail to respond as outlined above, postmarked by the due date,a UTC will be issued to you. Upon issuance of a UTC, you shall have the remedies specified in Florida Statutes§§ 316.0083 and 318.14, which include (a)the right to pay the civil penalty in the amount of$264.00; (b)the right to submit an affidavit; or(c)the right to have a hearing before a designated official, who shall determine whether an infraction has been committed. If the official concludes that no infraction has been committed, the UTC will be dismissed and no costs or penalties shall be imposed. If the official concludes an infraction has been committed, the official will uphold the UTC and may impose an additional civil penalty not to exceed$500.00 and court fees and costs.Failure to pay,submit an affidavit,or request a hearing on the UTC could result in your driving privileges being suspended. VIEW YOUR IMAGES AND VIDEO EVIDENCE FOR THIS INFRACTION:The recorded images and video of your violation will be submitted as evidence for the disposition of this violation. You may view your images and video online at www.Violationlnfo.com. You will need your Notice#and PIN printed on the front of this Notice inside the red box. If you do not have internet access,you may view your video and images at any public library. QUESTIONS:If you have any questions,please contact Customer Service toll free at 1-866-225-8875. (You must be the registered owner of the vehicle to discuss this violation with Customer Service.) PAYMENT INSTRUCTIONS ONLINE PAYMENT:The fastest and easiest way to pay your$158.00 penalty is online. Go to www.Violationlnfo.com and log on with your Notice#and PIN shown in the red box on the front of this notice.Click the Pay button.There is a convenience/service fee for this service. PAYMENT BY PHONE:Call toll free 1-866-225-8875 available 24 hours a day,7 days a week.There is a convenience/service fee for this service. PAYMENT BY MAIL:Mail your check or money order(payable to City of Boynton Beach)in the enclosed envelope with the coupon printed at the bottom of the reverse side of this Notice. PLEASE DO NOT MAIL CASH. Be sure to put the Notice # (see reverse) on the face of your payment. Payment must be postmarked on or before the due date. PAYMENT IN PERSON:No walk-in payments will be accepted. HEARING REQUEST FORM To request a hearing on the above referenced Notice pursuant to Florida Statute§316.0083,please submit the signed and dated coupon below in the envelope provided.The petitioner understands they will be notified of the date,time and location of the hearing.The Local Hearing Officer shall issue a final administrative order. If the Notice of Violation Is upheld, the petitioner will be required to pay$158.00 and may also be required to pay county or municipal costs,not to exceed$250.00. NOTE:Per Florida Statute,you may cancel your appearance before the local hearing officer by paying the$158.00 penalty assessed,plus$50 in administrative costs,before the start of the hearing.The amount due will be$208.00. Detach here and return bottom portion as a request for an Administrative Hearing before a Local Hearing Officer. 1852300251074 I submit this form as a request to contest this Notice of Violation and acknowledge that it must be postmarked by the due date of this Notice to be a valid request. I understand that I must attend this 11 10 1111 hearing in person. unless represented by counsel appearing in person on my behalf. Please sign and print name using blue or black ink. Signature: Printed Name: Phone Number: City of Boynton Beach Police Department 2100 High Ridge Road Boynton Beach, FL 33426 GENERAL CORRESPONDENCE Document Number: 1852300251074 Date Created: 1/1/0001 12:00:00 AM Received On 9/14/2023 NO ACTION By:KOSTEMA SJONES1-9/15/2023 S'Ltr)(144 \Co ` B (i2- 2k1/7 ty‘ A-) nio„, 12, 100A yrd's an-e crx4 ("1/1'6. 040-e:dm )).etck) ee.crzds •-4--oudr,if - .� City of Boynton Beach Police Department 2100 High Ridge Road Boynton Beach, FL 33426 GENERAL CORRESPONDENCE Document Number: 1852300251074 Date Created: 1/1/0001 12:00:00 AM Received On 9/14/2023 NO ACTION By:KOSTEMA SJONES1-9/152023 L14C oe +I) ccs lleae , .-a- 4/, ir 1 • 4 eaet .Cr 71?_) O(*gr.' e.,/,(eCfrOt /.7)0'd2-144, 07L, (.,02),40 vaft /4-Q-cf WI/Z-7 ;'`----/-) 6aa7-(/ Red 4-cr-z"11/ ( /r-„'0,/ I c)r' ic - �� City of Boynton Beach Police Department :�k4 2100 High Ridge Road Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300251074 Document Information: Violation Information: Document Type: VIOLATION DATA REPORT Violation Date/Time: 8/20/2023 8:31:26PM Version: v 1.0 Violation Location: SB NW 8TH ST @ W BOYNTON BEACH BLVD/SR 804 BOYNTON BEACH, FL Issue Date: 08/29/2023 Plate No./State: IC63PX FL Appearance Date: 10/28/2023 Make/Model/Year:: CHEV/2013 Registered Owner: PAULETTE LISA CATAFFO Name/Address 4657 GREENTREE PL APT 104A BOYNTON BEACH, FL 33436 Driver: PAULETTE LISA CATAFFO Name/Address 4657 GREENTREE PL APT 104A BOYNTON BEACH, FL 33436 State Exhibit: AUCS111.111 VF.S 09/26/2023 11:59AM Page 1 of 5 City of Boynton Beach Police Department 2100 High Ridge Road Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300251074 Date Time Limit Speed Phase Amb 2 Red2 Fix Int Frame Lane Cls 18/2012023 08:31-25.5 PM 030 018 R 04.0 000.6 D08 406231 A 2 Car 68014• SB NW 8TH ST W BOYNTON BEACH BLVD(SR 804 rtiw-ir • 1.101 U. R • o _ -1 • v • State Exhibit: Aucsis vps' ..,.,,. 09/26/2023 11:59AM Page 2 of 5 City of Boynton Beach Police Department ,.+wa 2100 High Ridge Road �+aOOe Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300251074 Date Time Limit Speed Phase Amb 2 Red2 Fix Int Frame Lane Cls 88/20/2023 08:3126.5 PM 030 018 R 04.0 001.6 D08 0954ms 406 231 B 2 Car BB014• SB NW 8TH ST lig,W BOYNTON BEACH BLVD/SR 804 i IN • - State Exhibit: a c.sis.VPS 09/26/2023 11:59AM Page 3 of 5 City of Boynton Beach Police Department r,Mkr 2100 High Ridge Road e+o"`" • Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300251074 • odk • • 41116 F • • ICSIfjpx • .0440 wow. • State Exhibit: axsisvis 09/26/2023 11:59AM Page 4 of 5 City of Boynton Beach Police Department aa� 2100 High Ridge Road "'"" Boynton Beach, FL 33426 • Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300251074 NOTES Note Added By Added Date ACTION -NO ACTION; RECEIVED WRITTEN STATEMENT CONTESTING VIOLATION SJONES1 09/15/2023 07:22:57 AM HEARING/REVIEW ALREADY SCHEDULED PENDING FURTHER ACTION KOSTEMA 09/14/2023 09:07:07 AM Hearing Scheduled ON: 10/11/2023 AT 01:00 PM SYSTEM 09/12/2023 03:18:52 PM State Exhibit: saxsisNIPS 09/26/2023 11:59AM Page 5 of 5 • City of Boynton Beach Police Department 2100 High Ridge Road Boynton Beach, FL 33426 Camera Log Report Document#: 1852300251074 Location: BB014 - SB NW 8TH ST @ W BOYNTON BEACH BLVD/SR 804 Event Date/Time Status Deployment Start 8/20/2023 2:00:46PM Operational Tests Passed Violation 8/20/2023 8:31:26PM Deployment End 8/21/2023 12:00:46AM Operational Tests Passed State Exhibit AxsisvPS 09/26/2023 11:59AM Page 1 of 1 VERRA MOBILITY SYSTEM LOG REPORT I, JASON LANG ,do hereby swear that: 1. I am employed by American Traffic Solutions,Inc.,d/b/a Verra Mobility(Verra Mobility) . 2. I am of sound mind,capable of making this certification,over the age of 18,and execute this certification based upon my own personal knowledge of Verra Mobility's business and the method by which Verra Mobility created, transmitted,and stored the information contained in the Verra Mobility System Log Report. 3. I am the duly authorized custodian of the Verra Mobility System Log Report,and in such capacity,I have authority to certify the Verra Mobility System Log Report is a true and correct copy of an original record maintained by Verra Mobility. 4. The Verra Mobility System Log Report referenced below is a copy of a business record which was made automatically by the AXSIS Smart Mobility Platform,at or near the time of the self-test of the automatic red light enforcement system. 5. I certify that the testing that was conducted and is contained in the Verra Mobility System Log Report is a regular practice in the course of Verra Mobility's regularly conducted business activities and is kept in the ordinary course of Verra Mobility's regularly conducted business activities. I DECLARE UNDER PENALTY OF PERJURY IN THE STATE OF FLORIDA THAT THE AFOREMENTIONED INFORMATION IS TRUE AND CORRECT. JASON LANG Verra Mobility System Log Report 8/20/2023 Location: BB014-SB NW 8TH ST @ W BOYNTON BEACH BLVD/SR 804 Date: 08/20/2023 Event Time Status Automated Self-Test 02:00:46 PM All Tests Passed cN roctoPO Box 22091 Tempe,AZ 85285-2091 z U ill 11 111 III 1111111111li II II II DATE: 09/12/2023 PAULETTE LISA CATAFFO 4657 GREENTREE PL APT 104A PLATE: FL IC63PX BOYNTON BEACH, FL 33436 RE: Notice of Violation: 1852300251074 Version # : 1 ADMINISTRATIVE HEARING NOTIFICATION LETTER The hearing date for the above mentioned Notice of Violation ("Notice") has been scheduled for: Wednesday, October 11, 2023 at 1:00 PM Boynton Beach Police Department, 2100 High Ridge Rd, Boynton Beach, FL 33426 You may reschedule this hearing once by submitting a written request to the designated clerk to the Local Hearing Officer at Boynton Beach Traffic Division, 2100 High Ridge Rd, Boynton Beach, FL 33426. Your written request to reschedule must be received by the clerk to the Local Hearing Officer at least five (5)calendar days before the day of the originally scheduled hearing. If you have already rescheduled your hearing you may not reschedule it again. If you are receiving a new Administrative Hearing Notification Letter please review the Date, Time and Location of your hearing as one or all of them may have been updated with new information. Please disregard the earlier Administrative Hearing Notification Letter and use only the information provided on the last notification received. You may cancel your appearance before the Local Hearing Officer by paying the civil penalty of$158.00 assessed, plus $50.00 in administrative costs, before the scheduled hearing time. To make a payment online please go to www.Violationlnfo.com or to make a payment by phone call 1-866-790-4111. There may be a convenience/service fee for this service. If you choose not to appear, you waive the right to contest this violation and must pay the civil penalty of$158.00, plus administrative costs up to $250.00. City of Boynton Beach 'Q`I°°"`\c o•,1 Intersection Safety Program CITY OF BOYNTON BEACH o� � PO Box 22091 NOTICE OF VIOLATION \bC`(;),. 3 Tempe,AZ 85285-2091 ,,J 5 / $0 -• -• • ti s--.:- ..1-'8 ---)'' .: c ° NOTICE#: 1852300209205 L....fr PIN: 4149 ` :"1l/ View your video and pay with your Visa or /".: MasterCard at www.Violationlnfo.com Amount Due: $158.00 III II II III III II II I I II I I III) III I II Due Date: 09/12/2023 KAMERON JAMAAL DAVIS 1185 ALTO RD LANTANA, FL 33462 ON/(Date) AT TIME AT LOCATION COUNTY 07/06/2023 10:47 PM EB W BOYNTON BEACH BLVD / NW 2ND AVE @ N PALM BEACH 0A72 AMU se®RasR Ri11•w•MAR 01,0E 2':] i, • ,eR 5.0 016 R 000.1 2 A CONGRESS AVE 118007-33 R RGYMNI RucR ZION/NW 2ND AYR e N CONGRESS AYR NAME I •a • KAMERON JAMAAL DAVIS STREET ADDRESS 1185 ALTO RD CITY STATE ZIP CODE LANTANA FL 33462 - �1-rJ_ J DID UNLAWFULLY • OPERATE/DRIVE 0 PARK . .7 / V YEAR MAKE MODEL STYLE COLOR E 2015 CHRY 4D SIL H I C L NUMBER STATE REGISTRATION NUMBER "'•°`MID MR RTtl•1J16^R'• L 00/06/2023 I1t0:44+:11.1 1110.0 014 A 001.0 2 s E 30CEFH FL 12158617 68000.1 N OM=RRACR RIND/RR 21•AYR e R 02012u36 AK i Did then and there commit the following offense: •• FAILURE TO COMPLY WITH A STEADY RED SIGNAL The recorded images relating to the vehicle stated above are evidence of this violation. IN VIOLATION OF. Florida Statutes§§316.0083, 316.074(1)and 316.075(1)(c)1 POLICE DEPARTMENT s — ` }16.,,,,,,. , .e_:•.".7::_.?-/. ID#094 The traffic infraction enforcement officer or law enforcement officer named above has reviewed the recorded images ISSUE DATE evidencing the red light signal violation,has identified the license tag number of the violating vehicle and has found 07/14/2023 reasonable and probable grounds that an offense has been committed. STATUTORY PENALTY OF $158.00 IF YOU HAVE QUESTIONS ABOUT THIS NOTICE, PLEASE GO TO WWW.VIOLATIONINFO.COM .ro 1 Pay with your Visa or MasterCard at www.Violatlonlnfo.com or mail your check or money order with this coupon to the address below. 4.. .. � tip b�4 III II Mil 11111111/111 I IIII I In I lin III wvrs� NAME: KAMERON JAMAAL DAVIS DUE: 09/12/2023 NOTICE#: 1852300209205 VERSION: 1 ISSUED: 07/14/2023 PLATE: 30CEFH STATE: FL TYPE: •Si necesita ayuda en Espanol,favor(lame al 1.866.225.8875. No points will be assessed for this Notice of Violation nor will it affect •PLEASE RESPOND WITH PAYMENT.REQUEST A HEARING,OR vehicle insurance rates. SUBMIT AN AFFIDAVIT POSTMARKED ON OR BEFORE THE DUE DATE TO AVOID ISSUANCE OF A UNIFORM TRAFFIC CITATION ("UTC").SEE INSTRUCTIONS ON REVERSE SIDE. City of Boynton Beach • Pay with your Visa or MasterCard at www.Violationinfo.com or mail Payment Processing Center your check or money order with this coupon to the address to the right. PO Box 35131 •Make your check or money order payable to City of Boynton Beach. • DO NOT MAIL CASH. Seattle, WA 98124-5131 •Write the Notice#located above on the front of your payment. • Insert this tear-off coupon in the enclosed envelope with the address to the right showing through the window. AMOUNTDUE: $158.00 1 1852300209205 000032127061 158007 Your vehicle was observed by a traffic infraction detector failing to comply with a steady red light signal. in violation of Florida Statutes§§ 316.0083. 316.074(1)and 316.075(1)(c)1, at the intersection. date, and time stated on the front page of this Notice of Violation ("Notice"). This is a non-criminal infraction of state law. No points will be assessed and this infraction may not be used to set motor vehicle insurance rates. This Notice has been issued by the City of Boynton Beach. You have the following three options: a)Pay this violation in the amount of$158.00 on or before the due date specified on the front of this Notice;or b)Submit an affidavit by following the instructions below;or c)Request a hearing by signing and mailing the form below.You will be notified by letter of the time.location and date of the hearing. If you request a hearing and the Local Hearing Officer concludes that no infraction has been committed, this Notice will be dismissed and no costs or penalties shall be imposed. If the Local Hearing Officer concludes that an infraction has been committed,the Local Hearing Officer will uphold the infraction.and you will be responsible for payment of a$158.00 fine as well as additional administrative fees and costs not to exceed$250.00 as imposed by the Local Hearing Officer. SUBMISSION OF AFFIDAVIT: You may download an affidavit at www.Violationlnfo.com.As the registered owner of the vehicle, you are deemed responsible for the violation and the payment of a $158.00 penalty unless, in compliance with Florida Statute § 316.0083(1)(d)1.a-d, you establish by a sworn affidavit that a statutory exemption applies. The exemptions are that the motor vehicle: (a)passed through the intersection in order to yield the right-of-way to an emergency vehicle or as part of a funeral procession; (b)passed through the intersection at the direction of a law enforcement officer; (c)was, at the time of the violation, in the care, custody, or control of another person; or (d)a Uniform Traffic Citation ("UTC") was issued by a law enforcement officer to the driver of the motor vehicle for the violation of Florida Statutes §§ 316.074(1) and 316.075(1)(c)1 stated in this Notice.The affidavit must be sworn before a notary public or other person authorized to administer oaths. If you assert that the vehicle was in the care, custody, or control of another person, you must provide the name. addre-s, date of birth, and, if known, the driver's license number of the person who leased, rented, or otherwise had care, custody, or control of the vehicle at the time of the violation. If the vehicle was stolen, then the affidavit must include a copy of a police report showing the vehicle to have been stolen. If you assert that a UTC was issued by a law enforcement officer for the violation of Florida Statutes§§ 316.074(1)and 316.075(1)(c)1 stated in this Notice,then you must include the serial number of the UTC. For faster processing.you may, but are not required to, include a copy of the UTC. If your affidavit complies with the requirements of Florida Statute § 316.0083, then no further action will be taken against you. The submission of a false affidavit is a misdemeanor of the second degree, punishable under Florida Statute§775.082 or§775.083 by a term of imprisonment not to exceed sixty (60) days and/or a fine not to exceed $500.00. If submitting an affidavit, it must be postmarked on or before the due date specified on the front page of this Notice in order to be appropriately processed.The affidavit should be mailed to City of Boynton Beach,c/o Intersection Safety Program,PO Box 22091,Tempe,AZ 85285-2091. Do not send payment or affidavit to the Clerk of the Court. If you fail to respond as outlined above,postmarked by the due date,a UTC will be issued to you. Upon issuance of a UTC, you shall have the remedies specified in Florida Statutes§§ 316.0083 and 318.14,which include (a)the right to pay the civil penalty in the amount of$264.00; (b)the right to submit an affidavit; or(c)the right to have a hearing before a designated official, who shall determine whether an infraction has been committed. If the official concludes that no infraction has been committed, the UTC will be dismissed and no costs or penalties shall be imposed. If the official concludes an infraction has been committed, the official will uphold the UTC and may impose an additional civil penalty not to exceed$500.00 and court fees and costs.Failure to pay,submit an affidavit,or request a hearing on the UTC could result in your driving privileges being suspended. VIEW YOUR IMAGES AND VIDEO EVIDENCE FOR THIS INFRACTION:The recorded images and video of your violation will be submitted as evidence for the disposition of this violation. You may view your images and video online at www.Violationlnfo.com. You will need your Notice#and PIN printed on the front of this Notice inside the red box. If you do not have internet access,you may view your video and images at any public library. QUESTIONS:If you have any questions,please contact Customer Service toll free at 1-866-225-8875. (You must be the registered owner of the vehicle to discuss this violation with Customer Service.) PAYMENT INSTRUCTIONS ONLINE PAYMENT:The fastest and easiest way to pay your$158.00 penalty is online.Go to www.Violationlnfo.com and log on with your Notice#and PIN shown in the red box on the front of this notice.Click the Pay button.There is a convenience/service fee for this service. PAYMENT BY PHONE:Call toll free 1-866-225-8875 available 24 hours a day,7 days a week.There is a convenience/service fee for this service. PAYMENT BY MAIL: Mail your check or money order(payable to City of Boynton Beach)in the enclosed envelope with the coupon printed at the bottom of the reverse side of this Notice. PLEASE DO NOT MAIL CASH. Be sure to put the Notice # (see reverse) on the face of your payment. Payment must be postmarked on or before the due date. PAYMENT IN PERSON:No walk-in payments will be accepted. HEARING REQUEST FORM To request a hearing on the above referenced Notice pursuant to Florida Statute§316.0083,please submit the signed and dated coupon below in the envelope provided.The petitioner understands they will be notified of the date,time and location of the hearing.The Local Hearing Officer shall issue a final administrative order. If the Notice of Violation is upheld, the petitioner will be required to pay$158.00 and may also be required to pay county or municipal costs,not to exceed$250.00. NOTE:Per Florida Statute,you may cancel your appearance before the local hearing officer by paying the$158.00 penalty assessed,plus$50 in adrmn•;trative costs,before the start of the hearing.The amount due will be$208.00. Detach here and return bottom portion as a request for an Administrative Hearing before a Local Hearing Officer. 1852300209205 I submit this form as a request to contest this Notice of Violation and acknowledge that it must be postmarked by the due date of this Notice to be a valid request. I understand that I must attend this 11 10 1111 hearing in person,unless represented by counsel appearing in person on my behalf. Please sign and print name using blue or black ink. Signature: Printed Name: Phone Number: City of Boynton Beach Police Department •w4 2100 High Ridge Road ! `''"" Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300209205 Document Information: Violation Information: Document Type: VIOLATION DATA REPORT Violation Date/Time: 7/6/2023 10:47:44PM Violation Location: EB W BOYNTON BEACH BLVD/NW 2ND AVE N CON( Version: v 1.0 °� BOYNTON BEACH, FL Issue Date: 07/14/2023 Plate No./State: 30CEFH FL Appearance Date: 09/12/2023 Make/Model/Year:: CHRY/2015 Registered Owner: KAMERON JAMAAL DAVIS Name/Address 1185 ALTO RD LANTANA, FL 33462 Driver: KAMERON JAMAAL DAVIS Name/Address 1185 ALTO RD LANTANA, FL 33462 State Exhibit: Jc .is VPS 09/26/2023 12:19 PM Page 1 of 5 City of Boynton Beach Police Department .+m.,4, 2100 High Ridge Road46 ""`" Boynton Beach, FL 33426 • Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300209205 DATE TIME AMBER SPEED PHASE RTIME LANE FRAME 07/06/2023 10:47:43.3 PM 5.0 016 R 000.4 2 A BB007-EB W BOYNTON BEACH BLVD / NW 2ND AVE @ N CONGRESS AVE ■ r "�---...rifi— _ al 04 State Exhibit: A7CSiSi.vPS 09/26/2023 12:19 PM Page 2 of 5 City of Boynton Beach Police Department • w. 2100 High Ridge Road "`" Boynton Beach, FL 33426 • Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300209205 DATE TIME AMBER SPEED PHASE RTIME LANE FRAME 07/06/2023 10:47:44. 9 PM 5.0 016 R 002.0 2 B BB007-EB W BOYNTON BEACH BLVD / NW 2ND AVE @ N CONGRESS AVE ■ ai State Exhibit: .AsrasisvPs 09/26/2023 12:19 PM Page 3 of 5 City of Boynton Beach Police Department ..,+2100 High Ridge Road 1e""`" Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300209205 1 l aiir 3 #4.." .•, i 16 w • • )0(% FFH V L./ i .. State Exhibit: ,,..,--AxsisvPS 09/26/2023 12:19 PM Page 4 of 5 City of Boynton Beach Police Departmentak 2100 High Ridge Roada Boynton Beach, FL 33426 • Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300209205 NOTES Note Added By Added Date Hearing Scheduled ON: 10/11/2023 AT 01:00 PM SYSTEM 09/19/2023 04:08:17 PM State Exhibit: Axsis VPS 09/26/2023 12:19 PM Page 5 of 5 City of Boynton Beach Police Department • 2100 High Ridge Road Boynton Beach, FL 33426 Camera Log Report Document#: 1852300209205 Location: BB007 - EB W BOYNTON BEACH BLVD/NW 2ND AVE @ N CONGRESS AVE Event Date/Time Status Deployment Start 7/6/2023 2:06:57AM Operational Tests Passed Violation 7/6/2023 10:47:44PM Deployment End 7/7/2023 12:32:37AM Operational Tests Passed State Exhibit csisVPS 09/26/2023 12:19 PM Page 1 of 1 • VERRA MOBILITY SYSTEM LOG REPORT I, JASON LANG ,do hereby swear that: 1. I am employed by American Traffic Solutions,Inc.,d/b/a Verra Mobility(Verra Mobility) . 2. I am of sound mind,capable of making this certification,over the age of 18,and execute this certification based upon my own personal knowledge of Verra Mobility's business and the method by which Verra Mobility created, transmitted,and stored the information contained in the Verra Mobility System Log Report. 3. I am the duly authorized custodian of the Verra Mobility System Log Report,and in such capacity,I have authority to certify the Verra Mobility System Log Report is a true and correct copy of an original record maintained by Verra Mobility. 4. The Verra Mobility System Log Report referenced below is a copy of a business record which was made automatically by the AXSIS Smart Mobility Platform,at or near the time of the self-test of the automatic red light enforcement system. 5. I certify that the testing that was conducted and is contained in the Verra Mobility System Log Report is a regular practice in the course of Verra Mobility's regularly conducted business activities and is kept in the ordinary course of Verra Mobility's regularly conducted business activities. I DECLARE UNDER PENALTY OF PERJURY IN THE STATE OF FLORIDA THAT THE AFOREMENTIONED INFORMATION IS TRUE AND CORRECT. JASON LANG Verra Mobility System Log Report 7/6/2023 Location: BB007-EB W BOYNTON BEACH BLVD/NW 2ND AVE @ N CONGRESS AVE Date: 07/06/2023 Event Time Status Automated Self-Test 02:06:57 AM All Tests Passed roLfoe PO Box 22091 e[�/) o.'. Tempe,AZ 85285-2091Go • V p Ob� A ,QZ �vt ill 11 111 1111 11111 101111111111 II DATE: 09/19/2023 KAMERON JAMAAL DAVIS 1185 ALTO RD PLATE: FL 30CEFH LANTANA, FL 33462 RE: Notice of Violation: 1852300209205 Version # : 1 ADMINISTRATIVE HEARING NOTIFICATION LETTER The hearing date for the above mentioned Notice of Violation ("Notice") has been scheduled for: Wednesday, October 11, 2023 at 1:00 PM Boynton Beach Police Department, 2100 High Ridge Rd, Boynton Beach, FL 33426 You may reschedule this hearing once by submitting a written request to the designated clerk to the Local Hearing Officer at Boynton Beach Traffic Division, 2100 High Ridge Rd, Boynton Beach, FL 33426. Your written request to reschedule must be received by the clerk to the Local Hearing Officer at least five (5) calendar days before the day of the originally scheduled hearing. If you have already rescheduled your hearing you may not reschedule it again. If you are receiving a new Administrative Hearing Notification Letter please review the Date, Time and Location of your hearing as one or all of them may have been updated with new information. Please disregard the earlier Administrative Hearing Notification Letter and use only the information provided on the last notification received. You may cancel your appearance before the Local Hearing Officer by paying the civil penalty of$158.00 assessed, plus $50.00 in administrative costs, before the scheduled hearing time. To make a payment online please go to www.Violationlnfo.com or to make a payment by phone call 1-866-790-4111. There may be a convenience/service fee for this service. If you choose not to appear, you waive the right to contest this violation and must pay the civil penalty of$158.00, plus administrative costs up to $250.00. City of Boynton Beach °°", CITY OF BOYNTON BEACH ��` �o, Intersection Safety Program �� Te Box 2Z 85 NOTICE OF VIOLATION , �.� Q Tempe,AZ 85285-2091 • y NOTICE#: 1852300207027 PIN: 0530 View your video and pay with your Visa or MasterCard at www.Violationlnfo.com Amount Due: $158.00 III II II I I III II II I I II II 0011 II II Due Date: 09/10/2023 URSZULA DLUGOPOLSKI 1813 17TH AVE N • LAKE WORTH, FL 33460 m7 ON/(Date) AT TIME AT LOCATION COUNTY 06/28/2023 11:28 AM EB W BOYNTON BEACH BLVD / NW 2ND AVE @ N PALM BEACH a2+ DIM AWMI Br®ABM rrue wn TRIM 0624;2020 11 24.00.11 AM 5.0 022 L 000.4 3 0. CONGRESS AVE DSO 02-n w Borwow BLVD,xw 2N0 AVE! COMMA=AVL NAME e11Ace?I 4 T-'l4w..e URSZULA DLUGOPOLSKI STREET ADDRESS "F�'+ •TS at 1813 17TH AVE N CITY STATE ZIP CODE LAKE WORTH FL 33460 '�Pwt` DID UNLAWFULLY • OPERATE/DRIVE 0 PARK V YEAR MAKE MODEL STYLE COLOR E 2019 KIA 4D BLU H I , • L NUMBER STATE REGISTRATION NUMBER LATE TIC AMC 111®rale MIK tut nowt 0625/2025 11:211:05.0 AN 0.0 022 L 002.4 0 B E 42AGPJ FL 11489104 BB000-BB w ROM.Mon BLVD/Nw 220 An!w 0312PASS AVL Did then and there commit the following offense: ��-.11111111fi FAILURE TO COMPLY WITH A STEADY RED SIGNAL The recorded images relating to the vehicle stated above are evidence of this violation. - IN VIOLATION OF. Florida Statutes§§316.0083,316.074(1)and 316.075(1)(c)1 POLICE DEPARTMENT -Ar`w:i ID#094 The traffic infraction enforcement officer or law enforcement officer named above has reviewed the recorded images ISSUE DATE - �r evidencing the red light signal violation,has identified the license tag number of the violating vehicle and has found 07/12/2023 // „ reasonable and probable grounds that an offense has been committed. STATUTORY PENALTY OF $158.00 IF YOU HAVE QUESTIONS ABOUT THIS NOTICE, PLEASE GO TO WWW.VIOLATIONINFO.COM Pay with your Visa or MasterCard at www.Vlolatlonlnfo.com or mail your check or money order with this coupon to the address below. VISA NAME: URSZULA DLUGOPOLSKI DUE: 09/10/2023 dV III!111111111 III III II 1IIIIIIIIIII IIIIIIIIIII NOTICE#: 1852300207027 VERSION: 1 ISSUED: 07/12/2023 PLATE: 42AGPJ STATE: FL TYPE: •Si necesita ayuda en Espanol,favor(lame al 1.866.225.8875. No points will be assessed for this Notice of Violation nor will it affect •PLEASE RESPOND WITH PAYMENT,REQUEST A HEARING.OR vehicle insurance rates. SUBMIT AN AFFIDAVIT POSTMARKED ON OR BEFORE THE DUE DATE TO AVOID ISSUANCE OF A UNIFORM TRAFFIC CITATION ("UTC").SEE INSTRUCTIONS ON REVERSE SIDE. City of Boynton Beach • Pay with your Visa or MasterCard at www.Violationinfo.com or mail Payment Processing Center your check or money order with this coupon to the address to the right. PQ Box 35131 • Make your check or money order payable to City of Boynton Beach. Seattle, WA 98124-5131 • DO NOT MAIL CASH. •Write the Notice#located above on the front of your payment. • Insert this tear-off coupon in the enclosed envelope with the address to the right showing through the window. AMOUNT DUE: $158.00 1 1852300207027 000032075945 158003 Your vehicle was observed by a traffic infraction detector failing to comply with a steady red light signal, in violation of Florida Statutes§§ 316.0083, 316.074(1)and 316.075(1)(c)1, at the intersection, date, and time stated on the front page of this Notice of Violation ("Notice"). This is a non-criminal infraction of state law. No points will be assessed and this infraction may not be used to set motor vehicle insurance rates. This Notice has been issued by the City of Boynton Beach. You have the following three options: a)Pay this violation in the amount of$158.00 on or before the due date specified on the front of this Notice:or b)Submit an affidavit by following the instructions below;or c)Request a hearing by signing and mailing the form below.You will be notified by letter of the time,location and date of the hearing. If you request a hearing and the Local Hearing Officer concludes that no infraction has been committed, this Notice will be dismissed and no costs or penalties shall be imposed. If the Local Hearing Officer concludes that an infraction has been committed,the Local Hearing Officer will uphold the infraction,and you will be responsible for payment of a$158.00 fine as well as additional administrative fees and costs not to exceed$250.00 as imposed by the Local Hearing Officer. SUBMISSION OF AFFIDAVIT:You may download an affidavit at www.Violationlnfo.com.As the registered owner of the vehicle,you are deemed responsible for the violation and the payment of a $158.00 penalty unless, in compliance with Florida Statute § 316.0083(1)(d)1.a-d, you establish by a sworn affidavit that a statutory exemption applies. The exemptions are that the motor vehicle: (a)passed through the intersection in order to yield the right-of-way to an emergency vehicle or as part of a funeral procession: (b) passed through the intersection at the direction of a law enforcement officer; (c)was, at the time of the violation, in the care, custody, or control of another person; or (d)a Uniform Traffic Citation ("UTC") was issued by a law enforcement officer to the driver of the motor vehicle for the violation of Florida Statutes §§ 316.074(1) and 316.075(1))c)1 stated in this Notice.The affidavit must be sworn before a notary public or other person authorized to administer oaths. If you assert that the vehicle was in the care, custody,or control of another person. you must provide the name, address, date of birth, and. if known, the driver's license number of the person who leased, rented, or otherwise had care, custody, or control of the vehicle at the time of the violation. If the vehicle was stolen, then the affidavit must include a copy of a police report showing the vehicle to have been stolen. If you assert that a UTC was issued by a law enforcement officer for the violation of Florida Statutes§§ 316.074(1)and 316.075(1))c)1 stated in this Notice,then you must include the serial number of the UTC. For faster processing, you may, but are not required to, include a copy of the UTC. If your affidavit complies with the requirements of Florida Statute § 316.0083, then no further action will be taken against you. The submission of a false affidavit is a misdemeanor of the second degree, punishable under Florida Statute§775.082 or§775.083 by a term of imprisonment not to exceed sixty(60)days and/or a fine not to exceed$500.00.If submitting an affidavit, it must be postmarked on or before the due date specified on the front page of this Notice in order to be appropriately processed.The affidavit should be mailed to City of Boynton Beach, c/o Intersection Safety Program,PO Box 22091,Tempe,AZ 85285-2091. Do not send payment or affidavit to the Clerk of the Court. If you fail to respond as outlined above, postmarked by the due date,a UTC will be issued to you. Upon issuance of a UTC,you shall have the remedies specified in Florida Statutes§§ 316.0083 and 318.14, which include (a)the right to pay the civil penalty in the amount of$264.00; (b)the right to submit an affidavit; or(c)the right to have a hearing before a designated official, who shall determine whether an infraction has been committed. If the official concludes that no infraction has been committed, the UTC will be dismissed and no costs or penalties shall be imposed. If the official concludes an infraction has been committed,the official will uphold the UTC and may impose an additional civil penalty not to exceed$500.00 and court fees and costs.Failure to pay,submit an affidavit,or request a hearing on the UTC could result in your driving privileges being suspended. VIEW YOUR IMAGES AND VIDEO EVIDENCE FOR THIS INFRACTION:The recorded images and video of your violation will be submitted as evidence for the disposition of this violation. You may view your images and video online at www.Violationlnfo.com. You will need your Notice#and PIN printed on the front of this Notice inside the red box. If you do not have internet access,you may view your video and images at any public library. QUESTIONS:If you have any questions,please contact Customer Service toll free at 1-866.225-8875. (You must be the registered owner of the vehicle to discuss this violation with Customer Service.) PAYMENT INSTRUCTIONS ONLINE PAYMENT:The fastest and easiest way to pay your$158.00 penalty is online. Go to www.Violationlnfo.com and log on with your Notice#and PIN shown in the red box on the front of this notice.Click the Pay button.There is a convenience/service fee for this service. PAYMENT BY PHONE:Call toll free 1-866-225-8875 available 24 hours a day,7 days a week.There is a convenience/service fee for this service. PAYMENT BY MAIL:Mail your check or money order(payable to City of Boynton Beach)in the enclosed envelope with the coupon printed at the bottom of the reverse side of this Notice. PLEASE DO NOT MAIL CASH. Be sure to put the Notice # (see reverse) on the face of your payment. Payment must be postmarked on or before the due date. PAYMENT IN PERSON:No walk-in payments will be accepted. HEARING REQUEST FORM To request a hearing on the above referenced Notice pursuant to Florida Statute§316.0083,please submit the signed and dated coupon below in the envelope provided.The petitioner understands they will be notified of the date,time and location of the hearing.The Local Hearing Officer shall issue a final administrative order. If the Notice of Violation is upheld, the petitioner will be required to pay$158.00 and may also be required to pay county or municipal costs,not to exceed$250.00. NOTE:Per Florida Statute,you may cancel your appearance before the local hearing officer by paying the$158.00 penalty assessed,plus$50 in administrative costs,before the start of the hearing.The amount due will be$208.00. Detach here and return bottom portion as a request for an Administrative Hearing before a Local Hearing Officer. 1852300207027 I submit this form as a request to contest this Notice of Violation and acknowledge that it must be 11111111111 postmarked by the due date of this Notice to be a valid request. I understand that I must attend this hearing in person. unless represented by counsel appearing in person on my behalf. Please sign and print name using blue or black ink. Signature: Printed Name: Phone Number: City of Boynton Beach Police Department 2100 High Ridge Road . Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300207027 Document Information: Violation Information: Document Type: VIOLATION DATA REPORT Violation Date/Time: 6/28/2023 11:28:05AM Version: v 1.0 Violation Location: EB W BOYNTON BEACH BLVD/NW 2ND AVE @ N CON( BOYNTON BEACH, FL Issue Date: 07/12/2023 Plate No./State: 42AGPJ FL Appearance Date: 09/10/2023 Make/Model/Year:: KIA/2019 Registered Owner: URSZULA DLUGOPOLSKI Name/Address 1813 17TH AVE N LAKE WORTH, FL 33460 Driver: URSZULA DLUGOPOLSKI Name/Address 1813 17TH AVE N LAKE WORTH, FL 33460 State Exhibit: �/bcsisvPs' 09/26/2023 12:22 PM Page 1 of 5 City of Boynton Beach Police Department 0 wo 2100 High Ridge Road lPlo"`" Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300207027 DATE TIME AMBER SPEED PHASE RTIME LANE FRAME 06/28/2023 11:28:03. 6 AM 5.0 022 R 000.4 3 A BB007-EB W BOYNTON BEACH BLVD / NW 2ND AVE @ N CONGRESS AVE • aft • Air• • r"1" •.. State Exhibit: Axsis vPS 09/26/2023 12:22 PM Page 2 of 5 City of Boynton Beach Police Department 2100 High Ridge Road A911.. Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300207027 DATE TIME AMBER SPEED PHASE RTIME LANE FRAME 06/28/2023 11:28:05.0 AM 5.0 022 R 001.8 3 B BB007-EB W BOYNTON BEACH BLVD / NW 2ND AVE e N CONGRESS AVE ita _ _ .0e 4111111,Ar • State Exhibit: saxsGsVPS 09/26/2023 12 22 PM Page 3 of 5 City of Boynton Beach Police Department 4, 44, 2100 High Ridge Road �!."`" Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300207027 • • EFI • �.I • • State Exhibit: ADCWIMs ., ,..,.,. ,.,,...,,.... "P 09/26/2023 12:22 PM Page 4 of 5 City of Boynton Beach Police Department yr,ar4 2100 High Ridge Road Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300207027 NOTES Note Added By Added Date Hearing Scheduled ON: 10/11/2023 AT 01:00 PM SYSTEM 09/15/2023 04:22:11 PM State Exhibit: A csisvPs" 09/26/2023 12:22 PM Page 5 of 5 City of Boynton Beach Police Department 2100 High Ridge Road Boynton Beach,FL 33426 Camera Log Report Document#: 1852300207027 Location: BB007 - EB W BOYNTON BEACH BLVD/NW 2ND AVE @ N CONGRESS AVE Event Date/Time Status Deployment Start 6/28/2023 2:06:24AM Operational Tests Passed Violation 6/28/2023 11:28:05AM Deployment End 6/29/2023 12:32:37AM Operational Tests Passed State Exhibit AxsisvPs 09/26/2023 12:22 PM Page 1 of 1 VERRA MOBILITY SYSTEM LOG REPORT I. JASON LANG ,do hereby swear that: 1. I am employed by American Traffic Solutions,Inc.,d/b/a Verra Mobility(Verra Mobility) . 2. I am of sound mind,capable of making this certification,over the age of 18,and execute this certification based upon my own personal knowledge of Verra Mobility's business and the method by which Verra Mobility created, transmitted,and stored the information contained in the Verra Mobility System Log Report. 3. I am the duly authorized custodian of the Verra Mobility System Log Report, and in such capacity,I have authority to certify the Verra Mobility System Log Report is a true and correct copy of an original record maintained by Verra Mobility. 4. The Verra Mobility System Log Report referenced below is a copy of a business record which was made automatically by the AXSIS Smart Mobility Platform.at or near the time of the self-test of the automatic red light enforcement system. 5. I certify that the testing that was conducted and is contained in the Verra Mobility System Log Report is a regular practice in the course of Verra Mobility's regularly conducted business activities and is kept in the ordinary course of Verra Mobility's regularly conducted business activities. I DECLARE UNDER PENALTY OF PERJURY IN THE STATE OF FLORIDA THAT THE AFOREMENTIONED INFORMATION IS TRUE AND CORRECT. JASON LANG Verra Mobility System Log Report 6/28/2023 Location: BB007-EB W BOYNTON BEACH BLVD/NW 2ND AVE @ N CONGRESS AVE Date: 06/28/2023 Event Time Status Automated Self-Test 02:06:24 AM All Tests Passed PO Box 22091 POI.I,.R Q�, U Tempe,AZ 85285-2091 IIIIIllhI III I I01111111II 1111111111 DATE: 09/15/2023 URSZULA DLUGOPOLSKI 1813 17TH AVE N PLATE: FL 42AGPJ LAKE WORTH, FL 33460 RE: Notice of Violation: 1852300207027 Version # : 1 ADMINISTRATIVE HEARING NOTIFICATION LETTER The hearing date for the above mentioned Notice of Violation ("Notice") has been scheduled for: Wednesday, October 11, 2023 at 1:00 PM Boynton Beach Police Department, 2100 High Ridge Rd, Boynton Beach, FL 33426 You may reschedule this hearing once by submitting a written request to the designated clerk to the Local Hearing Officer at Boynton Beach Traffic Division, 2100 High Ridge Rd, Boynton Beach, FL 33426. Your written request to reschedule must be received by the clerk to the Local Hearing Officer at least five (5)calendar days before the day of the originally scheduled hearing. If you have already rescheduled your hearing you may not reschedule it again. If you are receiving a new Administrative Hearing Notification Letter please review the Date, Time and Location of your hearing as one or all of them may have been updated with new information. Please disregard the earlier Administrative Hearing Notification Letter and use only the information provided on the last notification received. You may cancel your appearance before the Local Hearing Officer by paying the civil penalty of$158.00 assessed, plus $50.00 in administrative costs, before the scheduled hearing time. To make a payment online please go to www.Violationlnfo.com or to make a payment by phone call 1-866-790-4111. There may be a convenience/service fee for this service. If you choose not to appear, you waive the right to contest this violation and must pay the civil penalty of$158.00, plus administrative costs up to $250.00. City of Boynton Beach POL/�. mQoF; Intersection Safety Program CITY OF BOYNTON BEACH 2... 01 �% PO Box 22091 qTiCEOFVIOLAT ION `, a Tempe,AZ 85285-2091 / , mOoQy 7 / NOTICE#: 1852300244574 I PIN: 1628 ( 7 ' ,_...C. (.1) View your video and pay with your Visa or / MasterCard at www.Violationlnfo.com Amount Due: $158.00 III II II I I III 1110 111 II 11111111 II II Due Date: 10/22/2023 MARIA ALEJANDRINA FALCONI 420 WEST PALM STREET UNIT 26 LANTANA, FL 33462 aortae • ON/(Date) AT TIME AT LOCATION COUNTY 08/14/2023 08:06 AM NB N CONGRESS AVE @ W BOYNTON BEACH BLVD/ PALM BEACH nA-6 TIM AMO,SPUD PAA]L PTI1e WC MAC 11'2021 09 06 11 2 A21 1.0 012 A 001 2 1 A � 66 N CCIWASS AVE•N 11011 NW 2ND AVE 01- MCA BLVD/NN INC AK NAME r �4/I, _ ¢ MARIA ALEJANDRINA FALCONI E STREET ADDRESS ar : 420 WEST PALM STREET UNIT 26 CITY STATE ZIP CODE LANTANA FL 33462 DID UNLAWFULLY • OPERATE/DRIVE 0 PARK i V YEAR MAKE MODEL STYLE COLOR E 2007 KIA 4D BGE H - — C DATA MC AMU SPLA CAM ATM ICC IONS L NUMBER STATE REGISTRATION NUMBER L OA/14/2023 06.06.16.2 AY 5.0 32 A 002 2 6 e E C CA0184 FL 11343993 66006-66 N co•4653 AVL r N WANTON LMA ALK/NN 210 AK Y '!� - Did then and there commit the following offense: e` ,• - I. FAILURE TO COMPLY WITH A STEADY RED SIGNAL 9). . The recorded images relating to the vehicle stated above are evidence of this violation. , __^ 6 — .*— IN VIOLATION OFFlorida Statutes§§316.0083,316.074(1)and 316.075(1)(c)1 - r POLICE DEPARTMENT - L., _-•. ID#094 -'%T? The traffic infraction enforcement officer or law enforcement officer named above has reviewed the recorded images ISSUE DATE evidencing the red light signal violation,has identified the license tag number of the violating vehicle and has found 08/23/2023 reasonable and probable grounds that an offense has been committed. STATUTORY PENALTY OF $158.00 IF YOU HAVE QUESTIONS ABOUT THIS NOTICE, PLEASE GO TO WWW.VIOLATIONINFO.COM s ADLI Pay with your Visa or MasterCard at www.Violatlonlnfo.com or mail your check or money order with this coupon to the address below. Q tN: (� Q= I VISA NAME: MARIA ALEJANDRINA FALCONI DUE: 10/22/2023 Cdr VIII II IIIA I III IIII VIII III IIIIIIII IIIIIII III III1' NOTICE#: 1852300244574 VERSION: 1 ISSUED: 08/23/2023 PLATE: CA0184 STATE: FL TYPE: •Si necesita ayuda en Espanol,favor name al 1.866.225.8875. No points will be assessed for this Notice of Violation nor will it affect • PLEASE RESPOND WITH PAYMENT,REQUEST A HEARING,OR vehicle insurance rates. SUBMIT AN AFFIDAVIT POSTMARKED ON OR BEFORE THE DUE DATE TO AVOID ISSUANCE OF A UNIFORM TRAFFIC CITATION ("UTC").SEE INSTRUCTIONS ON REVERSE SIDE. City of Boynton Beach • Pay with your Visa or MasterCard at www.Vioiationlnfo.com or mail Payment Processing Center your check or money order with this coupon to the address to the right. PO Box 35131 • Make your check or money order payable to City of Boynton Beach. Seattle, WA 98124-5131 • DO NOT MAIL CASH. •Write the Notice#located above on the front of your payment. • Insert this tear-off coupon in the enclosed envelope with the address to the right showing through the window. AMOUNT DUE: $158.00 1 1,852300244574 000032414204 158001 Your vehicle was observed by a traffic infraction detector failing to comply with a steady red light signal. in violation of Florida Statutes§§ 316.0083. 316.074(1)and 316.075(1)(c)1, at the intersection. date, and time stated on the front page of this Notice of Violation ("Notice"). This is a non-criminal infraction of state law. No points will be assessed and this infraction may not be used to set motor vehicle insurance rates. This Nstice has been issued by the City of Boynton Beach. You have the following three options: a)Pay this violation in the amount of$158.00 on or before the due date specified on the front of this Notice;or b)Submit an affidavit by following the instructions below;or c)Request a hearing by signing and mailing the form below.You will be notified by letter of the time, location and date of the hearing. If you request a hearing and the Local Hearing Officer concludes that no infraction has been committed, this Notice will be dismissed and no costs or penalties shall be imposed. If the Local Hearing Officer concludes that an infraction has been committed,the Local Hearing Officer will uphold the infraction,and you will be responsible for payment of a$158.00 fine as well as additional administrative fees and costs not to exceed$250.00 as imposed by the Local Hearing Officer. SUBMISSION OF AFFIDAVIT:You may download an affidavit at www.Violationlnfo.com.As the registered owner of the vehicle,you are deemed responsible for the violation and the payment of a $158.00 penalty unless, in compliance with Florida Statute § 316.0083(1)(d)1.a-d, you establish by a sworn affidavit that a statutory exemption applies. The exemptions are that the motor vehicle: (a)passed through the intersection in order to yield the right-of-way to an emergency vehicle or as part of a funeral procession; (b) passed through the intersection at the direction of a law enforcement officer; (c)was, at the time of the violation, in the care, custody, or control of another person: or (d)a Uniform Traffic Citation ("UTC") was issued by a law enforcement officer to the driver of the motor vehicle for the violation of Florida Statutes §§ 316.074(1) and 316.075(1)(c)1 stated in this Notice.The affidavit must be sworn before a notary public or other person authorized to administer oaths. If you assert that the vehicle was in the care, custody.or control of another person. you must provide the name, address, date of birth, and, if known, the driver's license number of the person who leased, rented, or otherwise had care, custody, or control of the vehicle at the time of the violation. If the vehicle was stolen, then the affidavit must include a copy of a police report showing the vehicle to have been stolen. If you assert that a UTC was issued by a law enforcement officer for the violation of Florida Statutes§§ 316.074(1)and 316.075(1))c)1 stated in this Notice,then you must include the serial number of the UTC. For faster processing, you may, but are not required to, include a copy of the UTC. If your affidavit complies with the requirements of Florida Statute § 316.0083, then no further action will be taken against you. The submission of a false affidavit is a misdemeanor of the second degree, punishable under Florida Statute§775.082 or§775.083 by a term of imprisonment not to exceed sixty (60)days and/or a fine not to exceed $500.00. If submitting an affidavit, it must be postmarked on or before the due date specified on the front page of this Notice in order to be appropriately processed.The affidavit should be mailed to City of Boynton Beach, c/o Intersection Safety Program,PO Box 22091,Tempe,AZ 85285-2091. Do not send payment or affidavit to the Clerk of the Court. If you fail to respond as outlined above, postmarked by the due date,a UTC will be issued to you. Upon issuance of a UTC, you shall have the remedies specified in Florida Statutes§§ 316.0083 and 318.14,which include (a)the right to pay the civil penalty in the amount of$264.00; (b)the right to submit an affidavit; or(c)the right to have a hearing before a designated official, who shall determine whether an infraction has been committed. If the official concludes that no infraction has been committed, the UTC will be dismissed and no costs or penalties shall be imposed. If the official concludes an infraction has been committed, the official will uphold the UTC and may impose an additional civil penalty not to exceed$500.00 and court fees and costs.Failure to pay,submit an affidavit,or request a hearing on the UTC could result in your driving privileges being suspended. VIEW YOUR IMAGES AND VIDEO EVIDENCE FOR THIS INFRACTION:The recorded images and video of your violation will be submitted as evidence for the disposition of this violation. You may view your images and video online at www.Violationlnfo.com. You will need your Notice#and PIN printed on the front of this Notice inside the red box. If you do not have internet access,you may view your video and images at any public library. QUESTIONS:If you have any questions,please contact Customer Service toll free at 1-866-225-8875. (You must be the registered owner of the vehicle to discuss this violation with Customer Service.) PAYMENT INSTRUCTIONS ONLINE PAYMENT:The fastest and easiest way to pay your$158.00 penalty is online. Go to www.Violationinfo.com and log on with your Notice#and PIN shown in the red box on the front of this notice.Click the Pay button.There is a convenience/service fee for this service. PAYMENT BY PHONE:Call toll free 1-866-225-8875 available 24 hours a day,7 days a week.There is a convenience/service fee for this service. PAYMENT BY MAIL:Mail your check or money order(payable to City of Boynton Beach)in the enclosed envelope with the coupon printed at the bottom of the reverse side of this Notice. PLEASE DO NOT MAIL CASH. Be sure to put the Notice # (see reverse) on the face of your payment. Payment must be postmarked on or before the due date. PAYMENT IN PERSON:No walk-in payments will be accepted. HEARING REQUEST FORM To request a hearing on the above referenced Notice pursuant to Florida Statute§316.0083,please submit the signed and dated coupon below in the envelope provided.The petitioner understands they will be notified of the date,time and location of the hearing.The Local Hearing Officer shall issue a final administrative order. If the Notice of Violation is upheld, the petitioner will be required to pay$158.00 and may also be required to pay county or municipal costs,not to exceed$250.00. NOTE:Per Florida Statute,you may cancel your appearance before the local hearing officer by paying the$158.00 penalty assessed,plus$50 in administrative costs,before the start of the hearing.The amount due will be$208.00. Detach here and return bottom portion as a request for an Administrative Hearing before a Local Hearing Officer. 1852300244574 I submit this form as a request to contest this Notice of Violation and acknowledge that it must be postmarked by the due date of this Notice to be a valid request. I understand that I must attend this 111 011 hearing in person,unless represented by counsel appearing in person on my behalf. Please sign and print name using blue or black ink. Signature: Printed Name: Phone Number: City of Boynton Beach Police Department n„•44, 2100 High Ridge Road ! "` . Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300244574 Document Information: Violation Information: Document Type: VIOLATION DATA REPORT Violation Date/Time: 8/14/2023 8:06:36AM Version: v 1.0 Violation Location: NB N CONGRESS AVE @ W BOYNTON BEACH BLVD/N' BOYNTON BEACH, FL Issue Date: 08/23/2023 Plate No./State: CA0184 FL Appearance Date: 10/22/2023 Make/Model/Year:: KIA/2007 Registered Owner: MARIA ALEJANDRINA FALCONI Name/Address 420 WEST PALM STREET UNIT 26 LANTANA, FL 33462 Driver: MARIA ALEJANDRINA FALCONI Name/Address 420 WEST PALM STREET UNIT 26 LANTANA, FL 33462 State Exhibit: AXIL%VPS 09/27/2023 4:10AM Page 1 of 5 City of Boynton Beach Police Department ,0004, 2100 High Ridge Road "°" Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300244574 DATE TIME AMBER SPEED PHASE RTIME LANE FRAME 08/14/2023 08:06:35.2 AM 5.0 032 R 001.2 4 A 88005-NB N CONGRESS AVE @ W BOYNTON BEACH BLVD / NW 2ND AVE ow Ali, 1 ITr , v . I ,�1 'i*,' . �'R •' i •' j )x(Pt .. =w .� Ar oil J �. ' it • _ 111 77,..,......."_. i, ..,, ./ ` r it State Exhibit: "c_ i vPs 09/27/2023 4:10AM Page 2 of 5 City of Boynton Beach Police Department r,+., 2100 High Ridge Road "" •Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300244574 DATE TIME AMBER SPEED PHASE RTIME LANE FRAME 08/14/2023 08:06:36.2 AM 5.0 032 R 002.2 4 B BB005-NB N CONGRESS AVE @ W BOYNTON BEACH BLVD / NW 2ND AVE • "P4,11r i - rt. ' iii -.117 • i • 16. "ilik„, .11— 1 if ,;,,, ..i, , !, ) ,r. : 71. . . ... .. .. .•, .. .., . . . . i,- 4, , f t .v. Am '41111.1":111111":41111W ' ..,__,_ _.__.4e.........., State Exhibit: saxs;s vis 09/27/2023 4:10AM Page 3 of 5 City of Boynton Beach Police Department •yoSwkFt 2100 High Ridge Road "" Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300244574 • • • • • CAOi4' State Exhibit: Axsis VPS- 09/27/2023 4:10AM Page 4 of 5 City of Boynton Beach Police Department ,.wr 2100 High Ridge Road "0 Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300244574 NOTES Note Added By Added Date Hearing Scheduled ON: 10/11/2023 AT 01:00 PM SYSTEM 09/19/2023 04:08:17 PM PROVIDED CITIZEN WITH HEARING INFORMATION PER CITY RULES . THENDERSON1 09/05/2023 02:54:35 PM State Exhibit: vPs 09/27/2023 4:10AM Page 5 of 5 City of Boynton Beach Police Department 2100 High Ridge Road • Boynton Beach,FL 33426 Camera Log Report Document#: 1852300244574 Location: BB005 - NB N CONGRESS AVE @ W BOYNTON BEACH BLVD/NW 2ND AVE Event Date/Time Status Deployment Start 8/14/2023 2:06:14AM Operational Tests Passed Violation 8/14/2023 8:06:36AM Deployment End 8/14/2023 7:21:00PM Operational Tests Passed State Exhibit csisvPs 09/27/2023 4:10AM Page 1 of 1 VERRA MOBILITY SYSTEM LOG REPORT I, JASON LANG ,do hereby swear that: 1. I am employed by American Traffic Solutions,Inc.,d/b/a Verra Mobility(Verra Mobility). 2. I am of sound mind,capable of making this certification,over the age of 18,and execute this certification based upon my own personal knowledge of Verra Mobility's business and the method by which Verra Mobility created, transmitted,and stored the information contained in the Verra Mobility System Log Report. 3. I am the duly authorized custodian of the Verra Mobility System Log Report,and in such capacity,I have authority to certify the Verra Mobility System Log Report is a true and correct copy of an original record maintained by Verra Mobility. 4. The Verra Mobility System Log Report referenced below is a copy of a business record which was made automatically by the AXSIS Smart Mobility Platform,at or near the time of the self-test of the automatic red light enforcement system. 5. I certify that the testing that was conducted and is contained in the Verra Mobility System Log Report is a regular practice in the course of Verra Mobility's regularly conducted business activities and is kept in the ordinary course of Verra Mobility's regularly conducted business activities. I DECLARE UNDER PENALTY OF PERJURY IN THE STATE OF FLORIDA THAT THE AFOREMENTIONED INFORMATION IS TRUE AND CORRECT. JASON LANG Verra Mobility System Log Report 8/14/2023 Location: BB005-NB N CONGRESS AVE @ W BOYNTON BEACH BLVD/NW 2ND AVE Date: 08/14/2023 Event Time Status Automated Self-Test 02:06:14 AM All Tests Passed �p eocf�F PO Box 22091 ? Tempe,AZ 85285-2091 m� .O'�Qa o� Y '111 11111111111111111111111 II II DATE: 09/19/2023 MARIA ALEJANDRINA FALCON! 420 WEST PALM STREET UNIT 26 PLATE: FL CA0184 LANTANA, FL 33462 RE: Notice of Violation: 1852300244574 Version # : 1 ADMINISTRATIVE HEARING NOTIFICATION LETTER The hearing date for the above mentioned Notice of Violation ("Notice") has been scheduled for: Wednesday, October 11, 2023 at 1:00 PM Boynton Beach Police Department, 2100 High Ridge Rd, Boynton Beach, FL 33426 You may reschedule this hearing once by submitting a written request to the designated clerk to the Local Hearing Officer at Boynton Beach Traffic Division, 2100 High Ridge Rd, Boynton Beach, FL 33426. Your written request to reschedule must be received by the clerk to the Local Hearing Officer at least five (5)calendar days before the day of the originally scheduled hearing. If you have already rescheduled your hearing you may not reschedule it again. If you are receiving a new Administrative Hearing Notification Letter please review the Date, Time and Location of your hearing as one or all of them may have been updated with new information. Please disregard the earlier Administrative Hearing Notification Letter and use only the information provided on the last notification received. You may cancel your appearance before the Local Hearing Officer by paying the civil penalty of$158.00 assessed, plus $50.00 in administrative costs, before the scheduled hearing time. To make a payment online please go to www.Violationlnfo.com or to make a payment by phone call 1-866-790-4111. There may be a convenience/service fee for this service. If you choose not to appear, you waive the right to contest this violation and must pay the civil penalty of$158.00, plus administrative costs up to $250.00. City of Boynton Beach BOYNTON BEACH l °Q"Lick'', CITY OF �* �1', Intersection Safety Program R PO Box 22091 *LA NOTICE OF VIOLATION : . G Tempe,AZ 85285-2091dQ. ZOaY /4 (7 NOTICE#: 1852300251140 PIN: 8924 View your video and pay with your Visa or 1 MasterCard at www.Violationlnfo.com d7I Amount Due: $158.00 III II 1111 III III II II I II I I 111111 II II II Due Date: 10/28/2023 MARIA ALEJANDRINA FALCONI 420 WEST PALM STREET UNIT 26 LANTANA, FL 33462Illill ON;IDate) AT TIME AT LOCATION COUNTY 0812012023 10:24 PM NB S FEDERAL HWY @ SE 23RD AVE PALM BEACH 0•" 11M 4.0 044 PDAs 02.82 'U 01/00/2010 00 31.11.0 M 1.0 011 R WI.1 3 14•001-I01 S MURAL Mn 0 a 230,0 STA NAME d MARIA ALEJANDRINA FALCONI STREET ADDRESS ' 420 WEST PALM STREET UNIT 26 , • - CITY STATE ZIP CODE LANTANA FL 33462 /ts DID UNLAWFULLY • OPERATE/DRIVE 0 PARK At_ ✓ YEAR MAKE MODEL STYLE COLOR E 2007 KIA 40 BGE S• H I C DATA TAR ANA SPUD PYRale St[ L NUMBER STATE REGISTRATION NUMBER 08,20/2023o/:axl 10-24.12 0442 nu C PM 1.0 S R 002.6 3 S E C CA0184 FL 11343993 ••001-rm c r.owv.MR•a nPn AVE n Q Did then and there commit the following offense: • FAILURE TO COMPLY WITH A STEADY RED SIGNAL I The recorded images relating to the vehicle stated above are evidence of this violation. IN VIOLATION OF: Florida Statutes§§316.0083,316.074(1)and 316.075(1)(c)1 "s• POLICEL `DEPARTMENT - ,':."1.0:4,- /Y�.i 2.!_ ID#094 — �� The traffic infraction enforcement officer or law enforcement officer named above has reviewed the recorded images ISSUE DATE / evidencing the red light signal violation.has identified the license tag number of the violating vehicle and has found 08/2912023 reasonable and probable grounds that an offense has been committed. STATUTORY PENALTY OF $158.00 IF YOU HAVE QUESTIONS ABOUT THIS NOTICE, PLEASE GO TO WWW.VIOLATIONINFO.COM Pay with your Visa or MasterCard at www.Vlolatlonlnfo.com or mail your check or money order with this coupon to the address below. o " � VISA NAME: MARIA ALEJANDRINA FALCONI DUE: 10/28/2023 p,61- IIII II III 1111111 III III 11 111 III 111 1111 II NOTICE#: 1852300251140 VERSION: 1 ISSUED: 08/29/2023 PLATE: CA0184 STATE: FL TYPE: • Si necesita ayuda en Espanol,favor Ilame al 1.866.225.8875. No points will be assessed for this Notice of Violation nor will it affect •PLEASE RESPOND WITH PAYMENT,REQUEST A HEARING,OR vehicle insurance rates. SUBMIT AN AFFIDAVIT POSTMARKED ON OR BEFORE THE DUE DATE TO AVOID ISSUANCE OF A UNIFORM TRAFFIC CITATION ("UTC").SEE INSTRUCTIONS ON REVERSE SIDE. City of Boynton Beach • Pay with your Visa or MasterCard at www.VIolationinfo.com or mail Payment Processing Center your check or money order with this coupon to the address to the right. PO Box 35131 • Make your check or money order payable to City of Boynton Beach. Seattle, WA 98124-5131 • DO NOT MAIL CASH. •Write the Notice#located above on the front of your payment. • Insert this tear-off coupon in the enclosed envelope with the address to the right showing through the window. AMOUNT DUE: $158.00 1 1852300251140 000032450754 158000 Your vehicle was observed by a traffic infraction detector failing to comply with a steady red light signal, in violation of Florida Statutes§§ 316.0083. 316.074(1)and 316.075(1))c)1, at the intersection, date, and time stated on the front page of this Notice of Violation ("Notice"). This is a non-criminal infraction of state law. No points will be assessed and this infraction may not be used to set motor vehicle insurance rates. This Notice has been issued by the City of Boynton Beach. You have the following three options: a)Pay this violation in the amount of$158.00 on or before the due date specified on the front of this Notice;or b)Submit an affidavit by following the instructions below:or c)Request a hearing by signing and mailing the form below.You will be notified by letter of the time, location and date of the hearing. If you request a hearing and the Local Hearing Officer concludes that no infraction has been committed, this Notice will be dismissed and no costs or penalties shall be imposed. If the Local Hearing Officer concludes that an infraction has been committed,the Local Hearing Officer will uphold the infraction,and you will be responsible for payment of a$158.00 fine as well as additional administrative fees and costs not to exceed$250.00 as imposed by the Local Hearing Officer. SUBMISSION OF AFFIDAVIT: You may download an affidavit at www.Violationlnfo.com.As the registered owner of the vehicle, you are deemed responsible for the violation and the payment of a $158.00 penalty unless. in compliance with Florida Statute § 316.0083(1)(d)1.a-d, you establish by a sworn affidavit that a statutory exemption applies. The exemptions are that the motor vehicle: (a)passed through the intersection in order to yield the right-of-way to an emergency vehicle or as part of a funeral procession: (b)passed through the intersection at the direction of a law enforcement officer; (c)was, at the time of the violation, in the care, custody, or control of another person: or (d)a Uniform Traffic Citation ("UTC") was issued by a law enforcement officer to the driver of the motor vehicle for the violation of Florida Statutes §§ 316.074(1) and 316.075(1)(c)1 stated in this Notice.The affidavit must be sworn before a notary public or other person authorized to administer oaths. If you assert that the vehicle was in the care, custody, or control of another person, you must provide the name, address, date of birth, and, if known, the driver's license number of the person who leased, rented, or otherwise had care, custody, or control of the vehicle at the time of the violation. If the vehicle was stolen, then the affidavit must include a copy of a police report showing the vehicle to have been stolen. If you assert that a UTC was issued by a law enforcement officer for the violation of Florida Statutes§§ 316.074(1)and 316.075(1)(c)1 stated in this Notice, then you must include the serial number of the UTC. For faster processing. you may, but are not required to, include a copy of the UTC. If your affidavit complies with the requirements of Florida Statute§ 316.0083, then no further action will be taken against you. The submission of a false affidavit is a misdemeanor of the second degree, punishable under Florida Statute§775.082 or§775.083 by a term of imprisonment not to exceed sixty (60)days and/or a fine not to exceed$500.00.If submitting an affidavit, it must be postmarked on or before the due date specified on the front page of this Notice in order to be appropriately processed. The affidavit should be mailed to City of Boynton Beach,c/o Intersection Safety Program,PO Box 22091,Tempe,AZ 85285-2091. Do not send payment or affidavit to the Clerk of the Court. If you fail to respond as outlined above, postmarked by the due date,a UTC will be issued to you. Upon issuance of a UTC,you shall have the remedies specified in Florida Statutes§§ 316.0083 and 318.14,which include (a)the right to pay the civil penalty in the amount of$264.00; (b)the right to submit an affidavit; or(c)the right to have a hearing before a designated official, who shall determine whether an infraction has been committed. If the official concludes that no infraction has been committed, the UTC will be dismissed and no costs or penalties shall be imposed. If the official concludes an infraction has been committed,the official will uphold the UTC and may impose an additional civil penalty not to exceed$500.00 and court fees and costs.Failure to pay,submit an affidavit,or request a hearing on the UTC could result in your driving privileges being suspended. VIEW YOUR IMAGES AND VIDEO EVIDENCE FOR THIS INFRACTION: The recorded images and video of your violation will be submitted as evidence for the disposition of this violation. You may view your images and video online at www.Violationlnfo.com. You will need your Notice#and PIN printed on the front of this Notice inside the red box. If you do not have internet access.you may view your video and images at any public library. QUESTIONS:If you have any questions,please contact Customer Service toll free at 1-866-225-8875. (You must be the registered owner of the vehicle to discuss this violation with Customer Service.) PAYMENT INSTRUCTIONS ONLINE PAYMENT:The fastest and easiest way to pay your$158.00 penalty is online. Go to www.Violationlnfo.com and log on with your Notice#and PIN shown in the red box on the front of this notice.Click the Pay button.There is a convenience/service fee for this service. PAYMENT BY PHONE:Call toll free 1-866-225-8875 available 24 hours a day,7 days a week.There is a convenience/service fee for this service. PAYMENT BY MAIL: Mail your check or money order(payable to City of Boynton Beach)in the enclosed envelope with the coupon printed at the bottom of the reverse side of this Notice. PLEASE DO NOT MAIL CASH. Be sure to put the Notice # (see reverse) on the face of your payment. Payment must be postmarked on or before the due date. PAYMENT IN PERSON:No walk-in payments will be accepted. HEARING REQUEST FORM To request a hearing on the above referenced Notice pursuant to Florida Statute§316.0083,please submit the signed and dated coupon below in the envelope provided.The petitioner understands they will be notified of the date,time and location of the hearing.The Local Hearing Officer shall issue a final administrative order. If the Notice of Violation is upheld, the petitioner will be required to pay$158.00 and may also be required to pay county or municipal costs,not to exceed$250.00. NOTE:Per Florida Statute,you may cancel your appearance before the local hearing officer by paying the$158.00 penalty assessed,plus$50 in administrative costs,before the start of the hearing.The amount due will be$208.00. Detach here and return bottom portion as a request for an Administrative Hearing before a Local Hearing Officer. 1852300251140 I submit this form as a request to contest this Notice of Violation and acknowledge that it must be postmarked by the due date of this Notice to be a valid request. I understand that I must attend this 11 111 1111 111110111 hearing in person,unless represented by counsel appearing in person on my behalf. Please sign and print name using blue or black ink. Signature: Printed Name: Phone Number: City of Boynton Beach Police Department 2100 High Ridge Road • Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300251140 Document Information: Violation Information: Document Type: VIOLATION DATA REPORT Violation Date/Time: 8/20/2023 10:24:12PM Version: v 1.0 Violation Location: NB S FEDERAL HWY @ SE 23RD AVE BOYNTON BEACH, FL Issue Date: 08/29/2023 Plate No./State: CA0184 FL Appearance Date: 10/28/2023 Make/Model/Year:: KIA/2007 Registered Owner: MARIA ALEJANDRINA FALCONI Name/Address 420 WEST PALM STREET UNIT 26 LANTANA, FL 33462 Driver: MARIA ALEJANDRINA FALCONI Name/Address 420 WEST PALM STREET UNIT 26 LANTANA, FL 33462 State Exhibit: .. . Axss ivPs 09/27/2023 4:07AM Page 1 of 5 City of Boynton Beach Police Department ..� 2100 High Ridge Road Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300251140 DATE TIME AMBER SPEED PHASE RTIME LANE FRAME 08/20/2023 10:24:11.0 PM 4.0 044 R 001. 6 2 A BB001-NB S FEDERAL HWY @ SE 23RD AVE � a _ _ art Ar State Exhibit: A7Csis VPS 09/27/2023 4:07AM Page 2 of 5 City of Boynton Beach Police Department uya, 2100 High Ridge Road Boynton Beach, FL 33426 • Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300251140 DATE TIME AMBER SPEED PHASE RTIME LANE FRAME 08/20/2023 10:24:12.0 PM 4.0 044 R 002. 6 2 B BB001-NB S FEDERAL HWY @ SE 23RD AVE f.. State Exhibit: /�f!icsisvPs- 09/27/2023 4:07AM Page 3 of 5 City of Boynton Beach Police Department .w 4,4 2100 High Ridge Road 76 `"`� Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300251140 4f ft 49 49 • L' ,01. 184 N• r App, State Exhibit: Ai sisVPS- 09/27/2023 4:07AM Page 4 of 5 City of Boynton Beach Police Department aw 2100 High Ridge Road !p'"" Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300251140 NOTES Note Added By Added Date Hearing Scheduled ON: 10/11/2023 AT 01:00 PM SYSTEM 09/19/2023 04:08:16 PM PROVIDED CITIZEN WITH HEARING INFORMATION PER CITY RULES. THENDERSON1 09/05/2023 02:55:40 PM State Exhibit: ..� axstsvPs- 09/27/2023 4:07AM Page 5 of 5 City of Boynton Beach Police Department 2100 High Ridge Road Boynton Beach, FL 33426 Camera Log Report Document#: 1852300251140 Location: BB001 - NB S FEDERAL HWY @ SE 23RD AVE Event Date/Time Status Deployment Start 8/20/2023 3:22:46PM Operational Tests Passed Violation 8/20/2023 10:24:12PM Deployment End 8/21/2023 2:06:40AM Operational Tests Passed State Exhibit A�cstsvPs 09/27/2023 4:07AM Page 1 of 1 • VERRA MOBILITY SYSTEM LOG REPORT I. JASON LANG ,do hereby swear that: 1. I am employed by American Traffic Solutions,Inc.,d/b/a Verra Mobility(Verra Mobility) . 2. I am of sound mind,capable of making this certification,over the age of 18,and execute this certification based upon my own personal knowledge of Verra Mobility's business and the method by which Verra Mobility created, transmitted,and stored the information contained in the Verra Mobility System Log Report. 3. I am the duly authorized custodian of the Verra Mobility System Log Report,and in such capacity,I have authority to certify the Verra Mobility System Log Report is a true and correct copy of an original record maintained by Verra Mobility. 4. The Verra Mobility System Log Report referenced below is a copy of a business record which was made automatically by the AXSIS Smart Mobility Platform,at or near the time of the self-test of the automatic red light enforcement system. 5. I certify that the testing that was conducted and is contained in the Verra Mobility System Log Report is a regular practice in the course of Verra Mobility's regularly conducted business activities and is kept in the ordinary course of Verra Mobility's regularly conducted business activities. I DECLARE UNDER PENALTY OF PERJURY IN THE STATE OF FLORIDA THAT THE AFOREMENTIONED INFORMATION IS TRUE AND CORRECT. JASON LANG Verra Mobility System Log Report 8/20/2023 Location: BB001 -NB S FEDERAL HWY @ SE 23RD AVE Date: 08/20/2023 Event Time Status Automated Self-Test 03:22:46 PM All Tests Passed e roi.f� PO Box 22091 s��+\o,'s Tempe,AZ 85285-2091 AoV � QZ • III II II IIII III 1111111M HU II Ell DATE: 09/19/2023 MARIA ALEJANDRINA FALCON! 420 WEST PALM STREET UNIT 26 PLATE: FL CA0184 LANTANA, FL 33462 RE: Notice of Violation: 1852300251140 Version # : 1 ADMINISTRATIVE HEARING NOTIFICATION LETTER The hearing date for the above mentioned Notice of Violation ("Notice") has been scheduled for: Wednesday, October 11, 2023 at 1:00 PM Boynton Beach Police Department, 2100 High Ridge Rd, Boynton Beach, FL 33426 You may reschedule this hearing once by submitting a written request to the designated clerk to the Local Hearing Officer at Boynton Beach Traffic Division, 2100 High Ridge Rd, Boynton Beach, FL 33426. Your written request to reschedule must be received by the clerk to the Local Hearing Officer at least five (5)calendar days before the day of the originally scheduled hearing. If you have already rescheduled your hearing you may not reschedule it again. If you are receiving a new Administrative Hearing Notification Letter please review the Date, Time and Location of your hearing as one or all of them may have been updated with new information. Please disregard the earlier Administrative Hearing Notification Letter and use only the information provided on the last notification received. You may cancel your appearance before the Local Hearing Officer by paying the civil penalty of$158.00 assessed, plus $50.00 in administrative costs, before the scheduled hearing time. To make a payment online please go to www.Violationlnfo.com or to make a payment by phone call 1-866-790-4111. There may be a convenience/service fee for this service. If you choose not to appear, you waive the right to contest this violation and must pay the civil penalty of$158.00, plus administrative costs up to $250.00. City of Boynton Beach 6�p� IPnOteBrsoexct2io20nS afety Program CITY OF BOYNTON BEACH 6"- --126"- --12\\,,', 1, Tempe,AZ 85285-2091 NOTICE OF VIOLATION _.3 NOTICE#: 1852300144170 PIN: 9840 z(I View your video and pay with your Visa or r / ` MasterCard at www.Violationlnfo.com Amount Due: $158.00 // Due Date: 09/03/2023 III II I I I I III II II I I I I I II I II II II WILLIAM GALLART 9770 NICKELS BLVD 403 • BOYNTON BEACH, FL 33436 • ON/(Date) AT TIME AT LOCATION COUNTY 04/30/2023 01:50 AM SB S CONGRESS AVE @ W WOOLBRIGHT RD PALM BEACH wn T111 2M2G 852155 25222 Irma um.Min 01;30/1010 01.]0.1).6 AM 5.0 011 2 000.]2 A 22010-20 8 COMM.AK!M/4001521524 20 NAME • WILLIAM GALLART • STREET ADDRESS I ' 9770 NICKELS BLVD 403 , CITY STATE ZIP CODE BOYNTON BEACH FL 33436 DID UNLAWFULLY • OPERATE/DRIVE 0 PARK V YEAR MAKE MODEL STYLE COLOR E 2016 TOYT SW GRY H • L NUMBER STATE REGISTRATION NUMBER 04/30/2023••s nr SPUD MEM 2502'"'■MC 01:0:443 AM 5.0 5.0 044 A 001.2 3 s E C 98AVAS FL 19286186 22010-22 2 0a1411222 An!M 2001415152T 20 Did then and there commit the following offense: FAILURE TO COMPLY WITH A STEADY RED SIGNAL The recorded images relating to the vehicle stated above are evidence of this violation. I ' IN VIOLATION OF. Florida Statutes§§316.0083,316.074(1)and 316.075(1)(c)1 POLICE DEPARTMENT tf • Z� 1D#094 The traffic infraction enforcement officer or law enforcement officer named above has reviewed the recorded images ISSUE DATE evidencing the red light signal violation,has identified the license tag number of the violating vehicle and has found 07/05/2023 reasonable and probable grounds that an offense has been committed. STATUTORY PENALTY OF $158.00 IF YOU HAVE QUESTIONS ABOUT THIS NOTICE, PLEASE GO TO WWW.VIOLATIONINFO.COM Pay with your Visa or MasterCard at www.Vlolatlonlnfo.com or mail your check or money order with this coupon to the address below. MOM ? NAME: WILLIAM GALLART DUE: 09/03/2023 ��Q111111�IIIIIIIIIIII mgIInIInIIIIIIIIIII NOTICE#: 1852300144170 VERSION: 2 ISSUED: 07/05/2023 PLATE: 98AVAS STATE: FL TYPE: Regular •Si necesita ayuda en Espanol,favor(lame al 1.866.225.8875. No points will be assessed for this Notice of Violation nor will it affect •PLEASE RESPOND WITH PAYMENT,REQUEST A HEARING,OR vehicle insurance rates. SUBMIT AN AFFIDAVIT POSTMARKED ON OR BEFORE THE DUE DATE TO AVOID ISSUANCE OF A UNIFORM TRAFFIC CITATION ("UTC").SEE INSTRUCTIONS ON REVERSE SIDE. City of Boynton Beach • Pay with your Visa or MasterCard at www.Violationlnfo.com or mail Payment Processing Center your check or money order with this coupon to the address to the right. PO Box 35131 • Make your check or money order payable to City of Boynton Beach. Seattle, WA 98124-5131 • DO NOT MAIL CASH. •Write the Notice#located above on the front of your payment. • Insert this tear-off coupon in the enclosed envelope with the address to the right showing through the window. AMOUNT DUE: $158.00 1 1852300144170 000032066803 158009 City of Boynton Beach CITY OF BOYNTON BEACH i .1C,6.� ;R Intersection Safety Program NOTICE OF VIOLATION o ��� PO Box 22091 zr/ 0 "a Tempe,AZ 85285-2091 1 �od� —3 NOTICE#: 1852300144170 PIN: 4815 View your video and pay with your Visa or MasterCard at www.Violationlnfo.com Amount Due: $158.00 III II III I I III III III I II III I II II II Due Date: 07/10/2023 STEPHANIE DIANE GALLART 9770 NICKELS BLVD APT 403 BOYTON BEACH, FL 33436 ON/(Date) AT TIME AT LOCATION COUNTY 04/30/2023 01:50 AM SB S CONGRESS AVE @ W WOOLBRIGHT RD PALM BEACH 01/10/3011 01 10 63 6 AR 1.0 066 R 000 1 l A RS010-50 8 WRORRRE ATE 6 R RALBRI0R4 RD NAME . STEPHANIE DIANE GALLART 6 STREET ADDRESS t 9770 NICKELS BLVD APT 403 ' CITY STATE ZIP CODE BOYTON BEACH FL 33436 455 7 DID UNLAWFULLY • OPERATE/DRIVE 0 PARK ✓ YEAR MAKE MODEL STYLE COLOR E 2016 TOYT SW GRY H I C DATE TIM AMO alae 2105515RSIRR ort r*Aff L L NUMBER STATE REGISTRATION NUMBER anono:l ol.soul AR s.D aR 6 001:1 e E C 98AVAS FL 19286186 r310 lR s C.41005255 eve•R 50002,1012200 SD Did then and there commit the following offense: FAILURE TO COMPLY WITH A STEADY RED SIGNAL l The recorded images relating to the vehicle stated above are evidence of this violation. I IN VIOLATION OF: Florida Statutes§§316.0083, 316.074(1)and 316.075(1)(c)1 POLICE DEPARTMENT D#4793 The traffic infraction enforcement officer or law enforcement officer named above has reviewed the recorded images ISSUE DATE evidencing the red light signal violation.has identified the license tag number of the violating vehicle and has found 05/11/2023 reasonable and probable grounds that an offense has been committed. STATUTORY PENALTY OF $158.00 IF YOU HAVE QUESTIONS ABOUT THIS NOTICE, PLEASE GO TO WWW.VIOLATIONINFO.COM Pay with your Visa or MasterCard at www.Vlolationlnfo.com or mail your check or money order with this coupon to the address below. 4 '°e �,aL !! A NAME: STEPHANIE DIANE GALLART DUE: 07/10/2023 °Oppa 111111111111111111 II III 111111 111 11111111111 NOTICE#: 1852300144170 VERSION: 1 ISSUED: 05/11/2023 PLATE: 98AVAS STATE: FL TYPE: Regular •Si necesita ayuda en Espanol,favor!lame al 1.866.225.8875. No points will be assessed for this Notice of Violation nor will it affect •PLEASE RESPOND WITH PAYMENT,REQUEST A HEARING,OR vehicle insurance rates. SUBMIT AN AFFIDAVIT POSTMARKED ON OR BEFORE THE DUF DATE TO AVOID ISSUANCE OF A UNIFORM TRAFFIC CITATION ("MC").SEE INSTRUCTIONS ON REVERSE SIDE. City of Boynton Beach •Pay with your Visa or MasterCard at www.Violationlnfo.com or mail Payment Processing Center your check or money order with this coupon to the address to the right. PD Box 35131 •Make your check or money order payable to City of Boynton Beach. Seattle, WA 98124-5131 •DO NOT MAIL CASH. •Write the Notice#located above on the front of your payment. • Insert this tear-off coupon in the enclosed envelope with the address to the right showing through the window. AMOUNT DUE: $158.00 1 1852300144170 000031666904 158001 Your vehicle was observed by a traffic infraction detector failing to comply with a steady red light signal.in violation of Florida Statutes§§ 316.0083. 316.074(1)and 316.075(1)(c)1. at the intersection, date, and time stated on the front page of this Notice of Violation ("Notice"). This is a non-criminal infraction of state law. No points will be assessed and this infraction may not be used to set motor vehicle insurance rates. This Notice has been issued by the City of Boynton Beach. You have the following three options: a)Pay this violation in the amount of$158.00 on or before the due date specified on the front of this Notice;or b)Submit an affidavit by following the instructions below;or c)Request a hearing by signing and mailing the form below.You will be notified by letter of the time,location and date of the hearing. If you request a hearing and the Local Hearing Officer concludes that no infraction has been committed, this Notice will be dismissed and no costs or penalties shall be imposed. If the Local Hearing Officer concludes that an infraction has been committed,the Local Hearing Officer will uphold the infraction,and you will be responsible for payment of a$158.00 fine as well as additional administrative fees and costs not to exceed$250.00 as imposed by the Local Hearing Officer. SUBMISSION OF AFFIDAVIT: You may download an affidavit at www.Violationlnfo.com.As the registered owner of the vehicle,you are deemed responsible for the violation and the payment of a $158.00 penalty unless, in compliance with Florida Statute § 316.0083(1)(d)1.a-d, you establish by a sworn affidavit that a statutory exemption applies. The exemptions are that the motor vehicle: (a)passed through the intersection in order to yield the right-of-way to an emergency vehicle or as part of a funeral procession; (b)passed through the intersection at the direction of a law enforcement officer; (c)was, at the time of the violation, in the care, custody, or control of another person; or (d)a Uniform Traffic Citation ("UTC") was issued by a law enforcement officer to the driver of the motor vehicle for the violation of Florida Statutes §§ 316.074(1) and 316.075(1)(c)1 stated in this Notice.The affidavit must be sworn before a notary public or other person authorized to administer oaths. If you assert that the vehicle was in the care, custody.or control of another person. you must provide the name. address. date of birth, and, if known, the driver's license number of the person who leased, rented, or otherwise had care, custody, or control of the vehicle at the time of the violation. If the vehicle was stolen, then the affidavit must include a copy of a police report showing the vehicle to have been stolen. If you assert that a UTC was issued by a law enforcement officer for the violation of Florida Statutes§§ 316.074(1)and 316.075(1)(c)1 stated in this Notice,then you must include the serial number of the UTC. For faster processing.you may, but are not required to, include a copy of the UTC. If your affidavit complies with the requirements of Florida Statute § 316.0083. then no further action will be taken against you. The submission of a false affidavit is a misdemeanor of the second degree, punishable under Florida Statute§775.082 or§775.083 by a term of imprisonment not to exceed sixty (60)days and/or a fine not to exceed $500.00. If submitting an affidavit, it must be postmarked on or before the due date specified on the front page of this Notice in order to be appropriately processed. The affidavit should be mailed to City of Boynton Beach, c/o Intersection Safety Program.PO Box 22091,Tempe.AZ 85285-2091. Do not send payment or affidavit to the Clerk of the Court. If you fail to respond as outlined above,postmarked by the due date,a UTC will be issued to you. Upon issuance of a UTC,you shall have the remedies specified in Florida Statutes§§ 316.0083 and 318.14,which include (a)the right to pay the civil penalty in the amount of$264.00; (b)the right to submit an affidavit; or (c)the right to have a hearing before a designated official. who shall determine whether an infraction has been committed. If the official concludes that no infraction has been committed, the UTC will be dismissed and no costs or penalties shall be imposed. If the official concludes an infraction has been committed, the official will uphold the UTC and may impose an additional civil penalty not to exceed$500.00 and court fees and costs.Failure to pay.submit an affidavit,or request a hearing on the UTC could result in your driving privileges being suspended. VIEW YOUR IMAGES AND VIDEO EVIDENCE FOR THIS INFRACTION: The recorded images and video of your violation will be submitted as evidence for the disposition of this violation. You may view your images and video online at www.Violationlnfo.com. You will need your Notice#and PIN printed on the front of this Notice inside the red box. If you do not have internet access,you may view your video and images at any public library. QUESTIONS:If you have any questions.please contact Customer Service toll free at 1-866-225-8875. (You must be the registered owner of the vehicle to discuss this violation with Customer Service.) PAYMENT INSTRUCTIONS ONLINE PAYMENT:The fastest and easiest way to pay your$158.00 penalty is online. Go to www.Violationlnfo.com and log on with your Notice#and PIN shown in the red box on the front of this notice.Click the Pay button.There is a convenience/service fee for this service. PAYMENT BY PHONE:Call toll free 1-866-225-8875 available 24 hours a day,7 days a week.There is a convenience/service fee for this service. PAYMENT BY MAIL: Mail your check or money order(payable to City of Boynton Beach)in the enclosed envelope with the coupon printed at the bottom of the reverse side of this Notice PLEASE DO NOT MAIL CASH. Be sure to put the Notice # (see reverse) on the face of your payment. Payment must be postmarked on or before the due date. PAYMENT IN PERSON:No walk-in payments will be accepted. HEARING REQUEST FORM To request a hearing on the above referenced Notice pursuant to Florida Statute§316.0083,please submit the signed and dated coupon below in the envelope provided.The petitioner understands they will be notified of the date,time and location of the hearing.The Local Hearing Officer shall issue a final administrative order.If the Notice of Violation is upheld, the petitioner will be required to pay$158.00 and may also be required to pay county or municipal costs,not to exceed$250.00. NOTE:Per Florida Statute,you may cancel your appearance before the local hearing officer by paying the$158.00 penalty .essed,pb.r •nnistrative costs,before the start of the hearing.The amount due will be$208.00. Detach here and return bottom portion as a request for an Administrative Hearing before a Local Hearing Officer. 1852300144170 I submit this form as a request to contest this Notice of Violation and acknowledge that it must be 111111 11111111111 postmarked by the due date of this Notice to be a valid request.I understand that I must attend this hearing in person,unless represented by counsel appearing in person on my behalf. Please sign and print name using blue or black ink. Signature: Printed Name: Phone Number: Your vehicle was observed by a traffic infraction detector failing to comply with a steady red light signal,in violation of Florida Statutes§§ 316.0083. 316.074(1)and 316.075(1)(c)1, at the intersection. date, and time stated on the front page of this Notice of Violation ("Notice"). This is a non-criminal infraction of state law. No points will be assessed and this infraction may not be used to set motor vehicle insurance rates. This Notice has been issued by the City of Boynton Beach. You have the following three options: a)Pay this violation in the amount of$158.00 on or before the due date specified on the front of this Notice;or b)Submit an affidavit by following the instructions below;or c)Request a hearing by signing and mailing the form below.You will be notified by letter of the time,location and date of the hearing. If you request a hearing and the Local Hearing Officer concludes that no infraction has been committed, this Notice will be dismissed and no costs or penalties shall be imposed. If the Local Hearing Officer concludes that an infraction has been committed,the Local Hearing Officer will uphold the infraction,and you will be responsible for payment of a$158.00 fine as well as additional administrative fees and costs not to exceed$250.00 as imposed by the Local Hearing Officer. SUBMISSION OF AFFIDAVIT:You may download an affidavit at www.Violationlnfo.com.As the registered owner of the vehicle,you are deemed responsible for the violation and the payment of a $158.00 penalty unless. in compliance with Florida Statute § 316.0083(1)(d)1.a-d, you establish by a sworn affidavit that a statutory exemption applies. The exemptions are that the motor vehicle: (a)passed through the intersection in order to yield the right-of-way to an emergency vehicle or as part of a funeral procession; (b)passed through the intersection at the direction of a law enforcement officer; (c)was, at the time of the violation, in the care, custody, or control of another person; or (d)a Uniform Traffic Citation ("UTC") was issued by a law enforcement officer to the driver of the motor vehicle for the violation of Florida Statutes §§ 316.074(1) and 316.075(1)(c)1 stated in this Notice.The affidavit must be sworn before a notary public or other person authorized to administer oaths. If you assert that the vehicle was in the care, custody, or control of another person. you must provide the name. address. date of birth, and, if known, the driver's license number of the person who leased, rented, or otherwise had care, custody, or control of the vehicle at the time of the violation. If the vehicle was stolen, then the affidavit must include a copy of a police report showing the vehicle to have been stolen. If you assert that a UTC was issued by a law enforcement officer for the violation of Florida Statutes§§ 316.074(1)and 316.075(1))c)1 stated in this Notice, then you must include the serial number of the UTC. For faster processing.you may, but are not required to, include a copy of the UTC. If your affidavit complies with the requirements of Florida Statute § 316.0083, then no further action will be taken against you. The submission of a false affidavit is a misdemeanor of the second degree, punishable under Florida Statute§775.082 or§775.083 by a term of imprisonment not to exceed sixty (60)days and/or a fine not to exceed $500.00.If submitting an affidavit. it must be postmarked on or before the due date specified on the front page of this Notice in order to be appropriately processed.The affidavit should be mailed to City of Boynton Beach,c/o Intersection Safety Program.PO Box 22091,Tempe,AZ 85285-2091. Do not send payment or affidavit to the Clerk of the Court. If you fail to respond as outlined above,postmarked by the due date,a UTC will be issued to you. Upon issuance of a UTC. you shall have the remedies specified in Florida Statutes§§ 316.0083 and 318.14,which include (a)the right to pay the civil penalty in the amount of$264.00; (b)the right to submit an affidavit; or(c)the right to have a hearing before a designated official. who shall determine whether an infraction has been committed. If the official concludes that no infraction has been committed, the UTC will be dismissed and no costs or penalties shall be imposed. If the official concludes an infraction has been committed, the official will uphold the UTC and may impose an additional civil penalty not to exceed$500.00 and court fees and costs.Failure to pay,submit an affidavit,or request a hearing on the UTC could result in your driving privileges being suspended. VIEW YOUR IMAGES AND VIDEO EVIDENCE FOR THIS INFRACTION: The recorded images and video of your violation will be submitted as evidence for the disposition of this violation. You may view your images and video online at www.Violationlnfo.com.You will need your Notice#and PIN printed on the front of this Notice inside the red box. If you do not have internet access,you may view your video and images at any public library. QUESTIONS:If you have any questions,please contact Customer Service toll free at 1-866-225-8875. (You must be the registered owner of the vehicle to discuss this violation with Customer Service.) PAYMENT INSTRUCTIONS ONLINE PAYMENT:The fastest and easiest way to pay your$158.00 penalty is online. Go to www.Violationinfo.com and log on with your Notice#and PIN shown in the red box on the front of this notice.Click the Pay button.There is a convenience/service fee for this service. PAYMENT BY PHONE:Call toll free 1-866-225-8875 available 24 hours a day,7 days a week.There is a convenience/service fee for this service. PAYMENT BY MAIL: Mail your check or money order(payable to City of Boynton Beach)in the enclosed envelope with the coupon printed at the bottom of the reverse side of this Notice. PLEASE DO NOT MAIL CASH. Be sure to put the Notice # (see reverse) on the face of your payment. Payment must be postmarked on or before the due date. PAYMENT IN PERSON:No walk-in payments will be accepted. HEARING REQUEST FORM To request a hearing on the above referenced Notice pursuant to Florida Statute§316.0083,please submit the signed and dated coupon below in the envelope provided.The petitioner understands they will be notified of the date,time and location of the hearing.The Local Hearing Officer shall issue a final administrative order. If the Notice of Violation is upheld, the petitioner will be required to pay$158.00 and may also be required to pay county or municipal costs,not to exceed$250.00. NOTE.Per Flonaa Statute,you may cancel your appearance before the local hearing officer by paying the$158.00 penalty assessed,plus$50 in administrative costs,before the start of the hearing.The amount due will be$208.00. Detach here and return bottom portion as a request for an Administrative Hearing before a Local Hearing Officer. 1852300144170 I submit this form as a request to contest this Notice of Violation and acknowledge that it must be 11111 postmarked by the due date of this Notice to be a valid request. I understand that I must attend this hearing in person,unless represented by counsel appearing in person on my behalf. Please sign and print name using blue or black ink. Signature: Printed Name: Phone Number: City of Boynton Beach Police Department • 2100 High Ridge Road Boynton Beach, FL 33426 DECLARATION/AFFIDAVIT Document Number: 1852300144170 Date Created: 1/1/0001 12:00:00 AM Received On:6/30/2023 NO ACTION By:KOSTEMA CNORRIS-7/3/2023 ` n.Affidavit "4 kr Il , having been sworn;hereby depose and say as follows: 1. I have received a notice(the''Notice")informing me that a motor vehicle registered in my name was observed violating Florida Statutes§§ 316.074(1)and 316.075(1)(c)1 by failing to obey a steady red traffic signal. The Notice bears the following 13 digit number 185P0014(170 2. Under Florida Statute § 316.0083(1)(d), I am exempt from the payment of the statutory penalty described in the Notice because(check all that apply): At the time of the violation described in the Notice, my vehicle passed through the intersection in order to yield the right-of-way to an emergency vehicle. At the time of the violation described in the Notice, my vehicle passed through the intersection as a part of a funeral procession. At the time of the violation described in the Notice, my vehicle'passed through the intersection at the direction of a law enforcement officer. 1C At the time of the violation described in the Notice, the vehicle was in the care, custody, or control of another person. Person's name, address, phone number and date of birth aresI: r Name: ie'm 1961k,v-` Address: C1110 t‘irC ,t(S \0I Lid #`f°\ rr ( City: 6vrif'1 Doh State. Zip: 33(13�A Company Owned Vehicle--Position of person authorized to name driver Date of Birth: /I1IN 1_ - Phone Number: Vel 370 57r7 I /\ dol_do not know the /driver's licensenumberof this person. Driver's License Number: �7 l - 93 b y ` o() 0 (If Company owned Vehicle and you are naming the driver please fill out your name and position with the company): Name: Position:_ At the time of the violation described in the Notice, my vehicle had been stolen. A true and correct copy of a police report establishing that my vehicle had been stolen at that time is attached to this affidavit. A Uniform Traffic Citation has been issued by a law enforcement officer to the driver of the vehicle for the same violation of Florida Statutes§§316.074(1)and 316.075(1)(c)1 described in the Notice. The serial number of that citation is _ The motor vehicle's owner was deceased on or before the date that the uniformed traffic citation was issued. I understand that I must be the representative of the motor vehicle owner's estate or other designated person by a family member to fill out this Affidavit. I understand that I must include a certified copy of the owner's death certificate showing that the date of death occurred on or before the issuance of the uniform traffic citation and one of the following: • A bill of sale or other document showing that the deceased owner's motor vehicle was sold after his- or her death but on or before the date of the alleged violation, 2 City of Boynton Beach Police Department 2100 High Ridge Road Boynton Beach, FL 33426 DECLARATION/AFFIDAVIT Document Number: 1852300144170 Date Created: 1/1/0001 12:00:00 AM Received On:6/302023 NO ACTION By:KOSTEMA CNORRIS-7/32023 • Documentary proof that the registered license plate belonging to the deceased owner's vehicle was returned to the department or any branch office or authorized agent of the department on or before the date of the alleged violation,or • Copy of a police report showing the deceased owner's registered license plate or motor vehicle was stolen after the owner's death but on or before the date of the alleged violation. I have provided to satisfy the requirements of this section. 3. I understand that Florida Statutes§ 316.0083 requires that I provide detailed information supporting the exemption(s) I have identified in Paragraph 2. which may include the facts and circumstances supporting the exemption I have asserted. That detailed information is as follows (attach additional sheets as necessary): Or Son netie) +0 t-0 C Q.0(9enckt Paps-, IOC6f(t) jd 54-f:f lie WAS Lunn j rt 10(1.3° ft Ile/ G n) W'1s k`Jir•t1 Jiff iwA100,;(,). '‘s Fke f- �f e 6v.d 5t-g.. f,5. 4. The foregoing statements are true and co rect. gnature of Re•istered Owner 1L)(AiT65 Phone Number of Registered Owner 34" Mn I C t nIN.;f r".i1.Cur\- Email of Registered Owner VERIFICATION OF NOTARY OR PERSON AUTHORIZED TO ADMINISTER OATHS STATE OF Ft- COUNTY OF P6/41, Oet cIL ) 1 ( Sworn to and subscribed before me on o(3 e& , 20,D, by J f4e/O4asi Y Gal , who is— U personally known to me or ✓provided identification,and w did take an oath. k Nota ublic, State of F rida we••-•; , RAMONZENON Printed Name R•►r C-e-Acw" ..1/40, ' Commission#HH345112 My Commission Expires: 611 .1-0.14r sor, Expires January 2,2027 (( /6S2S60 lL/t1 l City of Boynton Beach Police Department 2100 High Ridge Road Boynton Beach, FL 33426 DECLARATION/AFFIDAVIT Document Number: 1852300144170 Date Created: 1/1/0001 12:00:00 AM Received On-6/30/2023 NO ACTION By:KOSTEMA CNORRIS-7/32023 TB Discharge Packet(Group)-EDR-Print-Page 4 of 13 , Bethesda Health East Bethesda Health West 2815 South Seacrest Boulevard 9655 West Boynton Beach Boulevard Boynton Beach,FL 33435 Boynton Beach,FL 33472 (561)737-7733 (561)336-7000 Pt Name: GALLANT,FINNLEY MRN: 110913175 Acct No: 2031211812 Discharge Instructions • Avoid giving your child any drinks that have caffeine. General instructions • If coughing is worse at night,an older child can use extra pillows to raise his or her head up at bedtime. For babies who are younger than 1 year old: • Do not put pillows or other loose items in the baby's crib • Follow instructions from your child's doctor about safe sleeping for babies and children • Watch your child for any changes in his or her cough Tell the child's doctor about them • Tell your child to always cover his or her mouth when coughing • If the air is dry,use a cool mist vaporizer or humidifier in your child's bedroom or in your home.Giving your child a warm bath before bedtime can also help • Have your child stay away from things that make him or her cough,like campfire or cigarette smoke. • Have your child rest as needed • Keep all follow-up visits as told by your child's doctor.This is important. Contact a doctor if: • Your child has a barking cough • Your child makes whistling sounds(wheezing)or sounds very hoarse(stridor)when breathing. • Your child has new symptoms. • Your child wakes up at night because of coughing. • Your child still has a cough after 2 weeks • Your child vomits from the cough. • Your child has a fever again after it went away for 24 hours • Your child's fever gets worse after 3 days • Your child starts to sweat at night. • Your child is losing weight and you do not know why. Get help right away if: • Your child is short of breath • Your child's lips turn blue or turn a color that is not normal. • Your child coughs up blood • You think that your child might be choking. • Your child has pain in the chest or belly(abdomen)when he or she breathes Or coughs. • Your child seems confused or very tired(lethargic). • Your child who is younger than 3 months has a temperature of 100.4°F(38°C)or higher. These symptoms may be an emergency.Do not wait to see if the symptoms will go away.Get medical help right away.Call your local emergency services(911 in the U.S.).Do not drive your child to the hospital. Summary • A cough helps to clear your child's throat and lungs • Give over-the-counter and prescription medicines only as told by your doctor. • Do not give your child aspirin. Do not give honey or products made from honey to children who are younger than 1 year of age. KO ATS City of Boynton Beach Police Department • 2100 High Ridge Road Boynton Beach, FL 33426 DECLARATION/AFFIDAVIT Document Number: 1852300144170 Date Created: 1/1/0001 12:00:00 AM Received On:6/30/2023 NO ACTION By:KOSTEMA CNORRIS-7/32023 TB Discharge Packet(Group)-EDR-Print-Page 3 of 13 Bethesda Health East Bethesda Health West 2815 South Seacrest Boulevard 9655 West Boynton Beach Boulevard Boynton Beach,FL 33435 Boynton Beach,FL 33472 (561)737-7733 (561)336-7000 Pt Name: GALLART,FINNLEY MRN: 110913175 Acct No: 2031211812 Visit Information You were seen in the Bethesda Hospital East Emergency Department. Arrival Date/Time: 04/30/2023 at 2:01 am Your diagnosis H Cough,Fever Discharge Instructions Follow Up Care Instruction Follow Up with Provider 1)Stout,Stacey(PCP)(MSI 038877)-Outpatient Services.Medical,5063 10th Ave No, Greenacres FL 33463(561)6837909,Outpatient Services,Medical; Reason recheck with PCP tomorrow or next day recheck fever and breathing status. Patient Education Cough, Pediatric A cough helps to clear your child's throat and lungs.A cough may be a sign of an illness or another medical condition. An acute cough may only last 2-3 weeks,while a chronic cough may last 8 or more weeks. Many things can cause a cough.They include: • Germs(viruses or bacteria)that attack the airway. • Breathing in things that bother(irritate)the lungs. • Allergies. • Asthma. • Mucus that runs down the back of the throat(postnasal drip). • Acid backing up from the stomach into the tube that moves food from the mouth to the stomach (gastroesophageal reflux) • Some medicines. Follow these instructions at home: Medicines • Give over-the-counter and prescription medicines only as told by your child's doctor. • Do not give your child medicines that stop him or her from coughing(cough suppressants)unless the child's doctor says it is okay. • Do not give honey or products made from honey to children who are younger than 1 year of age. For children who are older than 1 year of age,honey may help to relieve coughs. • Do not give your child aspirin. Lifestyle • Keep your child away from cigarette smoke(secondhand smoke). • Give your child enough fluid to keep his or her pee(urine)pale yellow. City of Boynton Beach Police Department 2100 High Ridge Road Boynton Beach, FL 33426 DECLARATION/AFFIDAVIT Document Number: 1852300144170 Date Created: 1/1/0001 12:00:00 AM Received On:6/5/2023 NO ACTION By KOSTEMA AMENDOZA1-6/62023 II.Affidavit • I, 3-4/‘k+Q 6 \ r4— ,having been sworn,hereby depose and say as follows: 1. I have received a notice(the"Notice")informing me that a motor vehicle registered in my name was observed violating Florida Statutes§§316.074(1)and 316.075(1e)t;fa-ifngtp�pb�e14eyady red traffic signal. The Notice bears the following 13 digit number: I 2. Under Florida Statute § 316.0083(1)(d), I am exempt from the payment of the statutory penalty described in the Notice because(check all that apply): At the time of the violation described in the Notice, my vehicle passed through the intersection in order to yield the right-of-way to an emergency vehicle. At the time of the violation described in the Notice, my vehicle passed through the intersection as a part of a funeral procession. At the time of the violation described in the Notice, my vehicle passed through the intersection at the direction of a law enforcement officer. At the time of the violation described in the Notice,the vehicle was in the care, custody, or control of another person. Person's name. address, phone number and date of birth are: � Name: w'<<1,,,,, 0,\ l f Address: nn ¶110 fatki I�tJJ ) l( City: t�0'trf ',` 1 -'-t,, State: P(-- Zip: 33 )(p Company Owned Vehicle-Position of person authorized to name driver 7 Date of Birth: 1 - -/-1-4(4, Phone Number: a 61 S'7 5-1S-1 I I do/_do not know the driver's licenseicnumbercof this (Jperson. Driver's License Number: i.'��f t p7 `93p 0�0` " t O (If Company owned Vehicle and you are naming the driver please fill out your name and position with the company): Name: Position:_ At the time of the violation described in the Notice, my vehicle had been stolen. A true and correct copy of a police report establishing that my vehicle had been stolen at that time is attached to this affidavit. A Uniform Traffic Citation has been issued by a law enforcement officer to the driver of the vehicle for the same violation of Florida Statutes§§316.074(1)and 316.075(1)(c)1 described in the Notice. The serial number of that citatior is . The motor vehicle's owner was deceased on or before the date that the uniformed traffic citation was issued. I understand that I must be the representative of the motor vehicle owner's estate or other designated person by a family member to fill out this Affidavit. I understand that I must include a certified copy of the owner's death certificate showing that the date of death occurred on or before the issuance of the uniform traffic citation and one of the following: • A bill of sale or other document showing that the deceased owner's motor vehicle was sold after his or her death but on or before the date of the alleged violation, 2 City of Boynton Beach Police Department 2100 High Ridge Road Boynton Beach, FL 33426 DECLARATION/AFFIDAVIT Document Number: 1852300144170 Date Created: 1/1/0001 12:00:00 AM Received On:6/52023 NO ACTION By:KOSTEMA AMENDOZA1-6/62023 • Documentary proof that the registered license plate belonging to the deceased owner's vehicle was returned to the department or any branch office or authorized agent of the department on or before the date of the alleged violation,or • Copy of a police report showing the deceased owner's registered license plate or motor vehicle was stolen after the owner's death but on or before the date of the alleged violation. I have provided to satisfy the requirements of this section. 3. I understand that Florida Statutes § 316.0083 requires that I provide detailed information supporting the exemption(s) I have identified in Paragraph 2, which may include the facts and circumstances supporting the exemption I have asserted. That detailed information is as follows (attach additional sheets as n cessary): u } UVU c S or\ CI I d l3° 'FM/ OW tf4-1 IN"(4._ f o,(3(Q i(efvf IN\ /114 (.'l (Ajer crk e 4-10iY f0 /1,\Q tMQrfrrccr-\, wEr r CAU On 14•C (rill-kaki— (off violy f Wt� 4'j 1-00 QQ / "':'r 41 Jf eff h C:51 1,,c c 4. The foregoing statements are true and c rect. i., ..z • nature of Registere Owner S-641 3t; ,-1r6 S Phone Number of Registered Owner( Email of Registered Owner VERIFICATION OF NOTARY OR PERSON AUTHORIZED TO ADMINISTER OATHS STATE OF ) COUNTY OF _ ) Sworn to and subscribed before me on , 20_, by , who is personally known to me or provided identification,and who did take an oath. Notary Public,State of Florida Printed Name: My Commission Expires: f KO ATS a515C0)WW1, City of Boynton Beach Police Department ,a. 2100 High Ridge Road Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300144170 Document Information: Violation Information: Document Type: VIOLATION DATA REPORT Violation Date/Time: 4/30/2023 1:50:44AM Version: v 2.0 Violation Location: SB S CONGRESS AVE @ W WOOLBRIGHT RD BOYNTON BEACH, FL Issue Date: 07/05/2023 Plate No./State: 98AVAS FL Regular Appearance Date: 09/03/2023 Make/Model/Year:: TOYT/2016 Registered Owner: STEPHANIE DIANE GALLART Name/Address 9770 NICKELS BLVD APT 403 BOYTON BEACH, FL 33436 Driver: WILLIAM GALLART Name/Address 9770 NICKELS BLVD 403 BOYNTON BEACH, FL 33436 State Exhibit: �CSis VPS 09/27/2023 4:33AM Page 1 of 5 City of Boynton Beach Police Department ,0+�44 2100 High Ridge Road , Boynton Beach, FL 33426 • Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300144170 DATE TIME AMBER SPEED PHASE RTIME LANE FRAME 04/30/2023 01:50:43. 6 AM 5.0 044 R 000.3 3 A BB010-SB S CONGRESS AVE @ W WC)OLBRIGHT RD 1 a State Exhibit: saxsi VP 09/27/2023 4:33AM Page 2 of 5 City of Boynton Beach Police Department 2100 High Ridge Road Boynton Beach, FL 33426 • Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300144170 DATE TIME AMBER SPEED PHASE RTIME LANE FRAME 04/30/2023 01:50:44.5 AM 5.0 044 R 001.2 3 B BB010-SB S CONGRESS AVE @ W WOOLBRIGHT RD 1 State Exhibit: AacsisvPs 09/27/2023 4:33AM Page 3 of 5 City of Boynton Beach Police Department ., • 2100 High Ridge Road e"°` Boynton Beach, FL 33426 • Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300144170 .M� • • �. fi • lir State Exhibit: Abcs&issvPs 09/27/2023 4:33AM Page 4 of 5 City of Boynton Beach Police Department 0,wr"t 2100 High Ridge Road Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300144170 NOTES Note Added By Added Date Hearing Scheduled ON: 10/11/2023 AT 01:00 PM SYSTEM 09/06/2023 04:22:40 PM NON LIABILITY ASSIGNED MOSPINA 07/03/2023 01:09:46 PM ACTION - NO ACTION; RECEIVED AFFIDAVIT SENT TO CLIENT AND CSS. CNORRIS 07/03/2023 09:05:29 AM PENDING FURTHER ACTION KOSTEMA 06/30/2023 01:30:42 PM Insufficient Information Letter is sent on 06/12/2023 05:35:23 AM by MOSPINA MOSPINA 06/12/2023 05:35:23 AM ACTION -NO ACTION; EMAILED TO CLIENT AMENDOZA1 06/06/2023 12:12:12 PM PENDING FURTHER ACTION KOSTEMA 06/05/2023 08:26:47 AM State Exhibit: A,csisvP3 09/27/2023 4:33AM Page 5 of 5 City of Boynton Beach Police Department 2100 High Ridge Road Boynton Beach, FL 33426 Camera Log Report Document#: 1852300144170 Location: BB010 - SB S CONGRESS AVE @ W WOOLBRIGHT RD Event Date/Time Status Deployment Start 4/29/2023 2:21:42AM Operational Tests Passed Violation 4/30/2023 1:50:44AM Deployment End 4/30/2023 2:07:18AM Operational Tests Passed State Exhibit ^mslsNIPS 09/27/2023 4:33AM Page 1 of 1 VERRA MOBILITY SYSTEM LOG REPORT I. JASON LANG ,do hereby swear that: 1. I am employed by American Traffic Solutions,Inc.,d/b/a Verra Mobility(Verra Mobility). 2. I am of sound mind,capable of making this certification,over the age of 18,and execute this certification based upon my own personal knowledge of Verra Mobility's business and the method by which Verra Mobility created, transmitted,and stored the information contained in the Verra Mobility System Log Report. 3. I am the duly authorized custodian of the Verra Mobility System Log Report.and in such capacity,I have authority to certify the Verra Mobility System Log Report is a true and correct copy of an original record maintained by Verra Mobility. 4. The Verra Mobility System Log Report referenced below is a copy of a business record which was made automatically by the AXSIS Smart Mobility Platform,at or near the time of the self-test of the automatic red light enforcement system. 5. I certify that the testing that was conducted and is contained in the Verra Mobility System Log Report is a regular practice in the course of Verra Mobility's regularly conducted business activities and is kept in the ordinary course of Verra Mobility's regularly conducted business activities. I DECLARE UNDER PENALTY OF PERJURY IN THE STATE OF FLORIDA THAT THE AFOREMENTIONED INFORMATION IS TRUE AND CORRECT. -j 42, JASON LANG Verra Mobility System Log Report 4/30/2023 Location: BB010-SB S CONGRESS AVE @ W WOOLBRIGHT RD Date: 04/29/2023 Event Time Status Automated Self-Test 02:21:42 AM All Tests Passed cµPo,of PO Box 22091 F� � Tempe,AZ 85285-2091 y 1\^/\ 3 111 11 111 1 111 11 III 10110111 111 II II DATE: 07/03/2023 STEPHANIE DIANE GALLART 9770 NICKELS BLVD APT 403 PLATE: FL 98AVAS Regular BOYTON BEACH, FL 33436 RE: Notice of Violation: 1852300144170 Version # : 1 NOTICE OF DISMISSAL This is to notify you that the above mentioned Notice of Violation for an infraction has been dismissed for the following reason: LIABILITY HAS BEEN TRANSFERRED TO THE NAMED INDIVIDUAL ON THE AFFIDAVIT YOU SUBMITTED. We apologize for any inconvenience. No further action is required. We recommend that you keep this notification for your records. cN vocf � PO Box 22091 ho"; Tempe,AZ 85285-2091 6V QY3 11 111 1 111 11111111 Ili II 1111 DATE: 09/06/2023 WILLIAM GALLART 9770 NICKELS BLVD 403 PLATE: FL 98AVAS Regular BOYNTON BEACH, FL 33436 RE: Notice of Violation: 1852300144170 Version # : 2 ADMINISTRATIVE HEARING NOTIFICATION LETTER The hearing date for the above mentioned Notice of Violation ("Notice") has been scheduled for: Wednesday, October 11, 2023 at 1:00 PM Boynton Beach Police Department, 2100 High Ridge Rd, Boynton Beach, FL 33426 You may reschedule this hearing once by submitting a written request to the designated clerk to the Local Hearing Officer at Boynton Beach Traffic Division, 2100 High Ridge Rd, Boynton Beach, FL 33426. Your written request to reschedule must be received by the clerk to the Local Hearing Officer at least five (5)calendar days before the day of the originally scheduled hearing. If you have already rescheduled your hearing you may not reschedule it again. If you are receiving a new Administrative Hearing Notification Letter please review the Date, Time and Location of your hearing as one or all of them may have been updated with new information. Please disregard the earlier Administrative Hearing Notification Letter and use only the information provided on the last notification received. You may cancel your appearance before the Local Hearing Officer by paying the civil penalty of$158.00 assessed, plus $50.00 in administrative costs, before the scheduled hearing time. To make a payment online please go to www.Violationlnfo.com or to make a payment by phone call 1-866-790-4111. There may be a convenience/service fee for this service. If you choose not to appear, you waive the right to contest this violation and must pay the civil penalty of$158.00, plus administrative costs up to $250.00. Power PO Box 22091 4,4, O^e Tempe,AZ 85285-2091 �oa 111 111 III II 111 I 11III I II li ii DATE: 06/12/2023 STEPHANIE DIANE GALLART 9770 NICKELS BLVD APT 403 PLATE: FL 98AVAS Regular BOYTON BEACH, FL 33436 RE: Notice of Violation: 1852300144170 Version # : 1 INSUFFICIENT INFORMATION Dear Sir/Madam: Your Affidavit of Non-Responsibility or your Request to Contest the violation has been received and is incomplete for the following reason: NOTARIZED AFFIDAVIT NOT PROVIDED The Affidavit of Non-Responsibility or Request to Contest the violation did not establish an exemption and will not result in a dismissal, transfer of this Notice of Violation ("Notice"), or a scheduled hearing at this time. If your due date for your Notice has not expired please: 1. Remit payment in the amount of$158.00; 2. Submit a request for a hearing before the Local Hearing Officer; or 3. Submit a revised and completed affidavit before the expiration of the due date to avoid the issuance of a Uniform Traffic Citation ("UTC"). If your due date for your Notice has expired, a UTC will be issued in your name. Upon issuance of a UTC, you may pay the UTC, request a hearing before the county court judge or magistrate, or submit a completed affidavit. Please contact Customer Service at 1-866-225-8875 for any questions or go to www.Violationlnfo.com and insert the Notice#and PIN located on the front of the Notice of Violation. iti �r ..'• O TB Discharge Packet(Group)-FDR-Print-Page 3 of 13 r Bethesda Health East Bethesda Health West sr 2815 South Seacrest Boulevard 9655 West Boynton Beach Boulevard Boynton Beach,FL 33435 Boynton Beach,FL 33472 (561)737-7733 (561)336-7000 Pt Name: GALLART,FINNLEY MRN: 110913175 Acct No: 2031211812 IVisit Information You were seen in the Bethesda Hospital East Emergency Department. Arrival Date/Time_ 04/30/2023 at 2:01 am ' Your diagnosis is: Cough, Fever Discharge Instructions •-- Follow Up Care Instruction Follow Up with Provider 1)Stout, Stacey(POP)(MSI 038877)-Outpatient Services,Medical,5083 10th Ave No, Greenacres FL 33463(561)6837909, Outpatient Services, Medical, Reason recheck with PCP tomorrow or next day recheck fever and breathing status, Patient Education Cough, Pediatric A cough helps to clear your child's throat and lungs.A cough may be a sign of an illness or another medical condition. An acute cough may only last 2-3 weeks,while a chronic cough may last 8 or more weeks. Many things can cause a cough They include: • Germs(viruses or bactena)that attack the airway. • Breathing in things that bother(irritate)the lungs. • Allergies. • Asthma. • Mucus that runs down the back of the throat(postnasal drip). • Acid backing up from the stomach into the tube that moves food from the mouth to the stomach (gastroesophageal reflux). • Some medicines. ollow these instructions at home: �" - Medicines • Give over-the counter and prescription medic nes only as told by your child's doctor icines that stop him or her from coughing(cough suppressants}unless the • Do not give your child med ltd• doctor says it is okay �� . • Do not give honey or products made from�°n�elp trelieve coughs.younger than 1 year of age.For children who are older than 1 year,of age, honey y • Do not give your child aspirin `\ /�„ m smoke(sycondhand smoky). \,_r rlifeatYle from cigaretteee urinal pale yellow. � • Keep your child away h fluid to keep his°r her p ( • Give your chili enough City of Boynton Beach Intersection Safety Program CITY OF BOYNTON BEACH o Ll 1 PO Box 22091 NOTICE OF VIOLATION QR, Tempe,AZ 85285-2091 NOTICE#: 1852300232330 PIN: 9396 4/( View your video and pay with your Visa or r MasterCard at www.Violationlnfo.com Amount Due: $158.00 III II II I I III II II I 111111 I III II II II Due Date: 10/08/2023 MICHEAL GUGLIELMI 8007 SAW PALMETTO LN BOYNTON BEACH, FL 33436 ON/(Date) AT TIME AT LOCATION COUNTY 08/01/2023 03:10 PM WB W WOOLBRIGHT RD @ S CONGRESS AVE PALM BEACH DATA 1t1R AYAU1 SPUD PARSA ATM uu1 MSC 0!/01/2031 01.10:19.)M 3.0 011 R 001.6 l A ••11•111 M 1100/111130111 RD!R COMM AYR NAME MICHEAL GUGLIELMI STREET ADDRESS .R 8007 SAW PALMETTO LN CITY STATE ZIP CODE 6 BOYNTON BEACH FL 33436 DID UNLAWFULLY • OPERATE DRIVE 0 PARK V YEAR MAKE MODEL STYLE COLOR E 2012 FORD TK BLK L NUMBER STATE REGISTRATION NUMBER DATA nK 2 M AMD1 SPUD vw.x OnK w1 nAr 311,3/1023 01.10. .6 P.0 011 R 06 1 1 E RLW741 FL 01550551 PAIR-1111 1030121R16M W P S co",S,v, .711.111114101.1010 Did then and there commit the following offense: FAILURE TO COMPLY WITH A STEADY RED SIGNAL The recorded images relating to the vehicle stated above are evidence of this violation. t IN VIOLATION OF. !- Florida Statutes§§316.0083, 316.074(1)and 316.075(1)(c)1 • I _ POLICE DEPARTMENT y� �?�- ID#094 The traffic infraction enforcement officer or law enforcement officer named above has reviewed the recorded images ISSUE DATE evidencingthe red light signal violation,has identified the license 9tag number of the violating vehicle and has found 08/09/2023 reasonable and probable grounds that an offense has been committed. STATUTORY PENALTY OF $158.00 IF YOU HAVE QUESTIONS ABOUT THIS NOTICE, PLEASE GO TO WWW.VIOLATIONINFO.COM Pay with your Visa or MasterCard at www.Violationlnfo.com or mail your check or money order with this coupon to the address below. O 4 NAME: MICHEAL GUGLIELMI DUE: 10/08/2023 LA III II 11 I I III III 11 11 III 111 111111111111111111 ,NOTICE#: 1852300232330 VERSION: 1 ISSUED: 08/09/2023 PLATE: RLW741 STATE: FL TYPE: •Si necesita ayuda en Espanol,favor came al 1.866.225.8875. No points will be assessed for this Notice of Violation nor will it affect •PLEASE RESPOND WITH PAYMENT,REQUEST A HEARING,Ok vehicle insurance rates. SUBMIT AN AFFIDAVIT POSTMARKED ON OR BEFORE THE DUE DATE TO AVOID ISSUANCE OF A UNIFORM TRAFFIC CITATION ("UTC").SEE INSTRUCTIONS ON REVERSE SIDE. City of Boynton Beach •Pay with your Visa or MasterCard at www.Violationlnfo.com or mail Payment Processing Center your check or money order with this coupon to the address to the right. PQ Box 35131 •Make your check or money order payable to City of Boynton Beach. Seattle, WA 98124-5131 • DO NOT MAIL CASH. •Write the Notice#located above on the front of your payment. • Insert this tear-off coupon in the enclosed envelope with the address to the right showing through the window. AMOUNT DUE: $158.00 1 1852300232330 000032316208 158002 Your vehicle was observed by a traffic infraction detector failing to comply with a steady red light signal, in violation of Florida Statutes§§ 316.0083. 316.074(1)and 316.075(1)(c)1, at the intersection, date, and time stated on the front page of this Notice of Violation ("Notice"). This is a non-criminal infraction of state law. No points will be assessed and this infraction may not be used to set motor vehicle insurance rates. This Notice has been issued by the City of Boynton Beach. You have the following three options: a)Pay this violation in the amount of$158.00 on or before the due date specified on the front of this Notice;or b)Submit an affidavit by following the instructions below;or c)Request a hearing by signing and mailing the form below.You will be notified by letter of the time,location and date of the hearing. If you request a hearing and the Local Hearing Officer concludes that no infraction has been committed, this Notice will be dismissed and no costs or penalties shall be imposed. If the Local Hearing Officer concludes that an infraction has been committed.the Local Hearing Officer will uphold the infraction.and you will be responsible for payment of a$158.00 fine as well as additional administrative fees and costs not to exceed$250.00 as imposed by the Local Hearing Officer. SUBMISSION OF AFFIDAVIT:You may download an affidavit at www.Violationinfo.com.As the registered owner of the vehicle,you are deemed responsible for the violation and the payment of a $158.00 penalty unless. in compliance with Florida Statute § 316.0083(1)(d)1.a-d, you establish by a sworn affidavit that a statutory exemption applies. The exemptions are that the motor vehicle: (a)passed through the intersection in order to yield the right-of-way to an emergency vehicle or as part of a funeral procession; (b) passed through the intersection at the direction of a law enforcement officer; (c)was, at the time of the violation, in the care, custody, or control of another person; or (d)a Uniform Traffic Citation ("UTC") was issued by a law enforcement officer to the driver of the motor vehicle for the violation of Florida Statutes §§ 316.074(1) and 316.075(1)(c)1 stated in this Notice.The affidavit must be sworn before a notary public or other person authorized to administer oaths. If you assert that the vehicle was in the care, custody, or control of another person, you must provide the name, address, date of birth, and. if known, the driver's license number of the person who leased, rented, or otherwise had care, custody, or control of the vehicle at the time of the violation. If the vehicle was stolen, then the affidavit must include a copy of a police report showing the vehicle to have been stolen. If you assert that a UTC was issued by a law enforcement officer for the violation of Florida Statutes§§ 316.074(1)and 316.075(1)(c)1 stated in this Notice,then you must include the serial number of the UTC. For faster processing, you may, but are not required to, include a copy of the UTC. If your affidavit complies with the requirements of Florida Statute § 316.0083, then no further action will be taken against you. The submission of a false affidavit is a misdemeanor of the second degree, punishable under Florida Statute§775.082 or§775.083 by a term of imprisonment not to exceed sixty (60)days and/or a fine not to exceed $500.00. If submitting an affidavit, it must be postmarked on or before the due date specified on the front page of this Notice in order to be appropriately processed. The affidavit should be mailed to City of Boynton Beach,c/o Intersection Safety Program,PO Box 22091,Tempe,AZ 85285-2091. Do not send payment or affidavit to the Clerk of the Court. If you fail to respond as outlined above,postmarked by the due date,a UTC will be issued to you. Upon issuance of a UTC,you shall have the remedies specified in Florida Statutes§§ 316.0083 and 318.14, which include(a)the right to pay the civil penalty in the amount of$264.00; (b)the right to submit an affidavit; or(c)the right to have a hearing before a designated official. who shall determine whether an infraction has been committed. If the official concludes that no infraction has been committed, the UTC will be dismissed and no costs or penalties shall be imposed. If the official concludes an infraction has been committed. the official will uphold the UTC and may impose an additional civil penalty not to exceed$500.00 and court fees and costs.Failure to pay,submit an affidavit,or request a hearing on the UTC could result in your driving privileges being suspended. VIEW YOUR IMAGES AND VIDEO EVIDENCE FOR THIS INFRACTION:The recorded images and video of your violation will be submitted as evidence for the disposition of this violation. You may view your images and video online at www.Violationinfo.com. You will need your Notice#and PIN printed on the front of this Notice inside the red box. If you do not have internet access.you may view your video and images at any public library. QUESTIONS:If you have any questions,please contact Customer Service toll free at 1-866-225-8875. (You must be the registered owner of the vehicle to discuss this violation with Customer Service.) PAYMENT INSTRUCTIONS ONLINE PAYMENT:The fastest and easiest way to pay your$158.00 penalty is online. Go to www.Violationlnfo.com and log on with your Notice#and PIN shown in the red box on the front of this notice.Click the Pay button.There is a convenience/service fee for this service. PAYMENT BY PHONE:Call toll free 1-866-225-8875 available 24 hours a day,7 days a week.There is a convenience/service fee for this service. PAYMENT BY MAIL:Mail your check or money order(payable to City of Boynton Beach)in the enclosed envelope with the coupon printed at the bottom of the reverse side of this Notice. PLEASE DO NOT MAIL CASH. Be sure to put the Notice # (see reverse) on the face of your payment. Payment must be postmarked on or before the due date. PAYMENT IN PERSON:No walk-in payments will be accepted. HEARING REQUEST FORM To request a hearing on the above referenced Notice pursuant to Florida Statute§316.0083,please submit the signed and dated coupon below in the envelope provided.The petitioner understands they will be notified of the date,time and location of the hearing.The Local Hearing Officer shall issue a final administrative order. If the Notice of Violation Is upheld, the petitioner will be required to pay$158.00 and may also be required to pay county or municipal costs,not to exceed$250.00. NOTE:Per Florida Statute,you may cancel your appearance before the local hearing officer by paying the$158.00 penalty assessed,plus$50 in administrative costs,before the start of the hearing.The amount due will be$208.00. Detach here and return bottom portion as a request for an Administrative Hearing before a Local Hearing Officer. 1852300232330 I submit this form as a request to contest this Notice of Violation and acknowledge that it must be postmarked by the due date of this Notice to be a valid request. I understand that I must attend this 1111 1M011 11111 11 hearing in person, unless represented by counsel appearing in person on my behalf. Please sign and print name using blue or black ink. Signature: Printed Name: Phone Number: City of Boynton Beach Police Department 2100 High Ridge Road Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300232330 Document Information: Violation Information: Document Type: VIOLATION DATA REPORT Violation Date/Time: 8/1/2023 3:10:22PM Version: v 1.0 Violation Location: WB W WOOLBRIGHT RD @ S CONGRESS AVE BOYNTON BEACH, FL Issue Date: 08/09/2023 Plate No./State: RLW741 FL Appearance Date: 10/08/2023 Make/Model/Year:: FORD/2012 Registered Owner: MICHEAL GUGLIELMI Name/Address 8007 SAW PALMETTO LN BOYNTON BEACH, FL 33436 Driver: MICHEAL GUGLIELMI Name/Address 8007 SAW PALMETTO LN BOYNTON BEACH, FL 33436 State Exhibit: sbcsisvPS- 09/27/2023 4:38AM Page 1 of 5 City of Boynton Beach Police Department 2100 High Ridge Road Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300232330 DATE TIME AMBER SPEED PHASE RTIME LANE FRAME 08/01/2023 03:10:19.3 PM 5.0 011 R 001.4 1 A BB012-WB W WOOLBRIGHT RD @ S CONGRESS AVE ...41111111 111111111111111 s,, - t -.:111FF*11114.-- a- State Exhibit: a7Cs:s VPS 09/27/2023 4:38AM Page 2 of 5 City of Boynton Beach Police Department .,*+aa 2100 High Ridge Road Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300232330 DATE TIME AMBER SPEED PHASE RTIME LANE FRAME 08/01/2023 03:10:22. 6 PM 5.0 011 R 004.7 1 B BB012-WB W WOOLBRIGHT RD @ S CONGRESS AVE . * I l - • . 114 R�- y State Exhibit: AxsisVP3 09/27/2023 4:38AM Page 3 of 5 City of Boynton Beach Police Department S,M4�t 2100 High Ridge Road �� Ce Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300232330 State Exhibit: Aacmis VPs 09/27/2023 4:38AM Page 4 of 5 City of Boynton Beach Police Department 2100 High Ridge Road Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300232330 NOTES Note Added By Added Date Hearing Scheduled ON: 10/11/2023 AT 01:00 PM SYSTEM 08/31/2023 04:24:40 PM State Exhibit: .fes ANCsiSWPs- 09/27/2023 4:38AM Page 5 of 5 • City of Boynton Beach Police Department 2100 High Ridge Road Boynton Beach, FL 33426 Camera Log Report Document#: 1852300232330 Location: BB012 - WB W WOOLBRIGHT RD @ S CONGRESS AVE Event Date/Time Status Deployment Start 8/1/2023 3:54:05AM Operational Tests Passed Violation 8/1/2023 3:10:22PM Deployment End 8/2/2023 2:07:16AM Operational Tests Passed State Exhibit ascsis VPS 09/27/2023 4:38AM Page 1 of 1 • VERRA MOBILITY SYSTEM LOG REPORT I. JASON LANG ,do hereby swear that: 1. I am employed by American Traffic Solutions,Inc.,d/b/a Verra Mobility(Verra Mobility). 2. I am of sound mind,capable of making this certification,over the age of 18,and execute this certification based upon my own personal knowledge of Verra Mobility's business and the method by which Verra Mobility created, transmitted,and stored the information contained in the Verra Mobility System Log Report. 3. I am the duly authorized custodian of the Verra Mobility System Log Report,and in such capacity,I have authority to certify the Verra Mobility System Log Report is a true and correct copy of an original record maintained by Verra Mobility. 4. The Verra Mobility System Log Report referenced below is a copy of a business record which was made automatically by the AXSIS Smart Mobility Platform,at or near the time of the self-test of the automatic red light enforcement system. 5. I certify that the testing that was conducted and is contained in the Verra Mobility System Log Report is a regular practice in the course of Verra Mobility's regularly conducted business activities and is kept in the ordinary course of Verra Mobility's regularly conducted business activities. I DECLARE UNDER PENALTY OF PERJURY IN THE STATE OF FLORIDA THAT THE AFOREMENTIONED INFORMATION IS TRUE AND CORRECT. JASON LANG Verra Mobility System Log Report 8/1/2023 Location: BB012-WB W WOOLBRIGHT RD @ S CONGRESS AVE Date: 08/01/2023 Event Time Status Automated Self-Test 03:54:05 AM All Tests Passed cN Poc�os PO Box 22091 m40r� Tempe,AZ 85285-2091 7,4\A 111 11111 111 11111 III 1111111 li II DATE: 08/31/2023 MICHEAL GUGLIELMI 8007 SAW PALMETTO LN PLATE: FL RLW741 BOYNTON BEACH, FL 33436 RE: Notice of Violation: 1852300232330 Version# : 1 ADMINISTRATIVE HEARING NOTIFICATION LETTER The hearing date for the above mentioned Notice of Violation ("Notice") has been scheduled for: Wednesday, October 11, 2023 at 1:00 PM Boynton Beach Police Department, 2100 High Ridge Rd, Boynton Beach, FL 33426 You may reschedule this hearing once by submitting a written request to the designated clerk to the Local Hearing Officer at Boynton Beach Traffic Division, 2100 High Ridge Rd, Boynton Beach, FL 33426. Your written request to reschedule must be received by the clerk to the Local Hearing Officer at least five (5)calendar days before the day of the originally scheduled hearing. If you have already rescheduled your hearing you may not reschedule it again. If you are receiving a new Administrative Hearing Notification Letter please review the Date, Time and Location of your hearing as one or all of them may have been updated with new information. Please disregard the earlier Administrative Hearing Notification Letter and use only the information provided on the last notification received. You may cancel your appearance before the Local Hearing Officer by paying the civil penalty of$158.00 assessed, plus $50.00 in administrative costs, before the scheduled hearing time. To make a payment online please go to www.Violationlnfo.com or to make a payment by phone call 1-866-790-4111. There may be a convenience/service fee for this service. If you choose not to appear, you waive the right to contest this violation and must pay the civil penalty of$158.00, plus administrative costs up to $250.00. City of Boynton Beach CITY OF BOYNTON BEACH GN POLE, 0�,* � Intersection Safety Program PO Box 22091 NOTICE OF VIOLATION �� a2 Tempe,AZ 85285-2091 Li. 0 NOTICE#: 1852300226779 PIN: 9023 View your video and pay with your Visa or MasterCard at www.Violationlnfo.com Amount Due: $158.00 III II 11111111111111 III 1111 IIII II Due Date: 10/01/2023 SAUL STUART KIMMEL 12246 WHISTLER WAY BOYNTON BEACH, FL 334731.4 ON/(Date) AT TIME AT LOCATION COUNTY 07/21/2023 07:50 AM EB W BOYNTON BEACH BLVD / NW 2ND AVE @ N PALM BEACH CONGRESS AVE tl.:0]--OMBOYMWSem.as/ono 3n5Cr's. sAr'. NAME SAUL STUART KIMMEL STREET ADDRESS 12246 WHISTLER WAY CITY STATE ZIP CODE BOYNTON BEACH FL 33473 _-- DID UNLAWFULLY • OPERATE DRIVE 0 PARK -- V YEAR MAKE MODEL STYLE COLOR E 2019 JEEP UT GRN H • • L NUMBER STATE REGISTRATION NUMBER s qua '�"�MSS A*r'M�''�FINNS 01n1/2023 07:50:42.0 AM 5.0 012 • 005.i 2 A E C LWWD36 FL 04018496 0.007-®M BOYNTON ace BLVD/eM am AVE e M oamues SW Did then and there commit the following offense: FAILURE TO COMPLY WITH A STEADY RED SIGNAL The recorded images relating to the vehicle stated above are evidence of this violation. - IN VIOLATION OF. Florida Statutes§§316.0083,316.074(1)and 316.075(1)(c)1 _ • POLICE DEPARTMENT t ... _�- ID#094 The traffic infraction enforcement officer or law enforcement officer named above has reviewed the recorded images ISSUE DATE evidencing the red light signal violation.has identified the license tag number of the violating vehicle and has found 08/02/2023 reasonable and probable grounds that an offense has been committed. STATUTORY PENALTY OF $158.00 IF YOU HAVE QUESTIONS ABOUT THIS NOTICE, PLEASE GO TO WWW.VIOLATIONINFO.COM Pay with your Visa or MasterCard at www.Violationlnfo.com or mail your check or money order with this coupon to the address below. ; nu NAME: SAUL STUART KIMMEL DUE: 10/01/2023 °.� d�a. III IIIIIIIIII IIII III II 11 01111111111 mit IIII II NOTICE LWWD36 1852300226779229 VERSION:STATE1L ISSUED:. 08/ 2/2023 TYPE: •Si necesita ayuda en Espanol,favor(lame al 1.866.225.8875. No points will be assessed for this Notice of Violation nor will it affect •PLEASE RESPOND WITH PAYMENT.REQUEST A HEARING,OR vehicle insurance rates. SUBMIT AN AFFIDAVIT POSTMARKED ON OR BEFORE THE DUE DATE TO AVOID ISSUANCE OF A UNIFORM TRAFFIC CITATION ("UTC").SEE INSTRUCTIONS ON REVERSE SIDE. City of Boynton Beach • Pay with your Visa or MasterCard at www.Violationlnfo.com or mail Payment Processing Center your check or money order with this coupon to the address to the right. PO Box 35131 •Make your check or money order payable to City of Boynton Beach. Seattle, WA 98124-5131 • DO NOT MAIL CASH. •Write the Notice#located above on the front of your payment. • Insert this tear-off coupon in the enclosed envelope with the address to the right showing through the window. AMOUNT DUE: $158.00 1 1852300226779 000032245457 158007 Your vehicle was observed by a traffic infraction detector failing to comply with a steady red light signal, in violation of Florida Statutes§§ 316.0083. 316.074(1)and 316.075(1)(c)1, at the intersection, date, and time stated on the front page of this Notice of Violation ("Notice"). This is a non-criminal infraction of state law. No points will be assessed and this infraction may not,be used to set motor vehicle insurance rates. This Notice has been issued by the City of Boynton Beach. You have the following three options: a)Pay this violation in the amount of$158.00 on or before the due date specified on the front of this Notice:or b)Submit an affidavit by following the instructions below;or c)Request a hearing by signing and mailing the form below.You will be notified by letter of the time,location and date of the hearing. If you request a hearing and the Local Hearing Officer concludes that no infraction has been committed, this Notice will be dismissed and no costs or penalties shall be imposed. If the Local Hearing Officer concludes that an infraction has been committed,the Local Hearing Officer will uphold the infraction,and you will be responsible for payment of a$158.00 fine as well as additional administrative fees and costs not to exceed$250.00 as imposed by the Local Hearing Officer. SUBMISSION OF AFFIDAVIT: You may download an affidavit at www.Violationlnfo.com.As the registered owner of the vehicle,you are deemed responsible for the violation and the payment of a $158.00 penalty unless, in compliance with Florida Statute § 316.0083(1)(d)1.a-d, you establish by a sworn affidavit that a statutory exemption applies. The exemptions are that the motor vehicle: (a)passed through the intersection in order to yield the right-of-way to an emergency vehicle or as part of a funeral procession; (b)passed through the intersection at the direction of a law enforcement officer; (c)was. at the time of the violation, in the care, custody,or control of another person; or (d)a Uniform Traffic Citation ("UTC") was issued by a law enforcement officer to the driver of the motor vehicle for the violation of Florida Statutes §§ 316.074(1) and 316.075)1)(c)1 stated in this Notice.The affidavit must be sworn before a notary public or other person authorized to administer oaths. If you assert that the vehicle was in the care, custody.or control of another person. you must provide the name, address, date of birth, and, if known, the driver's license number of the person who leased, rented, or otherwise had care, custody, or control of the vehicle at the time of the violation. If the vehicle was stolen, then the affidavit must include a copy of a police report showing the vehicle to have been stolen. If you assert that a UTC was issued by a law enforcement officer for the violation of Florida Statutes§§ 316.074(1)and 316.075(1)(c)1 stated in this Notice,then you must include the serial number of the UTC. For faster processing, you may, but are not required to, include a copy of the UTC. If your affidavit complies with the requirements of Florida Statute § 316.0083, then no further action will be taken against you. The submission of a false affidavit is a misdemeanor of the second degree, punishable under Florida Statute§775.082 or§775.083 by a term of imprisonment not to exceed sixty (60)days and/or a fine not to exceed$500.00.If submitting an affidavit, it must be postmarked on or before the due date specified on the front page of this Notice in order to be appropriately processed. The affidavit should be mailed to City of Boynton Beach, c/o Intersection Safety Program,PO Box 22091,Tempe,AZ 85285-2091. Do not send payment or affidavit to the Clerk of the Court. If you fail to respond as outlined above,postmarked by the due date,a UTC will be issued to you. Upon issuance of a UTC, you shall have the remedies specified in Florida Statutes§§ 316.0083 and 318.14,which include(a)the right to pay the civil penalty in the amount of$264.00; (b)the right to submit an affidavit; or(c)the right to have a hearing before a designated official, who shall determine whether an infraction has been committed. If the official concludes that no infraction has been committed, the UTC will be dismissed and no costs or penalties shall be imposed. If the official concludes an infraction has been committed,the official will uphold the UTC and may impose an additional civil penalty not to exceed$500.00 and court fees and costs.Failure to pay,submit an affidavit,or request a hearing on the UTC could result in your driving privileges being suspended. VIEW YOUR IMAGES AND VIDEO EVIDENCE FOR THIS INFRACTION:The recorded images and video of your violation will be submitted as evidence for the disposition of this violation. You may view your images and video online at www.Violationlnfo.com. You will need your Notice#and PIN printed on the front of this Notice inside the red box. If you do not have internet access,you may view your video and images at any public library. QUESTIONS:If you have any questions.please contact Customer Service toll free at 1-866-225-8875. (You must be the registered owner of the vehicle to discuss this violation with Customer Service.) PAYMENT INSTRUCTIONS ONLINE PAYMENT:The fastest and easiest way to pay your$158.00 penalty is online. Go to www.Violationlnfo.com and log on with your Notice#and PIN shown in the red box on the front of this notice.Click the Pay button.There is a convenience/service fee for this service. PAYMENT BY PHONE:Call toll free 1-866-225-8875 available 24 hours a day,7 days a week.There is a convenience/service fee for this service. PAYMENT BY MAIL:Mail your check or money order(payable to City of Boynton Beach)in the enclosed envelope with the coupon printed at the bottom of the reverse side of this Notice. PLEASE DO NOT MAIL CASH. Be sure to put the Notice # (see reverse) on the face of your payment. Payment must be postmarked on or before the due date. PAYMENT IN PERSON:No walk-in payments will be accepted. HEARING REQUEST FORM To request a hearing on the above referenced Notice pursuant to Florida Statute§316.0083,please submit the signed and dated coupon below in the envelope provided.The petitioner understands they will be notified of the date,time and location of the hearing.The Local Hearing Officer shall issue a final administrative order. If the Notice of Violation Is upheld, the petitioner will be required to pay$158.00 and may also be required to pay county or municipal costs,not to exceed$250.00. NOTE:Per Florida Statute,you may cancel your appearance before the local hearing officer by paying the$158.00 penalty assessed,plus$50 in administrative costs,before the start of the hearing.The amount due will be$208.00. Detach here and return bottom portion as a request for an Administrative Hearing before a Local Hearing Officer. 1852300226779 I submit this form as a request to contest this Notice of Violation and acknowledge that it must be 11111111 I postmarked by the due date of this Notice to be a valid request. I understand that I must attend this hearing in person, unless represented by counsel appearing in person on my behalf. Please sign and print name using blue or black ink. Signature: Printed Name: Phone Number: City of Boynton Beach Police Department 2100 High Ridge Road Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300226779 Document Information: Violation Information: Document Type: VIOLATION DATA REPORT Violation Date/Time: 7/21/2023 7:50:42AM Version: v 1.0 Violation Location: EB W BOYNTON BEACH BLVD/NW 2ND AVE @ N CONC BOYNTON BEACH, FL Issue Date: 08/02/2023 Plate No./State: LWWD36 FL Appearance Date: 10/01/2023 Make/Model/Year:: JEEP/2019 Registered Owner: SAUL STUART KIMMEL Name/Address 12246 WHISTLER WAY BOYNTON BEACH, FL 33473 Driver: SAUL STUART KIMMEL Name/Address 12246 WHISTLER WAY BOYNTON BEACH, FL 33473 State Exhibit: '- Ascus VPs 09/27/2023 4:49AM Page 1 of 5 City of Boynton Beach Police Department •,akFt Ilce 2100 High Ridge Road " Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300226779 DATE TIME AMBER SPEED PHASE RTIME LANE FRAME 07/21/2023 07:50:41.2 AM 5.0 012 R 004.0 2 A BB007-EB W BOYNTON BEACH BLVD / NW 2ND AVE @ N CONGRESS AVE - IIIIPIIIIIIIIIIIIIIIIIIPII"lrIIIPIIIIIPIPIf '',.. —.---7 :s._:1;40,100 '' +rt -1 �., ir State Exhibit: Apcsis VPS- 09/27/2023 4:49AM Page 2 of 5 City of Boynton Beach Police Department w4F 2100 High Ridge Road • Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300226779 DATE TIME AMBER SPEED PHASE RTIME LANE FRAME 07/21/2023 07:50:42.8 AM 5.0 012 R 005. 6 2 B BB007-EB W BOYNTON BEACH BLVD / NW 2ND AVE @ N CONGRESS AVE • = s • 411/ • n. - r State Exhibit: O C I VPS 09/27/2023 4:49AM Page 3 of 5 City of Boynton Beach Police Department - t 2100 High Ridge Road ,p29i"" Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300226779 . • \ ♦'► 111i14. B.30 k-- . State Exhibit: .,.• —-m A2csisVPs' 09/27/2023 4:49AM Page 4 of 5 City of Boynton Beach Police Department 8, 2100 High Ridge Road ;p" • Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300226779 NOTES Note Added By Added Date Hearing Scheduled ON: 10/11/2023 AT 01:00 PM SYSTEM 09/06/2023 04:22:40 PM State Exhibit: 1 Axsisv . 09/27/2023 4:49AM Page 5 of 5 City of Boynton Beach Police Department 2100 High Ridge Road Boynton Beach,FL 33426 Camera Log Report Document#: 1852300226779 Location: BB007 - EB W BOYNTON BEACH BLVD/NW 2ND AVE @ N CONGRESS AVE Event Date/Time Status Deployment Start 7/21/2023 2:07:17AM Operational Tests Passed Violation 7/21/2023 7:50:42AM Deployment End 7/22/2023 12:32:37AM Operational Tests Passed State Exhibit !° sYP 09/27/2023 4:49AM Page 1 of 1 VERRA MOBILITY SYSTEM LOG REPORT I. JASON LANG ,do hereby swear that: 1. I am employed by American Traffic Solutions,Inc.,d/b/a Verra Mobility(Verra Mobility) . 2. I am of sound mind,capable of making this certification,over the age of 18,and execute this certification based upon my own personal knowledge of Verra Mobility's business and the method by which Verra Mobility created, transmitted,and stored the information contained in the Verra Mobility System Log Report. 3. I am the duly authorized custodian of the Verra Mobility System Log Report, and in such capacity,I have authority to certify the Verra Mobility System Log Report is a true and correct copy of an original record maintained by Verra Mobility. 4. The Verra Mobility System Log Report referenced below is a copy of a business record which was made automatically by the AXSIS Smart Mobility Platform,at or near the time of the self-test of the automatic red light enforcement system. 5. I certify that the testing that was conducted and is contained in the Verra Mobility System Log Report is a regular practice in the course of Verra Mobility's regularly conducted business activities and is kept in the ordinary course of Verra Mobility's regularly conducted business activities. I DECLARE UNDER PENALTY OF PERJURY IN THE STATE OF FLORIDA THAT THE AFOREMENTIONED INFORMATION IS TRUE AND CORRECT. JASON LANG Verra Mobility System Log Report 7/21/2023 Location: BB007-EB W BOYNTON BEACH BLVD/NW 2ND AVE @ N CONGRESS AVE Date: 07/21/2023 Event Time Status Automated Self-Test 02:07:17 AM All Tests Passed cN rocfcp PO Box 22091 �� 'o Tempe,AZ 85285-2091 Q= a�� 111 111 111 111111111 MI II DATE: 09/06/2023 SAUL STUART KIMMEL 12246 WHISTLER WAY PLATE: FL LWWD36 BOYNTON BEACH, FL 33473 RE: Notice of Violation: 1852300226779 Version # : 1 ADMINISTRATIVE HEARING NOTIFICATION LETTER The hearing date for the above mentioned Notice of Violation ("Notice") has been scheduled for: Wednesday, October 11, 2023 at 1:00 PM Boynton Beach Police Department, 2100 High Ridge Rd, Boynton Beach, FL 33426 You may reschedule this hearing once by submitting a written request to the designated clerk to the Local Hearing Officer at Boynton Beach Traffic Division, 2100 High Ridge Rd, Boynton Beach, FL 33426. Your written request to reschedule must be received by the clerk to the Local Hearing Officer at least five (5)calendar days before the day of the originally scheduled hearing. If you have already rescheduled your hearing you may not reschedule it again. If you are receiving a new Administrative Hearing Notification Letter please review the Date, Time and Location of your hearing as one or all of them may have been updated with new information. Please disregard the earlier Administrative Hearing Notification Letter and use only the information provided on the last notification received. You may cancel your appearance before the Local Hearing Officer by paying the civil penalty of$158.00 assessed, plus $50.00 in administrative costs, before the scheduled hearing time. To make a payment online please go to www.Violationlnfo.com or to make a payment by phone call 1-866-790-4111. There may be a convenience/service fee for this service. If you choose not to appear, you waive the right to contest this violation and must pay the civil penalty of$158.00, plus administrative costs up to $250.00. City sBoynton Beach CITY OF BOYNTON BEACH Intersection ction Safety Program PO Box 22091 NOTICE OF VIOLATION a Tempe,AZ 85285-2091 NOTICE#: 1852300236620 PIN: 2766 View your video and pay with your Visa or MasterCard at www.Violationlnfo.com Amount Due: $158.00 III II II I I III II II I III II II I I II II Due Date: 10/14/2023 CHAD MICHAEL LEADENSql p 2375 BELLAROSA CIR ROYAL PALM BEACH, FL 33411 ON/(Date) AT TIME AT LOCATION COUNTY 08/01/2023 04:25 PM EB W WOOLBRIGHT RD @ SW 8TH ST/CORPORATE PALM BEACH .,,,, ;,,,or,,,,;„ .h .,a, — a:,,..i DR • ""'" "MP NAME - - CHAD MICHAEL LEADENS STREET ADDRESS ! 2375 BELLAROSA CIR CITY STATE ZIP CODE ROYAL PALM BEACH FL 33411 DID UNLAWFULLY • OPERATE/DRIVE 0 PARK V YEAR MAKE MODEL STYLE COLOR _ E 2021 JEEP PK WHI H • L NUMBER STATE REGISTRATION NUMBERNI0615010 NWs510 o..a p+... 005 0033 fl. OMNI.3111000 E NXUR61 FL 12469957 ����aha Did then and there commit the following offense: . —: FAILURE TO COMPLY WITH A STEADY RED SIGNAL The recorded images relating to the vehicle stated above are evidence of this violation. • IN VIOLATION OF. Florida Statutes§§316.0083,316.074(1)and 316.075(1)(c)1 - POLICE DEPARTMENT Jam, _ ID#094 The traffic infraction enforcement officer or law enforcement officer named above has reviewed the recorded images ISSUE DATE evidencing the red light signal violation.has identified the license tag number of the violating vehicle and has found 08/15/2023 reasonable and probable grounds that an offense has been committed. STATUTORY PENALTY OF $158.00 IF YOU HAVE QUESTIONS ABOUT THIS NOTICE, PLEASE GO TO WWW.VIOLATIONINFO.COM Pay with your Visa or MasterCard at www.Vlollatlonlnfo.com or mail your check or money order with this coupon to the address below. A NAME: CHAD MICHAEL LEADENS DUE: 10/14/2023 ;.°J.1 III II I1I I III II III 111111101111111111111111 _ ,NOTICE#: 1852300236620 VERSION: 1 ISSUED: 08/15/2023 PLATE: NXUR61 STATE: FL TYPE: •Si necesita ayuda en Espanol,favor(lame al 1.866.225.8875. No points will be assessed for this Notice of Violation nor will it affect •PLEASE RESPOND WITH PAYMENT,REQUEST A HEARING,OR vehicle insurance rates. SUBMIT AN AFFIDAVIT POSTMARKED ON OR BEFORE THE DUE DATE TO AVOID ISSUANCE OF A UNIFORM TRAFFIC CITATION ("UTC").SEE INSTRUCTIONS ON REVERSE SIDE. City of Boynton Beach • Pay with your Visa or MasterCard at www.Violationlnfo.com or mail Payment Processing Center your check or money order with this coupon to the address to the right. PD Box 35131 • Make your check or money order payable to City of Boynton Beach. Seattle, WA 98124-5131 • DO NOT MAIL CASH. •Write the Notice#located above on the front of your payment. • Insert this tear-off coupon in the enclosed envelope with the address to the right showing through the window. AMOUNTDUE: $158.00 1 1852300236620 000032316174 158006 Your vehicle was observed by a traffic infraction detector failing to comply with a steady red light signal,in violation of Florida Statutes§§ 316.0083, 316.074(1)and 316.075(1)(c)1, at the interse,tion, date, and time stated on the front page of this Notice of Violation ("Notice"). This is a non-criminal infraction of state law. No points will be assessed and this infraction may not be used to set motor vehicle insurance rates. This Notice has been issued by the City of Boynton Beach. You have the following three options: a)Pay this violation in the amount of$158.00 on or before the due date specified on the front of this Notice;or b)Submit an affidavit by following the instructions below;or c)Request a hearing by signing and mailing the form below.You will be notified by letter of the time,location and date of the hearing. If you request a hearing and the Local Hearing Officer concludes that no infraction has been committed, this Notice will be dismissed and no costs or penalties shall be imposed. If the Local Hearing Officer concludes that an infraction has been committed,the Local Hearing Officer will uphold the infraction,and you will be responsible for payment of a$158.00 fine as well as additional administrative fees and costs not to exceed$250.00 as imposed by the Local Hearing Officer. SUBMISSION OF AFFIDAVIT: You may download an affidavit at www.Viotationlnfo.com.As the registered owner of the vehicle, you are deemed responsible for the violation and the payment of a $158.00 penalty unless, in compliance with Florida Statute § 316.0083(1)(d)1.a-d, you establish by a sworn affidavit that a statutory exemption applies. The exemptions are that the motor vehicle: (a)passed through the intersection in order to yield the right-of-way to an emergency vehicle or as part of a funeral procession; (b) passed through the intersection at the direction of a law enforcement officer; (c)was.at the time of the violation, in the care, custody, or control of another person: or (d)a Uniform Traffic Citation ("UTC") was issued by a law enforcement officer to the driver of the motor vehicle for the violation of Florida Statutes §§ 316.074(1) and 316.075(1)(c)1 stated in this Notice.The affidavit must be sworn before a notary public or other person authorized to administer oaths. If you assert that the vehicle was in the care, custody,or control of another person, you must provide the name, address, date of birth, and, if known, the driver's license number of the person who leased, rented, or otherwise had care, custody, or control of the vehicle at the time of the violation. If the vehicle was stolen, then the affidavit must include a copy of a police report showing the vehicle to have been stolen. If you assert that a UTC was issued by a law enforcement officer for the violation of Florida Statutes§§ 316.074(1)and 316.075(1)(c)1 stated in this Notice,then you must include the serial number of the UTC. For faster processing, you may, but are not required to, include a copy of the UTC. If your affidavit complies with the requirements of Florida Statute §316.0083, then no further action will be taken against you. The submission of a false affidavit is a misdemeanor of the second degree, punishable under Florida Statute§775.082 or§775.083 by a term of imprisonment not to exceed sixty (60)days and/or a fine not to exceed$500.00.If submitting an affidavit, it must be postmarked on or before the due date specified on the front page of this Notice in order to be appropriately processed.The affidavit should be mailed to City of Boynton Beach, c/o Intersection Safety Program,PO Box 22091,Tempe,AZ 85285-2091. Do not send payment or affidavit to the Clerk of the Court. If you fail to respond as outlined above, postmarked by the due date,a UTC will be issued to you. Upon issuance of a UTC,you shall have the remedies specified in Florida Statutes§§316.0083 and 318.14,which include (a)the right to pay the civil penalty in the amount of$264.00; (b)the right to submit an affidavit; or(c)the right to have a hearing before a designated official, who shall determine whether an infraction has been committed. If the official concludes that no infraction has been committed, the UTC will be dismissed and no costs or penalties shall be imposed. If the official concludes an infraction has been committed,the official will uphold the UTC and may impose an additional civil penalty not to exceed$500.00 and court fees and costs.Failure to pay,submit an affidavit,or request a hearing on the UTC could result in your driving privileges being suspended. VIEW YOUR IMAGES AND VIDEO EVIDENCE FOR THIS INFRACTION:The recorded images and video of your violation will be submitted as evidence for the disposition of this violation. You may view your images and video online at www.Violationlnfo.com.You will need your Notice#and PIN printed on the front of this Notice inside the red box. If you do not have internet access,you may view your video and images at any public library. QUESTIONS:If you have any questions,please contact Customer Service toll free at 1-866-225-8875. (You must be the registered owner of the vehicle to discuss this violation with Customer Service.) PAYMENT INSTRUCTIONS ONLINE PAYMENT: The fastest and easiest way to pay your$158.00 penalty is online.Go to www.Violationlnfo.com and log on with your Notice#and PIN shown in the red box on the front of this notice.Click the Pay button.There is a convenience/service fee for this service. PAYMENT BY PHONE:Call toll free 1-866-225-8875 available 24 hours a day,7 days a week.There is a convenience/service fee for this service. PAYMENT BY MAIL: Mail your check or money order(payable to City of Boynton Beach)in the enclosed envelope with the coupon printed at the bottom of the reverse side of this Notice. PLEASE DO NOT MAIL CASH. Be sure to put the Notice # (see reverse) on the face of your payment. Payment must be postmarked on or before the due date. PAYMENT IN PERSON:No walk-in payments will be accepted. HEARING REQUEST FORM To request a hearing on the above referenced Notice pursuant to Florida Statute§316.0083,please submit the signed and dated coupon below in the envelope provided.The petitioner understands they will be notified of the date,time and location of the hearing.The Local Hearing Officer shall issue a final administrative order. If the Notice of Violation is upheld, the petitioner will be required to pay$158.00 and may also be required to pay county or municipal costs,not to exceed$250.00. NOTE:Per Florida Statute,you may cancel your appearance before the local hearing officer by paying the$158.00 penalty assessed,plus$50 in administrative costs,before the start of the hearing.The amount due will be$208.00. Detach here and return bottom portion as a request for an Administrative Hearing before a Local Hearing Officer. 1852300236620 I submit this form as a request to contest this Notice of Violation and acknowledge that it must be postmarked by the due date of this Notice to be a valid request. I understand that I must attend this 0 11 1111 11 hearing in person,unless represented by counsel appearing in person on my behalf. Please sign and print name using blue or black ink. Signature: Printed Name: Phone Number: City of Boynton Beach Police Department 2100 High Ridge Road • Boynton Beach, FL 33426 HEARING REQUEST Document Number: 1852300236620 Date Created: 1/1/0001 12:00:00 AM Received On 8/24/2023 INSUFFICIENT INFO By:KOSTEMA SJONES1-825/2023 REQUEST FOR LOCAL HEARING - RED LIGHT VIOLATION Mail,Fax or Email the COMPLETED Form to: Florida Hearing Request P.O.Box 22091 Tempe,AZ 85285-2091 Fax: 480-990-4819 Email: info(a;violationinfo.com Driver/Vehicle Owner and Notice of Violation Information(NOV)(To be provided by requestor) Date: NBI RFIW J Name(Typed or Printed): • Mailing Address: Rkia.y City: • •y State: Zip: WXPP Telephone Number: acP(�Xc(ZIcaX Fax: E-mail: S F NOV Number: PeaR1NFd1ccRN NOV Date: NeLITIFI�J Tag Number: cP Driver License Number 11alIPPIX1XCRXds3N Agency/Issuing Authority: y •y Issuing Officer/Agent Name: Badge#: Local Court or Hearing Officer Information(To be provided by local authority) Local Court or Hearing Officer: Address: City: State: Zip: POC Telephone Number: Fax: THIS PAGE OF THE DOCUMENT MUST BE INCLUDED WITH THE AFFIDAVIT ON THE NEXT PAGE! City of Boynton Beach Police Department 2100 High Ridge Road Boynton Beach, FL 33426 HEARING REQUEST Document Number: 1852300236620 Date Created: 1/1/0001 12:00:00 AM Received On 8242023 INSUFFICIENT INFO By:KOSTEMA SJONESI-8252023 Affidavit Requesting Hearing and Forfeiting Ability to Contest Delivery • hereby request a formal hearing (NAME) before a hearing officer in the county of 'y .I understand that I must submit (COUNTY) this request to the clerk for the assigned local hearing officer within 60 days from the date posted on the Notice of Violation(NOV). I understand that by filing a request for this hearing,I waive my ability to contest the delivery of the NOV as set forth in F.S.S.316.0083(c)and(d). I understand that I have the option to reschedule a hearing once by notifying the appropriate clerk for the local hearing officer in writing at least 5 days prior to the scheduled hearing. I understand that if I do not reschedule my hearing and I fail to appear for this hearing that I will be adjudicated guilty and I am responsible for all fines and/or fees and that a vehicle registration stop will be placed on my record. I also understand that if the NOV is affirmed by the court and/or local hearing officer,that I am responsible for the payment of the original penalty plus up to$250.00 in local fees as set forth in F.S.S. 316.0083(5). I attest that I fully understand the stipulations of these laws and the associated penalties. Sworn by me on LRFI and affirmed by my signature below. (DATE) Printed Name: Signature of Requestor: 0 Date Signed: City of Boynton Beach Police Department • 2100 High Ridge Road Boynton Beach, FL 33426 HEARING REQUEST Document Number: 1852300236620 Date Created: 1/1/0001 12:00:00 AM Received On:9/7/2023 HEARING SCHEDULED By KOSTEMA CNORRIS-9/82023 \ , Mail. Fax or Email the COMPLETED Form Florida Hearing Request P.U.Box 22091 Tempe,AZ 85285-2091 Fax:480-990-4819 Email: info'i violationinfo.com Driver/Vehicle Owner and Notice of Violation Information(NOV)(To be provided by reauestor) Date: 09/02/2023 Name(Typed or Printed): Chad Leadens Mailing Address: 2375 Bellarosa Circl City: Royal Palm Beach State: FL Zip: 33411 Telephone Number: (561) 561-7654 Fax: E-mails chadleadens(Zg yahoo.corn NOV Number: 1852300236620 NOV Date: 08/01/2023 Tag Number: NXU R61 Driver License Number L352-113-74-247-0 Agency/Issuing Authority: Boynton Beach Issuing Officer/Agent Name: Badge#: Local Court or Hearin'Officer Information(To be provided by local authority) Local Court or Hearing Officer: Address: City: State: Zip: POC Telephone Number: Fax: THIS PAGE OF 741E DOCUMENT MUST BF INCLUDED 11 I I H THE AFFIDAVIT ON I HI: NIA I. PAGE! City of Boynton Beach Police Department 2100 High Ridge Road Boynton Beach, FL 33426 HEARING REQUEST Document Number: 1852300236620 Date Created: 1/1/0001 12:00:00 AM Received On 9/72023 HEARING SCHEDULED CNORRIS-9/6/2023 By.KOSTEMA Affidavit Requesting Hearing and Forfeiting Ability to Contest Delivery I Chad Leadens hereby request a formal hearing (NAME) before a hearing officer in the county of Palm Beach .I understand that I must submit (COUNTY) this request to the clerk for the assigned local hearing officer within 60 days from the date posted on the Notice of Violation(NOV).I understand that by filing a request for this hearing, I waive my ability to contest the delivery of the NOV as set forth in F.S.S.316.0083(c)and(d). I understand that I have the option to reschedule a hearing once by notifying the appropriate clerk for the local hearing officer in writing at least 5 days prior to the scheduled hearing.I understand that if I do not reschedule my hearing and I fail to appear for this hearing that I will be adjudicated guilty and I am responsible for all fines and/or fees and that a vehicle registration stop will be placed on my record. I also understand that if the NOV is affirmed by the court and/or local hearing officer,that I am responsible for the payment of the original penalty plus up to$250.00 in local fees as set forth in F.S.S.316.0083(5). I attest that I fully understand the stipulations of these laws and the associated penalties. Sworn by me on 09/02/2023 and affirmed by my signature below. (DATE) Printed Name: £?, 1.....-ted/S_2f 0.;Signature of Requestor: 4.9ciaaft.4.—_ Date Signed: ct) • o k5 City of Boynton Beach Police Department 2100 High Ridge Road 4 OHc Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300236620 Document Information: Violation Information: Document Type: VIOLATION DATA REPORT Violation Date/Time: 8/1/2023 4:25:07PM Version: v 1.0 Violation Location: EB W WOOLBRIGHT RD @ SW 8TH ST/CORPORATE DR BOYNTON BEACH, FL Issue Date: 08/15/2023 Plate No./ State: NXUR61 FL Appearance Date: 10/14/2023 Make/Model/Year:: JEEP/2021 Registered Owner CHAD MICHAEL LEADENS Name/Address 2375 BELLAROSA CIR ROYAL PALM BEACH, FL 33411 Driver: CHAD MICHAEL LEADENS Name/Address 2375 BELLAROSA CIR ROYAL PALM BEACH, FL 33411 State Exhibit: AXsis VPS 09/27/2023 4:51 AM Page 1 of 5 City of Boynton Beach Police Department .•+ww, 2100 High Ridge Road Police • Boynton Beach, FL 33426 Q Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300236620 Date Time Limit Speed Phase Amb 1 Red1 Fix Int Frame Lane 1. /112023 04:25:07.1 PM 040 053 R 04.5 002.7 F11 --- 548 077 A 3 88018- EB W WOOLBRIGHT RD®SW 8Th ST/CORPORATE DR • 4 • - T - • State Exhibit: axs:s VPS 09/27/2023 4:51 AM Page 2 of 5 City of Boynton Beach Police Department .Na . 2100 High Ridge Road •- Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300236620 Date Time Limit Speed Phase Amb 1 Red 1 Fix Int Frame Lane •: •112023 04:25:07.6 PM 040 053 R 04.5 003.2 F 11 0455ms 548 077 8 3 B8018- EB W WOOLBRIGHT RD©SW 8TH ST/CORPORATE DR 1.1 .. State Exhibit: vs_ 09/27/2023 4:51AM Page 3 of 5 City of Boynton Beach Police Department y�,u.a4t 2100 High Ridge Road"`® Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300236620 Jeep k. IMP re' State Exhibit: saxsisy . 09/27/2023 4:51AM Page 4 of 5 City of Boynton Beach Police Department 2100 High Ridge Road Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300236620 NOTES Note Added By Added Date ACTION - SCHEDULE HEARING CNORRIS 09/08/2023 05:21:57 AM Hearing Scheduled ON: 10/11/2023 AT 01:00 PM CNORRIS 09/08/2023 05:21:55 AM PENDING FURTHER ACTION KOSTEMA 09/07/2023 01:03:29 PM Received email from chadleadens@yahoo.com on 9/2/23. Included hearing request. Responded doc JPICKETT 09/07/2023 11:43:50 AM received and in review. ACTION - NON-LIABILITY SJONES1 08/25/2023 10:06:23 AM Insufficient Information Letter is sent on 08/25/2023 10:06:22 AM by SJONES1 SJONES1 08/25/2023 10:06:22 AM PENDING FURTHER ACTION KOSTEMA 08/24/2023 08:15:43 AM Received email from chadleadens@yahoo.com on 8/22/23 included hearing request form**Responded, CNORRIS 08/24/2023 07:38:55 AM docs received & in review** State Exhibit: * c I VPS- 09/27/2023 4:51AM Page 5 of 5 City of Boynton Beach Police Department 2100 High Ridge Road Boynton Beach, FL 33426 Camera Log Report Document#: 1852300236620 Location: BB018 - EB W WOOLBRIGHT RD @ SW 8TH ST/CORPORATE DR Event Date/Time Status Deployment Start 8/1/2023 2:00:46PM Operational Tests Passed Violation 8/1/2023 4:25:07PM Deployment End 8/2/2023 12:00:45AM Operational Tests Passed State Exhibit axstsVPS 09/27/2023 4:51AM Page 1 of 1 VERRA MOBILITY SYSTEM LOG REPORT I, JASON LANG ,do hereby swear that: 1. I am employed by American Traffic Solutions,Inc.,d/b/a Verra Mobility(Verra Mobility). 2. I am of sound mind,capable of making this certification,over the age of 18,and execute this certification based upon my own personal knowledge of Verra Mobility's business and the method by which Verra Mobility created, transmitted,and stored the information contained in the Verra Mobility System Log Report. 3. I am the duly authorized custodian of the Verra Mobility System Log Report,and in such capacity,I have authority to certify the Verra Mobility System Log Report is a true and correct copy of an original record maintained by Verra Mobility. 4. The Verra Mobility System Log Report referenced below is a copy of a business record which was made automatically by the AXSIS Smart Mobility Platform,at or near the time of the self-test of the automatic red light enforcement system. 5. I certify that the testing that was conducted and is contained in the Verra Mobility System Log Report is a regular practice in the course of Verra Mobility's regularly conducted business activities and is kept in the ordinary course of Verra Mobility's regularly conducted business activities. I DECLARE UNDER PENALTY OF PERJURY IN THE STATE OF FLORIDA THAT THE AFOREMENTIONED INFORMATION IS TRUE AND CORRECT. JASON LANG Verra Mobility System Log Report 8/1/2023 Location: BB018-EB W WOOLBRIGHT RD @ SW 8TH ST/CORPORATE DR Date: 08/01/2023 Event Time Status Automated Self-Test 02:00:46 PM All Tests Passed POL)L.A P0 Box 22091 ;, Tempe,AZ 85285-2091 111 11 111 1 III 11 111 111 11111111 11 DATE: 08/25/2023 CHAD MICHAEL LEADENS 2375 BELLAROSA CIR PLATE: FL NXUR61 ROYAL PALM BEACH, FL 33411 RE: Notice of Violation: 1852300236620 Version# : 1 INSUFFICIENT INFORMATION Dear Sir/Madam: Your Affidavit of Non-Responsibility or your Request to Contest the violation has been received and is incomplete for the following reason: HEARING REQUEST NOT SIGNED BY REGISTERED OWNER LISTED ON NOTICE OF VIOLATION The Affidavit of Non-Responsibility or Request to Contest the violation did not establish an exemption and will not result in a dismissal, transfer of this Notice of Violation ("Notice"), or a scheduled hearing at this time. If your due date for your Notice has not expired please: 1. Remit payment in the amount of$158.00; 2. Submit a request for a hearing before the Local Hearing Officer; or 3. Submit a revised and completed affidavit before the expiration of the due date to avoid the issuance of a Uniform Traffic Citation ("UTC"). If your due date for your Notice has expired, a UTC will be issued in your name. Upon issuance of a UTC, you may pay the UTC, request a hearing before the county court judge or magistrate, or submit a completed affidavit. Please contact Customer Service at 1-866-225-8875 for any questions or go to www.Violationlnfo.com and insert the Notice # and PIN located on the front of the Notice of Violation. GN POLIpR, PO Box 22091 Tempe,AZ 85285-2091 o( �x ill 11 111 III 11 ill ill 111111111 DATE: 09/08/2023 CHAD MICHAEL LEADENS 2375 BELLAROSA CIR PLATE: FL NXUR61 ROYAL PALM BEACH, FL 33411 RE: Notice of Violation: 1852300236620 Version # : 1 ADMINISTRATIVE HEARING NOTIFICATION LETTER The hearing date for the above mentioned Notice of Violation ("Notice") has been scheduled for: Wednesday, October 11, 2023 at 1:00 PM Boynton Beach Police Department, 2100 High Ridge Rd, Boynton Beach, FL 33426 You may reschedule this hearing once by submitting a written request to the designated clerk to the Local Hearing Officer at Boynton Beach Traffic Division, 2100 High Ridge Rd, Boynton Beach, FL 33426. Your written request to reschedule must be received by the clerk to the Local Hearing Officer at least five (5)calendar days before the day of the originally scheduled hearing. If you have already rescheduled your hearing you may not reschedule it again. If you are receiving a new Administrative Hearing Notification Letter please review the Date, Time and Location of your hearing as one or all of them may have been updated with new information. Please disregard the earlier Administrative Hearing Notification Letter and use only the information provided on the last notification received. You may cancel your appearance before the Local Hearing Officer by paying the civil penalty of$158.00 assessed, plus $50.00 in administrative costs, before the scheduled hearing time. To make a payment online please go to www.Violationlnfo.com or to make a payment by phone call 1-866-790-4111. There may be a convenience/service fee for this service. If you choose not to appear, you waive the right to contest this violation and must pay the civil penalty of$158.00, plus administrative costs up to $250.00. City ofe Boynton Beach CITY OF BOYNTON BEACH GN vow, inc_O�, Intersection Safety Program =QPO Box 22091 NOTICE OF VIOLATION 2 0 Tempe,AZ 85285-2091 ...",--11—!:_,-) C./..7 / NOTICE#: 1852300250993 • 7 PIN: 6285 • View your video and pay with your Visa or C., v MasterCard at www.Violationlnfo.com Amount Due: $158.00 III II II I I III II 111011111 II I I I III II Due Date: 10/28/2023 ADAM FRANK LEVINE .. . 5329 TOSCANA TRAIL BOYNTON BEACH, FL 33437 el .. ON/(Date) AT TIME AT LOCATION COUNTY 08/20/2023 06:32 PM WB W WOOLBRIGHT RD @ S CONGRESS AVE PALM BEACH °^'2 ME ue69 Oww MSC Ri>K UM PRAM 20/2023 06.)2.02.5 PM S.0 010 R 000.0 2 • 09012-M•MOWN=NO f$CONGRESS 001 NAME ADAM FRANK LEVINE r ; - ` ,,. STREET ADDRESS _ I .. 5329 TOSCANA TRAIL rte„ - CITY STATE ZIP CODE BOYNTON BEACH FL 33437 40b. "�"� r.6 - �C DID UNLAWFULLY OPERATE/DRIVE PARK V YEAR MAKE MODEL STYLE COLOR /-- E 2021 FORD UT WHI H C L NUMBER STATEREGISTRATION NUMBER ' L I 01/20/2023 0432:02.5 ON 5.0 021 0 Doli 2 • EC MOOVIT1 FL MO 12.141 N 000&200000 I20 s COMMIS•00 Did then and there commit the following offense: _ -, „ FAILURE TO COMPLY WITH A STEADY RED SIGNAL �" 4 k1t The recorded images relating to the vehicle stated above are evidence of this violation. "oh. • _ IN VIOLATION OF z-.....:.' �� "r Florida Statutes§§316.0083,316.074(1)and 316.075(1)(c)1 I _ makw - POLICE DEPARTMENT }C4e...1 L. ID#094 The traffic infraction enforcement officer or law enforcement officer named above has reviewed the recorded images ISSUE DATE J evidencing the red light signal violation,has identified the license tag number of the violating vehicle and has found 08129/2023 , reasonable and probable grounds that an offense has been committed. /' STATUTORY PENALTY OF $158.00 IF YOU HAVE QUESTIONS ABOUT THIS NOTICE, PLEASE GO TO WWW.VIOLATIONINFO.COM Pay with your Visa or MasterCard at www.Violationlnfo.com or mail your check or money order with this coupon to the address below. 1 `2 t VMMEISA NAME: ADAM FRANK LEVINE DUE: 10/28/2023 �;'. , 111111111111 MIII/III 01110111111111111110111 NOTICE#: 1852300250993 VERSION: 1 ISSUED: 08/29/2023 PLATE: MOOVIT1 STATE: FL TYPE: •Si necesita ayuda en Espanol,favor(lame al 1.866.225.8875. No points will be assessed for this Notice of Violation nor will it affect •PLEASE RESPOND WITH PAYMENT,REQUEST A HEARING,OR vehicle insurance rates. SUBMIT AN AFFIDAVIT POSTMARKED ON OR BEFORE THE DUE DATE TO AVOID ISSUANCE OF A UNIFORM TRAFFIC CITATION ("UTC").SEE INSTRUCTIONS ON REVERSE SIDE. City of Boynton Beach • Pay with your Visa or MasterCard at www.Violationlnfo.com or mail Payment Processing Center your check or money order with this coupon to the address to the right. PO Box 35131 • Make your check or money order payable to City of Boynton Beach. Seattle, WA 98124-5131 • DO NOT MAIL CASH. •Write the Notice#located above on the front of your payment. • Insert this tear-off coupon in the enclosed envelope with the address to the right showing through the window. AMOUNT DUE: $158.00 1 1852300250993 000032450795 158006 Your vehicle wa.s observed by a traffic infraction detector failing to comply with a steady red light signal,in violation of Florida Statutes§§ 316.0083, 316.074(1)and 316.075(1)(c)1, at the intersection, date, and time stated on the front page of this Notice of Violation ("Notice"). This is a non-criminal infraction of state law. No points will be assessed and this infractnn may not be used to set motor vehicle insurance rates. This Notice has been issued by the City of Boynton Beach. You have the following three options: a)Pay this violation in the amount of$158.00 on or before the due date specified on the front of this Notice;or b)Submit an affidavit by following the instructions below;or c)Request a hearing by signing and mailing the form below.You will be notified by letter of the time, location and date of the hearing. If you request a hearing and the Local Hearing Officer concludes that no infraction has been committed, this Notice will be dismissed and no costs or penalties shall be imposed. If the Local Hearing Officer concludes that an infraction has been committed,the Local Hearing Officer will uphold the infraction,and you will be responsible for payment of a$158.00 fine as well as additional administrative fees and costs not to exceed$250.00 as imposed by the Local Hearing Officer. SUBMISSION OF AFFIDAVIT: You may download an affidavit at www.Violationinfo.com.As the registered owner of the vehicle,you are deemed responsible for the violation and the payment of a $158.00 penalty unless. in compliance with Florida Statute § 316.0083(1)(d)1.a-d, you establish by a sworn affidavit that a statutory exemption applies. The exemptions are that the motor vehicle: (a)passed through the intersection in order to yield the right-of-way to an emergency vehicle or as part of a funeral procession; (b)passed through the intersection at the direction of a law enforcement officer; (c)was, at the time of the violation, in the care, custody, or control of another person; or (d)a Uniform Traffic Citation ("UTC") was issued by a law enforcement officer to the driver of the motor vehicle for the violation of Florida Statutes §§ 316.074(1) and 316.075(1)(c)1 stated in this Notice.The affidavit must be sworn before a notary public or other person authorized to administer oaths. If you assert that the vehicle was in the care, custody, or control of another person. you must provide the name. address, date of birth, and. if known, the is license number of the person who leased, rented, or otherwise had care, custody, or control of the vehicle at the time of the violation. If the vehicle was stolen, then the affidavit must include a copy of a police report showing the vehicle to have been stolen. If you assert that a UTC was issued by a law enforcement officer for the violation of Florida Statutes§§ 316.074(1)and 316.075(1)(c)1 stated in this Notice, then you must include the serial number of the UTC. For faster processing, you may, but are not required to, include a copy of the UTC. If your affidavit complies with the requirements of Florida Statute§ 316.0083. then no further action will be taken against you. The submission of a false affidavit is a misdemeanor of the second degree, punishable under Florida Statute§775.082 or§775.083 by a term of imprisonment not to exceed sixty (60)days and/or a fine not to exceed $500.00. If submitting an affidavit, it must be postmarked on or before the due date specified on the front page of this Notice in order to be appropriately processed.The affidavit should be mailed to City of Boynton Beach, c/o Intersection Safety Program,PO Box 22091,Tempe.AZ 85285-2091. Do not send payment or affidavit to the Clerk of the Court. If you fail to respond as outlined above,postmarked by the due date,a UTC will be issued to you. Upon issuance of a UTC,you shall have the remedies specified in Florida Statutes§§316.0083 and 318.14,which include (a)the right to pay the civil penalty in the amount of$264.00; (b)the right to submit an affidavit; or(c)the right to have a hearing before a designated official, who shall determine whether an infraction has been committed. If the official concludes that no infraction has been committed, the UTC will be dismissed and no costs or penalties shall be imposed. If the official concludes an infraction has been committed. the official will uphold the UTC and may impose an additional civil penalty not to exceed$500.00 and court fees and costs.Failure to pay,submit an affidavit,or request a hearing on the UTC could result in your driving privileges being suspended. VIEW YOUR IMAGES AND VIDEO EVIDENCE FOR THIS INFRACTION:The recorded images and video of your violation will be submitted as evidence for the disposition of this violation. You may view your images and video online at www.ViolationInfo.com. You will need your Notice#and PIN printed on the front of this Notice inside the red box. If you do not have internet access,you may view your video and images at any public library. QUESTIONS:If you have any questions,please contact Customer Service toll free at 1-866.225-8875. (You must be the registered owner of the vehicle to discuss this violation with Customer Service.) PAYMENT INSTRUCTIONS ONLINE PAYMENT: The fastest and easiest way to pay your$158.00 penalty is online. Go to www.ViolationInfo.com and log on with your Notice#and PIN shown in the red box on the front of this notice.Click the Pay button.There is a convenience/service fee for this service. PAYMENT BY PHONE:Call toll free 1-866-225-8875 available 24 hours a day.7 days a week.There is a convenience/service fee for this service. PAYMENT BY MAIL: Mail your check or money order(payable to City of Boynton Beach)in the enclosed envelope with the coupon printed at the bottom of the reverse side of this Notice. PLEASE DO NOT MAIL CASH. Be sure to put the Notice # (see reverse) on the face of your payment. Payment must be postmarked on or before the due date. PAYMENT IN PERSON:No walk-in payments will be accepted. HEARING REQUEST FORM To request a hearing on the above referenced Notice pursuant to Florida Statute§316.0083,please submit the signed and dated coupon below in the envelope provided.The petitioner understands they will be notified of the date,time and location of the hearing.The Local Hearing Officer shall issue a final administrative order. If the Notice of Violation Is upheld, the petitioner will be required to pay$158.00 and may also be required to pay county or municipal costs,not to exceed$250.00. NOTE:Per Florida Statute,you may cancel your appearance before the local hearing officer by paying the$158.00 penalty assessed,plus$50 in administrative costs,before the start of the hearing.The amount due will be$208.00. Detach here and return bottom portion as a request for an Administrative Hearing before a Local Hearing Officer. 1852300250993 I submit this form as a request to contest this Notice of Violation and acknowledge that it must be postmarked by the due date of this Notice to be a valid request. I understand that I must attend this 111100 I II I hearing in person, unless represented by counsel appearing in person on my behalf. Please sign and print name using blue or black ink. Signature: Printed Name: Phone Number: City of Boynton Beach Police Department .�r.4 2100 High Ridge Road 6'01,0,. Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300250993 Document Information: Violation Information: Document Type: VIOLATION DATA REPORT Violation Date/Time: 8/20/2023 6:32:03PM Version: v 1.0 Violation Location: WB W WOOLBRIGHT RD @ S CONGRESS AVE BOYNTON BEACH, FL Issue Date: 08/29/2023 Plate No./State: MOOVIT1 FL Appearance Date: 10/28/2023 Make/Model/Year:: FORD/2021 Registered Owner: ADAM FRANK LEVINE Name/Address 5329 TOSCANA TRAIL BOYNTON BEACH, FL 33437 Driver: ADAM FRANK LEVINE Name/Address 5329 TOSCANA TRAIL BOYNTON BEACH, FL 33437 State Exhibit: axsis VPs 09/27/2023 4:54AM Page 1 of 5 City of Boynton Beach Police Department *.',w44 2100 High Ridge Road 4`'"" Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300250993 DATE TIME AMBER SPEED PHASE RTIME LANE FRAME 08/20/2023 06:32:02.5 PM 5.0 028 R 000.7 2 A BB012-WB W WOOLBRIGHT RD @ S CONGRESS AVE 4/Wa141411111lPPPPIIIIIIPIIIIIIIIIkqr,,•-•,, .' e '�.:* *..1A 1 /1 s • .'1711) .. as t'.. _= i ALA. r = '1 �J ,l a . Air IP> ---- , , State Exhibit: s\xSiS VPs 09/27/2023 4:54AM Page 2 of 5 City of Boynton Beach Police Department 2100 High Ridge Road Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300250993 DATE TIME AMBER SPEED PHASE RTIME LANE FRAME 08/20/2023 06:32:03.5 PM 5.0 028 R 001.7 2 B BBO12-WB W WDOLBRIGHT RD @ S CONGRESS AVE pies " t ' • :; - Atm air 4- r "'� 400 State Exhibit: •rte VPS 09/27/2023 4:54AM Page 3 of 5 City of Boynton Beach Police Department •W4s, 2100 High Ridge Road • Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300250993 "Pr4. 11. a 0 State Exhibit: ��=.=AscsisvPs 09/27/2023 4:54AM Page 4 of 5 City of Boynton Beach Police Department 2100 High Ridge Road �+`"`" Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300250993 NOTES Note Added By Added Date Hearing Scheduled ON: 10/11/2023 AT 01:00 PM SYSTEM 09/12/2023 03:18:53 PM State Exhibit: AxsisvPS 09/27/2023 4:54AM Page 5 of 5 City of Boynton Beach Police Department • 2100 High Ridge Road 'ph Boynton Beach, FL 33426 Camera Log Report Document#: 1852300250993 Location: BB012 - WB W WOOLBRIGHT RD @ S CONGRESS AVE Event Date/Time Status Deployment Start 8/20/2023 3:54:33AM Operational Tests Passed Violation 8/20/2023 6:32:03PM Deployment End 8/21/2023 2:09:21AM Operational Tests Passed State Exhibit AX313VPs 09/27/2023 4:54AM Page 1 of 1 VERRA MOBILITY SYSTEM LOG REPORT I, JASON LANG ,do hereby swear that: 1. I am employed by American Traffic Solutions,Inc.,d/b/a Verra Mobility(Verra Mobility) . 2. I am of sound mind,capable of making this certification,over the age of 18,and execute this certification based upon my own personal knowledge of Verra Mobility's business and the method by which Verra Mobility created, transmitted,and stored the information contained in the Verra Mobility System Log Report. 3. I am the duly authorized custodian of the Verra Mobility, System Log Report,and in such capacity,I have authority to certify the Verra Mobility System Log Report is a true and correct copy of an original record maintained by Verra Mobility. 4. The Verra Mobility System Log Report referenced below is a copy of a business record which was made automatically by the AXSIS Smart Mobility Platform,at or near the time of the self-test of the automatic red light enforcement system. 5. I certify that the testing that was conducted and is contained in the Verra Mobility System Log Report is a regular practice in the course of Verra Mobility's regularly conducted business activities and is kept in the ordinary course of Verra Mobility's regularly conducted business activities. I DECLARE UNDER PENALTY OF PERJURY IN THE STATE OF FLORIDA THAT THE AFOREMENTIONED INFORMATION IS TRUE AND CORRECT. <,/ JASON LANG Verra Mobility System Log Report 8/20/2023 Location: BB012-WB W WOOLBRIGHT RD @ S CONGRESS AVE Date: 08/20/2023 Event Time Status Automated Self-Test 03:54:33 AM All Tests Passed cN POLlC�„ PO Box 22091 0�/ ( o Tempe,AZ 85285-2091 . y 7 �oa61/ 111 111 III 11 111111111111111 11 DATE: 09/12/2023 ADAM FRANK LEVINE 5329 TOSCANA TRAIL PLATE: FL MOOVIT1 BOYNTON BEACH, FL 33437 RE: Notice of Violation: 1852300250993 Version # : 1 ADMINISTRATIVE HEARING NOTIFICATION LETTER The hearing date for the above mentioned Notice of Violation ("Notice") has been scheduled for: Wednesday, October 11, 2023 at 1:00 PM Boynton Beach Police Department, 2100 High Ridge Rd, Boynton Beach, FL 33426 You may reschedule this hearing once by submitting a written request to the designated clerk to the Local Hearing Officer at Boynton Beach Traffic Division, 2100 High Ridge Rd, Boynton Beach, FL 33426. Your written request to reschedule must be received by the clerk to the Local Hearing Officer at least five (5)calendar days before the day of the originally scheduled hearing. If you have already rescheduled your hearing you may not reschedule it again. If you are receiving a new Administrative Hearing Notification Letter please review the Date, Time and Location of your hearing as one or all of them may have been updated with new information. Please disregard the earlier Administrative Hearing Notification Letter and use only the information provided on the last notification received. You may cancel your appearance before the Local Hearing Officer by paying the civil penalty of$158.00 assessed, plus $50.00 in administrative costs, before the scheduled hearing time. To make a payment online please go to www.Violationlnfo.com or to make a payment by phone call 1-866-790-4111. There may be a convenience/service fee for this service. If you choose not to appear, you waive the right to contest this violation and must pay the civil penalty of$158.00, plus administrative costs up to $250.00. City of Boynton Beach ProgramCITY OF BOYNTON BEACH F ti � Intersection Safety PO Box 22091 NOTICE OF VIOLATION ; Tempe,AZ 85285-2091 NOTICE#: 1852300226076 PIN: 6821 View your video and pay with your Visa or MasterCard at www.Violationlnfo.com Amount Due: $158.00 II I II II I I III II II I I I III 11410 Due Date: 10/01/2023 DANIEL MORALES HERNANDEZ 2327 PINECREST CT WEST PALM BEACH, FL 33415 ON/(Date) AT TIME AT LOCATION COUNTY 07/25/2023 11:48 AM EB W WOOLBRIGHT RD @ SW 8TH ST/CORPORATE PALM BEACH DR NAME DANIEL MORALES HERNANDEZ r. STREET ADDRESS 2327 PINECREST CT CITY STATE ZIP CODE WEST PALM BEACH FL 33415 DID UNLAWFULLY • OPERATE/DRIVE 0 PARK ' V YEAR MAKE MODEL STYLE COLOR E 2022 FORD 2D WHI • H L NUMBER STATE REGISTRATION NUMBER E AR6OBS FL 12535135 Did then and there commit the following offense: FAILURE TO COMPLY WITH A STEADY RED SIGNAL The recorded images relating to the vehicle stated above are evidence of this violation. • IN VIOLATION OF. Florida Statutes§§316.0083,316.074(1)and 316.075(1)(c)1 _ -=POLICE DEPARTMENT •••y ID#094 The traffic infraction enforcement officer or law enforcement officer named above has reviewed the recorded images ISSUE DATE evidencing the red light signal violation.has identified the license tag number of the violating vehide and has found 08/02/2023 reasonable and probable grounds that an offense has been committed. STATUTORY PENALTY OF $158.00 IF YOU HAVE QUESTIONS ABOUT THIS NOTICE, PLEASE GO TO WWW.VIOLATIONINFO.COM Pay with your Visa or MasterCard at www.Vlolatlonlnfo.com or mail your check or money order with this coupon to the address below. g' I` II111111111 I Hill III II I 1111111111111111 VISA NAME: DANIEL MORALES HERNANDEZ DUE: 10/01/2023 PLOATEEAR6OBS STATE: L 1852300226076 N1 TYPEED: 08/02/2023 �"'" • si necesita ayuda en Espanol,favor Ilame al 1.866.225.8875. No points will be assessed for this Notice of Violation nor will it affect • :-LEASE RESPOND WITH PAYMENT,REQUEST A HEARING,Ok vehicle insurance rates. SUBMIT AN AFFIDAVIT POSTMARKED ON OR BEFORE THE DUE DATE TO AVOID ISSUANCE OF A UNIFORM TRAFFIC CITATION ("UTC").SEE INSTRUCTIONS ON REVERSE SIDE. City of Boynton Beach • Pay with your Visa or MasterCard at www.ViolationInfo.com or mail Payment Processing Center your check or money order with this coupon to the address to the right. PD Box 35131 • Make your check or money order payable to City of Boynton Beach. Seattle, WA 98124-5131 • DO NOT MAIL CASH. •Write the Notice#located above on the front of your payment. • Insert this tear-off coupon in the enclosed envelope with the address to the right showing through the window. AMOUNT DUE: $158.00 1 1852300226076 000032267779 158008 Your vehicle was observed by a traffic infraction detector failing to comply with a steady red light signal, in violation of Florida Statutes§§ 316.0083. 316.074(1)and 316.075(1)(c)1, at the intersection,date, and time stated on the front page of this Notice of Violation ("Notice"). This is a non-criminal infraction of state law. No points will be assessed and this infraction may not be used to set motor vehicle insurance rates. This Notice has been issued by the City of Boynton Beach. You have the following three options: a)Pay this violation in the amount of$158.00 on or before the due date specified on the front of this Notice;or b)Submit an affidavit by following the instructions below;or c)Request a hearing by signing and mailing the form below.You will be notified by letter of the time,location and date of the hearing. If you request a hearing and the Local Hearing Officer concludes that no infraction has been committed, this Notice will be dismissed and no costs or penalties shall be imposed. If the Local Hearing Officer concludes that an infraction has been committed,the Local Hearing Officer will uphold the infraction,and you will be responsible for payment of a$158.00 fine as well as additional administrative fees and costs not to exceed$250.00 as imposed by the Local Hearing Officer. SUBMISSION OF AFFIDAVIT:You may download an affidavit at www.Violationlnfo.com.As the registered owner of the vehicle,you are deemed responsible for the violation and the payment of a $158.00 penalty unless, in compliance with Florida Statute § 316.0083(1)(d)1.a-d, you establish by a sworn affidavit that a statutory exemption applies. The exemptions are that the motor vehicle: (a)passed through the intersection in order to yield the right-of-way to an emergency vehicle or as part of a funeral procession; (b)passed through the intersection at the direction of a law enforcement officer; (c)was. at the time of the violation, in the care, custody,or control of another person; or (d)a Uniform Traffic Citation ("UTC") was issued by a law enforcement officer to the driver of the motor vehicle for the violation of Florida Statutes §§ 316.074(1) and 316.075(1)(c)1 stated in this Notice.The affidavit must be sworn before a notary public or other person authorized to administer oaths. If you assert that the vehicle was in the care, custody.or control of another person, you must provide the name, address, date of birth, and. if known, the driver's license number of the person who leased, rented. or otherwise had care, custody, or control of the vehicle at the time of the violation. If the vehicle was stolen, then the affidavit must include a copy of a police report showing the vehicle to have been stolen. If you assert that a UTC was issued by a law enforcement officer for the violation of Florida Statutes§§ 316.074(1)and 316.075(1)(c)1 stated in this Notice,then you must include the serial number of the UTC. For faster processing,you may, but are not required to. include a copy of the UTC. If your affidavit complies with the requirements of Florida Statute § 316.0083, then no further action will be taken against you. The submission of a false affidavit is a misdemeanor of the second degree, punishable under Florida Statute§775.082 or§775.083 by a term of imprisonment not to exceed sixty (60)days and/or a fine not to exceed$500.00.If submitting an affidavit, it must be postmarked on or before the due date specified on the front page of this Notice in order to be appropriately processed. The affidavit should be mailed to City of Boynton Beach, c/o Intersection Safety Program.PO Box 22091,Tempe,AZ 85285-2091. Do not send payment or affidavit to the Clerk of the Court. If you fail to respond as outlined above, postmarked by the due date,a UTC will be issued to you. Upon issuance of a UTC, you shall have the remedies specified in Florida Statutes §§ 316.0083 and 318.14, which include (a)the right to pay the civil penalty in the amount of$264.00; (b)the right to submit an affidavit; or(c)the right to have a hearing before a designated official, who shall determine whether an infraction has been committed. If the official concludes that no infraction has been committed, the UTC will be dismissed and no costs or penalties shall be imposed. If the official concludes an infraction has been committed,the official will uphold the UTC and may impose an additional civil penalty not to exceed$500.00 and court fees and costs.Failure to pay,submit an affidavit,or request a hearing on the UTC could result in your driving privileges being suspended. VIEW YOUR IMAGES AND VIDEO EVIDENCE FOR THIS INFRACTION:The recorded images and video of your violation will be submitted as evidence for the disposition of this violation. You may view your images and video online at www.ViolationInfo.com.You will need your Notice#and PIN printed on the front of this Notice inside the red box. If you do not have internet access.you may view your video and images at any public library. QUESTIONS:If you have any questions,please contact Customer Service toll free at 1-866-225-8875. (You must be the registered owner of the vehicle to discuss this violation with Customer Service.) PAYMENT INSTRUCTIONS ONLINE PAYMENT:The fastest and easiest way to pay your$158.00 penalty is online. Go to www.ViolationInfo.com and log on with your Notice#and PIN shown in the red box on the front of this notice.Click the Pay button.There is a convenience/service fee for this service. PAYMENT BY PHONE:Call toll free 1-866-225-8875 available 24 hours a day,7 days a week.There is a convenience/service fee for this service. PAYMENT BY MAIL: Mail your check or money order(payable to City of Boynton Beach)in the enclosed envelope with the coupon printed at the bottom of the reverse side of this Notice. PLEASE DO NOT MAIL CASH. Be sure to put the Notice # (see reverse) on the face of your payment. Payment must be postmarked on or before the due date. PAYMENT IN PERSON:No walk-in payments will be accepted. HEARING REQUEST FORM To request a hearing on the above referenced Notice pursuant to Florida Statute§316.0083,please submit the signed and dated coupon below in the envelope provided.The petitioner understands they will be notified of the date,time and location of the hearing.The Local Hearing Officer shall issue a final administrative order. If the Notice of Violation is upheld, the petitioner will be required to pay$158.00 and may also be required to pay county or municipal costs,not to exceed$250.00. NOTE:Per Florida Statute,you may cancel your appearance before the local hearing officer by paying the$158.00 penalty assessed,plus$50 in administrative costs,before the start of the hearing.The amount due will be$208.00. Detach here and return bottom portion as a request for an Administrative Hearing before a Local Hearing Officer. 1852300226076 111 I 1111 I submit this form as a request to contest this Notice of Violation and acknowledge that it must be postmarked by the due date of this Notice to be a valid request. I understand that I must attend this hearing in person, unless represented by counsel appearing in person on my behalf. Please sign and print name using blue or black ink. Signature: Printed Name: Phone Number: BOYNTON BEACH POLICE DEPARTMENT, VIOLATION NO: 1852300226076 v. DANIEL MORALES HERNANDEZ, NOTICE OF APPEARANCE AND WRITTEN PLEA OF NOT GUILTY Please take Notice that the undersigned attorney hereby files this his Notice of Appearance as counsel of record for the Defendant named in the above-styled cause of action and respectfully requests that all parties hereto take notice of same. The undersigned enters on behalf of DANIEL MORALES HERNANDEZ a Written Plea of Not Guilty to the offense charged in this case and waives personal appearance The undersigned respectfully requests and permit the undersigned to enter this Written Plea of Not Guilty and hereafter file motions to dismiss the Information filed in this case at a later time. It is further requested that the Clerk of the Court promptly notify the undersigned be promptly notified of the time and date of any hearings. CERTIFICATE OF SERVICE IT IS HEREBY CERTIFIED that a true and correct copy of the foregoing was served Boynton Beach Court Liaison, richardsonda@bbfl.us this 8th day of September,2023. Respectfully submitted, Is/Joseph Montgomery JOSEPH MONTGOMERY,ESQ. Florida Bar No. 120569 631 U.S. Highway 1, Suite 202 North Palm Beach, FL 33408 Telephone: (561)440-1820 Facsimile: (888) 959-5529 Primary:joera iwantjustice.com Secondary: Lynn@iwantjustice.com Attorney for Defendant • BOYNTON BEACH POLICE DEPARTMENT, VIOLATION NO: 1852300226076 v. DANIEL MORALES HERNANDEZ, MOTION FOR CONTINUANCE OF HEARING DANIEL MORALES HERNANDEZ,by and through undersigned hereby requests a continuance of the hearing which has been set for Wednesday, September 13, 2023. A continuance is requested as undersigned counsel needs additional time to review any and all records, citations, notices or any other document relevant to this violation. I understand that the filing of this motion does not cancel the scheduled for Wednesday September 13, 2023. I hereby certify that a true and correct copy of this motion was emailed to richardsonda@bbfl.us this 8th day of September, 2023. Respectfully submitted /s/Joseph Montgomen. JOSEPH MONTGOMERY, ESQ. Florida Bar No. 120569 631 U.S. Highway 1, Suite 202 North Palm Beach, FL 33408 Telephone: (561)440-1820 Facsimile: (888)959-5529 Primary:joe,a`iwantjustice.com Secondary:lynn@iwantjustice.com City of Boynton Beach Police Department 2100 High Ridge Road Boynton Beach, FL 33426 HEARING REQUEST Document Number: 1852300226076 Date Created: 1/1/0001 12:00:00 AM Received On:8212023 HEARING SCHEDULED By:KOSTEMA SJONES1-8212023 From:Joseph Montgomery Fax:12158507583 To: Fax:)980)990-1819 Page:1 01 7 08/1812023 5:32 PM FACSIMILE TRANSMISSION To: From: Joseph Montgomery Montgomery Law FL Phone: Phone: (215)650-7563*101 Fax Phone: (480)990-4819 Fax Phone: 12156507563 Note: Re: Entry of Appearance for Daniel Morales Hernandez Notice Number: 1852300226076 Date: 08/18/2023 Pages: 7 City of Boynton Beach Police Department 2100 High Ridge Road Boynton Beach, FL 33426 HEARING REQUEST Document Number: 1852300226076 Date Created: 1/1/0001 12:00:00 AM Received On:8212023 HEARING SCHEDULED By KOSTEMA SJONES1-8212023 From:Joseph Montgomery Fax:121.56501563 To: Fax:(M89)990-4819 Page:2 of 7 0811812023 5:32 PM Af d `. 1 WANTJUsT10E (A)M August 18,2023 Florida Hearing Request P.O.Box 22091 Tempe,AZ 85285-2091 Fax:480-990-4819 Email: info u;violationinfo.com Re: Entry of Appearance for Daniel Morales Hernandez Notice Number: 1852300226076 To whom it may concern, I am writing to formally enter my appearance as the attorney representing Daniel Morales Hernandez in connection with the aforementioned notice number. Please consider this correspondence as an official notice of my representation on behalf of Mr. Hernandez. Kindly direct all future communications,documents,and correspondences related to this case to my attention at the Florida address provided below. Montgomery Law Pennsylvania Florida 1420 Locust Street,Suite 420 New Jersey 631 us 1,Suite 202 Philadelphia,PA 19102 Historic Smithville Suite 1 North Palm Reach.FL 33908 215-550-7563 1N.New York Road 551-408-1100 Galloway NJ.08205 855 282-5550 *all NJ mail to PA office Doc ID:5978720a0654daa00894cee7b793be5d31b81ed! City of Boynton Beach Police Department 2100 High Ridge Road Boynton Beach, FL 33426 HEARING REQUEST Document Number: 1852300226076 Date Created: 1/1/0001 12:00:00 AM Received On:8212023 HEARING SCHEDULED By:KOSTEMA SJONES1-8212023 From:Joseph Montgomery Fax:121.56507563 To: Fax:(480)990-4819 Page:3 of 7 0817812023 5:32 PM Should you require any additional information or documentation,please do not hesitate to contact me. Thank you for your attention to this matter. Sincerely, /s/Joseph Monteomety Joseph Montgomery Attorney ID: 120569 Doc ID:5976720a0854daa00894cae7b793be5d31b81edf City of Boynton Beach Police Department 2100 High Ridge Road Boynton Beach, FL 33426 HEARING REQUEST Document Number: 1852300226076 Date Created: 1/1/0001 12:00:00 AM eceived Ort 8212023 HEARING SCHEDULED .KOSTEMA SJONES1-8212023 From:Joseph Montgomery Fax:121.55507563 To: Fax:(480)990.4819 Page:4 of 7 08/1812023 5:32 PM REQUEST FOR LOCAL HEARING — RED LIGHT VIOLATION Mail, Fax or Email the COMPLETED Form to: Florida Ilearing Request P.O. Box 22091 Tempe,AZ 85285-2091 Fax: 480-990-4819 Email: info(a`violationinfo.com Driver/Vehicle Owner and Notice of Violation Information(NOV)(To be provided by reauestor) Date: 06.164023 DANIEL MORALES HERNANDEZ Name(Typed or Printed): 2327 PINECREST CT WEST PALM BEACH FL 33416.7221 Mailing Address: City: State: Zip: Telephone Number: 5616042666 Fax: atorr.y:jo eIrnrrpua&s.com E-mail: NOV Number: NOTICE 6:1862300226076 NOV Date: 10-0' 4023 Tag Number: AR6°Ba Driver license Number 81642-160-02-069-0 Agency/Issuing Authority: City of Boynton Bach Intersection eat."Program ony of Boynton Beech h,ura.euon SafelyProgram Issuing Officer/Agent Name: Badge#: Local Court or Marino Officer Information(To be provided by local authority) Local Court or Hearing Officer: Address: City: State: Zip: POC Telephone Number: Fax: THIS PAGE OF THE DOCUMENT MUST BE INCLUDED WITH THE AFFIDAVIT ON THE NEXT PAGE!. Doc ID:597672080654daa00894cae7b793be5d31b81edf City of Boynton Beach Police Department 2100 High Ridge Road Boynton Beach, FL 33426 HEARING REQUEST Document Number: 1852300226076 Date Created: 1/1/0001 12:00:00 AM Received Co 821/2023 HEARING SCHEDULED By KOSTEMA SJONESI-8212023 From:Joseph Montgomery Fax:12156507563 To: Fax (480)990-4819 Page:5 of 7 0813812023 5:32 PM Affidavit Requesting Hearing and Forfeiting Ability to Contest Delivery DANIEL MORALES HERNANDEZ I hereby request a formal hearing (NAME) before a hearing officer in the county of Palm Owl* . I understand(hat I must submit (COUNTY) this request to the clerk for the assigned local hearing officer within 60 days from the date posted on the Notice of Violation(NOV).I understand that by filing a reques for this hearing,I waive my ability to contest the delivery of the NOV as set forth in F.S.S.316.0083(c)and(d). I understand that I have the option to reschedule a hearing once by notifying the appropriate clerk for the local hearing officer in writing at least 5 days prior to the scheduled hearing.1 understand that if I do not reschedule my hearing and I fail to appear for this hearing that I will be adjudicated guilty and I am responsible for all fines and/or fees and that a vehicle registration stop will be placed on my record. I also understand that if the NOV is affirmed by the court and/or local hearing officer,that I am responsible for the payment of the original penalty plus up to$250.00 in local fees as set forth in F.S.S. 316.0083(5).1 attest that I fully understand the stipulations of these laws and the associated penalties. 08.18.2023 Sworn by me on and affirmed by my signature below. (DATE) Printed Name: DANIEL MORALES HERNANDEZ Signature of Requeator: Date Signed: 08-111-2023 Doc ID 5976720a0654daa00894cae7b793be5d31b81ecf City of Boynton Beach Police Department • 2100 High Ridge Road Boynton Beach, FL 33426 HEARING REQUEST Document Number: 1852300226076 Date Created: 1/1/0001 12:00:00 AM Receive1 On:8212023 . KOSTEMA HEARING SCHEDULED SJONESI-9212023 From:Joseph Montgomery Fax:12156507563 To Fax (480)9904819 P•ge:6 01 7 0611812023 5:32 PM • ..-,,y o1 R4•441,1w5,,0M44A lr OF P Arf 4Y'r A V34: , H' y k,.- r, 'O BL 32D0' t: %I',..), 1'4.),..i r<x w 11c 4xtir kr,ft: o•• ,lrelotint Du. ". (ri7` Du.: Dat 02-:i - L !rk,' 'AO , s ,1 DANIEL MORALES HE'ThANDE..2 "}' 2327 PIN C.P GSr CT .; WEST PALM ti EACH FL 33415.7221 .- n1rttlif+°104411'hartte1h i'it:-'tI IrIWIIIIIOVIi, T 1 r 10!25,2027 �ir 4*co.o En wWfnt.pRUHr` .)*. ,r,nEP. .TC,) -. i 'a9 :l DAHJE,..7.4ORA.1_.H:— ,i3O:1 232%of yiECRES'C r _ s... - cr, wa5rrist.$41 MAO" E xa4cK .D _ C`n))44.F,,,-)),..), P - p A : 1± 1i. 12535 t{'y 1`"_ -n.•„d ma e•, t p•dt.. FAILURE TOCOI,I Y1NITHASTEADYIt 7SIGNAL' �} e ''i' `h Karded wanesy al:n t enM scts tett .. v 1m.It«zi____ _ uI+tl_, a' ' :, . •r1nx-bnn a t'c.•cxsaam qT ..� 1)-4 •I_ e. 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Doc ID:597672080654daa00894cae7b793be5d31b81edf City of Boynton Beach Police Department 2100 High Ridge Road Boynton Beach, FL 33426 HEARING REQUEST Document Number: 1852300226076 Date Created: 1/1/0001 12:00:00 AM Received On 8/21/2023 HEARING SCHEDULED By:KOSTEMA SJONES1-8212023 From:Joseph Montgomery Fax:121.56507563 To: Fax:(480)990.4819 Page:7 of 7 0811812023 5:32 PM X Dropbox Sign Audit trail Title 1852300226076-DANIEL MORALES HERNANDEZ.pdf File name 1852300226076%20-...S%2OHERNANDEZ.pdf Document ID 5976720a0654daa00894cae7b793be5d31b81edf Audit trail date format MM/DD/YYYY Status to Signed This document was requested from app.clio.com Document History 0./ 08/18/2023 Sent for signature to DANIEL MORALES HERNANDEZ SENT 17:17:37 UTC-4 (dm4804858@gmail.com)from joe@ed-Iaw.com IP:99.152.252.138 08/18/2023 Viewed by DANIEL MORALES HERNANDEZ(dm4804858@gmail.com) VIEWED 17:24:48 UTC-4 IP:98.53.7.187 08118/2023 Signed by DANIEL MORALES HERNANDEZ(dm4804858@gmaii.com) SIGNED 17:25:38 UTC-4 IP:98.53.7.187 �✓ 08118/2023 The document has been completed. COMPLETED 17:25:38 UTC-4 Povverad by X Dropbox 4r1 City of Boynton Beach Police Department 2100 High Ridge Road Boynton Beach, FL 33426 HEARING REQUEST Document Number: 1852300226076 Date Created: 1/1/0001 12:00:00 AM Received On 822/1023 By KOSTEMA mit 1 1WANTJUSTICE COM August 18,2023 Florida Hearing Request P.O.Box 22091 Tempe,AZ 85285-2091 Fax:480-990-4819 Email: info()violationinfo.com Re: Entry of Appearance for Daniel Morales Hernandez Notice Number: 1852300226076 To whom it may concern, I am writing to formally enter my appearance as the attorney representing Daniel Morales Hernandez in connection with the aforementioned notice number. Please consider this correspondence as an official notice of my representation on behalf of Mr. Hernandez. Kindly direct all future communications,documents,and correspondences related to this case to my attention at the Florida address provided below. Montgomery Law Pennsy-vania F-orida 1420 Locust Street,Suite 420 New Jersey 531 US 1,Suite 202 Phi:ace-phia,PA 19102 historic Smtthvi.e,Suite 1 North?am Beach,FL 33408 215-650-7563 1 N.New York Road 551-408-1100 Ca..oway NJ,08205 855-282-5550 *a..NJ mai:to?A office Doc ID:5976720a0654daa00894cae7b793be5d31b81edf City of Boynton Beach Police Department 2100 High Ridge Road Boynton Beach, FL 33426 HEARING REQUEST Document Number: 1852300226076 Date Created: 1/1/0001 12:00:00 AM Received On:8!22!2023 By:KOSTEMA Should you require any additional information or documentation,please do not hesitate to contact me. Thank you for your attention to this matter. Sincerely, /s/Joseph Montgomery Joseph Montgomery Attorney ID: 120569 Doc ID:5976720a0654daa00894cae7b793be5d31b81edf City of Boynton Beach Police Department 2100 High Ridge Road Boynton Beach, FL 33426 HEARING REQUEST Document Number: 1852300226076 Date Created: 1/1/0001 12:00:00 AM Received On:822!1023 By KOSTEMA REQUEST FOR LOCAL HEARING - RED LIGHT VIOLATION Mail,Fax or Email the COMPLETED Form to: Florida Hearing Request P.O.Box 22091 Tempe,AZ 85285-2091 Fax: 480-990-4819 Email: info*violationinfo.com Driver/Vehicle Owner and Notice of Violation Information(NOV)(To be provided by requestor) Date: 06-18.2023 DANIEL MORALES HERNANDEZ Name(Typed or Printed): 2327 PINECREST CT WEST PALM BEACH FL 33415.7221 Mailing Address: City: State: Zip: Telephone Number: 561-502-2569 Fax: attorney:ioe®hventiuettee.com E-mail: NOV Number: NOTICE 0:1852300226076 NOV Date: 10-01-2023 Tag Number: AR6CBB Driver License Number M642-160-02069-0 City of Boynton Beach Intersection Safety Program Agency/Issuing Authority: City of Boynton Beach Intersection Safety Program Issuing Officer/Agent Name: Badge#: Local Court or Hearing Officer Information(To be provided by local authority) Local Court or Hearing Officer: Address: City: State: Zip: POC Telephone Number: Fax: THIS PAGE OF THE DOCUMENT MUST BE INCLUDED WITH THE AFFIDAVIT ON THE NEXT PAGE! Doc ID:5976720a0654daa00894cae7b793be5d31b8ledf City of Boynton Beach Police Department 2100 High Ridge Road Boynton Beach, FL 33426 HEARING REQUEST Document Number: 1852300226076 Date Created: 1/1/0001 12:00:00 AM Received On:8222023 Sy:KOSTEMA Affidavit Requesting Hearing and Forfeiting Ability to Contest Delivery DANIEL MORALES HERNANDEZ I hereby request a formal hearing (NAME) Palm Beech before a hearing officer in the county of . I understand that I must submit (COUNTY) this request to the clerk for the assigned local hearing officer within 60 days from the date posted on the Notice of Violation(NOV). 1 understand that by filing a requeg;for this hearing,I waive my ability to contest the delivery of the NOV as set forth in F.S.S. 316.0083(c)and(d). I understand that 1 have the option to reschedule a hearing once by notifying the appropriate clerk for the local hearing officer in writing at least 5 days prior to the scheduled hearing.I understand that if I do not reschedule my hearing and I fail to appear for this hearing that I will be adjudicated guilty and I am responsible for all fines and/or fees and that a vehicle registration stop will be placed on my record. I also understand that if the NOV is affirmed by the court and/or local hearing officer,that I am responsible for the payment of the original penalty plus up to$250.00 in local fees as set forth in F.S.S. 316.0083(5).1 attest that I fully understand the stipulations of these laws and the associated penalties. 08-18.2023 Sworn by me on and affirmed by my signature below. (DATE) Printed Name: DANIEL MORALES HERNANDEZ Signature of Requestor: eY)J-- Date Signed: 08-18-2023 Doc ID:5976720a0654daa00894cae7b793be5d31b81edf City of Boynton Beach Police Department 2100 High Ridge Road Boynton Beach, FL 33426 HEARING REQUEST Document Number: 1852300226076 Date Created: 1/1/0001 12:00:00 AM Received On:822/2123 By.KOSTEMA tits,sr-..r.c.l,efs Pr.-ci+r• • ran._ .i' OTr...,, Al?t%;,F-;fn. BI NMI III II OIIIIII N IIII II NOTICE 11: '85230C226076 PIN F321 view!Alio video and pay with your Vi:n nr • AIA s:erC.lyd at www.Violalionlnfo.corrt Amount Due: 3158.00 Due Date: 10/01/2023 -16". DANIELJMORALES HERNANDEZ 2327 PINECREST CT WEST PALM BEACH FL 33415-7221 I1411hIh•hl•IIIrhdlrhnr11111•111111I1111••11111•III•Il 1.1 (iN'rfl 1:-.-'I IU' A-I.:'A--''N COUNTY 07/35 :3!AM�EB W WOOL BRIG HT RD 4,SW 0TH S'ICORPOR ATF PALM REACHNA1.1E DANIEL MORAS HERNANDEZSTREET ACDRS _ 2327 PINECRECT Cr_v STATE 71P CODE -�-...WEST PALM BCH FL 33415 D0 U'+LAW'FULL .C>E R/iTE'7RIVE O PARK �/' ��ns I.IC:OEL SIULE WLOR It: / E 2022 FORD 2D WHI N.\Y-TR STATE REG13TRATIOV HOMIER E AR60B5 FL 12535135 DM then and there comma the following offense, FAILURE TO COMPLY WITH A STEADY RED SIGNAL Tree recorded images reining to the vehicle stated above ars evidence of this violation. Iry VIOLATION Or Florida Statutes§§316.0083.316.074(1)and 316.075(1)(c)1 ` I i ' PO,ICE DEPARTT'E NTT �':�:..- a. H19 094 The vales maanne reariwenent oilier or ion mdoroomentoYcNamed ahm a med elos renewed the reoowa fringes ISSUE DATE % j �+ c•,oenong Inn ied tons a.gnal vowton.has de Wed Site come tag nvmberoitnn vcating vence and has found 08102/2023 reil a.onae and :h p obacte grourds Matz.o ense has been communed ;:.j STATUTORY PENALTY OF$158.00 I IF YOU HAVE QUESTIONS ABOUT THIS NOTICE, PLEASE GO TO _:%i"'^NINFC.Ci f;; Pay wdh your Visa or MasterCard M www.V olatiooInfo.com or mail your check or money order with the couoor to Ire address below. 5 �41 V� NAME:DANIEL MORALES HERNANDEZ DUE: 1010'.12023 •a — IW IYMIII ilIl I ���iNOTICE#:PLATE:AR6OBS 00226076 STATE:FL1 TYPISSUED:0810212023 riecemlaayuda erl C8pdiio0`AoDn eras 4.886.Q2B.Bi75° No points will be assessed for this Notice of Violation nor will it affect • vehicle insurance rates. • i •Pay win your Visa or MasterCard at www.Violatlonlnfo.com or mall City of Boynton Beach your Check Or rreney order wilt'Ih.s cooper t0 tie address to the r Ohl. Payment Processing Center •Make your Check or IT o:ley order payable 10 City of Boynton Beach. PO Box 35131 •DO NOT NAIL CASH. Seattle,WA 98124-5131 •Write Ile Notice 4 Waled above on the Iron!of your payment. •Insert this lear-0IiCoupon inthe enclosed erveluuewithInc address iIII1111111.4111'llhl'111 1111.1hIIuilt.11llnllllllllrlrt.111'1 to the cont showing Onot,gn the window AMOUNT DUE:$158.00 1 1852300226076 000032267779 158008 Doc ID:5976720a0654daa00894cae7b793be5d31b81edf City of Boynton Beach Police Department 2100 High Ridge Road Boynton Beach, FL 33426 HEARING REQUEST Document Number: 1852300226076 Date Created: 1/1/0001 12:00:00 AM Received On:8/212023 8y:KOSTEMA X Dropbox Sign Audit trail Title 1852300226076-DANIEL MORALES HERNANDEZ.pdf File name 1852300226076%20-...S%2OH ERNANDEZ.pdf Document ID 5976720a0654daa00894cae7b793be5d31b81edf Audit trail date format MM/DD/YYYY Status Signed This document was requested from app.clio.com Document History 08/18/2023 Sent for signature to DANIEL MORALES HERNANDEZ SENT 17:17:37 UTC-4 (dm4804858@gmail.com)from joe@ed-law.com IP:99.152.252.138 0 08/18 1 2023 Viewed by DANIEL MORALES HERNANDEZ(dm4804858@gmail.com) VIEWED 17:24:46 UTC-4 IP:98.53.7.187 08/18/2023 Signed by DANIEL MORALES HERNANDEZ(dm4804858@gmail.com) SIGNED 17:25:38 UTC-4 IP:98.53.7.187 G' 08/18/2023 The document has been completed. COMPLETED 17:25:38 UTC-4 Powered by IK Drcpboi sign City of Boynton Beach Police Department 2100 High Ridge Roadu1'' Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300226076 Document Information: Violation Information: Document Type: VIOLATION DATA REPORT Violation Date/Time: 7/25/2023 11:48:37AM Version: v 1.0 Violation Location: EB W WOOLBRIGHT RD @ SW 8TH ST/CORPORATE DR BOYNTON BEACH, FL Issue Date: 08/02/2023 Plate No./State: AR60BS FL Appearance Date: 10/01/2023 Make/Model/Year:: FORD/2022 Registered Owner: DANIEL MORALES HERNANDEZ Name/Address 2327 PINECREST CT WEST PALM BEACH, FL 33415 Driver: DANIEL MORALES HERNANDEZ Name/Address 2327 PINECREST CT WEST PALM BEACH, FL 33415 State Exhibit: Aarsas VPS 09/27/2023 4:59AM Page 1 of 5 City of Boynton Beach Police Department a44{ 2100 High Ridge Road Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300226076 Date Time Limit Speed Phase Amb 1 Red1 Fix Int Frame Lane 17/2512023 11:48:37.2 AM 040 049 R 04.5 000.6 F11 --•-• 547 337 A 2 68018• EB W WOOLBRIGHT RD®SW 8TH ST/CORPORATE OR Or. _ .. i State Exhibit: A3CS:S VPS 09/27/2023 4:59AM Page 2 of 5 City of Boynton Beach Police Department ,'""oe 2100 High Ridge Road "`� Boynton Beach, FL 33426 - Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300226076 Date Time Limit Speed Phase Amb 1 Red1 Fix Int Frame Lane 07/25/2023 11:48.37,7 AM 040 049 R 04.5 001.1 F 11 O498ms 547 337 8 2 88018- EB W WOOLBRIGHT RD©SW 8TH ST/CORPORATE DR • P ' • . F P 101;111111.116".4 411111.4 ..---- --loioadojoillpriPP'i,o,a,,.‘„511._____- _.. :__ I State Exhibit: axsis VPs 09/27/2023 4:59AM Page 3 of 5 City of Boynton Beach Police Department +w„4,r 2100 High Ridge Road Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300226076 • '„ AR op State Exhibit: axsisvPS 09/27/2023 4:59AM Page 4 of 5 City of Boynton Beach Police Department v;, �4�r 2100 High Ridge Road 4pti11Gr Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300226076 NOTES Note Added By Added Date Hearing Scheduled ON: 10/11/2023 AT 01:00 PM JLONGHINI 09/13/2023 11:12:49 AM HEARING Deleted:DELETED FROM HEARING SCHEDULE JLONGHINI 09/13/2023 11:12:42 AM RECEIVED CORRESPONDENCE ON 9/11/2023, ENTERED IN DATA BASE JLONGHINI 09/11/2023 08:48:04 AM cz lawyer called to find out where to send continuance to//adv them to contact Boynton PD LPAUL2 09/08/2023 12:36:35 PM SCHEDULE HEARING/REVIEW REQUESTED- HEARING/REVIEW ALREADY SCHEDULED KOSTEMA 08/22/2023 07:15:59 AM Received email from joe@ed-law.com on 8/18/23 included attorney letter and hearing request form CNORRIS 08/22/2023 07:12:39 AM **Responded, docs received &in review** ACTION -SCHEDULE HEARING SJONES1 08/21/2023 08:33:15 AM Hearing Scheduled ON: 09/13/2023 AT 01:00 PM SJONES1 08/21/2023 08:33:06 AM PENDING FURTHER ACTION KOSTEMA 08/21/2023 07:17:20 AM Received fax on 8/18/2023 included statement and hearing request. non urgent CNORRIS 08/21/2023 05:35:13 AM State Exhibit: A_csis_Ps- 09/27/2023 4:59AM Page 5 of 5 City of Boynton Beach Police Department 2100 High Ridge Road Boynton Beach, FL 33426 Camera Log Report Document#: 1852300226076 Location: BB018 - EB W WOOLBRIGHT RD @ SW 8TH ST/CORPORATE DR Event Date/Time Status Deployment Start 7/25/2023 2:00:43AM Operational Tests Passed Violation 7/25/2023 11:48:37AM Deployment End 7/25/2023 2:00:46PM Operational Tests Passed State Exhibit a�csisVPS 09/27/2023 4:59AM Page 1 of 1 VERRA MOBILITY SYSTEM LOG REPORT I, JASON LANG ,do hereby swear that: 1. I am employed by American Traffic Solutions,Inc.,d/b/a Verra Mobility(Verra Mobility). 2. I am of sound mind,capable of making this certification,over the age of 18,and execute this certification based upon my own personal knowledge of Verra Mobility's business and the method by which Verra Mobility created, transmitted,and stored the information contained in the Verra Mobility System Log Report. 3. I am the duly authorized custodian of the Verra Mobility System Log Report,and in such capacity,I have authority to certify the Verra Mobility System Log Report is a true and correct copy of an original record maintained by Verra Mobility. 4. The Verra Mobility System Log Report referenced below is a copy of a business record which was made automatically by the AXSIS Smart Mobility Platform,at or near the time of the self-test of the automatic red light enforcement system. 5. I certify that the testing that was conducted and is contained in the Verra Mobility System Log Report is a regular practice in the course of Verra Mobility's regularly conducted business activities and is kept in the ordinary course of Verra Mobility's regularly conducted business activities. I DECLARE UNDER PENALTY OF PERJURY IN THE STATE OF FLORIDA THAT THE AFOREMENTIONED INFORMATION IS TRUE AND CORRECT. ` JASON LANG Verra Mobility System Log Report 7/25/2023 Location: BB018-EB W WOOLBRIGHT RD @ SW 8TH ST/CORPORATE DR Date: 07/25/2023 Event Time Status Automated Self-Test 02:00:43 AM All Tests Passed N POL/c PO Box 22091 ems"`�4'.0A , Tempe,AZ 85285-2091 ♦ O> a2 oast 111 111 1 111 111 11111 11 1111 II DATE: 09/13/2023 DANIEL MORALES HERNANDEZ 2327 PINECREST CT PLATE: FL AR6OBS WEST PALM BEACH, FL 33415 RE: Notice of Violation: 1852300226076 Version # : 1 ADMINISTRATIVE HEARING NOTIFICATION LETTER The hearing date for the above mentioned Notice of Violation ("Notice") has been scheduled for: Wednesday, October 11, 2023 at 1:00 PM Boynton Beach Police Department, 2100 High Ridge Rd, Boynton Beach, FL 33426 You may reschedule this hearing once by submitting a written request to the designated clerk to the Local Hearing Officer at Boynton Beach Traffic Division, 2100 High Ridge Rd, Boynton Beach, FL 33426. Your written request to reschedule must be received by the clerk to the Local Hearing Officer at least five (5)calendar days before the day of the originally scheduled hearing. If you have already rescheduled your hearing you may not reschedule it again. If you are receiving a new Administrative Hearing Notification Letter please review the Date, Time and Location of your hearing as one or all of them may have been updated with new information. Please disregard the earlier Administrative Hearing Notification Letter and use only the information provided on the last notification received. You may cancel your appearance before the Local Hearing Officer by paying the civil penalty of$158.00 assessed, plus $50.00 in administrative costs, before the scheduled hearing time. To make a payment online please go to www.Violationlnfo.com or to make a payment by phone call 1-866-790-4111. There may be a convenience/service fee for this service. If you choose not to appear, you waive the right to contest this violation and must pay the civil penalty of$158.00, plus administrative costs up to $250.00. �N Ponos PO Box 22091 ;QO ot' Tempe,AZ 85285-2091 ti F N 111111111111 11 111 NH 11111111 DATE: 08/21/2023 DANIEL MORALES HERNANDEZ 2327 PINECREST CT PLATE: FL AR6OBS WEST PALM BEACH, FL 33415 RE: Notice of Violation: 1852300226076 Version # : 1 ADMINISTRATIVE HEARING NOTIFICATION LETTER The hearing date for the above mentioned Notice of Violation ("Notice") has been scheduled for: Wednesday, September 13, 2023 at 1:00 PM Boynton Beach Police Department, 2100 High Ridge Rd, Boynton Beach, FL 33426 You may reschedule this hearing once by submitting a written request to the designated clerk to the Local Hearing Officer at Boynton Beach Traffic Division, 2100 High Ridge Rd, Boynton Beach, FL 33426. Your written request to reschedule must be received by the clerk to the Local Hearing Officer at least five (5)calendar days before the day of the originally scheduled hearing. If you have already rescheduled your hearing you may not reschedule it again. If you are receiving a new Administrative Hearing Notification Letter please review the Date, Time and Location of your hearing as one or all of them may have been updated with new information. Please disregard the earlier Administrative Hearing Notification Letter and use only the information provided on the last notification received. You may cancel your appearance before the Local Hearing Officer by paying the civil penalty of$158.00 assessed, plus $50.00 in administrative costs, before the scheduled hearing time. To make a payment online please go to www.Violationlnfo.com or to make a payment by phone call 1-866-790-4111. There may be a convenience/service fee for this service. If you choose not to appear, you waive the right to contest this violation and must pay the civil penalty of$158.00, plus administrative costs up to $250.00. City of Boynton Beach CITY OF BOYNTON BEACH POLrr 0�,�` Intersection Safety Program a.Ll-1 .. ..S .•-t,S PO Box 22091 NOTICE OF VIOLATION o� Q ( Tempe,AZ 85285-2091 J� (p57 NOTICE#: 1852300237453 PIN: 9230 View your video and pay with your Visa or MasterCard at www.Violationlnfo.com Amount Due: $158.00 III 11 11 1111 111 II II I III II III I II II Due Date: 10/15/2023 MICHAEL REYNOLDS 6091 NW 61ST AVE APT 211 TAMARAC, FL 33319 OW(Date) AT TIME AT LOCATION COUNTY 08/06/2023 07:32 AM EB W WOOLBRIGHT RD @ SW 8TH ST/CORPORATE PALM BEACH a;'� DR NAME MICHAEL REYNOLDS STREET ADDRESS • 6091 NW 61ST AVE APT 211 CITY STATE ZIP CODE TAMARAC FL 33319 DID UNLAWFULLY • OPERATE/DRIVE 0 PARK V YEAR MAKE MODEL STYLE COLOR E 2021 SUBA UT SIL H L NUMBER STATE REGISTRATION NUMBER E NEUR40 FL 04822421 ♦ y Did then and there commit the following offense: —- FAILURE TO COMPLY WITH A STEADY RED SIGNAL The recorded images relating to the vehicle stated above are evidence of this violation. IN VIOLATION OF. Florida Statutes§§316.0083,316.074(1)and 316.075(1)(c)1 POLICE DEPARTMENT ID#094 The traffic infraction enforcement officer or law enforcement officer named above has reviewed the recorded images ISSUE DATE evidencing the red light signal violation,has identified the license tag number of the violating vehicle and has found 08/16/2023 reasonable and probable grounds that an offense has been committed. STATUTORY PENALTY OF$158.00 IF YOU HAVE QUESTIONS ABOUT THIS NOTICE, PLEASE GO TO WWW.VIOLATIONINFO.COM Pay with your Visa or MasterCard at www.Violationlnfo.com or mail your check or money order with this coupon to the address below. A NAME: MICHAEL REYNOLDS DUE: 10/15/2023 ° C." 071 mmig, ` 111111 II I I I 11111011111 1E1 11111111111111111101111 NOTICE#: 1852300237453 VERSION: 1 ISSUED: 08/16/2023 PLATE: NEUR40 STATE: FL TYPE: •Si necesita ayuda en Espanol,favor Ilame al 1.866.225.8875. No points will be assessed for this Notice of Violation nor will it affect •PLEASE RESPOND WITH PAYMENT,REQUEST A HEARING,OR vehicle insurance rates. SUBMIT AN AFFIDAVIT POSTMARKED ON OR BEFORE THE DUE DATE TO AVOID ISSUANCE OF A UNIFORM TRAFFIC CITATION ("UTC").SEE INSTRUCTIONS ON REVERSE SIDE. City of Boynton Beach • Pay with your Visa or MasterCard at www.Violationlnfo.com or mail Payment Processing Center your check or money order with this coupon to the address to the right. PO Box 35131 •Make your check or money order payable to City of Boynton Beach. Seattle, WA 98124-5131 • DO NOT MAIL CASH. •Write the Notice#located above on the front of your payment. • Insert this tear-off coupon in the enclosed envelope with the address to the right showing through the window. AMOUNT DUE: $158.00 1 1852300237453 000032354578 158006 Your vehicle was observed by a traffic infraction detector failing to comply with a steady red light signal, in violation of Florida Statutes§§ 316.0083. 316.074(1)and 316.075(1)(c)1, at the intersection, date, and time stated on the front page of this Notice of Violation ("Notice"). This is a non-criminal infraction of state law. No points will be assessed and this infraction may not be used to set motor vehicle insurance rates. This Notice has been issued by the City of Boynton Beach. You have the following three options: a)Pay this violation in the amount of$158.00 on or before the due date specified on the front of this Notice;or b)Submit an affidavit by following the instructions below;or c)Request a hearing by signing and mailing the form below.You will be notified by letter of the time, location and date of the hearing. If you request a hearing and the Local Hearing Officer concludes that no infraction has been committed, this Notice will be dismissed and no costs or penalties shall be imposed. If the Local Hearing Officer concludes that an infraction has been committed,the Local Hearing Officer will uphold the infraction,and you will be responsible for payment of a$158.00 fine as well as additional administrative fees and costs not to exceed$250.00 as imposed by the Local Hearing Officer. SUBMISSION OF AFFIDAVIT: You may download an affidavit at www.Violationlnfo.com.As the registered owner of the vehicle, you are deemed responsible for the violation and the payment of a $158.00 penalty unless, in compliance with Florida Statute § 316.0083(1)(d)1.a-d, you establish by a sworn affidavit that a statutory exemption applies. The exemptions are that the motor vehicle: (a)passed through the intersection in order to yield the right-of-way to an emergency vehicle or as part of a funeral procession; (b) passed through the intersection at the direction of a law enforcement officer; (c)was. at the time of the violation, in the care, custody,or control of another person: or (d)a Uniform Traffic Citation ("UTC") was issued by a law enforcement officer to the driver of the motor vehicle for the violation of Florida Statutes §§ 316.074(1) and 316.075(1)(c)1 stated in this Notice.The affidavit must be sworn before a notary public or other person authorized to administer oaths. If you assert that the vehicle was in the care, custody,or control of another person. you must provide the name, address, date of birth, and, if known, the drivers license number of the person who leased, rented, or otherwise had care, custody, or control of the vehicle at the time of the violation. If the vehicle was stolen, then the affidavit must include a copy of a police report showing the vehicle to have been stolen. If you assert that a UTC was issued by a law enforcement officer for the violation of Florida Statutes§§ 316.074(1)and 316.075(1)(c)1 stated in this Notice,then you must include the serial number of the UTC. For faster processing, you may, but are not required to, include a copy of the UTC. If your affidavit complies with the requirements of Florida Statute § 316.0083, then no further action will be taken against you. The submission of a false affidavit is a misdemeanor of the second degree, punishable under Florida Statute§775.082 or§775.083 by a term of imprisonment not to exceed sixty (60)days and/or a fine not to exceed $500.00. If submitting an affidavit, it must be postmarked on or before the due date specified on the front page of this Notice in order to be appropriately processed.The affidavit should be mailed to City of Boynton Beach, c/o Intersection Safety Program,PO Box 22091,Tempe.AZ 85285-2091. Do not send payment or affidavit to the Clerk of the Court. If you fail to respond as outlined above,postmarked by the due date,a UTC will be issued to you. Upon issuance of a UTC, you shall have the remedies specified in Florida Statutes §§ 316.0083 and 318.14,which include (a)the right to pay the civil penalty in the amount of$264.00; (b)the right to submit an affidavit; or(c)the right to have a hearing before a designated official, who shall determine whether an infraction has been committed. If the official concludes that no infraction has been committed, the UTC will be dismissed and no costs or penalties shall be imposed. If the official concludes an infraction has been committed.the official will uphold the UTC and may impose an additional civil penalty not to exceed$500.00 and court fees and costs.Failure to pay,submit an affidavit,or request a hearing on the UTC could result in your driving privileges being suspended. VIEW YOUR IMAGES AND VIDEO EVIDENCE FOR THIS INFRACTION: The recorded images and video of your violation will be submitted as evidence for the disposition of this violation. You may view your images and video online at www.Violationlnfo.com. You will need your Notice#and PIN printed on the front of this Notice inside the red box. If you do not have internet access,you may view your video and images at any public library. QUESTIONS:If you have any questions,please contact Customer Service toll free at 1-866-225-8875. (You must be the registered owner of the vehicle to discuss this violation with Customer Service.) PAYMENT INSTRUCTIONS ONLINE PAYMENT:The fastest and easiest way to pay your$158.00 penalty is online. Go to www.Violationlnfo.com and log on with your Notice#and PIN shown in the red box on the front of this notice.Click the Pay button.There is a convenience/service fee for this service. PAYMENT BY PHONE:Call toll free 1-866-225-8875 available 24 hours a day.7 days a week.There is a convenience/service fee for this service. PAYMENT BY MAIL: Mail your check or money order(payable to City of Boynton Beach)in the enclosed envelope with the coupon printed at the bottom of the reverse side of this Notice. PLEASE DO NOT MAIL CASH. Be sure to put the Notice # (see reverse) on the face of your payment. Payment must be postmarked on or before the due date. PAYMENT IN PERSON:No walk-in payments will be accepted. HEARING REQUEST FORM To request a hearing on the above referenced Notice pursuant to Florida Statute§316.0083,please submit the signed and dated coupon below in the envelope provided.The petitioner understands they will be notified of the date,time and location of the hearing.The Local Hearing Officer shall issue a final administrative order. If the Notice of Violation is upheld, the petitioner will be required to pay$158.00 and may also be required to pay county or municipal costs,not to exceed$250.00. NOTE:Per Florida Statute,you may cancel your appearance before the local hearing officer by paying the$158.00 penalty assessed,plus$50 in administrative costs,before the start of the hearing.The amount due will be$208.00. Detach here and return bottom portion as a request for an Administrative Hearing before a Local Hearing Officer. 1852300237453 I submit this form as a request to contest this Notice of Violation and acknowledge that it must be 11111 0 11 11111 111 postmarked by the due date of this Notice to be a valid request. I understand that I must attend this hearing in person. unless represented by counsel appearing in person on my behalf. Please sign and print name using blue or black ink. Signature: Printed Name: Phone Number: City of Boynton Beach Police Department 2100 High Ridge Road . Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300237453 Document Information: Violation Information: Document Type: VIOLATION DATA REPORT Violation Date/Time: 8/6/2023 7:32:58AM Version: v 1.0 Violation Location: EB W WOOLBRIGHT RD @ SW 8TH ST/CORPORATE DR BOYNTON BEACH, FL Issue Date: 08/16/2023 Plate No./State: NEUR40 FL Appearance Date: 10/15/2023 Make/Model/Year:: SUBA/2021 Registered Owner MICHAEL REYNOLDS Name/Address 6091 NW 61ST AVE APT 211 TAMARAC, FL 33319 Driver: MICHAEL REYNOLDS Name/Address 6091 NW 61ST AVE APT 211 TAMARAC, FL 33319 State Exhibit: /tiicstsvPs- 09/27/2023 8:10AM Page 1 of 5 City of Boynton Beach Police Department r,047 2100 High Ridge Road �2aOc' Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300237453 Date Time Limit Speed Phase Amb 1 Red1 Fix Int Frame Lane 18106/2023 07:32:58.2 AM 040 054 R 04.5 001.4 F 11 548 182 A 4 BB018• EB W WOOLBRIGHT RD®SW 8TH ST/OORPORATE DR • • State Exhibit: AxstsvPs 09/27/2023 8:10AM Page 2 of 5 City of Boynton Beach Police Department 2100 High Ridge Road pi." Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300237453 Date Time Limit Speed Phase Amb 1 Red1 Fix Int Frame Lane 18/06/2023 07:32 58 6 AM 040 054 R 04.5 001.8 F 11 0447ms 548 182 B 4 68018- EB W WOOLBRIGHT RD®SW 8TH ST/CORPORATE DR Nir - , , Avow- •Ar • State Exhibit: !!.� iftcasisvPs 09/27/2023 8:10AM Page 3 of 5 City of Boynton Beach Police Department a•,aw 2100 High Ridge Road 4911`6 • Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300237453 • 04. • telt0 r • 4 State Exhibit: Ax_si: vPs 09/27/2023 8:10AM Page 4 of 5 City of Boynton Beach Police Department 2100 High Ridge Road Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300237453 NOTES Note Added By Added Date Hearing Scheduled ON: 10/11/2023 AT 01:00 PM SYSTEM 09/06/2023 04:22:40 PM cz called to contest viol//adv cz to view video online//hearing process given as noted on viol JMCCARTHY1 08/23/2023 08:47:52 AM State Exhibit: AacsisvPs 09/27/2023 8:10AM Page 5 of 5 • City of Boynton Beach Police Department 2100 High Ridge Road Boynton Beach, FL 33426 Camera Log Report Document#: 1852300237453 Location: BB018 - EB W WOOLBRIGHT RD @ SW 8TH ST/CORPORATE DR Event Date/Time Status Deployment Start 8/6/2023 2:00:41AM Operational Tests Passed Violation 8/6/2023 7:32:58AM Deployment End 8/6/2023 2:00:46PM Operational Tests Passed State Exhibit ^mo svPs 09/27/2023 8:10AM Page 1 of 1 VERRA MOBILITY SYSTEM LOG REPORT I, JASON LANG ,do hereby swear that: 1. I am employed by American Traffic Solutions,Inc.,d/b/a Verra Mobility(Verra Mobility) . 2. I am of sound mind,capable of making this certification,over the age of 18,and execute this certification based upon my own personal knowledge of Verra Mobility's business and the method by which Verra Mobility created, transmitted,and stored the information contained in the Verra Mobility System Log Report. 3. I am the duly authorized custodian of the Verra Mobility System Log Report,and in such capacity,I have authority to certify the Verra Mobility System Log Report is a true and correct copy of an original record maintained by Verra Mobility. 4. The Verra Mobility System Log Report referenced below is a copy of a business record which was made automatically by the AXSIS Smart Mobility Platform,at or near the time of the self-test of the automatic red light enforcement system. 5. I certify that the testing that was conducted and is contained in the Verra Mobility System Log Report is a regular practice in the course of Verra Mobility's regularly conducted business activities and is kept in the ordinary course of Verra Mobility's regularly conducted business activities. I DECLARE UNDER PENALTY OF PERJURY IN THE STATE OF FLORIDA THAT THE AFOREMENTIONED INFORMATION IS TRUE AND CORRECT. JASON LANG Verra Mobility System Log Report 8/6/2023 Location: BB018-EB W WOOLBRIGHT RD @ SW 8TH ST/CORPORATE DR Date: 08/06/2023 Event Time Status Automated Self-Test 02:00:41 AM All Tests Passed cH POLj., PO Box 22091 0� Tempe,AZ 85285-2091 11111111101 II III III II 111111 11 DATE: 09/06/2023 MICHAEL REYNOLDS 6091 NW 61ST AVE APT 211 PLATE: FL NEUR40 TAMARAC, FL 33319 RE: Notice of Violation: 1852300237453 Version # : 1 ADMINISTRATIVE HEARING NOTIFICATION LETTER The hearing date for the above mentioned Notice of Violation ("Notice") has been scheduled for: Wednesday, October 11, 2023 at 1:00 PM Boynton Beach Police Department, 2100 High Ridge Rd, Boynton Beach, FL 33426 You may reschedule this hearing once by submitting a written request to the designated clerk to the Local Hearing Officer at Boynton Beach Traffic Division, 2100 High Ridge Rd, Boynton Beach, FL 33426. Your written request to reschedule must be received by the clerk to the Local Hearing Officer at least five (5) calendar days before the day of the originally scheduled hearing. If you have already rescheduled your hearing you may not reschedule it again. If you are receiving a new Administrative Hearing Notification Letter please review the Date, Time and Location of your hearing as one or all of them may have been updated with new information. Please disregard the earlier Administrative Hearing Notification Letter and use only the information provided on the last notification received. You may cancel your appearance before the Local Hearing Officer by paying the civil penalty of$158.00 assessed, plus $50.00 in administrative costs, before the scheduled hearing time. To make a payment online please go to www.Violationlnfo.com or to make a payment by phone call 1-866-790-4111. There may be a convenience/service fee for this service. If you choose not to appear, you waive the right to contest this violation and must pay the civil penalty of$158.00, plus administrative costs up to $250.00. City of Boynton Beach CITY OF BOYNTON BEACH Q 0Fs`"QPOLlC d Intersection Safety Program o _. p ' PO Box 22091 NOTICE OF VIOLATION . . Q a Tempe,AZ 85285-2091 1 3.. (. 2 ,.. c", 5 ,.- NOTICE #: 1852300239640( 1\i'L PIN: 9545 �- View your video and pay with your Visa or MasterCard at www.ViolationInfo.com Amount Due: $158.00 III II I11111111 III III I I II II II II Due Date: 10/16/2023 TRACEY ANN SMITH 332 KNOTTY PINE CIR APT D-2 GREENACRES, FL 33463 ON/(Date) AT TIME AT LOCATION COUNTY 08/09/2023 11:33 AM EB W BOYNTON BEACH BLVD / NW 2ND AVE @ N PALM BEACH OM Tilt ANNA LALS MLR SIM LAS SAM or109/2023 11.31.2.5 AN 5.0 030 a 001.2 3 A CONGRESS AVE 56007-0 N NOLlSM NNAL1 ALVA/NN 210 AVL e N 0310GRASS AVA NAME —� �'� �_. TRACEY ANN SMITH STREET ADDRESS _ ' - -./ 2e�r'r allia 332 KNOTTY PINE CIR APT D-2 IP CITY STATE ZIP CODE _ GREENACRES FL 33463 DID UNLAWFULLY OPERATE/DRIVE PARK .,./..''''''''..-/ - ~ V YEAR MAKE MODEL STYLE COLOR EH 2009 MAZD 50 RED /' I - . C L NUMBER STATE REGISTRATION NUMBER °;" INS PAW Lr®rsa ATM INS SAM L 9,2023 11:31uI.L Aur 0.0 030 N 002.2 3 N E C AF3102 FL 13887077 LN N eommo.aucN WI,/NN 2w AVL e N 0alwst AVL - ''"1•711011111.1111111t Did then and there commit the following offense: '1'•- FAILURE TO COMPLY WITH A STEADY RED SIGNAL i The recorded images relating to the vehicle stated above are evidence of this violation. _ -- _ `i' IN VIOLATION OF. Florida Statutes§§316.0083,316.074(1)and 316.075(1)(c)1 POLICE DEPARTMENT _. -it.fes.. "- ID#094 - - The traffic infraction enforcement officer or law enforcement officer named above has reviewed the recorded images ISSUE DATE evidencing the red light signal violation.has identified the license tag number of the vitiating vehicle and has found 08/17/2023 ,�� reasonable and probable grounds that an offense has been committed. ' STATUTORY PENALTY OF $158.00 IF YOU HAVE QUESTIONS ABOUT THIS NOTICE, PLEASE GO TO WWW.VIOLATIONINFO.COM _ Pay with your Visa or MasterCard at www.VIolatlonInfo.com or mail your check or money order with this coupon to the address below. iQ� eti `N 0. .1 Immil ��� `Ua III 11111.111111110111 1111111111111101111111 i VPSA NAME: #: CEY ANN SMITH DUE: 10/16/2023 d� NOTICE#: 1852300239640 VERSION: 1 ISSUED: 08/17/2023 PLATE: AF3102 STATE: FL TYPE: •Si necesita ayuda en Espanol,favor lame al 1.866.225.8875. No points will be assessed for this Notice of Violation nor will it affect •PLEASE RESPOND WITH PAYMENT,REQUEST A HEARING,OR vehicle insurance rates. SUBMIT AN AFFIDAVIT POSTMARKED ON OR BEFORE THE DUE DATE TO AVOID ISSUANCE OF A UNIFORM TRAFFIC CITATION ("UTC").SEE INSTRUCTIONS ON REVERSE SIDE. City of Boynton Beach • Pay with your Visa or MasterCard at www.Violationlnfo.com or mail Payment Processing Center your check or money order with this coupon to the address to the right. PO Box 35131 • Make your check or money order payable to City of Boynton Beach. Seattle, WA 98124-5131 • DO NOT MAIL CASH. •Write the Notice#located above on the front of your payment. • Insert this tear-off coupon in the enclosed envelope with the address to the right showing through the window. AMOUNT DUE: $158.00 1 1852300239640 000032373916 158005 Your vehicle was observed by a traffic infraction detector failing to comply with a steady red light signal,in violation of Florida Statutes§§ 316.0083, 316.074(1)and 316.075(1)(c)1, at the intersection, date, and time stated on the front page of this Notice of Violation ("Notice"). This is a non-criminal infraction of state law. No points will be assessed and this infraction may not ke used to set motor vehicle insurance rates. This Notice has been issued by the City of Boynton Beach. You have the following three options: a)Pay this violation in the amount of$158.00 on or before the due date specified on the front of this Notice;or b)Submit an affidavit by following the instructions below;or c)Request a hearing by signing and mailing the form below.You will be notified by letter of the time,location and date of the hearing. If you request a hearing and the Local Hearing Officer concludes that no infraction has been committed, this Notice will be dismissed and no costs or penalties shall be imposed. If the Local Hearing Officer concludes that an infraction has been committed,the Local Hearing Officer will uphold the infraction,and you will be responsible for payment of a$158.00 fine as well as additional administrative fees and costs not to exceed$250.00 as imposed by the Local Hearing Officer. SUBMISSION OF AFFIDAVIT:You may download an affidavit at www.Violationlnfo.com.As the registered owner of the vehicle,you are deemed responsible for the violation and the payment of a $158.00 penalty unless, in compliance with Florida Statute § 316.0083(1)(d)1.a-d, you establish by a sworn affidavit that a statutory exemption applies. The exemptions are that the motor vehicle: (a)passed through the intersection in order to yield the right-of-way to an emergency vehicle or as part of a funeral procession; (b)passed through the intersection at the direction of a law enforcement officer; (c)was,at the time of the violation, in the care, custody, or control of another person: or (d)a Uniform Traffic Citation ("UTC") was issued by a law enforcement officer to the driver of the motor vehicle for the violation of Florida Statutes §§ 316.074(1) and 316.075)1)(c)1 stated in this Notice. The affidavit must be sworn before a notary public or other person authorized to administer oaths. If you assert that the vehicle was in the care, custody, or control of another person, you must provide the name, address, date of birth, and. if known, the driver's license numbe' of the person who leased, rented, or otherwise had care. custody, or control of the vehicle at the time of the violation. If the vehicle was stolen, then the affidavit must include a copy of a police report showing the vehicle to have been stolen. If you assert that a UTC was issued by a law enforcement officer for the violation of Florida Statutes§§ 316.074(1)and 316.075(1)(c)1 stated in this Notice,then you must include the serial number of the UTC. For faster processing, you may, but are not required to, include a copy of the UTC. If your affidavit complies with the requirements of Florida Statute § 316.0083, then no further action will be taken against you. The submission of a false affidavit is a misdemeanor of the second degree, punishable under Florida Statute§775.082 or§775.083 by a term of imprisonment not to exceed sixty (60)days and/or a fine not to exceed$500.00.If submitting an affidavit, it must be postmarked on or before the due date specified on the front page of this Notice in order to be appropriately processed. The affidavit should be mailed to City of Boynton Beach, c/o Intersection Safety Program,PO Box 22091,Tempe,AZ 85285-2091. Do not send payment or affidavit to the Clerk of the Court. If you fail to respond as outlined above,postmarked by the due date,a UTC will be issued to you. Upon issuance of a UTC,you shall have the remedies specified in Florida Statutes §§ 316.0083 and 318.14,which include (a)the right to pay the civil penalty in the amount of$264.00; (b)the right to submit an affidavit: or(c)the right to have a hearing before a designated official, who shall determine whether an infraction has been committed. If the official concludes that no infraction has been committed, the UTC will be dismissed and no costs or penalties shall be imposed. If the official concludes an infraction has been committed,the official will uphold the UTC and may impose an additional civil penalty not to exceed$500.00 and court fees and costs.Failure to pay,submit an affidavit,or request a hearing on the UTC could result in your driving privileges being suspended. VIEW YOUR IMAGES AND VIDEO EVIDENCE FOR THIS INFRACTION:The recorded images and video of your violation will be submitted as evidence for the disposition of this violation. You may view your images and video online at www.Violationlnfo.com.You will need your Notice#and PIN printed on the front of this Notice inside the red box. If you do not have internet access.you may view your video and images at any public library. QUESTIONS:If you have any questions,please contact Customer Service toll free at 1-866-225-8875. (You must be the registered owner of the vehicle to discuss this violation with Customer Service.) PAYMENT INSTRUCTIONS ONLINE PAYMENT:The fastest and easiest way to pay your$158.00 penalty is online. Go to www.Violationlnfo.com and log on with your Notice#and PIN shown in the red box on the front of this notice.Click the Pay button.There is a convenience/service fee for this service. PAYMENT BY PHONE:Call toll free 1-866-225-8875 available 24 hours a day,7 days a week.There is a convenience/service fee for this service. PAYMENT BY MAIL: Mail your check or money order(payable to City of Boynton Beach)in the enclosed envelope with the coupon printed at the bottom of the reverse side of this Notice. PLEASE DO NOT MAIL CASH. Be sure to put the Notice # (see reverse) on the face of your payment. Payment must be postmarked on or before the due date. PAYMENT IN PERSON:No walk-in payments will be accepted. HEARING REQUEST FORM To request a hearing on the above referenced Notice pursuant to Florida Statute§316.0083,please submit the signed and dated coupon below in the envelope provided.The petitioner understands they will be notified of the date,time and location of the hearing.The Local Hearing Officer shall issue a final administrative order. If the Notice of Violation is upheld, the petitioner will be required to pay$158.00 and may also be required to pay county or municipal costs,not to exceed$250.00. NOTE:Per Florida Statute,you may cancel your appearance before the local hearing officer by paying the$158.00 penalty assessed,plus$50 in administrative costs,before the start of the hearing.The amount due will be$208.00. Detach here and return bottom portion as a request for an Administrative Hearing before a Local Hearing Officer. 1852300239640 I submit this form as a request to contest this Notice of Violation and acknowledge that it must be postmarked by the due date of this Notice to be a valid request. I understand that I must attend this hearing in person, unless represented by counsel appearing in person on my behalf. Please sign and print name using blue or black ink. Signature: Printed Name: Phone Number: City of Boynton Beach Police Department 2100 High Ridge Road " Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300239640 Document Information: Violation Information: Document Type: VIOLATION DATA REPORT Violation Date/Time: 8/9/2023 11:33:28AM Version: v 1.0 Violation Location: EB W BOYNTON BEACH BLVD/NW 2ND AVE @ N CONC BOYNTON BEACH, FL Issue Date: 08/17/2023 Plate No./State: AF3102 FL Appearance Date: 10/16/2023 Make/Model/Year:: MAZD/2009 Registered Owner: TRACEY ANN SMITH Name/Address 332 KNOTTY PINE CIR APT D-2 GREENACRES, FL 33463 Driver: TRACEY ANN SMITH Name/Address 332 KNOTTY PINE CIR APT D-2 GREENACRES, FL 33463 State Exhibit: -- A�csisVRS 09/27/2023 8:11AM Page 1 of 5 City of Boynton Beach Police Department 2100 High Ridge Road ''''°" Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300239640 DATE TIME AMBER SPEED PHASE RTIME LANE FRAME 08/09/2023 11:33:27.5 AM 5.0 030 R 001.2 3 A BB007-EB W BOYNTON BEACH BLVD / NW 2ND AVE € N CONGRESS AVE State Exhibit: �s�xs�svPs" 09/27/2023 8:11AM Page 2 of 5 City of Boynton Beach Police Department "40 2100 High Ridge Road tk.`11"." Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300239640 DATE TIME AMBER SPEED PHASE RTIME LANE FRAME 08/09/2023 11:33:28.5 AM 5.0 030 R 002.2 3 B BB007-EB W BOYNTON BEACH BLVD / NW 2ND AVE @ N CONGRESS AVE lam ham, nft 3 1111 State Exhibit: saxsis VPS 09/27/2023 8:11 AM Page 3 of 5 City of Boynton Beach Police Department ""4< 2100 High Ridge Road Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300239640 • State Exhibit: AX-Sas VPS 09/27/2023 8:11 AM Page 4 of 5 City of Boynton Beach Police Department rww te 2100 High Ridge Road Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300239640 NOTES Note Added By Added Date Hearing Scheduled ON: 10/11/2023 AT 01:00 PM SYSTEM 08/30/2023 03:19:40 PM State Exhibit: ' !!lacmisVP5 09/27/2023 8:11AM Page 5 of 5 City of Boynton Beach Police Department Q. 44 2100 High Ridge Road Boynton Beach, FL 33426 Camera Log Report Document#: 1852300239640 Location: BB007 - EB W BOYNTON BEACH BLVD/NW 2ND AVE @ N CONGRESS AVE Event Date/Time Status Deployment Start 8/9/2023 2:09:01AM Operational Tests Passed Violation 8/9/2023 11:33:28AM Deployment End 8/10/2023 12:32:36AM Operational Tests Passed State Exhibit A7C3:3 v P s 09/27/2023 8:11AM Page 1 of 1 VERRA MOBILITY SYSTEM LOG REPORT I. JASON LANG ,do hereby swear that: 1. I am employed by American Traffic Solutions,Inc.,d/b/a Verra Mobility(Verra Mobility). 2. I am of sound mind,capable of making this certification,over the age of 18,and execute this certification based upon my own personal knowledge of Verra Mobility's business and the method by which Verra Mobility created, transmitted,and stored the information contained in the Verra Mobility System Log Report. 3. I am the duly authorized custodian of the Verra Mobility System Log Report,and in such capacity,I have authority to certify the Verra Mobility System Log Report is a true and correct copy of an original record maintained by Vena Mobility. 4. The Verra Mobility System Log Report referenced below is a copy of a business record which was made automatically by the AXSIS Smart Mobility Platform,at or near the time of the self-test of the automatic red light enforcement system. 5. I certify that the testing that was conducted and is contained in the Verra Mobility System Log Report is a regular practice in the course of Verra Mobility's regularly conducted business activities and is kept in the ordinary course of Verra Mobility's regularly conducted business activities. I DECLARE UNDER PENALTY OF PERJURY IN THE STATE OF FLORIDA THAT THE AFOREMENTIONED INFORMATION IS TRUE AND CORRECT. JASON LANG Verra Mobility System Log Report 8/9/2023 Location: BB007-EB W BOYNTON BEACH BLVD/NW 2ND AVE @ N CONGRESS AVE Date: 08/09/2023 Event Time Status Automated Self-Test 02:09:01 AM All Tests Passed cA eoL,�e PO Box 22091 Tempe,AZ 85285-2091 111 111 III 11 111 111 1111 111ii DATE: 08/30/2023 TRACEY ANN SMITH 332 KNOTTY PINE CIR APT D-2 PLATE: FL AF3102 GREENACRES, FL 33463 RE: Notice of Violation: 1852300239640 Version # : 1 ADMINISTRATIVE HEARING NOTIFICATION LETTER The hearing date for the above mentioned Notice of Violation ("Notice") has been scheduled for: Wednesday, October 11, 2023 at 1:00 PM Boynton Beach Police Department, 2100 High Ridge Rd, Boynton Beach, FL 33426 You may reschedule this hearing once by submitting a written request to the designated clerk to the Local Hearing Officer at Boynton Beach Traffic Division, 2100 High Ridge Rd, Boynton Beach, FL 33426. Your written request to reschedule must be received by the clerk to the Local Hearing Officer at least five (5)calendar days before the day of the originally scheduled hearing. If you have already rescheduled your hearing you may not reschedule it again. If you are receiving a new Administrative Hearing Notification Letter please review the Date, Time and Location of your hearing as one or all of them may have been updated with new information. Please disregard the earlier Administrative Hearing Notification Letter and use only the information provided on the last notification received. You may cancel your appearance before the Local Hearing Officer by paying the civil penalty of$158.00 assessed, plus $50.00 in administrative costs, before the scheduled hearing time. To make a payment online please go to www.Violationlnfo.com or to make a payment by phone call 1-866-790-4111. There may be a convenience/service fee for this service. If you choose not to appear, you waive the right to contest this violation and must pay the civil penalty of$158.00, plus administrative costs up to $250.00. City of Boynton Beach GA POtle,. 0�� ��� Intersection Safety Program CITY OF BOYNTON BEACH o Q' 'LA PO Box 22091 N TICE OF VIOLATIO z () a Tempe,AZ 85285-2091 mit DY S . oaf NOTICE#: 1852300113050 PIN: 5046 View your video and pay with your Visa or �`✓ MasterCard at www.Violationlnfo.com S` Amount Due: $158.00 III II IIII III II III II III IIII II II 5(. 7 Due Date: 08/29/2023 MARLON THEODORE SOBERS 6.....-‘.. I 325 NW 3RD AVE lJ DELRAY BEACH, FL 33444 (� ON/(Date) AT TIME AT LOCATION COUNTY 04102/2023 09:29 PM EB W WOOLBRIGHT RD @ S CONGRESS AVE PALM BEACH DATE PK ww vva ADM MR uEI RAM ovevini PA IA 03IT SO me 5 MT I A WI.WIMP. 40•3mrara wt NAME MARLON THEODORE SOBERS • - STREET ADDRESS t 325 NW 3RD AVE CITY STATE ZIP CODE _ DELRAY BEACH FL 33444 - -- - DID UNLAWFULLY II OPERATEDRIVE 0 PARK V YEAR MAKE MODEL STYLE COLOR E 2013 HOND UT BRZ Fi C L NUMBER • STATE REGISTRATION NUMBER w. L E 52APVK FL 11287026 � „ _ Did then and there commit the following offense: .. FAILURE TO COMPLY WITH A STEADY RED SIGNAL , The recorded images relating to the vehicle stated above are evidence of this violation. • IN VIOLATION OF. Florida Statutes§§316.0083,316.074(1)and 316.075(1)(c)1 POLICE DEPARTMENT -1 -f-4.-. _-i. ID#094 The traffic infraction enforcement officer or law enforcement officer named above has reviewed the recorded images ISSUE DATE evidencing the red light signal violation.has identified the license tag number of the violating vehicle and has found 06/30/2023 reasonable and probable grounds that an offense has been committed. STATUTORY PENALTY OF $158.00 IF YOU HAVE QUESTIONS ABOUT THIS NOTICE, PLEASE GO TO WWW.VIOLATIONINFO.COM Pay with your Visa or MasterCard at www.Vlolatlonlnfo.com or mail your check or money order with this coupon to the address below. ��k. IIIINImi ' NAME: MARLON THEODORE SOBERS DUE: 08/29/2023 O .Q II I II I I I I III II III 1111111111111111111 ow brPLLA EE 52APVK 1852300113050 VERSION: 2 ISSUED: a6/30/2023 WM STATE: •Si necesita ayuda en Espanol,favor(lame al 1.866.225.8875. No points will be assessed for this Notice of Violation nor will it affect •PLEASE RESPOND WITH PAYMENT,REQUEST A HEARING,OR vehicle insurance rates. SUBMIT AN AFFIDAVIT POSTMARKED ON OR BEFORE THE DUE DATE TO AVOID ISSUANCE OF A UNIFORM TRAFFIC CITATION ("UTC").SEE INSTRUCTIONS ON REVERSE SIDE. City of Boynton Beach • Pay with your Visa or MasterCard at www.Violationlnfo.com or mail Payment Processing Center your check or money order with this coupon to the address to the right. PO Box 35131 • Make your check or money order payable to City of Boynton Beach. Seattle, WA 98124-5131 • DO NOT MAIL CASH. •Write the Notice#located above on the front of your payment. • Insert this tear-off coupon in the enclosed envelope with the address to the right showing through the window. AMOUNTDUE: $158.00 1 1852300113050 000032047363 158009 Your vehicle was observed by a traffic infraction detector failing to comply with a steady red light signal, in violation of Florida Statutes§§ 316.0083, 316.074(1)and 316.075(1)(c)1, at the intersection, date, and time stated on the front page of this Notice of Violation ("Notice"). This is a non-criminal infraction of state law. No points will be assessed and this infraction may clot be used to set motor vehicle insurance rates. This notice has been issued by the City of Boynton Beach. You have the following three options: a)Pay this violation in the amount of$158.00 on or before the due date specified on the front of this Notice;or b)Submit an affidavit by following the instructions below;or c)Request a hearing by signing and mailing the form below.You will be notified by letter of the time,location and date of the hearing. If you request a hearing and the Local Hearing Officer concludes that no infraction has been committed, this Notice will be dismissed and no costs or penalties shall be imposed. If the Local Hearing Officer concludes that an infraction has been committed,the Local Hearing Officer will uphold the infraction.and you will be responsible for payment of a$158.00 fine as well as additional administrative fees and costs not to exceed$250.00 as imposed by the Local Hearing Officer. SUBMISSION OF AFFIDAVIT:You may download an affidavit at www.Violationlnfo.com.As the registered owner of the vehicle,you are deemed responsible for the violation and the payment of a $158.00 penalty unless, in compliance with Florida Statute § 316.0083(1)(d)1.a-d, you establish by a sworn affidavit that a statutory exemption applies. The exemptions are that the motor vehicle: (a)passed through the intersection in order to yield the right-of-way to an emergency vehicle or as part of a funeral procession; (b)passed through the intersection at the direction of a law enforcement officer; (c)was,at the time of the violation, in the care, custody, or control of another person; or (d)a Uniform Traffic Citation ("UTC") was issued by a law enforcement officer to the driver of the motor vehicle for the violation of Florida Statutes §§ 316.074(1) and 316.075(1)(c)1 stated in this Notice. The affidavit must be sworn before a notary public or other person authorized to administer oaths. If you assert that the vehicle was in the care, custody,or control of another person. you must provide the name, address, date of birth, and, if known, the driver's license number of the person who leased, rented, or otherwise had care, custody, or control of the vehicle at the time of the violation. If the vehicle was stolen, then the affidavit must include a copy of a police report showing the vehicle to have been stolen. If you assert that a UTC was issued by a law enforcement officer for the violation of Florida Statutes§§ 316.074(1)and 316.075(1)(c)1 stated in this Notice, then you must include the serial number of the UTC. For faster processing, you may, but are not required to, include a copy of the UTC. If your affidavit complies with the requirements of Florida Statute § 316.0083, then no further action will be taken against you. The submission of a false affidavit is a misdemeanor of the second degree, punishable under Florida Statute§775.082 or§775.083 by a term of imprisonment not to exceed sixty (60)days and/or a fine not to exceed $500.00. If submitting an affidavit, it must be postmarked on or before the due date specified on the front page of this Notice in order to be appropriately processed.The affidavit should be mailed to City of Boynton Beach,c/o Intersection Safety Program,PO Box 22091,Tempe,AZ 85285-2091. Do not send payment or affidavit to the Clerk of the Court. If you fail to respond as outlined above,postmarked by the due date,a UTC will be issued to you. Upon issuance of a UTC,you shall have the remedies specified in Florida Statutes§§316.0083 and 318.14,which include (a)the right to pay the civil penalty in the amount of$264.00; (b)the right to submit an affidavit; or(c)the right to have a hearing before a designated official. who shall determine whether an infraction has been committed. If the official concludes that no infraction has been committed, the UTC will be dismissed and no costs or penalties shall be imposed. If the official concludes an infraction has been committed.the official will uphold the UTC and may impose an additional civil penalty not to exceed$500.00 and court fees and costs.Failure to pay,submit an affidavit,or request a hearing on the UTC could result in your driving privileges being suspended. VIEW YOUR IMAGES AND VIDEO EVIDENCE FOR THIS INFRACTION: The recorded images and video of your violation will be submitted as evidence for the disposition of this violation. You may view your images and video online at www.Violationlnfo.com. You will need your Notice#and PIN printed on the front of this Notice inside the red box. If you do not have internet access.you may view your video and images at any public library. QUESTIONS:If you have any questions,please contact Customer Service toll free at 1-866-225-8875. (You must be the registered owner of the vehicle to discuss this violation with Customer Service.) PAYMENT INSTRUCTIONS ONLINE PAYMENT:The fastest and easiest way to pay your$158.00 penalty is online, Go to www.Violationlnfo.com and log on with your Notice#and PIN shown in the red box on the front of this notice.Click the Pay button.There is a convenience/service fee for this service. PAYMENT BY PHONE:Call toll free 1-866-225-8875 available 24 hours a day,7 days a week.There is a convenience/service fee for this service. PAYMENT BY MAIL:Mail your check or money order(payable to City of Boynton Beach)in the enclosed envelope with the coupon printed at the bottom of the reverse side of this Notice. PLEASE DO NOT MAIL CASH. Be sure to put the Notice # (see reverse) on the face of your payment. Payment must be postmarked on or before the due date. PAYMENT IN PERSON:No walk-in payments will be accepted. HEARING REQUEST FORM To request a hearing on the above referenced Notice pursuant to Florida Statute§316.0083,please submit the signed and dated coupon below in the envelope provided.The petitioner understands they will be notified of the date.time and location of the hearing.The Local Hearing Officer shall issue a final administrative order. If the Notice of Violation is upheld, the petitioner will be required to pay$158.00 and may also be required to pay county or municipal costs,not to exceed$250.00. NOTE:Per Florida Statute,you may cancel your appearance before the local hearing officer by paying the$158.00 penalty assessed,plus$50 in administrative costs,before the start of the hearing.The amount due will be$208.00. Detach here and return bottom portion as a request for an Administrative Hearing before a Local Hearing Officer. 1852300113050 I submit this form as a request to contest this Notice of Violation and acknowledge that it must be postmarked by the due date of this Notice to be a valid request. I understand that I must attend this 111111 hearing in person, unless represented by counsel appearing in person on my behalf. Please sign and print name using blue or black ink. Signature: Printed Name: Phone Number: City of Boynton Beach POLL. CITY OF BOYNTON BEACH 0� Intersection Safety Program o Q' • • -, PO Box 22091 NOTICE OF VIOLATION %� ( Tempe,AZ 85285-2091 NOTICE#: 1852300113050 PIN: 0534 View your video and pay with your Visa or MasterCard at www.Violationlnfo.com Amount Due: $158.00 III II II 11111 III II III II III IIII OA Due Date: 06/16/2023 AMANDA MICHELLE BLAND 132 RUBY ST • BOCA RATON, FL 3343211111 • ON/(Date) AT TIME AT LOCATION COUNTY 04102/2023 09:29 PM EB W WOOLBRIGHT RD @ S CONGRESS AVE PALM BEACH NAME AMANDA MICHELLE BLAND STREET ADDRESS 132 RUBY ST CITY STATE ZIP CODE BOCA RATON FL 33432 DID UNLAWFULLY • OPERATE/DRIVE 0 PARK V YEAR MAKE MODEL STYLE COLOR E 2013 HOND UT BRZ H I C L NUMBER • STATE REGISTRATION NUMBER • ,'�' a.oa ,""'r •"'r u.i n Ml E 52APVK FL 11287026 Did then and there commit the following offense: , FAILURE TO COMPLY WITH A STEADY RED SIGNAL The recorded images relating to the vehicle stated above are evidence of this violation. IN VIOLATION OF. Florida Statutes§§316.0083,316.074(1)and 316.075(1)(c)1 POLICE DEPARTMENT ID#4793 The traffic infraction enforcement officer or law enforcement officer named above has reviewed the recorded images ISSUE DATE evidencing the red light signal violation,has identified the license tag number of the violating vehicle and has found 04/17/2023 reasonable and probable grounds that an offense has been committed. STATUTORY PENALTY OF $158.00 IF YOU HAVE QUESTIONS ABOUT THIS NOTICE, PLEASE GO TO WWW.VIOLATIONINFO.COM Pay with your Visa or MasterCard at www.Vlolationlnfo.com or mail your check or money order with this coupon to the address below. NAME: AMANDA MICHELLE BLAND DUE: 06/16/2023 d; 10111111111 111111111 I II IIII 11111 IIII =iik NOTICE#: 1852300113050 VERSION: 1 ISSUED: 04/17/2023 PLATE: 52APVK STATE: FL TYPE: Regular •Si necesita ayuda en Espanol,favor(lame al 1.866.225.8875. No points will be assessed for this Notice of Violation nor will it affect • PLEASE RESPOND WITH PAYMENT,REQUEST A HEARING,OR vehicle insurance rates. SUBMIT AN AFFIDAVIT POSTMARKED ON OR BEFORE THE DUE DATE TO AVOID ISSUANCE OF A UNIFORM TRAFFIC CITATION ("UTC").SEE INSTRUCTIONS ON REVERSE SIDE. City of Boynton Beach •Pay with your Visa or MasterCard at www.Violationlnfo.com or mail Payment Processing Center your check or money order with this coupon to the address to the right. PO Box 35131 •Make your check or money order payable to City of Boynton Beach. Seattle, WA 98124-5131 • DO NOT MAIL CASH. •Write the Notice#located above on the front of your payment. • Insert this tear-off coupon in the enclosed envelope with the address to the right showing through the window. AMOUNT DUE: $158.00 1 1852300113050 000031463597 158009 Your vehicle was observed by a traffic infraction detector failing to comply with a steady red light signal,in violation of Florida Statutes§§ 316.0083. 316.074(1)and 316.075(1)(c)1, at the intersection, date, and time stated on the front page of this Notice of Violation ("Notice"). This is a non-criminal infraction of state law. No points will be assessed and this infraction may not be used to set motor vehicle insurance rates. This Notice has been issued by the City of Boynton Beach. You have the following three options: a)Pay this violation in the amount of$158.00 on or before the due date specified on the front of this Notice;or b)Submit an affidavit by following the instructions below:or c)Request a hearing by signing and mailing the form below.You will be notified by letter of the time,location and date of the hearing. If you request a hearing and the Local Hearing Officer concludes that no infraction has been committed, this Notice will be dismissed and no costs or penalties shall be imposed. If the Local Hearing Officer concludes that an infraction has been committed,the Local Hearing Officer will uphold the infraction,and you will be responsible for payment of a$158.00 fine as well as additional administrative fees and costs not to exceed$250.00 as imposed by the Local Hearing Officer. SUBMISSION OF AFFIDAVIT:You may download an affidavit at www.Violationlnfo.com.As the registered owner of the vehicle,you are deemed responsible for the violation and the payment of a $158.00 penalty unless, in compliance with Florida Statute § 316.0083(1)(d)1.a-d, you establish by a sworn affidavit that a statutory exemption applies. The exemptions are that the motor vehicle: (a)passed through the intersection in order to yield the right-of-way to an emergency vehicle or as part of a funeral procession; (b)passed through the intersection at the direction of a law enforcement officer; (c)was, at the time of the violation, in the care, custody,or control of another person; or (d)a Uniform Traffic Citation ("UTC") was issued by a law enforcement officer to the driver of the motor vehicle for the violation of Florida Statutes §§ 316.074(1) and 316.075(1)(c)1 stated in this Notice.The affidavit must be sworn before a notary public or other person authorized to administer oaths. If you assert that the vehicle was in the care, custody, or control of another person, you must provide the name, address, date of birth, and, if known, the driver's license number of the person who leased, rented, or otherwise had care, custody, or control of the vehicle at the time of the violation. If the vehicle was stolen, then the affidavit must include a copy of a police report showing the vehicle to have been stolen. If you assert that a UTC was issued by a law enforcement officer for the violation of Florida Statutes§§ 316.074(1)and 316.075(1)(c)1 stated in this Notice, then you must include the serial number of the UTC. For faster processing, you may, but are not required to, include a copy of the UTC. If your affidavit complies with the requirements of Florida Statute § 316.0083, then no further action will be taken against you. The submission of a false affidavit is a misdemeanor of the second degree, punishable under Florida Statute§775.082 or§775.083 by a term of imprisonment not to exceed sixty (60)days and/or a fine not to exceed $500.00.If submitting an affidavit, it must be postmarked on or before the due date specified on the front page of this Notice in order to be appropriately processed. The affidavit should be mailed to City of Boynton Beach,c/o Intersection Safety Program,PO Box 22091,Tempe,AZ 85285-2091. Do not send payment or affidavit to the Clerk of the Court. If you fail to respond as outlined above,postmarked by the due date,a UTC will be issued to you. Upon issuance of a UTC, you shall have the remedies specified in Florida Statutes§§316.0083 and 318.14,which include (a)the right to pay the civil penalty in the amount of$264.00; (b)the right to submit an affidavit; or(c)the right to have a hearing before a designated official, who shall determine whether an infraction has been committed. If the official concludes that no infraction has been committed, the UTC will be dismissed and no costs or penalties shall be imposed. If the official concludes an infraction has been committed, the official will uphold the UTC and may impose an additional civil penalty not to exceed$500.00 and court fees and costs.Failure to pay,submit an affidavit,or request a hearing on the UTC could result in your driving privileges being suspended. VIEW YOUR IMAGES AND VIDEO EVIDENCE FOR THIS INFRACTION:The recorded images and video of your violation will be submitted as evidence for the disposition of this violation. You may view your images and video online at www.Violationlnfo.com. You will need your Notice#and PIN printed on the front of this Notice inside the red box. If you do not have internet access.you may view your video and images at any public library. QUESTIONS:If you have any questions.please contact Customer Service toll free at 1-866-225-8875. (You must be the registered owner of the vehicle to discuss this violation with Customer Service.) PAYMENT INSTRUCTIONS ONLINE PAYMENT:The fastest and easiest way to pay your$158.00 penalty is online. Go to www.Violationlnfo.com and log on with your Notice#and PIN shown in the red box on the front of this notice.Click the Pay button.There is a convenience/service fee for this service. PAYMENT BY PHONE:Call toll free 1.866.225-8875 available 24 hours a day,7 days a week.There is a convenience/service fee for this service. PAYMENT BY MAIL:Mail your check or money order(payable to City of Boynton Beach)in the enclosed envelope with the coupon printed at the bottom of the reverse side of this Notice. PLEASE DO NOT MAIL CASH. Be sure to put the Notice # (see reverse) on the face of your payment. Payment must be postmarked on or before the due date. PAYMENT IN PERSON:No walk-in payments will be accepted. HEARING REQUEST FORM To request a hearing on the above referenced Notice pursuant to Florida Statute§316.0083,please submit the signed and dated coupon below in the envelope provided.The petitioner understands they will be notified of the date,time and location of the hearing.The Local Hearing Officer shall issue a final administrative order. If the Notice of Violation is upheld, the petitioner will be required to pay$158.00 and may also be required to pay county or municipal costs,not to exceed$250.00. NOTE:Per Florida Statute,you may cancel your appearance before the local hearing officer by paying the$158.00 penalty assessed,plus$50 in administrative costs,before the start of the hearing.The amount due will be$208.00. Detach here and return bottom portion as a request for an Administrative Hearing before a Local Hearing Officer. 1852300113050 I submit this form as a request to contest this Notice of Violation and acknowledge that it must be postmarked by the due date of this Notice to be a valid request. I understand that I must attend this 1100 11 11111 111 hearing in person,unless represented by counsel appearing in person on my behalf. Please sign and print name using blue or black ink. Signature: Printed Name: Phone Number: City of Boynton Beach CITY OF BOYNTON BEACH POLlC Intersection Safety Program PO Box 22091 NOTICE OF VIOLATION taoQa Tempe,AZ 85285-2091 e� • Y NOTICE#: 1852300113050 PIN: 5046 View your video and pay with your Visa or MasterCard at www.Violationlnfo.com Amount Due: $158.00 III II II I I III 0110111 II III III I II II Due Date: 08/29/2023 MARLON THEODORE SOBERS 1 325 NW 3RD AVE DELRAY BEACH, FL 334441/1 ON/(Date) AT TIME AT LOCATION COUNTY 04102/2023 09:29 PM EB W WOOLBRIGHT RD @ S CONGRESS AVE PALM BEACH r•hr we .rr NAME MARLON THEODORE SOBERS STREET ADDRESS .. 325 NW 3RD AVE CITY STATE ZIP CODE DELRAY BEACH FL 334.4.4 � • DID UNLAWFULLY U OPERATE/DRIVE 0 PARK � v !` V YEAR MAKE MODEL STYLE COLOR E 2013 HOND UT BRZ H L NUMBER STATE REGISTRATION NUMBER "O" r Witar"'"' • ::.e "m • , E c 52APVK FL 11287026 tl • - Did then and there commit the following offense: . FAILURE TO COMPLY WITH A STEADY RED SIGNAL The recorded images relating to the vehicle stated above are evidence of this violation. IN VIOLATION OF: Florida Statutes§§316.0083,316.074(1)and 316.075(1)(c)1 • - POLICE DEPARTMENT .10:7-177". ID#094 The traffic infraction enforcement officer or law enforcement officer named above has reviewed the recorded images ISSUE DATE evidencing the red light signal violation,has identified the license tag number of the violating vehicle and has found 06/30/2023 reasonable and probable grounds that an offense has been committed. STATUTORY PENALTY OF $158.00 IF YOU HAVE QUESTIONS ABOUT THIS NOTICE, PLEASE GO TO WWW.VIOLATIONINFO.COM Pay with your Visa or MasterCard at www.Vlolationlnfo.com or mail your check or money order with this coupon to the address below. cam'% ; NAME: MARLON THEODORE SOBERS DUE: 08/29/2023 '000a 11 111 1111I I III III 113111111 III III 1111111$1111 I II NOTICE#: 1852300113050 VERSION: 2 ISSUED: 06/30/2023 PLATE: 52APVK STATE: FL TYPE: Regular •Si necesita ayuda en Espanol,favor(lame al 1.866.225.8875. No points will be assessed for this Notice of Violation nor will it affect •PLEASE RESPOND WITH PAYMENT,REQUEST A HEARING,OR vehicle insurance rates. SUBMIT AN AFFIDAVIT POSTMARKED ON OR BEFORE THE DUE DATE TO AVOID ISSUANCE OF A UNIFORM TRAFFIC CITATION ("UTC").SEE INSTRUCTIONS ON REVERSE SIDE. City of Boynton Beach • Pay with your Visa or MasterCard at www.Violationlnfo.com or mail Payment Processing Center your check or money order with this coupon to the address to the right. PO Box 35131 •Make your check or money order payable to City of Boynton Beach. Seattle, WA 98124-5131 • DO NOT MAIL CASH. •Write the Notice#located above on the front of your payment. • Insert this tear-off coupon in the enclosed envelope with the address to the right showing through the window. AMOUNT DUE: $158.00 1 1852300113050 000032047363 158009 Your vehicle was observed by a traffic infraction detector failing to comply with a steady red light signal. in violation of Florida Statutes§§ 316.0083. 316.074(1)and 316.075(1)(c)1, at the intersection, date, and time stated on the front page of this Notice of Violation ("Notice"). This is a non-criminal infraction of state law. No points will be assessed and this infraction may rot be used to set motor vehicle insurance rates. This Notice has been issued by the City of Boynton Beach. You have the following three options: a)Pay this violation in the amount of$158.00 on or before the due date specified on the front of this Notice;or b)Submit an affidavit by following the instructions below;or c)Request a hearing by signing and mailing the form below.You will be notified by letter of the time,location and date of the hearing. If you request a hearing and the Local Hearing Officer concludes that no infraction has been committed, this Notice will be dismissed and no costs or penalties shall be imposed. If the Local Hearing Officer concludes that an infraction has been committed,the Local Hearing Officer will uphold the infraction,and you will be responsible for payment of a$158.00 fine as well as additional administrative fees and costs not to exceed$250.00 as imposed by the Local Hearing Officer. SUBMISSION OF AFFIDAVIT:You may download an affidavit at www.Violationlnfo.com.As the registered owner of the vehicle,you are deemed responsible for the violation and the payment of a $158.00 penalty unless, in compliance with Florida Statute § 316.0083(1)(d)1.a-d, you establish by a sworn affidavit that a statutory exemption applies. The exemptions are that the motor vehicle: (a)passed through the intersection in order to yield the right-of-way to an emergency vehicle or as part of a funeral procession; (b)passed through the intersection at the direction of a law enforcement officer; (c)was, at the time of the violation, in the care, custody,or control of another person; or (d)a Uniform Traffic Citation ("UTC") was issued by a law enforcement officer to the driver of the motor vehicle for the violation of Florida Statutes §§ 316.074(1) and 316.075(1)(c)1 stated in this Notice. The affidavit must be sworn before a notary public or other person authorized to administer oaths. If you assert that the vehicle was in the care, custody,or control of another person, you must provide the name, address, date of birth, and, if known, the driver's license number of the person who leased, rented, or otherwise had care, custody, or control of the vehicle at the time of the violation. If the vehicle was stolen, then the affidavit must include a copy of a police report showing the vehicle to have been stolen. If you assert that a UTC was issued by a law enforcement officer for the violation of Florida Statutes§§ 316.074(1)and 316.075(1)(c)1 stated in this Notice, then you must include the serial number of the UTC. For faster processing. you may, but are not required to, include a copy of the UTC. If your affidavit complies with the requirements of Florida Statute§ 316.0083, then no further action will be taken against you. The submission of a false affidavit is a misdemeanor of the second degree, punishable under Florida Statute§775.082 or§775.083 by a term of imprisonment not to exceed sixty (60)days and/or a fine not to exceed $500.00.If submitting an affidavit, it must be postmarked on or before the due date specified on the front page of this Notice in order to be appropriately processed.The affidavit should be mailed to City of Boynton Beach, c/o Intersection Safety Program,PO Box 22091,Tempe,AZ 85285-2091. Do not send payment or affidavit to the Clerk of the Court. If you fail to respond as outlined above,postmarked by the due date,a UTC will be issued to you. Upon issuance of a UTC, you shall have the remedies specified in Florida Statutes §§ 316.0083 and 318.14,which include (a)the right to pay the civil penalty in the amount of$264.00; (b)the right to submit an affidavit; or (c)the right to have a hearing before a designated official, who shall determine whether an infraction has been committed. If the official concludes that no infraction has been committed, the UTC will be dismissed and no costs or penalties shall be imposed. If the official concludes an infraction has been committed.the official will uphold the UTC and may impose an additional civil penalty not to exceed$500.00 and court fees and costs.Failure to pay,submit an affidavit,or request a hearing on the UTC could result in your driving privileges being suspended. VIEW YOUR IMAGES AND VIDEO EVIDENCE FOR THIS INFRACTION:The recorded images and video of your violation will be submitted as evidence for the disposition of this violation. You may view your images and video online at www.ViolationInfo.com. You will need your Notice#and PIN printed on the front of this Notice inside the red box. If you do not have internet access.you may view your video and images at any public library. QUESTIONS:If you have any questions,please contact Customer Service toll free at 1-866-225-8875. (You must be the registered owner of the vehicle to discuss this violation with Customer Service.) PAYMENT INSTRUCTIONS ONLINE PAYMENT:The fastest and easiest way to pay your$158.00 penalty is online. Go to www.Violationlnfo.com and log on with your Notice#and PIN shown in the red box on the front of this notice.Click the Pay button.There is a convenience/service fee for this service. PAYMENT BY PHONE:Call toll free 1-866-225-8875 available 24 hours a day,7 days a week.There is a convenience/service fee for this service. PAYMENT BY MAIL: Mail your check or money order(payable to City of Boynton Beach)in the enclosed envelope with the coupon printed at the bottom of the reverse side of this Notice. PLEASE DO NOT MAIL CASH. Be sure to put the Notice # (see reverse) on the face of your payment. Payment must be postmarked on or before the due date. PAYMENT IN PERSON:No walk-in payments will be accepted. HEARING REQUEST FORM To request a hearing on the above referenced Notice pursuant to Florida Statute§316.0083,please submit the signed and dated coupon below in the envelope provided.The petitioner understands they will be notified of the date,time and location of the hearing.The Local Hearing Officer shall issue a final administrative order. If the Notice of Violation is upheld, the petitioner will be required to pay$158.00 and may also be required to pay county or municipal costs,not to exceed$250.00. NOTE:Per Florida Statute,you may cancel your appearance before the local bearing officer by paying the$158.00 penalty assessed,plus$50 in administrative costs,before the start of the hearing.The amount due will be$208.00. Detach here and return bottom portion as a request for an Administrative Hearing before a Local Hearing Officer. 1852300113050 I submit this form as a request to contest this Notice of Violation and acknowledge that it must be postmarked by the due date of this Notice to be a valid request. I understand that I must attend this 111111010 11 hearing in person, unless represented by counsel appearing in person on my behalf. Please sign and print name using blue or black ink. Signature: Printed Name: Phone Number: City of Boynton Beach Police Department 2100 High Ridge Road Boynton Beach, FL 33426 DECLARATION/AFFIDAVIT Document Number: 1852300113050 Date Created: 1/1/0001 12:00:00 AM Received On 6272023 NO ACTION By:KOSTEMA AMENDOZA1-6/28/2023 City of Boynton Beach Intersection Safety Program Affidavit Establishing Exemption Under Florida Statutes§316.0083(1)(d) This is a form of affidavit that you may use to establish an exemption from the statutory penalty described in the notice of violation that you have received. Section I contains the instructions for filling out this form. Section II is the form that you must fill out if you choose to use this form of affidavit. Please read the instructions in Section I carefully before filling out Section II or mailing this affidavit. If this affidavit is incomplete, unsworn. does not contain required documentation, or is not received before the due date, it will not be sufficient to establish an exemption under § 316.0083(1)(d) necessary to avoid court fees, costs and the issuance of a Uniform Traffic Citation I. Instructions (1) Florida Statutes § 316.0083 provides that the registered owner of-a motor vehicle found by a traffic infraction detector to have violated Florida Statutes §§ 316.074(1) or 316.075(1)(c)1, relating to adherence to traffic control devices, is responsible for a statutory penalty of $158.00 unless the owner establishes by affidavit that an exemption applies. The notice of violation you have received explains the statutory exemptions and how to establish them. (2) Section II of this document constitutes an affidavit that you may use to assert an exemption. Please fill in all blanks with the information requested. If you do not provide the required information, your affidavit will not be sufficient and will not avoid payment of the penalty. (3) If you assert that you are exempt from the statutory penalty because,at the time of the violation described in the notice, the vehicle was in the possession, custody, or control of another person, then you must provide the name, address, date of birth, and, if known. the driver's license number of the person who leased, rented, or otherwise had care, custody, or control of the vehicle at the time of the violation. Section II contains a space for you to do so (4) If you assert that you are exempt from the statutory penalty because,at the time of the violation described in the notice, the vehicle was stolen, then the affidavit must include a copy of a police report showing the vehicle to have been stolen Please attach the police report to this affidavit. (5) If you assert that you are exempt from the statutory penalty because a Uniform Traffic Citation was issued by a law enforcement officer for the violation of Florida Statute § 316.074(1)or 316.075(1)(C)1 stated in the notice, then you must include the serial number of the Uniform Traffic Citation. Section II contains a space for you to do so. (6) This affidavit must be sworn to before a notary public or other person authorized to administer oaths. A form for the notary or other person to execute is included at the end of Section II. Please do not return this affidavit without this evidence of its being sworn, as that will not be sufficient and will not avoid payment of the penalty. (7) Upon completing this affidavit, please mail it to the City of Boynton Beach, cio Intersection Safety Program, P.O. Box 22091, Tempe,AZ 85285-2091. (8) The statements in this affidavit must be truthful. The submission of a false affidavit is a misdemeanor of the second degree, punishable under Fla. Stat. § 776.082 or § 776.083 by a term of imprisonment not to exceed sixty(60)days and/or a fine not to exceed $600.00. KO � 2-SOCA 13C-St City of Boynton Beach Police Department 2100 High Ridge Road Boynton Beach, FL 33426 DECLARATION/AFFIDAVIT Document Number: 1852300113050 Date Created: 1/1/0001 12:00:00 AM Received On 6272023 NO ACTION By:KOSTEMA AMENDOZA1-6282023 II.Affidavit I, Ull-C16 16)06-''r ,having been sworn, hereby depose and say as follows. 1. I have received a notice (the"Notice") informing me that a motor vehicle registered in my name was observed violating Florida Statutes§§ 316.074(1)and 316.075(1r( )t1 by falling to obey a steady red traffic signal. The Notice bears the following 13 digit number: (S2 Jui( 3 J%St . 2. Under Florida Statute § 316.0083(1)(d), I am exempt from the payment of the statutory penalty described in the Notice because(check all that apply). At the time of the violation described in the Notice, my vehicle passed through the intersection in order to yield the right-of-way to an emergency vehicle. At the time of the violation described in the Notice, my vehicle passed through the intersection as a part of a funeral procession. At the time of the violation described in the Notice, my vehicle passed through the intersection at the direction of a law enforcement officer. At the time of the violation described in the Notice, the vehicle was in the care, custody, or control of another person. Person's name, address, phone number and date of birth are Name: N\CtS (0l 1 t . 6 CJL f.S Address: S N uJ 3(CI City:fl '/iCyi l_ &C ',i State: H-- Zip:13,5 6Y/ Company Owned Vehicle-Position of person authorized to name driver Date of Birth: JL-(ft"( t 2-t 1 1X3hone Number: Ci cf"1 ,'(l (_o 61 3 1 I Xdo/_do not know the driver's license number of this person Driver's License Number:S I SSS �'4 ,. (2 (If Company owned Vehicle and you are naming the driver please fill out your name and position with the company): Name: Position. At the time of the violation described in the Notice, my vehicle had been stolen. A true and correct copy of a police report establishing that my vehicle had been stolen at that time is attached to this affidavit. A Uniform Traffic Citation has been issued by a law enforcement officer to the driver of the vehicle for the same violation of Florida Statutes§§316 074(1)and 316 075(1)(c)1 described in the Notice. The serial number of that citation is _ The motor vehicle's owner was deceased on or before the date that the uniformed traffic citation was issued. I understand that I must be the representative of the motor vehicle owner's estate or other designated person by a family member to fill out this Affidavit. I understand that I must include a certified copy of the owner's death certificate showing that the date of death occurred on or before the issuance of the uniform traffic citation and one of the following • A bill of sale or other document showing that the deceased owner's motor vehicle was sold after his or her death but on or before the date of the alleged violation, 2 City of Boynton Beach Police Department • 2100 High Ridge Road . Boynton Beach, FL 33426 DECLARATION/AFFIDAVIT Document Number: 1852300113050 Date Created: 1/1/0001 12:00:00 AM Received On:6272023 NO ACTION By KOSTEMA AMENDOZA1-6282023 • Documentary proof that the registered license plate belonging to the deceased owner's vehicle was returned to the department or any branch office or authorized agent of the department on or before the date of the alleged violation,or • Copy of a police report showing the deceased owner's registered license plate or motor vehicle was stolen after the owner's death but on or before the date of the alleged violation. I have provided to satisfy the requirements of this section. 3. I understand that Florida Statutes§ 316.0083 requires that I provide detailed information supporting the exemption(s) I have identified in Paragraph 2, which may include the facts and circumstances supporting the exemption I have asserted. That detailed information is as follows(attach additional sheets as nsary): (1)-r- pi)(/ 4)/)? h (j:4-- k.AJ n t)/ c_1/7���) t c�R- 4. The foregoing statements are true and co ect. 44( ,/ ((h7 Signature of Registered Owner �0( LP1" y (PSzq Phone Number of Registered Owner 6Mothe, v 3 PfrfC.kQ)L t_O/11 Email of Registered Owner VERIFICATION OF NOTARY OR PERSON AUTHORIZED TO ADMINISTER OATHS STATE OF /d r d`/c"- ) COUNTY OF C _'– --- Sworn Attild`,�j! /I/ 6321e,4 44202! " – ' !' 63 e , who is Swom to and subscribed before me on Y — personally known to me or— rovided identification,and , • •i• take 1 ath. i , A..1..c. ( — 1 Notary Public Stats of Florida is-- /Am: Gladys Maria Yamber Notary P4'4 ic,S F� da \ / 4My Commission M11375661 Print-< Name: C Ii` Y 4) Expires "512°27 My Commission Expires: _' _'ir : ' ,,-77 TS 3 City of Boynton Beach Police Department ."k4 2100 High Ridge Road ;Rs,/ir Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300113050 Document Information: Violation Information: Document Type: VIOLATION DATA REPORT Violation Date/Time: 4/2/2023 9:29:05PM Version: v 2.0 Violation Location: EB W WOOLBRIGHT RD @ S CONGRESS AVE BOYNTON BEACH, FL Issue Date: 06/30/2023 Plate No./State: 52APVK FL Regular Appearance Date: 08/29/2023 Make/Model/Year:: HOND/2013 Registered Owner: AMANDA MICHELLE BLAND Name/Address 132 RUBY ST BOCA RATON, FL 33432 Driver: MARLON THEODORE SOBERS Name/Address 325 NW 3RD AVE DELRAY BEACH, FL 33444 State Exhibit: *3 is VPS 10/11/2023 4:38AM Page 1 of 5 City of Boynton Beach Police Department _w4� 2100 High Ridge Roade. • Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300113050 DATE TIME AMBER SPEED PHASE RTIME LANE FRAME 04/02/2023 09:29:03.6 PM 5.0 025 R 081.7 1 A 66011-EB WWOOLBRIGHTRD @S CONGRESS AVE E : • • 1 State Exhibit: �.r_ A amisvPS 10/11/2023 4:38AM Page 2 of 5 City of Boynton Beach Police Department 2100 High Ridge Road Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300113050 DATE TIME AMBER SPEED PHASE RTIME LANE FRAME 04/02/2023 09:29:05.2 PM 5.0 025 R 083.3 1 B BB011-EB W WOOLBRIGHT RD @ S CONGRESS AVE • • • . f State Exhibit: „“I1° v's- 10/11/2023 4:38AM Page 3 of 5 City of Boynton Beach Police Department .0.'"°4cc 2100 High Ridge Road Boynton Beach, FL 33426 • Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300113050 i }} 521 1 State Exhibit: .;77 ! svPs 10/11/2023 4:38AM Page 4 of 5 City of Boynton Beach Police Department »4� 2100 High Ridge Road Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300113050 NOTES Note Added By Added Date Driver requested a hearing via landline--hearing information provided. YPEREZ 09/07/2023 07:43:50 AM Hearing Scheduled ON: 10/11/2023 AT 01:00 PM YPEREZ 09/07/2023 07:41:48 AM NON LIABILITY ASSIGNED MOSPINA 06/29/2023 06:06:41 AM ACTION - NO ACTION; SENT TO CLIENT AMENDOZA1 06/28/2023 12:51:19 PM PENDING FURTHER ACTION KOSTEMA 06/27/2023 12:49:57 PM State Exhibit: Axsis VPs 1 0/11/2023 4:38AM Page 5 of 5 City of Boynton Beach Police Department 2100 High Ridge Road Boynton Beach, FL 33426 Camera Log Report Document#: 1852300113050 Location: BB011 - EB W WOOLBRIGHT RD @ S CONGRESS AVE Event Date/Time Status Deployment Start 4/2/2023 2:21:42AM Operational Tests Passed Violation 4/2/2023 9:29:05PM Deployment End 4/3/2023 2:06:27AM Operational Tests Passed State Exhibit A7c_413VPS 10/11/2023 4:38AM Page 1 of 1 ATS SYSTEM LOG REPORT I,Jonathan Crabb,do hereby swear that: 1. I am employed by American Traffic Solutions("ATS"). 2. I am of sound mind,capable of making this certification,over the age of 18,and execute this certification based upon my own personal knowledge of ATS's business and the method by which ATS created,transmitted,and stored the information contained in the ATS System Log Report. 3. I,am the duly authorized custodian of the ATS System Log Report,and in such capacity,I have authority to certify the ATS System Log Report is a true and correct copy of an original record maintained by ATS. 4. The ATS System Log Report referenced below is a copy of a business record which was made automatically by the Axsis Violation Processing System,at or near the time of the self-test of the automatic red light enforcement system. 5. I certify that the testing that was conducted and is contained in the ATS System Log Report is a regular practice in the course of ATS's regularly conducted business activities and is kept in the ordinary course of ATS's regularly conducted business activities. I DECLARE UNDER PENALTY OF PERJURY IN THE STATE OF FLORIDA THAT THE AFOREMENTIONED INFORMATION IS TRUE AND CORRECT. Jonathan Crabb ATS System Log Report 04/02/2023 Location: BB011 -EB W WOOLBRIGHT RD @ S CONGRESS AVE Date: 04/02/2023 Event Time Status Automated Self-Test 02:21:42 AM All Tests Passed ig.,*ets, PO Box 22091 C '( Tempe,AZ 85285-2091 7A .a 111001111 III II IN 11 11111 111 II II II DATE: 06/29/2023 AMANDA MICHELLE BLAND 132 RUBY ST PLATE: FL 52APVK Regular BOCA RATON, FL 33432 RE: Notice of Violation: 1852300113050 Version # : 1 NOTICE OF DISMISSAL This is to notify you that the above mentioned Notice of Violation for an infraction has been dismissed for the following reason: LIABILITY HAS BEEN TRANSFERRED TO THE NAMED INDIVIDUAL ON THE AFFIDAVIT YOU SUBMITTED. We apologize for any inconvenience. No further action is required. We recommend that you keep this notification for your records. �,.POLiO PO Box 22091 ,4 �„ Tempe,AZ 85285-2091 0. �'r off ° DY III II I I I I'III II II I II III II I I II II DATE: 09/07/2023 MARLON THEODORE SOBERS 325 NW 3RD AVE PLATE: FL 52APVK Regular DELRAY BEACH, FL 33444 RE: Notice of Violation: 1852300113050 Version # : 2 ADMINISTRATIVE HEARING NOTIFICATION LETTER The hearing date for the above mentioned Notice of Violation ("Notice") has been scheduled for: Wednesday, October 11, 2023 at 1:00 PM Boynton Beach Police Department, 2100 High Ridge Rd, Boynton Beach, FL 33426 You may reschedule this hearing once by submitting a written request to the designated clerk to the Local Hearing Officer at Boynton Beach Traffic Division, 2100 High Ridge Rd, Boynton Beach, FL 33426. Your written request to reschedule must be received by the clerk to the Local Hearing Officer at least five (5)calendar days before the day of the originally scheduled hearing. If you have already rescheduled your hearing you may not reschedule it again. If you are receiving a new Administrative Hearing Notification Letter please review the Date, Time and Location of your hearing as one or all of them may have been updated with new information. Please disregard the earlier Administrative Hearing Notification Letter and use only the information provided on the last notification received. You may cancel your appearance before the Local Hearing Officer by paying the civil penalty of$158.00 assessed, plus $50.00 in administrative costs, before the scheduled hearing time. To make a payment online please go to www.Violationlnfo.com or to make a payment by phone call 1-866-790-4111. There may be a convenience/service fee for this service. If you choose not to appear, you waive the right to contest this violation and must pay the civil penalty of$158.00, plus administrative costs up to $250.00. City of Boynton Beach CITY OF BOYNTON BEACH GA POLlCP 0�� `�-�� Intersection Safety Program 6,p- ' \ PO Box 22091 NOTICE OF VIOLATION 6<� �QY� Tempe,AZ 85285-2091 r--)5 D____. . NOTICE#: 1852300216390 PIN: 1266 5.---,. U View your video and pay with your Visa or ie( / 3 MasterCard at www.Violationlnfo.com Amount Due: $158.00 III II II I I III II IRO III II I I II II Due Date: 09/23/2023 KAY WEITZEL 5329 WASHINGTON RD . DELRAY BEACH, FL 33484 N.., r IIIIW ON/(Date) AT TIME AT LOCATION COUNTY 07/13/2023 08:41 PM WB W WOOLBRIGHT RD @ S CONGRESS AVE PALM BEACH DATA Sts Arm se®naa RPM LAM nus 01,13/2023 OA 41.46.0 TAP 0.0 026 A 000.3 2 A 021032-118 M IAIOYAIG6R AD P 8 COMMAS AVE NAME KAY WEITZEL , STREET ADDRESS 5329 WASHINGTON RD 2 CITY STATE ZIP CODE I DELRAY BEACH FL 33484 DID UNLAWFULLY • OPERATE/DRIVE 0 PARK V YEAR MAKE MODEL STYLE COLOR E 2019 SUBA 4D GRY H I C L NUMBER STATE REGISTRATION NUMBER PM ns Arm ar®PPM MOP ms nope L 01113/2023 ca 41.P.3 FM 0.0 026 A 002.6 2 A EC IJ72AL FL 07832921 621012-1113 11 14W PIAA1.2 w P s COMMA AVE Did then and there commit the following offense: FAILURE TO COMPLY WITH A STEADY RED SIGNAL . • The recorded images relating to the vehicle stated above are evidence of this violation. IN VIOLATION OF. Florida Statutes§§316.0083,316.074(1)and 316.075(1)(c)1 POLICE DEPARTMENT - , +_ ID#094 - The traffic infraction enforcement officer or law enforcement officer named above has reviewed the recorded images ISSUE DATE evidencing the red light signal violation,has identified the license tag number of the violating vehicle and has found 07/25/2023 reasonable and probable grounds that an offense has been committed. STATUTORY PENALTY OF$158.00 IF YOU HAVE QUESTIONS ABOUT THIS NOTICE, PLEASE GO TO WWW.VIOLATIONINFO.COM Pay with your Visa or MasterCard at www.Vlotatlonlnfo.com or mail your check or money order with this coupon to the address below. it Li- 0 VISA NAME: KAY WEITZEL DUE: 09/23/2023 g�. e AEI II I I III II IIII II III II I I III NOTICE#: 1852300216390 VERSION: 1 ISSUED: 07/25/2023 mom PLATE: IJ72AL STATE: FL TYPE: •Si necesita ayuda en Espanol,favor(lame al 1.866.225.8875. No points will be assessed for this Notice of Violation nor will it affect •PLEASE RESPOND WITH PAYMENT,REQUEST A HEARING,OR vehicle insurance rates. SUBMIT AN AFFIDAVIT POSTMARKED ON OR BEFORE THE DUE DATE TO AVOID ISSUANCE OF A UNIFORM TRAFFIC CITATION ("UTC").SEE INSTRUCTIONS ON REVERSE SIDE. City of Boynton Beach •Pay with your Visa or MasterCard at www.Violationlnfo.com or mail Payment Processing Center your check or money order with this coupon to the address to the right. PD Box 35131 •Make your check or money order payable to City of Boynton Beach. Seattle, WA 98124-5131 • DO NOT MAIL CASH. •Write the Notice#located above on the front of your payment. •Insert this tear-off coupon in the enclosed envelope with the address to the right showing through the window. AMOUNT DUE: $158.00 1 1852300216390 000032201368 158006 Your vehicle was observed by a traffic infraction detector failing to comply with a steady red light signal, in violation of Florida Statutes§§ 316.0083, 316.074(1)and 316.075(1)(c)1, at the intersection, date, and time stated on the front page of this Notice of Violation ("Notice"). This is a non-criminal infraction of state law. No points will be assessed and this infraction may not be used to set motor vehicle insurance rates. This Notice has been issued by the City of Boynton Beach. You have the following three options: a)Pay this violation in the amount of$158.00 on or before the due date specified on the front of this Notice;or b)Submit an affidavit by following the instructions below;or c)Request a hearing by signing and mailing the form below.You will be notified by letter of the time,location and date of the hearing. If you request a hearing and the Local Hearing Officer concludes that no infraction has been committed, this Notice will be dismissed and no costs or penalties shall be imposed. If the Local Hearing Officer concludes that an infraction has been committed,the Local Hearing Officer will uphold the infraction,and you will be responsible for payment of a$158.00 fine as well as additional administrative fees and costs not to exceed$250.00 as imposed by the Local Hearing Officer. SUBMISSION OF AFFIDAVIT: You may download an affidavit at www.Violationlnfo.com.As the registered owner of the vehicle,you are deemed responsible for the violation and the payment of a $158.00 penalty unless. in compliance with Florida Statute § 316.0083(1)(d)1.a-d, you establish by a sworn affidavit that a statutory exemption applies. The exemptions are that the motor vehicle: (a)passed through the intersection in order to yield the right-of-way to an emergency vehicle or as part of a funeral procession; (b)passed through the intersection at the direction of a law enforcement officer; (c)was. at the time of the violation, in the care, custody,or control of another person; or (d)a Uniform Traffic Citation ("UTC") was issued by a law enforcement officer to the driver of the motor vehicle for the violation of Florida Statutes §§ 316.074(1) and 316.075(1)(c)1 stated in this Notice.The affidavit must be sworn before a notary public or other person authorized to administer oaths. If you assert that the vehicle was in the care,custody,or control of another person, you must provide the name. addres• , and, if known, the Driver's license number of the person who leased, rented, or otherwise had care, custody, or control of the vehicle at the time of the violation. If the vehicle was stolen, then the affidavit must include a copy of a police report showing the vehicle to have been stolen. If you assert that a UTC was issued by a law enforcement officer for the violation of Florida Statutes§§ 316.074(1)and 316.075(1)(c)1 stated in this Notice,then you must include the serial number of the UTC. For faster processing, you may, but are not required to, include a copy of the UTC. If your affidavit complies with the requirements of Florida Statute § 316.0083, then no further action will be taken against you. The submission of a false affidavit is a misdemeanor of the second degree, punishable under Florida Statute§775.082 or§775.083 by a term of imprisonment not to exceed sixty (60)days and/or a fine not to exceed$500.00.If submitting an affidavit, it must be postmarked on or before the due date specified on the front page of this Notice in order to be appropriately processed. The affidavit should be mailed to City of Boynton Beach, c/o Intersection Safety Program.PO Box 22091,Tempe,AZ 85285-2091. Do not send payment or affidavit to the Clerk of the Court If you fail to respond as outlined above,postmarked by the due date,a UTC will be issued to you. Upon issuance of a UTC,you shall have the remedies specified in Florida Statutes§§ 316.0083 and 318.14, which include(a)the right to pay the civil penalty in the amount of$264.00; (b)the right to submit an affidavit; or(c)the right to have a hearing before a designated official, who shall determine whether an infraction has been committed. If the official concludes that no infraction has been committed, the UTC will be dismissed and no costs or penalties shall be imposed. If the official concludes an infraction has been committed. the official will uphold the UTC and may impose an additional civil penalty not to exceed$500.00 and court fees and costs.Failure to pay,submit an affidavit,or request a hearing on the UTC could result in your driving privileges being suspended. VIEW YOUR IMAGES AND VIDEO EVIDENCE FOR THIS INFRACTION: The recorded images and video of your violation will be submitted as evidence for the disposition of this violation. You may view your images and video online at www.Violationlnfo.com. You will need your Notice#and PIN printed on the front of this Notice inside the red box. If you do not have internet access,you may view your video and images at any public library. QUESTIONS:If you have any questions,please contact Customer Service toll free at 1-866-225-8875. (You must be the registered owner of the vehicle to discuss this violation with Customer Service.) PAYMENT INSTRUCTIONS ONLINE PAYMENT:The fastest and easiest way to pay your$158.00 penalty is online. Go to www.Violationlnfo.com and log on with your Notice#and PIN shown in the red box on the front of this notice.Click the Pay button.There is a convenience/service fee for this service. PAYMENT BY PHONE:Call toll free 1-866-225-8875 available 24 hours a day.7 days a week.There is a convenience/service fee for this service. PAYMENT BY MAIL: Mail your check or money order(payable to City of Boynton Beach)in the enclosed envelope with the coupon printed at the bottom of the reverse side of this Notice. PLEASE DO NOT MAIL CASH. Be sure to put the Notice # (see reverse) on the face of your payment. Payment must be postmarked on or before the due date. PAYMENT IN PERSON:No walk-in payments will be accepted. HEARING REQUEST FORM To request a hearing on the above referenced Notice pursuant to Florida Statute§316.0083,please submit the signed and dated coupon below in the envelope provided.The petitioner understands they will be notified of the date,time and location of the hearing.The Local Hearing Officer shall issue a final administrative order. If the Notice of Violation Is upheld, the petitioner will be required to pay$158.00 and may also be required to pay county or municipal costs,not to exceed$250.00. NOTE:Per Florida Statute,you may cancel your appearance before the local hearing officer by paying the$158.00 penalty assessed,plus$50 in administrative costs,before the start of the hearing.The amount due will be$208.00. Detach here and return bottom portion as a request for an Administrative Hearing before a Local Hearing Officer. 1852300216390 I submit this form as a request to contest this Notice of Violation and acknowledge that it must be postmarked by the due date of this Notice to be a valid request. I understand that I must attend this 11111 101011 11111011 hearing in person, unless represented by counsel appearing in person on my behalf. Please sign and print name using blue or black ink. Signature: Printed Name: Phone Number: City of Boynton Beach Police Department .••4t 2100 High Ridge Road "I.'" • Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300216390 Document Information: Violation Information: Document Type: VIOLATION DATA REPORT Violation Date/Time: 7/13/2023 8:41:47PM Version: v 1.0 Violation Location: WB W WOOLBRIGHT RD @ S CONGRESS AVE BOYNTON BEACH, FL Issue Date: 07/25/2023 Plate No./State: IJ72AL FL Appearance Date: 09/23/2023 Make/Model/Year:: SUBA/2019 Registered Owner: KAY WEITZEL Name/Address 5329 WASHINGTON RD DELRAY BEACH, FL 33484 Driver: KAY WEITZEL Name/Address 5329 WASHINGTON RD DELRAY BEACH, FL 33484 State Exhibit: /S7CiIs VPS 09/27/2023 8:40AM Page 1 of 5 City of Boynton Beach Police Department " <r 2100 High Ridge Road r� Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300216390 DATE TIME AMBER SPEED PHASE RTIME LANE FRAME 07/13/2023 08:91:96.0 PM 5.0 029 R 000.3 2 A BB012-WB W WOOLBRIGHT RD @ S CONGRESS AVE i • _ 74. _ State Exhibit: �.. ^mallsysls"" 09/27/2023 8:40AM Page 2 of 5 City of Boynton Beach Police Department ak4 2100 High Ridge Road Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300216390 DATE TIME AMBER SPEED PHASE RTIME LANE FRAME 07/13/2023 08:41:47.3 PM 5.0 024 R 001. 6 2 B BB012-WB W WOOLBRIGHT RD @ S CONGRESS AVE I • Ii a. +rte State Exhibit: AxsisvPS- 09/27/2023 8:40AM Page 3 of 5 City of Boynton Beach Police Department 2100 High Ridge Road"• Boynton Beach, FL 33426 Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300216390 � zJ7• ., , State Exhibit: ..,�� . ss„rs- 09/27/2023 8:40AM Page 4 of 5 City of Boynton Beach Police Department ars 2100 High Ridge Road Boynton Beach, FL 33426 - Violation Evidence Report Complaint Number: Docket Number: Document Number: 1852300216390 NOTES Note Added By Added Date Hearing Scheduled ON: 10/11/2023 AT 01:00 PM SYSTEM 08/25/2023 06:20:22 PM State Exhibit: sUcsisI VPS 09/27/2023 8:40AM Page 5 of 5 City of Boynton Beach Police Department 2100 High Ridge Road Boynton Beach, FL 33426 Camera Log Report Document#: 1852300216390 Location: BB012 - WB W WOOLBRIGHT RD @ S CONGRESS AVE Event Date/Time Status Deployment Start 7/13/2023 3:53:38AM Operational Tests Passed Violation 7/13/2023 8:41:47PM Deployment End 7/14/2023 2:08:29AM Operational Tests Passed State Exhibit axsisVPS 09/27/2023 8:40AM Page 1 of 1 • VERRA MOBILITY SYSTEM LOG REPORT I, JASON LANG ,do hereby swear that: 1. I am employed by American Traffic Solutions,Inc.,d/b/a Verra Mobility(Verra Mobility). 2. I am of sound mind,capable of making this certification,over the age of 18,and execute this certification based upon my own personal knowledge of Verra Mobility's business and the method by which Verra Mobility created, transmitted,and stored the information contained in the Verra Mobility System Log Report. 3. I am the duly authorized custodian of the Verra Mobility System Log Report,and in such capacity,I have authority to certify the Verra Mobility System Log Report is a true and correct copy of an original record maintained by Verra Mobility. 4. The Verra Mobility System Log Report referenced below is a copy of a business record which was made automatically by the AXSIS Smart Mobility Platform,at or near the time of the self-test of the automatic red light enforcement system. 5. I certify that the testing that was conducted and is contained in the Verra Mobility System Log Report is a regular practice in the course of Verra Mobility's regularly conducted business activities and is kept in the ordinary course of Verra Mobility's regularly conducted business activities. I DECLARE UNDER PENALTY OF PERJURY IN THE STATE OF FLORIDA THAT THE AFOREMENTIONED INFORMATION IS TRUE AND CORRECT. JASON LANG Verra Mobility System Log Report 7/13/2023 Location: BB012-WB W WOOLBRIGHT RD @ S CONGRESS AVE Date: 07/13/2023 Event Time Status Automated Self-Test 03:53:38 AM All Tests Passed r�GA POL�c� PO Box 22091 QO\ Tempe,AZ 85285-2091 0. Q c? �oa 11I 111111111 1100111 IIiii 111 11 11 DATE: 08/25/2023 KAY WEITZEL 5329 WASHINGTON RD PLATE: FL IJ72AL DELRAY BEACH, FL 33484 RE: Notice of Violation: 1852300216390 Version # : 1 ADMINISTRATIVE HEARING NOTIFICATION LETTER The hearing date for the above mentioned Notice of Violation ("Notice") has been scheduled for: Wednesday, October 11, 2023 at 1:00 PM Boynton Beach Police Department, 2100 High Ridge Rd, Boynton Beach, FL 33426 You may reschedule this hearing once by submitting a written request to the designated clerk to the Local Hearing Officer at Boynton Beach Traffic Division, 2100 High Ridge Rd, Boynton Beach, FL 33426. Your written request to reschedule must be received by the clerk to the Local Hearing Officer at least five (5)calendar days before the day of the originally scheduled hearing. If you have already rescheduled your hearing you may not reschedule it again. If you are receiving a new Administrative Hearing Notification Letter please review the Date, Time and Location of your hearing as one or all of them may have been updated with new information. Please disregard the earlier Administrative Hearing Notification Letter and use only the information provided on the last notification received. You may cancel your appearance before the Local Hearing Officer by paying the civil penalty of$158.00 assessed, plus $50.00 in administrative costs, before the scheduled hearing time. To make a payment online please go to www.Violationlnfo.com or to make a payment by phone call 1-866-790-4111. There may be a convenience/service fee for this service. If you choose not to appear, you waive the right to contest this violation and must pay the civil penalty of$158.00, plus administrative costs up to $250.00. Special Magistrate for Red Light Camera Violations OCTOBER 11th, 2023 1:00 P.M. 2100 HIGH RIDGE ROAD, Boynton Beach, FL 33426 AGENDA Page 1 1. Call to order by local Hearing Officer, JAMES D. STOKES 2. Amendments to the Agenda 3. Approval of Minutes 4. Swear in witnesses 5. Violation Hearings: Failure to comply with a steady red signal VIOLATOR ISSUING NOTICE # OFFICER ��pt/ A.1 DJOULINE ALINCAR SA OSPINA 1852300227447 B.2 JONAS LEHMAN BAIR 5.0 \.j "651( PSA OSPINA 1852300246736 ('V C.3 HEBE NOEMI BALEIRON 'SA OSPINA 1852300200899 0 D.4 PAULETTE LISA CATAFFO 1.0 ,b 1,96 PSA OSPINA 1852300251074 t'l E.5 KAMERON JAMAAL DAVIS 9A � ' A OSPINA 1852300209205 ✓P F.6 URSZULA DLUGOPOLSKI c u , A OSPINA 1852300207027 G.7 MARIA ALEJANDRINA FALCONI AN,I to 'f''l:A OSPINA 1852300251140 do H.8 MARIA ALEJANDRINA FALCONI 6V � ' SA OSPINA 1852300244574 011 -r- I.9 WILLIAM GALLART S A ,3 PSA OSPINA 1852300144170 Q J.10 MICHEAL GUGLIELMI PSA OSPINA 1852300232330 ch./ K.1 1 SAUL STUART KIMMEL PSA OSPINA 1852300226779 (Av L.12 CHAD MICHAEL LEADENS PSA OSPINA 1852300236620 z't3 -.M.13 ADAM FRANK LEVINE 7*°.1 PSA OSPINA 1852300250993 tkiCk. N.14 DANIEL MORALES HERNANDEZ PSA OSPINA 1852300226076 N; 0.15 MICHAEL REYNOLDS 14\5‘.`\ éPSA OSPINA 1852300237453 V( 16 TRACEY ANN SMITHv,,i0p 1 SPINA 1852300239640 Q.17 MARLON THEODORE SOBERS j '0 .7 � . • OSPINA 1852300113050 R.18 KAY WEITZEL S-O . 3 z,9-__JO PSA OSPINA 1852300216390 S.19 PSA OSPINA T.20 NOTICE: If any decision of the Special Magistrate Violation Hearings affects you,and you decide to appeal any decision at this meeting with respect to any matter considered,you will need to ensure that a verbatim record of the proceedings is made, in which the records includes the testimony and evidence upon which the appeal is to be based. (The above NOTICE is required by State Law. Anyone desiring a verbatim transcript shall have the responsibility,at his or her own cost,to arrange for the transcript.)