The Police Department shall establish and keep a traffic violations docket which shall contain the following language: “I hereby waive issuance of the summons. I hereby deposit the amount of the penalty and do this voluntarily for my own convenience.” In addition, there shall be a place for the signature of the person charged. Opposite the place provided for such signature and on a line with it shall appear sufficient data to identify the person charged and show the date of the charge, the waiver number, citation number, name and address of the person charged, the officer making the charge, a description of the charge, the number of the receipt issued to the person charged and the amount of the civil penalty paid.
(1989 Code, § 9-38)