APPENDIX C: WAIVER ALLOWING TRANSFER
I, ________________ , understand that I have been charged with a violation of an ordinance of the City of Valparaiso as stated on ticket # ______________ , issued on ______________, and I further understand that the fine imposed by the City of Valparaiso, if I admit guilt of the alleged violation, can be paid through the Ordinance Violations Bureau of the City of Valparaiso located at 166 West Lincolnway, Valparaiso, Indiana, if done so within 30 days of the violation or that, upon failure to pay the fine or request by me, this cause will be transferred to the Porter County Court System located at 16 East Lincolnway, Valparaiso, Indiana, for processing. I hereby WAIVE the ability to dispose of this cause through the Ordinance Violations Bureau of the City of Valparaiso and DO REQUEST this cause be timely transferred to the Porter County Court.
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Signature                     Date
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Print Name
(‘89 Code, Traffic Exhibit C) (Am. Ord. passed 4-8-96)