Bear River Band Tribal Court
State:
Zip:
Email:
Mailing Address:
City:
Telephone:
Tribal Affiliation:
Signature
RESPONSE TO BEAR RIVER
BAND POLICE CITATION
In Re:
,
Petitioner(s),
v.
,
Respondent
Court File Number:
Case Type:
(For Court Personnel Only)
Bear River Band Tribal Court
266 Keisner Road
Loleta, CA 95551
(707
) 773-1900 phone
(707) 773-1719 fax
Pursuant to Bear River Band of the Rohnerville Rancheria Peace and Security Ordinance, I wish to
contest my citation.
I,
DECLARE under penalty of perjury of the laws of the Bear River Band of the Rohnerville Rancheria that
the information provided is true and correct to the best of my knowledge.
DATE:
Printed Name of Respondent
BEAR RIVER BAND POLICE DEPARTMENT
RESPONDENT INORMATION:
10/2020
APPROVED BY BRBTC
RESPONSE TO BEAR RIVER BAND POLICE CITATION
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