Fillable CITY OF DANBURY DANBURY, CT 06813-2299 (203) 797-4624 (City of Danbury)

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CITY OF DANBURY DANBURY, CT 06813-2299 (203) 797-4624 (City of Danbury)

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CITY OF DANBURY
DANBURY, CONNECTICUT 06810
TICKET HEARING OFFICER PAUL D. ESTEFAN
P.O. BOX 2299 MICHAEL SAFRANEK
DANBURY, CT 06813-2299 (203) 797-4624
TO FILE AN APPEAL: Fill out the “FORM” below and mail back “WITH INVOICE” to the above address. You will
be notified by mail regarding date and time for hearing.
Name: Date:
Address:
City/State/Zip:
Home phone number: Work phone number:
License Plate and State:
Check: Ticket From: Police Department Parking Authority
Ticket Number(s):
Ticket Amount(s):
Reason for Ticket(s):
Date Received and Where:
Reason for Appeal:
Form 11/21/05
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CITY OF DANBURY DANBURY, CT 06813-2299 (203) 797-4624 (City of Danbury)

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Completed 18 January 2021

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