Fillable Campus Summons Procedure No. 923.1 Supplement 3 (Atlantic Cape Community College)

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Campus Summons Procedure No. 923.1 Supplement 3 (Atlantic Cape Community College)

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Campus Summons
Procedure No. 923.1 – Supplement 3
Atlantic Cape Community College
Mays Landing, NJ 08330
Month Day Year Hour a.m./p.m.
Name - Last Name - First Name - Middle
Address Tel.# Social Security
City State Zip No. Date of Birth
Did unlawfully (Park) - (Operate) A
Make of Vehicle Year Body Type Color
License Plate # State Decal Type Location
Decal # Color of Decal No. of Violations
Commit the following Offense(s)
__
Parking in handicapped area without a handicapped decal
__
Parking in a Fire Zone
__
Parking in staff area without staff/faculty decal
__
Parking in visitor's parking area
__
Parking or driving on walkway, grass or road shoulder
__
Parking without a valid decal (or without a decal)
__
Parking as to block or impede traffic
__
__
__
__
______________________ ___________ _______ _______________
Parking in a no parking area
Parking as to take more than one space
Parking in handicapped area
Other
Notice: You are notified that the Atlantic Cape Security
Office will file a copy of this summons with the Business
Office. If the violations continue or they are not paid
promptly your parking privileges may be revoked and your
vehicle towed at your expense. Students are advised that
records and transcripts will be frozen until payment is made.
Vehicle Towed Date Hour Location Towed
Officer's Signature________________________________________
Date_______________________________________________________
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Campus Summons Procedure No. 923.1 Supplement 3 (Atlantic Cape Community College)

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Completed 20 September 2020

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