Fillable Explanation in Connection with Parking Infringement Notice (Masterton District Council New Zealand)

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Explanation in Connection with Parking Infringement Notice (Masterton District Council New Zealand)

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Country of origin: NEW-ZEALAND
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C:\Users\kyliet\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\RO9AG5NW\Explanation Form 2017.doc
Explanation in Connection with Parking Infringement Notice
Explanations can be mailed to Masterton District Council PO Box 444, Masterton 5840 or
emailed to parking@mstn.govt.nz.
I make this application of my own free will and further I am the person referred to in the
attached notice.
Name: ..................................................................................................................................
(Please print) (First Names) (Surname)
Property Address: ........................................................................................................
This is required (Please print) ........................................................................................................
Contact Phone: ........................................................................................................
Email Address: ........................................................................................................
Postal Address: ........................................................................................................
If different from above ........................................................................................................
Parking Infringement Notice Number: ……………………………. Please attach a copy of the notice
My explanation with regard to this infringement is:
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Signature: ........................................................ Date: .................................................
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Explanation in Connection with Parking Infringement Notice (Masterton District Council New Zealand)

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Completed 31 January 2021

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