Fillable KEN BURKE WIRELESS COMMUNICATION PROOF OF PURCHASE STATEMENT (Pinellas County Clerk of the Circuit Court and Comptroller)

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KEN BURKE WIRELESS COMMUNICATION PROOF OF PURCHASE STATEMENT (Pinellas County Clerk of the Circuit Court and Comptroller)

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CS TRAFFIC WIRELESS COMMUNICATION PROOF OF PURCHASE STATEMENT
KEN BURKE
CLERK OF THE CIRCUIT COURT AND COMPTROLLER,
PINELLAS COUNTY, FLORIDA
WIRELESS COMMUNICATION PROOF OF PURCHASE STATEMENT
1. I am the Defendant in case number ____________________.
2. I received a citation from Law Enforcement for a violation of §316.306, Florida Statutes.
3. I am a first time offender, having never received a citation for a violation of §316.306,
Florida Statutes, prior to my citation in the case number listed above.
4. As a first time offender, I am seeking a dismissal disposition as authorized by law.
I do not have a receipt to show “proof of purchase” of equipment that enables my
personal wireless communications device to be used in a hands-free manner.
However, I do have “proof of purchase” as reflected in the explanation below:
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________.
I have attached a photocopy of ___________________________, as “proof of
purchase.”
Under penalties of perjury, I declare that I have read the foregoing Statement and that the facts
stated in it are true.
Signature
Date
Name:
____________________________________________________________
Address:
____________________________________________________________
Cell #:
___________________________
Email:
___________________________
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KEN BURKE WIRELESS COMMUNICATION PROOF OF PURCHASE STATEMENT (Pinellas County Clerk of the Circuit Court and Comptroller)

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Completed 10 February 2021

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