Case Number Name Amount ($) 4.5% Convenience Fee($) Total to be charged($)

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Card Holder: Card Number: Card Exp Date: Receipt Email:
SwipeCard
Person Name HASWELL, DONOVAN CARL
Drivers License
State
Drivers License #
Date Of Birth 08211996
Case Number MC19-0000030
TicketNumber
Issue Date 10312019
Court Date 12122019
Offense Description 13A-8-170; GAS DRIVE OFF
Total Fine 381.23
Date Paid
Auth Num