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 STREETER, JERRY
Drivers License
State
AL
Drivers License #
Date Of Birth 09161962
Case Number TR18-0000755
TicketNumber T5170195
Issue Date 11302018
Court Date 01172019
Offense Description 32-6-65; EXPIRED TAG
Total Fine 204.00
Date Paid
Auth Num