City of Seabrook Forms

2. FIRST NAME*
3. LAST NAME*
5. PHONE NUMBER*
6. EMAIL ADDRESS*
8. DATE OF BIRTH*
   DATE OF BIRTH
9. CITATION #*
10. HOW DO YOU PLEA?*

    1. NOT GUILTY
11. IDENTIFICATION*

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13. 1. Receive an email copy of this form.
14. Email address

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