Western Australian Consolidated RegulationsNotices issued pursuant to section 13B
Form 1
INFRINGEMENT NOTICE
No.
.......................................................
Date of service ................................
20 .....................
1. It is alleged that at about
..................................................... a.m./p.m. on the
.......................................... day of
............................................ 20 .........., you contravened
the by-law specified and briefly described in item 2.
........................................................
Authorised person
2. By-law No. Brief
description Modified penalty
of offence
3. You may dispose of this matter
either —
(a)
by payment of the modified penalty within
..................... days of the date of this notice; or
(b) by having it dealt with
by a court.
4. If the modified penalty is not paid within
........................... days, court proceedings may be taken against you.
5. Payment may be made by completing item 6 and
either posting this form and a cheque, money order or postal note for the
amount of the modified penalty specified in item 2, to the registrar of the
Magistrates Court 2 , Perth or by delivering this form and paying the
amount to the registrar of the Magistrates Court 2 , Perth between the
hours of 10.00 a.m. and 3.30 p.m. on Mondays to Fridays.
6. I,
...............................................................................................................................
(Name)
of
.........................................................................................................................................
(number and street)
.............................................................................................................................................
(town or suburb)
(Postcode)
admit contravening the by-law indicated in this form.
...................................................
(Signature of offender)
Form 2
WITHDRAWAL OF INFRINGEMENT NOTICE
No.
.......................................................
Date of service ................................
20 .....................
To
........................................................................................................................................
(Name)
of
.........................................................................................................................................
(Address)
Infringement Notice No.
..................................................................... served
on you on the .................................... day of
........................................ 20 .................... for the
alleged contravention of by-law
................................................ is hereby withdrawn and no
further action will be taken against you in respect of the alleged offence.
...................................................
Manager
Form 3
CERTIFICATE ISSUED PURSUANT TO SECTION 13C(2)
CERTIFICATE
This is to certify that
...........................................................................................................
(Name)
is authorised to give infringement notices pursuant to section 13C of the
Perth Market Act 1926 .
The holder of this certificate shall produce this certificate whenever
required to do so by a person to whom he has given, or is about to give, an
infringement notice.