Western Australian Consolidated Regulations Western Australian Consolidated Regulations[r. 13, 14]
Form 1
Petroleum Products Pricing Act 1983
Infringement notice
Serial No ..............
Date ......./......./.......
To: (1)
......................................................................................................................
of: (2)
.......................................................................................................................
It is alleged that on ....../....../...... at (3)
....................................................................
at (4)
.........................................................................................................................
you committed the following offence —
................................................................................................................................
................................................................................................................................
................................................................................................................................
contrary to section/regulation* (5) ............ of the Petroleum Products
Pricing Act 1983/Petroleum Products Pricing Regulations 2000 *.
*
Delete as appropriate .
The modified penalty for the offence is $ ...................
If you do not wish to have a complaint of the alleged offence heard and
determined by a court, the amount of money specified in this notice as the
modified penalty may be paid within a period of 28 days after the giving
of this notice. Payment may be made by either —
(a)
posting this form with a cheque, money order or postal note for the specified
amount of money, payable to the Prices Commissioner, to the Department of
Consumer and Employment Protection 2 , Locked Bag 14, Cloisters Square,
Perth WA 6850; or
(b)
presenting this form and paying the specified amount to an authorised person
(6) at the Department of Consumer and Employment Protection 2 ,
Ground Floor, 219 St George’s Terrace, Perth WA 6000.
Name and title of authorised person giving this notice
......................................
Signature ........................................................
(1) Name of alleged offender
(2) Address of alleged offender
(3) Time at which offence allegedly committed
(4) Place at which offence allegedly committed
(5) Section or regulation designation
(6) Description of authorised persons
[Form 1 inserted in Gazette
9 Nov 2001 p. 5927-8.]
Form 2
Petroleum Products Pricing Act 1983
Withdrawal of infringement notice
Serial No ...................
Date ....../......./.......
To: (1)
.......................................................................................................................
of: (2)
........................................................................................................................
Infringement notice No. ........................ dated ......./......./.......
for the alleged
offence
of.................................................................................................................
.................................................................................................................................
.................................................................................................................................
has been withdrawn.
The modified penalty of $ ........................
*
has been paid and a refund is enclosed.
*
has not been paid and should not be paid.
*
Delete as appropriate
Name and title of authorised person giving this notice
.........................................
Signature .....................................
(1) Name of alleged offender given the
infringement notice
(2) Address of alleged offender
[Form 2 inserted in Gazette
9 Nov 2001 p. 5928-9.]
