Form of notice of withdrawal of infringement notice
Schedule 5 Form of notice of withdrawal of infringement notice
[r. 12]
Perth Parking Management Act 1999
Perth Parking Management Regulations 1999
NOTICE OF WITHDRAWAL OF
INFRINGEMENT NOTICE
Date of this notice ......../......../........
To: .........................................................................................................................
of: ..........................................................................................................................
Infringement notice No. ................. dated ......../......../........ that was issued for
the alleged offence of ............................................................................................
.................................................................................................................................
.................................................................................................................................
.................................................................................................................................
contrary to section ................. of the Perth Parking Management Act 1999 has been withdrawn.
The modified penalty of $..........................
- was paid, and a refund is enclosed
- was not paid and should not be paid
(delete as appropriate)
Name and title of inspector giving this notice ......................................................
......................................................
Signature ......................................................
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