Pueblo Community College
Parking Office
********TICKET MUST BE ATTACHED********
Appeals must be received in Parking Office
within ten (10) days of date of occurrence
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Name__________________________ ID #___________________ Telephone ____________
Ticket Number _________Date of Ticket________________ Date of Appeal ______________
Home (or local) Address _______________________________________________________
City ________________ State _____ Zip _____________ Vehicle Make _________________
License __________________ State _____ Sticker Number ___________________________
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Provide full and accurate explanation detailing basis for appeal. (Attach additional pages if needed.)
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"I affirm that the foregoing representations are true".
Signed: _______________________________________ Date: _____________________
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** Do Not write Below this Line **
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Decision:
Comments:
Entered HP ____________ Verdict Entered HP ______________ Notice Sent __________
Parking Office, College Center, Room 115, Pueblo, CO 81004-1430