"City of Port Coquitlam Pound and Animal Regulation By-law, 1970, No. 1020,
Amendment By-law, 1974, No. "

REPORT OF CONVICTION

Name of person convicted:

(Nane)

(Address)

COURT ACTION

For Crown: : For Defence:

Court Reporter:

Adjourned to: Reason:

Fatled to Appear
Warrant Issued:

Charge Read: ‘Plea:

Pine of
Court

Under

(Section of By-law
under which convic-
tion made)

Disnissed Suspended Sentence

Time to pay: Jeiled: ‘ Days In:

HEARD ON » 19 » in tha Provincial Court of British
Columbia, in the City of Port Coquiclam.

(Recommendations or Comments)

Z WEREBY CERTIFY that the information herein
under Court Action ia « trus extract from the
Court Record.

CONVICTING JUDGE OR JUSTICE

Meester