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

Ho.

CANADA )
PROVINCE OF BRITISH COLUMBIA )
CITY OF PORT COQUITLAM )

You are charged with the following offence:
On the day of 19 » on

(Location) ;
In the City of Port Coquitlam, in the Province of British Columbia, at (AM/PM)

Hame:

(Last) . (First) (Other)

(Street) (Municipality or Post (Province)
Office Box)

Address:

Bid unlavfully:

aad did then and there commit the offence indicated under “City of Port Coquitlan™
Pound and Animal Regulation By~law, 1970, No. 1020", as amended:

‘ i Allow Dog to run at large Allow dog to trespess
oo, on private property -

[] Fail to confine bitch in heat cL] Own diseased or vicious dog

Keep or have in possession [___] Fatture to cause dog to wear
unlicenced dog licence tag

Removing licence tag from dog CC] Allow cattle to run at: large
without lawful authority

Other violation:

The informant says that he has reasonable and probable grounds to believe and dees
believe that the peraon named above comitted the offence indicated.

Signature of
. Informant Peace Officer :
In the name of Her Majesty The Queen, you are therefore commanded to appear in the
Provincial Court of British Columbia, at the City of Port Coquitlam, in the Province
of British Columbia, on the day of » 39 » ato (AM/PM) ,
€o ansver the above charge and to be further dealt with according to law.

Indicated ea
Penalty Signature . . i
Peace Officer

Offender