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Campus Police

Citation Number
Issue Date
Citation received at	Oceanside San Elijo Community Learning Center
Date of Request
License Plate Number
Name
ID Number
I am a:	Student Staff Visitor
Decal Number
Address
City
State
Zip
Telephone	Day Evening
Statement of Facts	Please state why you feel your citation should be dismissed in the space below. Be sure to include dates, times, and any names you feel may be important. Should you need more space, please attach additional pages.