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2. ** Notice**

   By agreeing to participate in this payment plan for your waivable offense, you are formally entering a plea of Guilty and accepting the resulting 2-point penalty associated with the original charge.

4. Bratenahl Mayor's Court Waiver Payment Plan * Please see Waiver Schedule Page for violation amount *

   Please fill out the required information below. This is a 60-day payment plan.  Payments can be made over the phone, in person, Monday-Friday, 9 am-4 pm, and online at www.bratenahl.org.

6. Date*
   Date
8. Ticket Number*
10. First Name*
11. Last Name*
13. Phone Number*
14. Email Address*
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16. 1. Receive an email copy of this form.
17. Email address

    This field is not part of the form submission.

18. Submit Submit and Print

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