Sch 2INFRINGEMENT NOTICE

SCHEDULE 2—INFRINGEMENT NOTICE [cl. 10.2(3)] Infringement Notice INFRINGEMENT NUMBER— To— Address— It is alleged that— Cemetery address— At— Time On— Date You committed the following offence— Contrary to— Shire of Dumbleyung Cemeteries Local Law 2022 Schedule 1 reference— Item No.— Clause— Offence— Brief description— The modified penalty for the offence is— $ If you do not wish to have a complaint of the alleged offence heard and determined by a court, the amount of the modified penalty may be paid at the Shire of Dumbleyung within a period of 28 days after the giving of this notice. Name of authorised person— Position— Signature— Date— Payments may be made— (a) EFT to the Shire of Dumbleyung specifying the infringement number (b) In person at—Shire of Dumbleyung, Harvey Street, Dumbleyung during business hours (c) By mail to—Shire of Dumbleyung PO Box 99, Dumbleyung 6350 Please make cheques payable to Shire of Dumbleyung. If the penalty is not paid within the time specified, then a complaint of the alleged offence may be made and heard and determined by a court. ————

3 November 2022 GOVERNMENT GAZETTE, WA 5105