2396GOVERNMENT GAZETTE, WA 5 May 2017

2396 GOVERNMENT GAZETTE, WA 5 May 2017 If you do not prove otherwise, you will be deemed to have committed the offence unless— (a) within 28 days after being served with this notice; (i) you inform the Chief Executive Officer or another authorised officer of the local government as to the identity and address of the person who was the driver or person in charge of the vehicle at the time the offence is alleged to have been committed; and (ii) you satisfy the Chief Executive Officer that the vehicle had been stolen, or was being unlawfully used, at the time the offence is alleged to have been committed; or (b) you were given an infringement notice for the alleged offence and the modified penalty specified in it is paid within 28 days after the notice was given or such further time as is allowed. (5) .......................................................................... (6) .................................................................................................................................................................. (1) Name of owner or ‘the owner’ (2) Address of owner (not required if owner not named) (5) Signature of authorised person (6) Name and title of authorised person giving notice ———— FORM 2 INFRINGEMENT NOTICE Serial No. ............................. To: (1) ............................................................................................................................................................ of: (2) ............................................................................................................................................................. It is alleged that on .......... / .......... / .......... at (3) ........................................................................................ at (4) .............................................................................................................................................................. make: ......................................................... ; model: ........................................................ ; registration: ............................................... , you committed the following offence— ....................................................................................................................................................................... ....................................................................................................................................................................... ....................................................................................................................................................................... contrary to clause ............... of the Parking Local Law 2017. 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 to an authorised person at (5) .............................. within a period of 28 days after the giving of this notice. If you take no action this infringement notice may be registered with the Fines Enforcement Registry after which your driver’s licence or any vehicle licence held by you may be suspended. If the matter is registered with the Registry additional costs will also be payable. If the above address is not your current address, or if you change your address, it is important that you advise us immediately. Failure to do so may result in your driver’s licence or any vehicle licence you hold being suspended without your knowledge. (6) .............................................................. (7) .................................................................................................................................................................. (1) Name of alleged offender or ‘the owner’ (2) Address of alleged offender (5) Place where modified penalty may be paid (6) Signature of authorised person (7) Name and title of authorised person giving notice