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Infraction Deferral Form Agreement

Both Pages Must Be Printed! Mail completed form (both pages) and money order (made payable to Terre Haute City Clerk for $189.50) to TERRE HAUTE CITY CLERK, 17 HARDING AVE, ROOM 102 CITY HALL, TERRE HAUTE, INDIANA 47807

Infraction Deferral Form-Website.pdf — PDF document, 113Kb

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