autoridade de trnsito do Municpio de Ribeiro Preto

___________________________________________________________________________, portador
(NOME )

do RG.N ___________________,residente _____________________________________________

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bairro ________________________, CEP ___________________, fone _______________Municpio
de ________________________, proprietrio e/ou condutor do veculo marca ________________,
modelo _____________________, placa _________________, vem interpor defesa da autuao,
originada pelo Auto de Infrao de Trnsito n.____________________________, lavrado no dia
___/___/___, ______________________________________________________ alego
( LOCAL DA INFRAO )

em minha defesa:

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Atenciosamente,
__________________________________, _________,de ____________________ de _________

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(ASSINATURA)