Print Perrysburg Municipal Court Amy M. Rife Court Administrator (419) 872-7900 Mary (Molly) L. Mack, Judge 300 Walnut Street Perrysburg, Ohio 43551-1455 www.perrysburgcourt.com Gregory A. Genzman Chief Bailiff FAX: (419) 872-7905 Date:________________________ To: Perrysburg Municipal Court 300 Walnut Street Perrysburg, OH 43551 RE: __________________________________________ Ticket No. or Case No. I hereby waive arraignment, waive time, and enter a plea of not guilty. I am requesting a trial date to be set. ____________________________________________________ Name ____________________________________________________ Current Street Address (including Apt or Lot #) or P.O. Box ____________________________________________________ City/State/Zip This letter may be mailed or sent by FAX to 419.872.7905. It may be used for minor misdemeanor charges only. American LegalNet, Inc. www.FormsWorkFlow.com