[NOTE:  Graphic is printed in the Summary Offence Ticket Booklet, Volume 1, or is available in hard copy from the Registry of Regulations.]
 

[NOTE:  Graphic is printed in the Summary Offence Ticket Booklet, Volume 1, or is available in hard copy from the Registry of Regulations.]

[NOTE:  Graphic is printed in the Summary Offence Ticket Booklet, Volume 1, or is available in hard copy from the Registry of Regulations.]

Form B-1 added: O.I.C. 2005-5, N.S. Reg. 1/2005.

To:	(name) (address)
The informant,(name) says that:
on(date), (province) vehicle number plate(number), registered in your name, was found(specify offence) at(civic #, street, meter #, or place), Nova Scotia, contrary to Section(number)of the (statute, regulation, by-law).
Therefore, you are ordered to attend Court on(date) at(time) at(place), NovaScotia, in Courtroom(number) before the presiding Judge or Justice and to attend as required by the Court.
Dated at, Nova Scotia, on(date).
_______________________________ Parking-Infraction Ticket Administrator (Municipality)
The following is for information purposes only and does not form part of the parking-infraction notice
PAYMENT OPTIONS
(Set out local payment options)

1.	I hereby certify that
	(a)	the parking-infraction ticket(s) shown on the list attached hereto was/were affixed to the vehicle(s) in a conspicuous place or served on the operator of the vehicle(s) at the time of the infraction; and
	(b)	notice(s) of the parking infraction(s) was/were sent by ordinary mail on the date shown on the list attached hereto, to the owner(s) of the vehicle(s) at the last known name and address of the owner(s) as indicated in the records of the Registrar of Motor Vehicles requiring the owner(s) to appear in Provincial Court at, Nova Scotia, in Courtroom(number)on(date)at(time).
OR
1.	I hereby certify that
	(a)	(municipality)parking-infraction ticket(number)for(offence)at or near(civic #, street, meter #, or place), Nova Scotia, was affixed to the vehicle bearing(province)number platein a conspicuous place on(date); and
	OR
	(a)	(municipality)parking-infraction ticket(number)for(offence)at or near(civic #, street, meter #, or place), Nova Scotia, was served on the operator of the vehicle bearing(province)number plateon(date); and
	(b)	notice of the parking infraction was sent by ordinary mail on(date)to the last known name and address, as indicated in the records of the Registrar of Motor Vehicles, of the owner of(province)number platerequiring that owner, namely(name)of(address)to appear in Provincial Court at(place)Nova Scotia, in Courtroom(number)on(date)at(time).
2.	The out of court penalty for this violation is $ .
Dated at, Nova Scotia, on(date).
____________________________ Parking-Infraction Ticket Administrator (Municipality)