XC TRAINS LIMITED Unpaid Fare Notice (Issued for travel on XC Trains Limited services only) Not transferable. owe (5400 Swry/ 210 Jo" oF aint At tis: mw hrs, you were unable to provide or poy for a vaild ticket for your journey: [ro WacSace, : | © AgeRcYsS A - | | cuass 2 “STANDARD /FiROPCURG No ticket Standard to First Out-of-date ticket Fovel beyond validity No supporting documentation Adult on a Child ticket ‘Other Foiled to corry Season Ticket ‘Oyster Card Freedom Pass Solo/Electron oo O 02 O,03 O 05 O 06 Oo 7 O 08 Oo 09 [ew £ As - OO AMOUNT RECEIVED (on Owe ehionl- TIS A CRIMINAL OFFENCE TO MAKE ANY RAIL JOURNEY WITH THE INTENT TO AVOID PAYMENT OF THE FARE DUE. UNLESS THE AMOUNT OWING IS PAID IN FULL WITHIN 21 DAYS OF ISSUE OF THIS NOTICE, LEGAL PROCEEDINGS MAY BE BROUGHT AGAINST YOU FOR NON-PAYMENT. WE ALSO RESERVE THE RIGHT TO CHARGE AN ADMINISTRATION FEE OF AT LEAST £25 FOR EACH REMINDER LETTER IF PAYMENT IS NOT RECEIVED WITHIN 21 DAYS OF ISSUE OF THIS NOTIFE. IF UNDER 18 - NAME OF PARENT OR GUARDIAN | o : [eee Becc | FORENAME 4 gg iC, 'NUMBER/ ¢ ee NAME f3 STRET AL. We) no lees ! em Tee teres COUNTY Hs re rons0% — /- 3% 12° NAME. Metiod: YERIFIED Yes [] NO "ADDRESS Yeni yes [J No tc xc 1002428 Important notice HF you wish to dispute your liability for this notice you must send an explanation for failing to have a vali fcket or other authority for your journey. This must be sent fo the address indicated overleaf, fo arrive within 21 days ofthe date shown on thisnotice. | confirm that the personal and journey details given are correct. | understand that | have 21 days te pay the amount ‘quested on this notice cn that should I fel to do-so |may be liable for further costs and/or prosecution for non- payment. | sage xc [seme dynet Be Please forward this document with any correspondence or payment. |e RASS REN SSH ET ET PAYMENT ADVICE (Please forward this document with any correspondence or payment. Proof of postage cannot be accepted as proof of payment) | enclose Cheque/Postal Order or Credit Card/Dabit Card ‘authorisation for £ CreciuDebit card payments made by pest are subject o £1.25 handing fee Card No, meas Card "Dale a8 appropri. StartDate: Issue No. ‘Sih and Maestro ony Expiry Date: {make cheques/POs payable to IRCAS.) [rer or ar Op 7: Visa / Mastercard / Switch / Maestro ! Solo / Electron Cardholder's Signature Paymen may oe a = sane a. aaa: [raon sexs, power : ts te ack of ina. pencisnre eee ae (a xc 1002428 FN ee