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UNIFORM ORDINANCE CITATION _ <br /> BURNETT COUNTY SECTION 66.119(1),WIS.STATUES $ Forfeiture <br /> STATE OF WISCONSIN DEPOSIT PERMITTED B.C. 2196 $ Penalty Asses. <br /> THE UNDERSIGNED,BEING DULY SWORN AND UNDER $ Court Costs <br /> OATH,COMPLAINS FOR AND ON BEHALF OF THE <br /> COUNTY OF BURNETT UPON INFORMATION AND CIRCUIT COURT OF BURNETT COUNTY "''' <br /> BELIEF,THAT ON OR ABOUT, 5 '' TOTAL <br /> DAY OF WEEK DATE VIOLATION TIME ❑ AM COUNTY ; 4.1 -'1 WP-VILLAGE-CITY <br /> tPM <br /> NAME LAST FIRST MI DATE OF BIRTH AGE <br /> MO. DAY YR. <br /> STREET OR ROUTE CITY,STATE,ZIP CODE SEX ❑ Ni <br /> El <br /> DID UNLAWFULLY <br /> ON THE ABOVE STATED TIME,DATE AND LOCATION,THE DEFENDANT(DESCRIBE VIOLATION-STATE FACTS) <br /> in violation of section(s) of the ❑ Ordinance <br /> and prays that he/she may be held to answer therefore. 0 Burnett Co.ordinance adopting sec. <br /> 1 <br /> Signature of Officer <br /> SUBSCRIBED AND SWORN TO Before me this date 20 Title ' <br /> Name Title Department or Agency <br /> YOU ARE HEREBY NOTIFIED TO APPEAR IN THE . <br /> ABOVE NAMED COURT D <br /> THE MAXIMUM FORFEITURE FOR THIS VIOLATION IS$ - `' w <br /> , ...8.A.M. <br /> ON 20 AT i�` ❑ P.M. THE COURT MAY ALSO REVOKE ALL LICENSES,CONFISCATE ALL EVIDENCE AND <br /> BURNETT COUNTY GOVERNMENT CENTER REQUIRE RESTORATION OR RESTITUTION OF ANY ENVIRONMENTAL DAMAGE. <br />