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UNIFORM ORDINANCE CITATION <br />BURNETT COUNTY SECTION 66.1190), WIS. STATUTES <br />-)� <br />$ ` Forfeiture <br />STATE OF WISCONSIN <br />DEPOSITP!E 4 &T O B.C. <br />��pj1( <br />i a <br />$ ( �` Penalty Assess. <br />tit 0 `, <br />THE UNDERSIGNED, BEING DULY SWORN AND UNDER <br />f <br />$ Court Costs <br />OATH, COMPLAINS FOR AND ON BEHALF OF THE <br />COUNTY OF BURNETT UPON INFORMATION AND <br />CIRCUIT COURT OF BURNETT COUNTY <br />BELIEF, THAT ON OR ABOUT, <br />$� TOTAL <br />DAN OF WEEK <br />I DATE VIOLATION <br />I TIME ❑ AMCOU <br />' <br />TWP-VILLAGE-CITY <br />SCS 7't <br />jlI- <br />4' 1!E <br />PM <br />NAME LASTFIR T <br />MI <br />DATE OF BIRTH <br />AGE <br />{j� bw � to <br />MO. DAY YR. <br />STREET OR ROUT <br />7c= S4. <br />CITY, STAT , ZIP C DE <br />rI <br />SEX � M <br />�5 ts� <br />S�`� R1 -t S <br />EDF <br />DID UNLAWFULLY rsy. c�c1r �"? `��(� 13► r' v 5 c. L 4.tuti'Emt"t�' <br />ON T E ABOVE STATED TIME, DALE AND LOCATIO THE DEFEND AN (DESCRIBE VIOLATION — TATE CTS <br />off >° +�h ` "'IG Mattafa �1L" — �?G>� G% <br />y -�� <br />1-t � t- S� t tt t..i, .3-S Ij4<t J LP -w an -4 tS54t {" �r iJf�Sf !►�c=.t C ��'ri�� f * !�` f �' t'�t [,yes, t:�t %[.e <br />i!t dr c, A4 V-4 om <br />I e, ^ also <br />jug; <br />00 N lfi< L., } of /y2 T <br />i <br />�� <br />7'� P`01 t t i f R.�, w' - 1^ <br />❑ <br />7 7 f 4 ^^� f. <br />in violation of section(s) i <br />of the Ordinance <br />and prays that he/she may be held to answer therefor. <br />❑ Burnett Co, ordinance adopting sec. <br />Signature of Officer ' 'f+ <br />SUBSCRIBED AND SWORN TO Before me this date <br />19 Title <br />Department Agency L� n <br />Name Title <br />or <br />YOU ARE HEREBY NOTIFIED TO APPEAR IN THE <br />ABOVE NAMED COURT <br />riLi, YA.M. <br />q44 //'' <br />THE MAXIMUM FORFEITURE FOR THIS VIOLATION IS $ <br />19��. AT L 1']P.M. <br />THE COURT MAY ALSO REVOKE ALL LICENSES, CONFISCATE ALL EVIDENCE AND <br />BURNET OUNTY GOVERNMENT CENTER <br />REQUIRE RESTORATION OR RESTITUTION OF ANY ENVIRONMENTAL DAMAGE. <br />