Laserfiche WebLink
UNIFORM ORDINANCE CITATION <br />BURNETT COUNTY SECTION 66.119(1), WIS. STATUTES; <br />$ Forfeiture <br />STATE OF WISCONSIN DEPOSITERM��E> o B.C. 1091 $ ., Penalty Assess. <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, $ " ' TOTAL <br />DAY QE.WEEK DATE VIOLATION I TIME ❑ AM COUNTY TWP-VILLAGE-CITY <br />PM lJ&/i <br />NAME LAST , y FIRST MI DATE OF BIRTH AGE <br />/rt.I f " MO. DAY YR. <br />STREET OR ROUTE fp�(�ja r • N. CITY, STATE IP CODE 551348- SEX In M <br />1!''.. i ❑ F <br />DID UNLAWFULLY -I e r' rL r '.. sl7'a. f� r le`�' C.Z,!'/J>,"' <br />ON THE ABOVE STATED TIME, DATE AND LOCATIO,N.� THE DEFENDANT,(DESCRIBE VIOLA'TION — STATE FACTS) <br />C-'f � tc' ��j'';' rJ��. ri� /€` ' �i i--�;t•r,, ,, Via,.:` ?Y�r:. /+ . r -/-•� t�. s'f r c, : i<-,� (.�.a}� =: c.. <br />lett=z: �.uf4�€'rr.� �� 7 t<)( %�C i - :(ec S t✓If �''i r,. �. '"'.? ',f % `-_ tis,, <br />o <br />in violation of section(s) ' '` f ' of the ❑ r! jr 4 %� `.. / -r' f fit'` R <br />Ordinance <br />and prays that he/she may be held to answer therefor, ❑ Burnettlpo. ordinance adopting sec. <br />1, f <br />Signature of Officer. <br />SUBSCRIBED AND SWORN TO Before me this date 19 Titlet�J� <br />Name Title <br />Department or Agency , r <br />v <br />YOU ARE HEREBY NOTIFIED TO APPEAR IN THE <br />ABOVE NAMED COURT {Ja <br />A.M. <br />THE MAXIMUM FORFEITURE FOR THIS VIOLATION IS $ <br />O `�� 19 T2A�J ' ❑ P.M. <br />THE COURT MAY ALSO REVOKE ALL LICENSES, CONFISCATE ALL EVIDENCE AND <br />BURNE7'�T COUNTY GOVERNMENT CENTER REQUIRE RESTORATION OR RESTITUTION OF ANY ENVIRONMENTAL DAMAGE. <br />UNIFORM ORDINANCE CITATION <br />BURNETT COUNTY SECTION 66.119(1), WIS. STATUTES �" f �- <br />$ Forfeiture <br />STATE OF WISCONSIN DEPOSIT PERMITTED B.C. 1092 $ Penalty Assess. <br />THE UNDERSIGNED, BEING DULY SWORN AND UNDER $ 9(:— 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, $ = TOTAL <br />DAY OF WEEK I DATE VIOLATION TIME ❑ AM COUNTY_ J PyVILLAGE-CITY <br />PMrr <br />NAME LAST FIRST MI DATE OF BIRTH AGE <br />r o W 1 e MO. DAY YR. <br />STREET OR ROUTE✓J, CITY, STAT,,PP CODE 5�% SEX XM <br />___' p 1­4 1 r4r P I I' L! t ❑ F <br />DID UNLAWFULLY�- L": t'a` ✓ jj)6+°' Prtu x !` Y <br />ON THE ABOVE STATED-,TIME, DATE AND LOCATIOb(, THE DEFENDANT (DESCRIBE OLATION — STATE FACTS), � <br />ea 1�325 <br />�✓ �%� j! e] { t. ). `i; -6t - F. !-_ I'F a�� i, .. , j , f' €. { .. �� 'f i9 /�.. V [i «e t-✓ •/�.- <br />S� y <br />in violation of section(s) b 7 ` � of the ❑ 2 1+ ti <br />Ordinance <br />and prays that he/she may be held to answer there or. ❑ I.I <br />Buttner[ C. ordinance adgp[ing sec. <br />Signature <br />off Officer_ <br />SUBSCRIBED AND SWORN TO Before me this date 19 Title <br />Name Title Department or Agency <br />YOU ARE HEREBY NOTIFIED TO APPEAR IN THE <br />ABOVE NAMED COURT , <br />THE MAXIMUM FORFEITURE FOR THIS VIOLATION IS $ <br />AtAG�f-� 1/ A.M. <br />ONGf 19 =+ AT a ❑ P.M. THE COURT MAY ALSO REVOKE ALL LICENSES, CONFISCATE ALL EVIDENCE AND <br />BURNEYT COUNTY GOVERNMENT CENTER REQUIRE RESTORATION OR RESTITUTION OF ANY ENVIRONMENTAL DAMAGE. <br />