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UNIFORM ORDINANCE CITATION <br />BURNETT COUNTY SECTION 66.119(1), WIS. STATUTES <br />STATE OF WISCONSIN DEPOSIT PERMITTED B.C. 1298 <br />THE UNDERSIGNED, BEING DULY SWORN AND UNDER <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, <br />DAY OF WEEK I DATE VIOLATION TIME ❑ AM COUNTY TWP-VILLAGE-CITY <br />PM <br />NAME LAST FIRST MI DATE OF BIRTH AGE <br />MO. DAY YR. <br />STREET OR ROUTE CITY, STATE, ZIP CODE SEX ] M <br />❑F <br />DID UNLAWFULLY <br />ON THE ABOVE STATED TIME, DATE AND LOCATION, THE DEFENDANT (DESCRIBE VIOLATION — STATE FACTS) <br />c� <br />in violation of section(s) <br />and prays that he/she may be held to answer therefor. <br />SUBSCRIBED AND SWORN TO Before me this date <br />Name Title — <br />YOU ARE HEREBY NOTIFIED TO APPEAR IN THE <br />ABOVE NAMED COURT <br />D A. M. <br />ON 119-- AT ❑ P.M. <br />BURNETT COUNTY GOVERNMENT CENTER <br />$ Forfeiture <br />$ Penalty Assess. <br />$ Court Costs <br />$ TOTAL <br />of the ❑ Ordinance <br />❑ Burnett Co. ordinance adopting sec. <br />Signature of Officer <br />19 Title <br />Department or Agency <br />THE MAXIMUM FORFEITURE FOR THIS VIOLATION IS $ <br />THE COURT MAY ALSO REVOKE ALL LICENSES, CONFISCATE ALL EVIDENCE AND <br />REQUIRE RESTORATION OR RESTITUTION OF ANY ENVIRONMENTAL DAMAGE. <br />