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BURNETT, COUNTY <br />UNIFORM ORDINANCE CITATION <br />SECTION 66.119(1), WIS. STATUTES <br />STATE OF WISCONSIN DEPOSIT PERMITTED <br />THE UNDERSIGNED, BEING DULY SWORN AND UNDER <br />OATt., COMPLAINS FOR AND ON BEHALF OF THE <br />COUNTY OF BURNETT UPON INFORMATION AND <br />BELIEF, THAT ON OR ABOUT, <br />DAY OF WEEK DATE VIOLATION TIME El Am COU <br />r ��3� © PM <br />+� $ ` Forfeiture <br />B.C. 1214 <br />L i 4 $i `f Penalty Assess. <br />$ r Court Costs <br />CIRCUIT COURT OF BURNETT COUNTY <br />'77—" <br />f7t TWP-VILLAGE-CITY <br />7–' .. <br />NAME LAST t FIRST MI DATE OF BIRTH <br />/Ill`�{i MO. DAY YR. <br />STREET OR ROUTECITY, S TE, ZIP CODE <br />ile <br />DID UNLAWFULLY ! <�r[-r; ' <br />n <br />O_�JJHE ABOVE STATED TIME, DATE AND LOCATION, THE DEFENDANT (DESCRIBE VIOLATION — STATE FACTS) <br />AGE <br />SEX , ❑ M <br />$ .rpt_,% 4 TOTAL <br />41 <br />i<-�tirfwir- <br />Can< , A_�� { ► A o- f betas <br />in violation of section(s) of the ❑ Ordinance ` ~�f t 4 ' <br />�:.'r�7• . �` . / �1 � � T" Cif <br />and prays that he/she may be held to answer therefor. ❑ Burnett Co. ordinance adopting sec. <br />Signature of 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 />ON��% )"'_ A.M. <br />+r G I9"—AT /lJ 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 />