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UNIFORM ORDINANCE CITATION <br />BURNE-''T COUNTY SECTION 66.119(1), WIS. STATUTES <br />2 E <br />$ Forfeiture <br />STATE OF WISCONSIN DEPOSIT PERMITTEDB.C. Q C <br />ii {� <br />$ _ Penalty Assess. <br />THE UNDERSIGNED, BEING DULY SWORN AND UNDER <br />$ Court Costs <br />OATH, COMPLAINS FOR AND ON BEHALF OF THE <br />COUNTY OF BURNETT UPON INFORMATION AND CIRCUIT COURT OF BURNETT COUNTY <br />- <br />BELIEF, THAT ON OR ABOUT, <br />$ TOTAL <br />DA OF WEEK <br />I DATE VIOLATION <br />TIME ❑ AM <br />COUNTY <br />TWP-VILLAGE-CIT <br />PM <br />NAME LAST FIRST MI <br />DATE OF BIRTH <br />AGE <br />14- Aaa kP <br />MO. DAY YR. <br />STREET OR ROUTE <br />CITY, STATE, ZIP CODE <br />SEX ❑ M <br />3 91? kms <br />. . , S5 3 <br />F <br />DID UNLAWFULLY <br />ON THE ABOVE STATED TIME, DATE ND LOCATION, TJW DEFENDANTRE I VIOLATION — STATE FACTS) <br />r: fuer 2 t,F. . <br />in violation of section(s) � of the ElIju.pt c { Ordinance <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 Titley` <br />Name Title — <br />YOU ARE HEREBY NOTIFIED TO APPEAR IN THE <br />ABOVE NAMED COURT <br />,� `� <br />A.M. <br />ON t"-' I I 311kJ AT&— El P.M* <br />BURNETT COUNTY GOVERNMENT CENTER <br />Department or Ager <br />U:5 "d <br />THE MAXIMUM FORFEITURE FOR THIS VIOLATION IS $ dJ <br />THE COURT MAY ALSO REVOKE ALL LICENSES, CONFISCATE ALL EVIDENCE AND <br />REQUIRE RESTORATION OR RESTITUTION OF ANY ENVIRONMENTAL DAMAGE. <br />