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UNIFORM ORDINANCE CITATION <br />BURNETT COUNTY SECTION 66.119(1), WIS. STATUES <br />STATE OF WISCONSIN DEPOSIT PERMITTED B.C. <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 I TIME ❑ AM I COUNTY TWP-VILLAGE-CITY , <br />❑ PM - <br />NAME LAST FIRST MI DATE OF BIRTH AGE <br />MO. DAY YR. <br />$ <br />Forfeiture <br />$ <br />Penalty Asses, <br />5 <br />Court Costs <br />TOTAL <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 />in violation of section(s) of the ❑ Ordinance <br />and prays that he/she may be held to answer therefore. ❑ Burnett Co. ordinance adopting sec. <br />Signature of Officer ` <br />SUBSCRIBED AND SWORN TO Before me this date 20 Title ^' <br />Name Title Department or Agency ` <br />YOU ARE HEREBY NOTIFIED TO APPEAR IN THE <br />ABOVE NAMED COURT <br />197-A.M. THE MAXIMUM FORFEITURE FOR THIS VIOLATION IS $ <br />ON 20 AT - ❑ 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 />