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UNIFORM ORDINANCE CITATION <br /> BURNETT COUNTY SECTION 66.119(1), WIS. STATUTES •; <br /> $ Forfeiture <br /> STATE OF WISCONSIN DEPOSIT PERMITTED B.C. � $ /4/` penalty Assess. <br /> THE UNDERSIGNED,BEING DULY SWORN AND UNDER j $ Court Costs <br /> OATH,COMPLAINS FOR AND ON BEHALF OF THE <br /> COUNTY OF BURNETT UPON INFORMATION AND CIRCUIT COURT OF BURNETT COUNTY ? v BELIEF,THAT ON OR ABOUT, $. , `>. TOTAL <br /> � PAY OF WEEK I DATE VIOLATION TIME�t❑ AM COUNTY T P''VI�GE-CITY <br /> ar (�'L� U'� 7� PM et�J�✓ram }I tJ G7s"�✓ <br /> NAME LAST ,,,,,FIRST MI DATE OF BIRTH AGE <br /> Ci Sir` cC3h Aw + MO. DAY YR. <br /> STREET OR RO dTE � ��55(�., CITY,STATE,ZIP�ODyE. ! SEX <br /> lui <br /> DID UNLAWFULLY <br /> ON THE ABOVE STATED TIME,2. TE AND LOCATION,THE DEFENDANT DESCRIBE VIOLATION—STATE FACTS) <br /> �ccs r 1 /1 e� ►t l .: ar iG w 1` �:n t ' <br /> !f I' C�15.:,f,il r' J�^G,'t's'l"G:� 't',;> a�C" L� %!r� �✓'r":_ :.�.��',d, fa'ti ,�1 c (.'+;'r' �'" ���,> <br /> ,y <br /> tu,` s "lt ,t �l i E'! �..yr�, E,:� 'r. . C✓l . r�.rj<<:-;�r"�7r'r�- <br /> y b..i `£s l 1. "�$/ •'.'',t. '-r a+. ,• !'+�t c ;/?'.�1,�t` t �r' I d t. ';'(t r s. jp/ C?-- l erv'*-tF A <br /> in violation of sections) ` of the El Ordinance f <br /> i <br /> and prays that he/she may be held to answer therefor. ❑ Burnett-Co.ordinance adopting sec. <br /> ✓f� <br /> Signature of Officer �' '� ,r`1 <br /> SUBSCRIBED AND SWORN TO Before me this date 19 Title <br /> Department or Agency <br /> Name Title <br /> YOU ARE HEREBY NOTIFIED TO APPEAR IN THE <br /> ABOVE NAMED COURT <br /> } 1 �..; , �> A.M. <br /> THE MAXIMUM FORFEITURE FOR THIS VIOLATION IS$ <br /> 1'9---A 17 6 ❑ 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 />