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UNIFORM ORDINANCE CITATION <br /> BURNETT COUNTY SECTION 66.119(1), WIS. STATUTES 1900,o , <br /> ��^}y $ Forfeiture <br /> STATE OF WISCONSIN DEPOSIT PERMITTED B.C. 1870 $'y"* — Penalty Assess. <br /> THE UNDERSIGNED,BEING DULY SWORN AND UNDER/ <br /> S Court Costs <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, $ " � TOTAL <br /> DAN OF WEEK I D TE VIOLATION TIME ❑ AM COUNTY TWP-VILLAGE-CITY <br /> NAME LAST FIRST MI DATE OF BIRTH AGE <br /> fj f /L"Yuli it►PA f MO. DAY YR. <br /> STREET OR ROUTE CITY,S ATE,ZIP CODE SEX ❑ M <br /> >! GIt1i CKtGt G I0-`-1 /!}1t.. <� ❑ F <br /> DID UNLAWFULLY pit 1*k'P k'z1 c l f l3 <br /> ON THE ABOVE STATED TIME,DATE AND LOCATION,T ty,DEFENDANT(DWRIBE VIOLATION CJ STA �y 2f S) rl L: {N c"4=,C-I,' -�► 1!�r.� j41� ,�Y LI <br /> e f t ,-a, --t c f }.. <br /> in violation of section(s) of the ❑ '� y r` t,itt< !�6 .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 Title <br /> Name Title Department or Agency t � <br /> fX� 'dh <br /> Ire <br /> YOU ARE HEREBY NOTIFIED TO APPEAR IN THE <br /> ABOVE NAMED COURT <br /> / o? �'° 'J�A.M. THE MAXIMUM FORFEITURE FOR THIS VIOLATION IS$ <br /> ON E41 t t9�—AT!sue ❑ 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 />