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UNIFORM ORDINANCE CITATION <br /> BURNETT COUNTY SECTION 66.119(1), WIS. STATUTES <br /> $ Forfeiture <br /> STATE OF WISCONSIN DEPOSIT PERMITTED1 B.C. $ % r Penalty Assess. <br /> THE UNDERSIGNED,BEING DULY SWORN AND UNDER ' $ Court Costs <br /> OATH,COMPLAINS FOR AND ON BEHALF OF THE <br /> COUNTY OF BURNETT UPON INFORMATION AND OF BURNETT COUNTY <br /> BELIEF,THAT ON OR ABOUT, CIRCUIT COURT $ TOTAL <br /> _DAY OF WEEK DATE/VIOLATIIION TIME ❑ AM Cgg�OOUNTY _ TWP-VILLAGE-CITY <br /> NAME LAST }t FIRST MI DATE OF BIRTH AGE <br /> t.-'/_i;' ' I C � l� 1 t h C:L-J MO. DAY YR. <br /> STREET OR ROUTE CITY,STATE,ZIP CODE SEXrV <br /> 'fPi 6YI ^1 M <br /> DID UNLAWFULLY 1/ -f6Ac S�tr_.,. It ,t G, :;. ^� >0 9b <br /> ON THE ABOVE STATED TIME,DATE AND LOCATION,THE DEFENDANT(DESCRIBE VIOLATION—STATE FACTS) _ <br /> is ` G1F/'["I�Lt 4.`•--J':;�G{C�r �J!``="� <br /> f 35 <br /> y�l� PeufPw 6 <br /> in violation of section(s) /+ t✓ of the ❑ ��J+" �`P +. �?r'�+-"' 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 <br /> YOU ARE HEREBY NOTIFIED TO APPEAR IN THE <br /> ABOVE NAMED COURT <br /> ©�� ® A M THE MAXIMUM FORFEITURE FOR THIS VIOLATION IS$ <br /> ON / T^ �-AT ❑ P.M. <br /> 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 />