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UNIFORM ORDINANCE CITATION <br /> BURNETT COUNTY SECTION 66.1190), WIS. STATUTES $ Forfeiture <br /> STATE OF WISCONSIN DEPOSIT PERMITTED B.C. 'r $ Penalty Assess. <br /> THE UNDERSIGNED,BEING DULY SWORN AND UNDER r $ 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 /> DAY OF WEEK I DATE VIOLATION I TIME ❑ AM I COUNTY ,p TWP-VILLAGE-CITY <br /> I#�ll.� - <br /> NAME LAST FIRST MI DATE OF BIRTH AGE <br /> J 14 r- k�. MO. DAY YR. <br /> STREET OR ROUTE CITY,STATE,ZIP CODE SEX f7] M <br /> 4NG I/�J. Tt o,71, v'tsi MAJ ���t'#G El <br /> DID UNLAWFULLY -/A,e l:#sl //`' "2 <br /> � <br /> ON THE ABOVE STATED TIME,DATE AND LOCATION,THE DEFENDANT(DESCRIBE VIOLATION—STATE FACTS) <br /> lltllYll"I�tit�i t.I { /� <br /> `7'1 t <br /> !1!i>G /�tA� L°�m >in tr.i i`. t,.E.is � /v•: ''l �, f'L'Glf��r <br /> A s rf# 7--3 <br /> in violation of section(s) of the ❑ 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 /> THE MAXIMUM FORFEITURE FOR THIS VIOLATION IS$ <br /> A.M. <br /> ON L"IC7 '' t9"-AT i L� ElP.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 />