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UNIFORM ORDINANCE CITATION <br /> BURNETT COUNTY SECTION 66.1190), WIS. STATUTES $ Forfeiture <br /> STATE OF WISCONSIN DEPOSIT PERMITTED u B.C. 1866 $ — Penalty Assess. <br /> TIDE UNDERSIGNED,BEING DULY SWORN AND UNDER $ Court Costs <br /> OATH,COMPLAINS FOR AND ON BEHALF OF THE 1� - <br /> COUNTY OF BURNETT UPON INFORMATION AND CIRCUIT COURT OF BURNETT COUNTY $ t d U TOTAL <br /> BELIEF,THAT ON OR ABOUT, <br /> DAY OF WEEK I DATE VIOLATION TIME AM COU Y p TWP-VILLAGE-CITY <br /> (���' , —� _ i ❑ PM <br /> NAME LAST FJRST MI DATE OF BIRTH AGE <br /> �y /' MO. DAY YR. <br /> STREET OR ROUTE yr CITY,STATE,ZIP CODE M SEX ❑ M <br /> t C i ti frJ/t �fca��fi ❑ F <br /> DID UNLAWFULLY <br /> ON THE ABOVE STATED TIME+DATE AND LOCATION,THE DEFENDANT(DESCRIBE VIOLATION—STATE F TS) <br /> A- <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 /> Qr ,2wo Y A.M. <br /> ON ' f t9_AT ❑ P.M. THE COURT MAY ALSO REVOKE ALL LICENSES,CONFISCATE ALL EVIDENCE AND <br /> BURNETT COUNTY GOVERNMENT CENTER IREQUIRE RESTORATION OR RESTITUTION OF ANY ENVIRONMENTAL DAMAGE. <br />