Laserfiche WebLink
UNIFORM ORDINANCE. CITATION <br /> BURNETT,COUNTY SECTION 66.1190), WIS. STATUTES <br /> $ Forfeiture <br /> STATE OF WISCONSIN DEPOSIT PERMITTED B.C. $ 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 CIRCUIT COURT OF BURNETT COUNTY <br /> BELIEF,THAT ON OR ABOUT, $ TOTAL <br /> DAY OF WEEK DATE VIOLATION TIME AM COUNT TWP-VILLAGE-CITY <br /> �.r ..+ ' ❑ PM % <br /> NAME LAST / FIRST MI DATE OF BIRTH AGE <br /> MCC M4' / MO. DAY YR. <br /> STREET OR ROUTE CITY STATE,ZIP CODE L SEX ❑ M <br /> OF <br /> DID UNLAWFULLY ,}4r �r <br /> ON THE ABOVE STATED TIME,DATE AND LOCATION,THE DEFENDANT(DESCRIBE VIOLATION—STATE FACTS) <br /> s a; <br /> in violation of section(s) � r 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 /> �e <br /> SUBSCRIBED AND SWORN TO Before me this date 19 Title /r<+ <br /> t <br /> Name Title Department or Agency tPx �lj <br /> YOU ARE HEREBY NOTIFIED TO APPEAR IN THE <br /> ABOVE NAMED COURT THE MAXIMUM FORFEITURE FOR THIS VIOLATION IS <br /> )� A.M. <br /> ON 19—AT L/❑ 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 />