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UNIFORM ORDINANCE, CITATION <br /> BURNETT COUNTY SECTION 66.1190), WIS. STATUTES <br /> $ Forfeiture <br /> ,STATE OF WISCONSIN DEPOSIT PERMITTED ©O B.C. v $ 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 Uv <br /> BELIEF,THAT ON OR ABOUT, $ ISE, TOTAL <br /> DAY OF WEEK I DATE VIOLATION TIME ❑ AM CO NTY TWP.VILLAGE-CITY <br /> NAME LAST FIRST MI DATE OF BIRTH AGE <br /> Lh 1 —eQ1QC MO. DAY YR. <br /> STREET OR ROUTE CITY,STATE,ZIP CO E �r� SEX ❑IF <br /> 4� 1Gj 1 rS 5 .3L ❑ <br /> DID UNLAWFULLY �P{,"fYtt< Yu:.fiu�� Lorj�i u. ( 4't/n- , 4- 10 i , T 01U, <br /> ON THE ABOVE STATED TIME,DATE AND LOCATION,THE DEFENDANT(DESCRIBE VIOLATION—STATE FACTS) <br /> 1rIkQ /?ter. ac% Oh g) r !s <br /> —ir h 1�++) fItV4 i•WitSlt ia7tl3[s i(_. Gfkf ul3, Gt t ou" (� <br /> t <br /> in violation of section(s) ' j t,ll G3 of the ❑ /.J -Ordinance <br /> and prays that he/she may be held to answer therefor. ❑ Burnett o.ordinance adopting sec. <br /> Signature of Officer je <br /> SUBSCRIBED AND SWORN TO Before me this date 19 Tide �-i 1 C` M <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 /> J j� A.M. <br /> ON 1 / G It J� 19—AT& ❑ 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 />