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UNIFORM ORDINANCE CITATION 5O <br /> BURNETT COUNTY SECTION 66.1190), WIS. STATUTES `�✓ <br /> $ Forfeiture <br /> STATE OF WISCONSIN DEPOSIT PERMITTED B.C. Q 1) A $ _ 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 �} `�J <br /> BELIEF,THAT ON OR ABOUT, $a "'3 TOTAL <br /> DAY OF WEEK I'YE V OLATION TIME ❑ AM CO TY TWP-VILLAGE-CITY <br /> El PM J4 <br /> NAME LAST n FIRST . MI DATE OF BIRTH AGE <br /> MO. DAY YR. <br /> STREET OR ROUTE c CITY,STATE,ZIP CODE 4 SEX )6 M <br /> El F <br /> Heqrvv <br /> DID UNLAWFULLY 4 / ,-) Oe/+lr,A del F,0.41, <br /> ON THE ABOVE STATED TIME,DATE AND LOCATION THkDEFENDANT(DESCRIBE VIOLATION—STATE FACTS) <br /> J0-4-'75. <br /> in violation of section(s) + of the❑ Syr I ' Ordinance <br /> and prays that he/she may be held to answer therefor. ❑ Burnett Co.ordinance adopting sec. <br /> Signature—of�Officer 41; <br /> SUBSCRIBED AND SWORN TO Before me this date 19 Title l <br /> Name Title Department or Agency <br /> LIB✓` t(.� f C�i)/�+.,.F <br /> YOU ARE HEREBY NOTIFIED TO APPEAR IN THE <br /> ABOVE NAMED COURT � U <br /> /SL <br /> `6 THE MAXIMUM FORFEITURE FOR THIS VIOLATION IS$ <br /> tA ON ' ?f? ;U 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 />