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UNIFORM ORDINANCE CITATION 4ca.=C <br /> BURNETT COUNTY SECTION 66.119(1), WIS. STATUTES <br /> S Forfeiture <br /> STATE OF WISCONSIN DEPOSIT PERMITTED B.C. 1 8 7 3 $ 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 CO TYILLAGE-CI�TY <br /> r' 1 PM LIP i//�� E 0"-AC. V....5 CIA., <br /> NAME LAST FIRST MI DATE OF BIRTH AGE <br /> L'7Q-7Q (:j��. 0 Cr Ct, MO. DAY YR. <br /> STREET OR ROUTE CI Y,STATE,ZIP CODEC <br /> M SEX ❑ <br /> C ck ,iY', S k��/i Lip11•Q' /))&- <521/6, ❑ F <br /> G- <br /> r - IIS `` <br /> DID UNLAWFULLY t_ -, t; a- ;`n U Cb l <br /> ON THE ABOVE STATED TIME,DATE AND LOCATION,THE DEF)rNDANT.(DESCRIBE VIOLATION—STATE FACTS) <br /> �Qt E),n j l u.n j o f-- t.rt7)•\ vee, i t. r uw I`t 0,k c /,c}-'' ', <br /> rt� I:j. _ _ c ea 1- v (7.erc, til kN ick '" tr, <br /> { <br /> �, 1-+ ' ',,A, 1-4- <br /> in violation of section(s) j/ Vol the 0 Ordinance <br /> and prays that he/she may be held to answer therefor. 0 Burnett Co.ordinance adopting sec. <br /> Signature of Officer rad�G - '-.-.;i1. <br /> SUBSCRIBED AND SWORN TO Before me this date 19 Title 'A 4 A'1 A41 <br /> Name Title Department or Agency �- r 6.4/1.,//1e- <br /> / <br /> . l //t e- <br /> YOU ARE HEREBY NOTIFIED TO APPEAR IN THE �y j <br /> ABOVE NAMED COURT '..t f) i <br /> ,J� THE MAXIMUM FORFEITURE FOR THIS VIOLATION IS$ — u <br /> t1 <br /> 9ji �/1 SA.M. <br /> ON e!C Tr—_____AT 0 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 />