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UNIFORM ORDINANCE CITATION
<br /> BURNETT COUNTY SECTION 66.119(1), WIS. STATUTES
<br /> $ Forfeiture
<br /> ' STATE OF WISCONSIN DEPOSIT PERMITTED B.C. 1 ii 1 r" $ �%•" Penalty Assess.
<br /> 3.
<br /> ' THE UNDERSIGNED,BEING DULY SWORN AND UNDER /5 c `�
<br /> $ 3,?• 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, $ :—�3f of
<br /> TOTAL
<br /> .D�AY OF WEEK DATE VIOLATION TIME ❑ AM COUNTY TWP,'ILLAGE--CITY j
<br /> �/.aC - 0 PM ;' ., ; 6I4L/di4A f
<br /> NAME LAST FIRST MI DATE OF BIRTH AGE
<br /> K t fij /colt- : :, f MO. DAY YR.
<br /> STREET OR ROUTE(UJ t // CITY,STATE,ZIP CODEySEX fl M
<br /> I ,r herr,Aar't J.,4�e u,,`qq-;L(i,s / 24'. .55/c,� 3 ❑ F
<br /> DID UNLAWFULLY ,/.,,/ 75 i . c ,,,,°eL ,L -1"`'
<br /> ON THE ANVE STATED TIME,DATE AND LOCATION,THE DEFENDANT(DESCRIBE VIOLATION—STATE FACTS)
<br /> iiJr: k in p L:r,..sTi1�e,itec}��f G. Cis-, rc... L ire </ ;L v - L41,t� SoraaF k L., tx...? 0�'2Qr.71, ,
<br /> t r 11+4 ( .'#I e -L11( / k,( Ziet-it. I'll.:. -' 6 yeilIcGc C11 i/L(�t c.... �iE'Gyuyle!i(III ✓ t1/4' -re-
<br /> Ar�7Aii2;t' ,e' U t�twia.uc •i- G--r4.S C7�eAne°Ci cz " HLe Si 7 I1ev-i"t . 171. ICira�) £ Ac 7o
<br /> rFAiOuecizi oil i�?/-/s}-yam but Pei,ie f cfv .Sjo (1a. ^44'1..t1,Nsr, tr.'1IpJss', C-.1, 1, g'- vo-i
<br /> in violation of section(s) •, L` 0) (a) of the O Bj'/ -t 1 �!o 103,Act a k-- Ordinance Ordinance
<br /> ^;,d prays that he/she may be held to answer therefor. 0 Burnett-.ordinanc a��oopting
<br /> ��sec. -
<br /> Signature of Officer Jew)��/� ��ei7 "—
<br /> v
<br /> SUBSCRIBED AND SWORN TO Before me this date 19 Title
<br /> Name Title Department or Agency
<br /> .Lam-,4�-llllc 20."- ^
<br /> YOU ARE HEREBY NOTIFIED TO APPEAR IN THE
<br /> ABOVE NAMED COURT
<br /> THE MAXIMUM FORFEITURE FOR THIS VIOLATION IS$ / 3. `'/4f
<br /> J/ Q� iA A.M. - % t/3/, dUf'
<br /> ON MAS Jt " 19 a_Aik__ ❑ 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.
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