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UNIFORM ORDINANCE CITATION <br /> BURNETT COUNTY SECTION 66.119(1), WIS. STATUTES <br /> $_. Forfeiture <br /> STATE OF WISCONSIN DEPOSIT PERMI , .u J B.C. 9 2 $ i �' 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 Lk UJ <br /> BELIEF,THAT ON OR ABOUT, $ ' • TOTAL <br /> DAY OF WEEK DATE VIOLATION TIME 0 AM COUNTY G. PILLAGE-C TY <br /> /�i7dti _ 17-g'o7 NPM 'Te://C/f/. .77/!y �rtrlCle 2/C <br /> NAME LASTFIRST MI DATE OF BIRTH AGE <br /> .doh N INddA)€/1 j/ 1 L' MO.( DAY (G3 YR. <br /> STREET OR RO TE CITY,STATE,Z CODE SEX 0 M <br /> 6v t,% <br /> 1/ i✓•tt 3 yr Pc <br /> A. - +1t-. LVh, tc z4- <br /> e,..„- 4,' /1A 551fc ❑ F <br /> DID UNLAWFULLY( p_;e.#f-,, ,-(, ?-,: !D % •; -- GTJ't. ( ;4,, t S 6-4tic:, . ;r;.20, "'lii_s" <br /> ON�i ABOVE STATED TIME,DATE AND LOCATION,THE DEFENDANT(DESC IBE VIOLATION—STATE FACTS) ,/] <br /> Cit.8"14.,_ ; (<ec_..� 1/2/44.,f- fr'a,a ii El el A= i, A--1-,: c4,/4 Vii/,/r f(- /'7. <br /> C'A1s/"J t .rt ti r 9'51- r u d-, /G` u , f'3 cie14,.- , o'ec L,a4641 <br /> rJt''u he` -e f;"' l�,�s_A.- et rut I.i- - c,14-c fk.i' 4,.c t�F tc, (,..,. '; /c4r r., /9 1.# c, <br /> 6(7 , ;', G '-i. r//. ( AA. ' <br /> te' JLvAi )t 5PF - f � t2it;-*. Citi/ e. <br /> 7 1i + 4110 (1) !) <br /> in violation of section(s) I 1 of the ❑ ({f; '`�'Ordinance <br /> and prays that he/she may be held to answer therefor. *4*—( 1) ❑ Burnett Co.order' tree adopting sec. <br /> Signature of Officer Zee:- <br /> AND SWORN TO Before me this date ''' /''' �� �� <br /> 19 Title ' <br /> / /OA '''''--. ..--- <br /> Name Title Department or Agency/�',; --'�� <br /> YOU ARE HEREBY NOTIFIED TO APPEAR IN THE <br /> ABOVE NAMED COURT 44.41/4y, <br /> ?9..._()67 <br /> U7 J THE MAXIMUM FORFEITURE FOR THIS VIOLATION IS$ ` <br /> (i ! V A.M. <br /> ON 19..—AT— ❑ P.M. THE COURT MAY ALSO REVOKE ALL LICENSES,CONFISCATE ALL EVIDENCE AND <br /> BURN T COUNTY GOVERNMENT CENTER REQUIRE RESTORATION OR RESTITUTION OF ANY ENVIRONMENTAL DAMAGE. <br />