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UNIFORM ORDINANCE CITATION oCU1 /
<br /> BURNETT,COUNTY SECTION 66.119(1), WIS. STATUTES $ Forfeiture
<br /> STATE OF WISCONSIN DEPOSIT PERMITTED B.C. 1 3 1 9 $ Penalty Assess.
<br /> THE UNDERSIGNED,BEING DULY SWORN AND UNDER ..'c/3' v ". $ 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 COL_ATYTWP-VILLAGE-CITY
<br /> /'/ hj—/s-Us PM _ :Ha i</./. • /_—T 5-/re
<br /> NAME LAS / FIRST [fit DATE OF BIRTH AGE
<br /> SC,, ,/ .. ,Z... L.cC/L' �/J MO. DAY YR.
<br /> STREET OR ROUTE CITY,STATE,ZIP CODE y� SEX '3..N4
<br /> S—(:,, ,,tiC42 5-71, F,9riY)JA 'un. Mt'u 5.51.), '/ ❑ F
<br /> DID UNLAWFULLY RC'(1/n.' ,'r4 f/Sfru TU to Ily A.1 4, /2cjei/,,. Iit/tri,,-r., L i. /4°,0)1:I—
<br /> ON
<br /> 4°, )1:I—
<br /> ON TIE ABOVE STATED TIME,DATE AND LOCATION,THE ig,FENDANT(DESCRIBE VIOLATION—STATE FACTS) '
<br /> f�-Cj r c c Ke c,•e,.., e` .n jjiba r s "i4b,,-. ..et v/�� rec-c.wstri..t.-)' •‘.."-- lie-',f7),f►I /- - -, r
<br /> l C,ti,4,,A)•, ,wet. C,, a o.. 7 135`4, r5 /L•-%t.r/`:. I LJ 1t.• ` gu�/L"=-•^' 1., ✓ SGA ,. r�
<br /> f y
<br /> t\lt _ bee, rt c cn s i i.. rcir"L A-4( /�N t .)• `t i, Sc. h.. l`y'n •_. i4 c° L.. ' 1-1:/s1,' 7th,,
<br /> Per P) AC etaei r>-i - s♦ //
<br /> in violation of section(s) i0) : • A
<br /> of the©gli',Le 11 -`'' 414 1drdinance
<br /> and prays that he/she may be held to answer therefor. 0 Burnett Co.ordinance adopting sec.
<br /> Signature of Officer L.l .4--
<br /> SUBSCRIBED AND SWORN TO Before me this date 19 Title ._ i- ' !/ 4...t,
<br /> Name Title Department or Agency 1-;f•4. JC �U444
<br /> YOU ARE HEREBY NOTIFIED TO APPEAR IN THE
<br /> ABOVE NAMED COURT -0Li 7 G� 1
<br /> THE MAXIMUM FORFEITURE FOR THIS VIOLATION IS$ / `/
<br /> M /
<br /> ON `, /0n- t9" AT 1 - 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.
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