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UNIFORM ORDINANCE CITATION ' ' <br /> • <br /> BURNETT COUNTY SIiCTION.66.119(1), WIS. STATUTES $ Forfeiture <br /> STATE OF WISCONSIN DEPOSIT PERMITTED B.C. [� 1 $ 'Penalty Assess. <br /> THE UNDERSIGNED,BEING DULY SWORN AND UNDER 0 $ Court Costs <br /> OATH,COMPLAINS FOR AND ON BEHALF OF THE <br /> COUNTY OF BURNETT UPON INFORMATION AND CIRCUIT COURT OF BURNETT COUNTY r)"7�t <br /> r+ `)V <br /> BELIEF,THAT ON OR ABOUT, $ TOTAL <br /> D Y OF WEEK DATE VIOLATION TIME AM CO TY �.�7� �T�i(A ILLAGE-CITY <br /> /'f ❑ PM y (!/i"z! { �f��yYr/j1e/1.I oN. <br /> NAME + LAST1R T; MI DATE OF BIRTH AGE <br /> . Cf}dA?11AK�}" `jf MO. DAY YR. <br /> STREET O ROUT CIT ,S ATE,ZIP CODE SEX EIM <br /> /0 �` rs Y�✓ ❑ F ..�, <br /> DID UNLAWFULLY r..,-/ ;:,' P xeeSS 7;r"fE' ;,t Q ddt4 • , 0fo,,,� /"?,' . ' 1.. °/ 3frgv1 <br /> ON T�r�E ABOVE STATED TIME,DATE AND LOCATION,THE DEFENDANT(DESCRIBE VIOLATION'STATE FACTS) <br /> //A' Ci IT y... LVfir.':. L4. (6 <br /> le4- . ?3, -3' i(4.) . 3.03 -a <br /> ,�/ r,,,,41(iv <br /> in violation of section(s) � / ��` of the 0 " 70"-"Ordinance <br /> and prays that he/she may be held to answer therefor. 0 Burnett Co. <br /> Co.ordina a adopting sec. <br /> Signature of Officer , <br /> SUBSCRIBED AND SWORN TO Before me this date 19 Title <br /> �,�c'f�� , <br /> I <br /> / <br /> � <br /> Name Title Department or Agency e/4/4'F(Cy d1-1 <br /> y <br /> YOU ARE HEREBY NOTIFIED TO APPEAR IN THE - +, <br /> ABOVEl� NAMED COURT -.2q2, <br /> A M• <br /> THE MAXIMUM FORFEITURE FOR THIS VIOLATION IS$ �� ,%� ? <br /> ON �- `1/ {/sA 19 AT/0 ❑ • <br /> P.M. <br /> 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 />