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UNIFORM ORDINANCE CITATION <br /> BURNETT COUNTY SECTION 66.119(1), WIS. STATUTES $ Forfeiture <br /> STATE OF WISCONSIN DEPOSIT PERMITTED B.C. 1039 $ Penalty Assess. <br /> THE UNDERSIGNED,BEING DULY SWORN AND UNDER 95, J� $ � •�y w Court Costs <br /> OATH,COMPLAINS FOR AND ON BEHALF OF THE <br /> COUNTY OF BURNETT UPON INFORMATION AND CIRCUIT COURT OF BURNETT COUNTY ' .: , F' <br /> BELIEF,THAT ON OR ABOUT, $ TOTAL <br /> DAY OF WEEK I DATE VIOLATION TIME ❑AM I C NTY Pwi-yP.LAGE-CITY <br /> EWPM {!! <br /> NAME 0 LT yy''�FIRST MI DATE OF BIRTH AGE <br /> G1t re 11D 1�.J 1-S tifTcylbsrer <br /> MO. DAY YR. <br /> STREET OR UTE y ,STATE,ZIP CODE SEX M <br /> Moser 0- r - ❑ F <br /> DID UNLAWFULLY rr,4, rl p f t k. ' c ic"+T ";`✓Lt..#' e✓t'YI 1 *- <br /> ON THE ABOVE STATED TIME,DATE AND LOCATION,THE' EFENDANT(DESCRIFB5 VIOLATION—STATE ACTS) <br /> � �Y`��:.t'�� `ir.. <br /> d _ <br /> r <br /> r f , <br /> i.J I J i✓"ter �,. ...;I �Lf=. S' -:. :-. � i r_�� `� i;. �� .. .,f` �t :';+i F f i'� �..♦ if�"� / ��/ i ',j .� ,�! L ,. <br /> in violation of section(s) ) of the ❑� ` }P� �`��aj j"4 Ordinance <br /> and prays that he/she may be held to answer therefor. ❑ Burnett Co.ordinance,adopting sec. <br /> Signature Officer <br /> SUBSCRIBED AND SWORN TO Before me this date 19 Title <br /> Name Title Department or AgencyA' <br /> YOU ARE HEREBY NOTIFIED TO APPEAR IN THE <br /> ABOVE NAMED COURTj� 3f' <br /> THE MAXIMUM FORFEITURE FOR THIS VIOLATION IS$_�' <br /> rs ., A.M. <br /> ON 19`AT ❑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 /> J <br />