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UNIFORM ORDINANCE CITATION <br /> BURNETT COUNTY SECTION 66.119(1), WIS. STATUTES6j G —` <br /> $ Forfeiture <br /> STATE OF WISCONSIN DEPOSIT PERMITTED B.C. 10 6 1 $ -0- w Penalty Assess. <br /> THE UNDERSIGNED,BEING DULY SWORN AND UNDER / S. °y $ 53 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 COUNTY -tr TWP;VILLAGE-CITY <br /> ?hurl !'�-r!-c , PM gum, SGv/s_ <br /> NAME An LASTFIRST MI DATE OF BIRTH AGE <br /> /foe act!✓Z 8ria / MO. DAY YR. <br /> STREET OR ROUTE CITY,STATE,ZIP CODE SEX 9 M <br /> 399 st' RotSE itg fil1i /1)4/. .5-54iL/ ❑ F <br /> �} <br /> DID UNLAWFULLY �".00,574 .c f C i4 i's,., �/_4 t7( p t--- /99,(7)/71" <br /> ON THE ABOVE STATED TIME,DATE AND LOCATION,THE DEFENDANT(DESCRIBE VIOLATION-STATE FACTS) <br /> �,}/t/S/ ._... e:,/t- 7- r2-* 5/ vua. n A-6IrV bee,r, <br /> ecA.,s fr c« ca 4, A•,e.e__1 /' it'I y , rui J/y sem'- 3y/ D`S'1"' - R/ LJ . <br /> Reine c.t.s v /�err-117- -, les • -G1.xr,L, N� /00-A-.),if /1�.c� Oee".. /SS 44 .J. <br /> id2ce.{ !t' 3 , - 5334/ -0 1600 <br /> in violation of section(s) 7, t h/ of the ❑'Nriv('1 t la 1-44 t k Ordinance <br /> and prays that he/she may be held to answer therefor. ❑ Burnett Co.ordinance adopting sec. <br /> Os- <br /> Signature of Officer_ ' ,. ' <br /> SUBSCRIBED AND SWORN TO Before me this date 19 Title - -�'(-- N/K1 <br /> `` � <br /> Name Title Department or Agency/A/tL/"Vft.rJA1.n <br /> YOU ARE HEREBY NOTIFIED TO APPEAR IN THE /125-• 41:171 /9/9 ABOVE NAMED COURT <br /> j�' /U THE MAXIMUM FORFEITURE FOR THIS VIOLATION IS$ <br /> A A.M. <br /> ON 19 ATiti ❑ P.M. THE COURT MAY ALSO REVOKE ALL LICENSES,CONFISCATE ALL EVIDENCE''AND <br /> BURNS COUNTY GOVERNMENT CENTER i REQUIRE RESTORATION OR RESTITUTION OF ANY ENVIRONMENTAL DAMAGE. <br />