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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. 188 1 $ ' L,5 / 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 ')tic) u v <br /> BELIEF,THAT ON OR ABOUT, $ TOTAL <br /> DAY OF WEEK DATE VIOLATION TIME ❑ AM COUNTY � TWP-VILLAGE CI <br /> 7� _ _- _ - '{1 PM 73L4+Gi "F j LtiooC, klue, <br /> NAME LAST FIRST DATE OF BIRTH AGE <br /> 6 A..."a I e1 !1_l' MO. DAY YR. <br /> STREET OR ROUTE CITY,STATE,ZIP CODE SEX ❑ M <br /> ❑ F <br /> DID UNLAWFULLY I-1,, , r.t'i,_< ' GE,, L.( e.-./ti 1C,-, ca - _., , c}'.t 10,.. , ;;• <br /> ON THE ABOVE STATED TIME,DATE AND LOCATION,THE pE DANT(DESCRIBE VIOL TION—STATE FACTS) <br /> .•.' re CI ' 7 i2 G."l.e,c 4T. ,,' <br /> I. s e t '-16 r L-L , Ser r. <br /> It <br /> I 643 . CA <br /> �_ - E_.. I . . ,/,- ,.m violation of section(s) of the E Ordinance <br /> and prays that he/she may be held to answer therefor. ❑ Burnett Co.ordinance adopting sec. <br /> Signature of Officer '"' �` M=r,'. ')1�41,� ---- <br /> J i <br /> >".' : <br /> SUBSCRIBED AND SWORN TO Before me this date 19 Title .0--- f--.el`,, r jfT <br /> Name Title Department or Agency <br /> 04-f'`/ 4,'')- ,i<-' (A ^e <br /> YOU . RE HEREBY NOTIFIED TO APPEAR IN THE <br /> ABOVE NAMED COURT �.)L/ t): � /4Q <br /> THE MAXIMUM FORFEITURE FOR THIS VIOLATION IS$ / /- 7.. <br /> ON 1�� c21'9—�.AT ❑ 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 />