HomeMy WebLinkAbout49887/89 Citation
STAT' OF WISCONSIN
CIRCUIT COURT
WINN'BAGO COUNTY
THt UNDERSiGNED FOR AND IN BEHALF OF THE
CITY OF OSHKOSH STATES UPON INFORMATION AND BELIEF
ORDINANCE
THAT SAID OEFENDANT DID
AOOPTING WIS STATS
TO WIT:
ON
OEfENOANT
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LAST
DESCRIBE VIOLATION
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ZIP COOE
STATE
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ADDRESS (HOME)
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TYPE
COLOR
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ON HWY/STREET - PRIVATEIPUBLIC PROPERTY
MARKS, SCARS, TATTOOS
PHONE
PARENT/GUARDIAN
you ARE HEREBY SUMMONED TO APPEAR IN THE ABOVE COURT
,
ON
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lOCATED AT SAFETY BUilDING, AM, 194, 420 JACKSON ST" OSHKOSH, WI 54903-2BOB
TRIAL:
0 JURY
0 COURT
SËÑTENCË :
I
AGENCY RECORD
BRANCH:
0
0
0
0
$- FINE AND/OR
--------- DAYS JAIL AND/OR I DATE: ~/
--------- DAYS IN JAIL FOR FAILURE TO PAY: SERVED:
INCIDENT REPORT:
Driver's License Suspension For Fa;!ure To Pay
DATE: r -
RETURN
-
NO I ARREST REPORT DICTATED
DATE:
DATE-
DATA
ENTERED:
YES
NO
---BML
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fiRST
LAST
ADDRESS (HOME)
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SCHOOL AOORESSIPLACE Of EMPLOYMÈNTiHOME PHONE
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STATE
MARKS, SCARS, TATTOOS
PARENTIGUAROIAN
ADDRESS
TYPE
COLOR
SEX
PHONE
LOCATED AT SAFETY BUILDING, RM,
AGENCY RECORD
0 NOT GUILTY
TRIAL:
0 JURY
0 COURT
BRANCH:
SENTENCE I WARRANT STATUS
0 $- FINE AND/OR ORDERED:
0 --------- DAYS JAIL AND/OR DATE: --------.l.----
0 --------- DAYS IN JAIL FOR FAILURE TO PAY: SERVED:
0 Driver's License SUspension For FaHure To Pay DATE: ~
INCIDENT REPORT: RETURN
2 3 4
5 6
NO I ARREST REPORT DICTATED
DATE:
DATE-
DATA
ENTERED:
YES
NO
---BML
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