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APT.
ADOPTING WIS STATS
Yes
THE UNDERSIGNED FOR AND IN BEHALFOFTHE
CITY OF OSHKOSH STATES UPON INFORMATION AND BELIEF
. ORDINANCE
ON :!ul:1 T'J
DEFENDANT
~:l;; S ,AT l;,;n iJ~M/PM VIOLATE
LAST FIRST
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ADDRESS (HOME)
CITY/STATE
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SCHOOL ADDRESS/PLACE OF EMPLOYMENT/HOME PHONE
BIRTH DATE
STATE
MARKS, SCARS, TATTOOS
TYPE
COLOR
ON HWY/STREET - PRIVATE/PUBLIC PROPERTY
PARENT/GUARDIAN
PHONE
YOU ARE HEREBY SUMMONED TO APPEAR IN THE ABOVE COURT
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ON
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M M
OSHKOSH POLICE DEPARTMENT
LOCATED AT SAFETY BUILDING, RM. 194,420 JACKSON ST., OSHKOSH, WI 54903-2808
(RECORD COpy)
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OFFICER'S SIGNATURE
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AGENCY RECORD
o it drawn Agency - Reason
o Denied by Prosecution - Reason
o Dismissed - Reason
PLEA: 0 NOT GUILTY FINDINGS:
~ONTEST
...rJ GUILTY
TRIAL: DATE:
o JURY
o COURT BRANCH:
SENTENCE:
o
o
o
o
$
~ 0 NOT GUILTY
o DISMISSED
COURT
2 3 4 5 6
WARRANT STATUS
ORDERED:
FINE AND/OR
DAYS JAIL AND/OR DATE:
DAYS IN JAIL FOR FAILURE TO PAY: SERVED:
Driver's License Suspension For Failure To Pay
INCIDENT REPORT:
DATE:
RETURN
DATE:
INCIDENT DICTATED
YES NO ARREST REPORT DICTATED YES NO
JALES
DATE:
SIGNATURE OF OFFICER
DATE:
DATE
DATA
ENTERED:
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