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STATE OF WISCO~$IN
CIFlCUITCQURT' :'\'f(
W\NNEBA~NTY "
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THE UNDERSIGNED FOR AND IN BEH)l.LF'OF THE -
CITY OFOSHKOSHSTATEStJPON INFORMATION'AND BELIEF
ORDINANCE
Juvenile
Parents
Notified
Yes
Incident No,
Deposit
Yes
FOR COURT USE ONLY
THAT SAID DEFENDANT DID .
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ADOPTING WIS STATS
TO WIT:
ON,;'fir:/t
DEFENDANT
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DESCRIBE VIOLATION
ADDRESS (HOME)
APT,
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STATE
BIRTH OATE '
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'li<~ T" J?-
MARKS. SCARS, TATTOOS
SEX
TYPE
COLOR
ON HWY/STREET - PRIVATE/PUBLIC PROPERTY
PHONE
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YOU ARE HEREBY SUMMONED TO APPEAR IN THE ABOVE COURT
'. AT
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ON
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LOCATED AT SAFETY BUILDING. RM, 194, 420 JACKSON ST., OSHKOSH, WI 54903-2808
(RECORD copy)
AGENCY RECORD
DATE o~sp'bsrrloN
UJ-;--II-~
o WithdraWl\ by .Agency - Reason
o Denied by Prosecution - Reason
o Dismissed - Reason
PLEA: 0 NOT GUILTY
~ONTEST
'0 GUILTY
TRIAL: DATE:
o JURY
o COURT BRANCH:
FINDINGS:
o GUILTY 0 NOT GUILTY
fJr
ISSED
t;;r
1 2 3 4" 5
6
$
WARRANT STATUS
FINE AND/OR ORDERED:
DAYS JAIL AND/OR DATE:
DAYS IN JAIL FOR FAILURE TO PAY: SERVED:
SENTENCE:
o
o
o
o
Driver's License Suspension For Failure To Pay
DATE:
RETURN
INCIDENT REPORT:
NO ARREST REPORT DICTATED
DATE:
DATE
DATA
ENTERED:
YES NO
~
JALES