HomeMy WebLinkAboutCitation 6795
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G07.S
Juvenile Yes Incident No,
. CITATION ~~~rf~:~ Yest.. ("
THE UNDERSIGNED FOR AND IN BEHALF b'F' tlt;' ~",.""
CITY OF OSHKOSH STATES UPON INFORMATION AND BELIEF
ORDINANCE
Deposit
STATE OF WISCONSIN
CIRCUIT COURT
WINNEBAGO COUNTY
FOR COURT USE ONLy
IHAT SAID DEFENDANT DID \
ADOPTING WIS STATS
ON
DEFENDANT
VIOLATE
.;1":.,$
\lM1
TO WIT:
ADDRESS (HOME)
APT.
" q
. ' .CITY/STATE
~..~
ZIP CODE
~'r.-~v'.i*,'
SCHOOL ADDRESS/PLACE Lfll
"
"
BIRTH DATE
STATE
SEX
MARKS, SCARS, TATTOOS
TYPE COLOR
ON HWY/STREET - PRIVATE/PUBLIC PROPERTY
PARENT/GUARDIAN
PHONE
AT
LOCATED AT SAFETY BUilDING, RM.HI4,42li JACKSON ST.,OSHKOSH,Wf54903:2slia
>>1: 21
, 19",~llJ
YOU ARE HEREBY SUMMONED TO APPEAR IN THE ABOVE COURT
ON
NUMBER
AGENCY RECORD
DA~F D(p:S~y si(V~
o Withdrawn by Agency - Reason 0 Amended To:
o Denied by Prosecution - Reason
o Dismissed - Reason
PLEA: 0 NOT GUlL TV FINDINGS:
~ONTEST
?/'D GUlL TV
TRIAL: DATE:
o JURY
o COURT BRANCH:
SENTENCE:
TV
o NOT GUlL TV
o DISMISSED
COURT
2 3
4 5 6
$
FINE AND/OR
DAYS JAIL AND/OR DATE:
DAYS IN JAIL FOR FAILURE TO PAY: SERVED:
WARRANT STATUS
ORDERED:
o
o
o
o
Driver's License Suspension For Failure To Pay
DATE:
RETURN
INCIDENT REPORT:
..-
INCIDENT DICTATED
ARREST REPORT DICTATED YES NO
~
JALES
....
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CITATION REQUEST
CITATION REQUESTED BY: Jt!~~ - f~~
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**********************************************************~*********************
DIVISION SUPERVISOR
CITATION APPROVAL
CITY MANAGER
....
~
WISCONSIN LICENSE VIOLATION REPORT
A(!tiyity (see back lor explanation)
1 l3J No license
2
Issued to. Last, First, MI
5 Pl/uL/ef(
PI/v L
D ILHR License Number
6
AloAl c
D Wrong license
Street Address
7/$;2G ~"//1'/~~AI Sr
Post Ofiice
State
Zip
~ t./.c~
~ ' /'
Q S/7~.f D-('/y
NI
3
S,S, Number or Driver's License Number
8
Date of Birth
9
D Unlawful hirin ractice
Sex
10
Race
11
HI.
12
WI.
Hair
Eyes
4
13
14
15
D Advertising
Vehicle License Number
16
Year
Model
Color
Date of Violation Month Day Year
/) 17 /
DeT~\/6G JJ ;7-/ ' 7 cI /-1' IU~
I olf &1/ - :J.:A; s
t1/1 .,..;1 r c. iZ )'t1/ T
Descnption 01 Activity
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rK("H/I {JE t) FoR. Y /c €/V.5.e D
/ )(ITr"H6:,.-v S/A)P( {/lJAl"O KY' W/rfte:'K
Time
- - , J / ~
Address 01 Installation Street Municipality o Villa!l-V~ County
19 /&3tf lile/ref<.. y S+ 20 OS""I)/ 0511 ~QW'n 21 f/;
Ity It /A/4IE t3,J (yO
Legal Description Inspector's Name /
22 23 /1/;il7'""€ tZ ( ilL c../tES
1/4 1/4, S. T. R.
24 IitSta1e 0 County 25 Date 26 Department
Inspector of: () 5.// )(0 S If City DVillage S- /IS//7Y
o Township
Inspector si9natuM /;' -;7:-- _ J ~ t~/ ~ I Recipient si9natule I
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