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HomeMy WebLinkAboutCitation #15136 I } I I I I I I I I I I 1 I I I , I t t I , l I I , t I . t I I I I I i I tlt$1 THE UNDERSIGNED FOR AND IN BEHALF OF THE CITY OF OSHKOSH STATES UPON INFORMATION AND BELIEF ORDINANCE FOR COURT USE ONLY THAT SAID DEFENDANT DID' ADOPTING wrs STATS ON ,;W'I~ijlff 10 DEFENDANT , 19 LAST ~. 1"~' f"/P< , AT . UtI!! '~M'JpM VIOLATE f . ,,~ FIRST DESCRIBE VIOLATION ADDRESS (HOME) ~"4r ZI P CODE <""00'1 ~':'J~g,{t.):, ',~ , 'l-j '~"':-'?i~;, . BIRTH DATE STATE SEX MARKS, SCARS, TATTOOS TYPE COLOR PARENT/GUARDIAN PHONE YOU ARE HEREBY SUMMONED TO APPEAR IN THE ABOVE COURT ON I'~ ~_eM tJ , 19 r~~,~ ;'.iH.;.,.' fi'. !I/\('~ ,AT ' ,,,I. ".' LOCATED AT $AFETY BUILDING,RM. 194,4~OJACKSON ST., OSHKOSH, WI 54903-2808 AGENCY RECORD DATE OF DISPOSITION I STIPULATION L{~/ 1 ~4 . D Withdrawn by Agency - Reason D Amended To: D Denied by Prosecution - eason ismissed - Reason LEA: D NOT GUlL TV D NOT GUlL TV D NO CONTEST D GUlL TV D DISMISSED TRIAL: DATE: COURT D JURY D COURT BRANCH: 2 3 4 5 6 SENTENCE: $ FINE AND/OR DAYS JAIL AND/OR DATE: DAYS IN JAIL FOR FAILURE TO PAY: SERVED: WARRANT STATUS ORDERED: D D D D Driver's License Suspension For Failure To Pay DATE: RETURN DATE: INCIDENT REPORT: SEE ATTACHE] YES NO ~ JALES