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Yesl'Wl~1;
THE UNDERSIGNED FOR AND INBERALF d'i="iHE"''''''
CITY OF OSHKOSH STATES UPON INFORMATION AND' BELIEF
ORDINANCE
Yes,
Incident No.'
Deposit
ADOPTING WIS STATS
ON
DEFENDANT
t.'"'
~
, 19
LAST
n"'f
'7M:
, ATt~J~'!!'A1;~t1PM VIOLATE
l, -i -' ~',>~. ,- " ..,'
FIRST
DESCRIBE VIOLATION
"", ~'
ADORESS (HOME)
ZIP CODE
BIRTH OATE
STATE
fi"'i.;f
;io. ,.~
SEX
MARKS, SCARS, TATTOOS
TYPE
COLOR
ON HWY/STREET ~ PRIVATE/PUBLIC PROPERTY
PARENT/GUARDIAN
ADDRESS
PHONE
YOU ARE HEREBY SUMMONED TO APPEAR IN THE ABOVE COURT
ON
~~CIII~,~l':~
4'?, >;t+>.,. ,'. .~~,~
17
, 19 fJ!7
, ATgl~I!~~<PM
LOCATED AT SAFETY BUILDING, RM. 194,420 JACKSON ST.,OSH!<()SH,\iV1 ~4.~Q~:?~9~,
'"
AGENCY RECORD
TRIAL:
o JURY
o COURT
FINDIN~ 0 GUILTY 0 NOT GUILTY
o DISMISSED
COURT
BRANCH:
2
3
4
5
6
$
FINE AND/OR
DAYS JAIL AND/OR DATE:
DAYS IN JAIL FOR FAILURE TO PAY: SERVED:
WARRANT STATUS
ORDERED:
SENTENCE:
o
o
o
o
Driver's License Suspension For Failure To Pay
DATE:
RETURN
DATE:
INCIDENT REPORT:
ARREST REPORT DICTATED YES NO
DATE:
DATE
DATA
ENTERED:
~
JALES