HomeMy WebLinkAboutIncident #90H0531
DEPOSIT'
r ASSE1S
CDURT-
COSTS *
$
$
CITY OF OSHKOStI, WISG:ONSI~
UNIFORM MUNICIPAL CITATION & COMPLAINT
TOTAL:
$
$
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CITY
OF
OSHKOSH vs.
STATE OF WISCONSIN CIRCUIT COURT BRANCH 0-. .~. nne' f' "5' c.Q.U~TY OF WINNEBAGo INCIDENT NO. ~V""~ r"3-'t
THE UNDERSIGNED, AN OFFICER FOR AND IN BEHA'cF~~"-mE cl'y of'6sHKd~~tl!~t pULY SWORN, STATESUPON INFORMAT1{M)(~iiEt1EF THAT
THE SAID DEFENDANT DID, ON 2"',.;':Jril .~ j 1 :;'::1,0 AT HOURS, VIOLATE ORD. NO. 16 J:}
NAME - LAST, FIRST, MIDDLE INITIAL'
ADDRESS (RESIDENCE)
APT. NO.
POST OFFICE/ST A TE
~':; -1\ ~ --:,::"
PARENT OR GUARDIAN' NAME~ADDRESS,PHbNE"
r ,;)
... t'
-'''-'
PHONE
VEH. - PLATE
ON
LOCATED AT PUBLIC SAFETY BUILDING
19
(f,.M.
420 JACKSON ST. OSHKOSH, WI 54901
AT
o
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ARREST
NO.
AGENCY RECORD
DATE OF DISPOSITION
!:--~f-pa
o Withdrawn by Agency - Reason
[] enied by Prosecution - Reason
Dismissed - Reason
STIPULATION
PL~A:
o GUILTY ~OT GUILTY
o NOT GUILTY 0 GUILTY
o NO CONTEST
FIf\!DINGS:
SENTENCE:
o
o
o
$
+ COSTS AND/OR
DAYS JAIL AND/OR
DAYS IN JAIL FOR FAILURE TO PAY:
IN~IDENT REPORT:
A reinspection of the dwelling re-
rvealed that the basement smoke detector
was missing the battery and that the
smoke detector on the seconq floor was
disconnected from the battery. The
tenant has signed a smoke detector re-
sponsibility form issued by the owner.
DATE AND TIME OF INCIDENT REPORT
4-9-'iD / ~ 3?J