HomeMy WebLinkAboutIncident #90H0528
CITY OF OSHKOSH, WISG.ONSIN
UNIFORM MUNICIPAL crr \TION& COMPLAINT
$
t ASSESS
$
COURT-
COSTS*
$
TOTAL
$
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\J'.",l J
CITY
OF
OSHKOSH vs.
STATE OF WISCONSIN CIRCUIT COURT BRANCH ,.' . '.' , COUNTY OF WINNEBAGO INCIDENT NO.
THE UNDERSIGNED. AN OFFICER FOR AND IN BEH~tf6t~l~H<B~os~~fE~G :DUL Y SWORN, STATEsmON INFOR~AYIl:M'~'N~"B~IEF THAT
THESAIDDEFENDANTDID,ON .;;'t",...il ~ " +:19,0 AT 8.il'} HOURS, VIOLATEORD. NO'lG_JJ
NAME - LAST, FIRST, MIDDLE INITIAL
Describe Violation
ADDRESS (RESIDENCE)
APT. NO.
POST OFFICEIST ATE
Zip ",',
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......;11 ~'''''''! .- I'
~ .or.
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PARENT OR GUARDIA~ -NArviE~ ADD~RESS,' P
PHONE
M
2.0
4.0
STATE
VEH, -PLATE
MAKE
YOU ARE HEREBY NOTIFIED TO APPEAR IN THE ABOVE NAMED COURT
ON
'If.~ ,,' l' ..{
LOCATED~TPUBLlC SAFETY BUILDING
19
AT
-*' w ',' ..,.$ ".;l'
420 JACKSON ST. OSHKOSH, WI 54901
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ARREST
NO.
AGENCY RECORD
PLEA:
o GUILTY
n NOT GUILTY
~O CONTEST
..
FINDINGS:
t
o NOT GUILTY
~TY
SENTENCE:
o
o
o
$
+COSTS AND/OR
DAYS JAIL AND/OR
DAYS IN JAIL FOR FAILURE TO PAY:
INCIDENT REPORT:
A reinspect ion of the property re-
vealed that,the basement smo~e detector
was missing the battery and the second
floor battery was disconnect~d from the
smoke detector-.
The tenant has signed
a responsibility form issued by the
owner concerning smoke detectors.
,.., DATE AND TIME OF INCIDENT REPORT
J 4/9/90' 1~30