HomeMy WebLinkAboutCitation #24881
THE UNDERSIGNED FOR ANDIN ~EHe.LFQF)~E , ",. "',' , THAT SAID DEFENDANT DID ':
CITY OF OSHKOSH STATES UPON INFORMATION AND BELIEF
ORDINANCE ADOPTING WIS STATS
Juvenile
Parents
Notified
Yes
Incident No.
t':.
Deposit
Yes
FOR COURT USE ONLY
1M
ON '
DEFENDANT DESCRIBE VIOLATION
.~
SCHOOL ADDRESS/PLACE OF EMPLOYMENT/HOME I' ONE
ADDRESS (HOME)
BIRTH DATE
STATE
SEX
MARKS, SCARS, TATTOOS
TYPE COLOR
PARENT/GUARDIAN
PHONE
YOU ARE HEREBY SUMMONED TO APpE~R IN THE ABOVE CO~RT
"ftLY 15
,19f~
;f'f;f:n
, AT,'!_ ,.., ~ AM/PM
,>,-."I;-~..., -.
LOCATED ATSAFEt'i'.BQIt,bING:Rr:,1: 194;420JACKSONST., OSHKOSH, WI 549tJ3-2S0S
, ':(REC()~DCOPY)
S31vr
-----sffil
:a31::13
-_.-~-- V.l va
3.lVa
:3.lVa
ON S3A a3.lV.l~la .lI::lOd31::1.lS31::1I::1V ON
W/rf1lJ~
o
c:;::r-'1 V _.~
:3.lVa
Nl::ln.l31::1
:3.lVO
:.ll:lOd3l:l .lN301~NI
Aed o.l aJnl!e:::l JO:::l uo!suadsns asua:>!l s,JaA!JO
:a3l:l30l:l0
Sn1V.lS .lNVl:ll:lVM
o
o
o
o
:a3^l:l3S :AVd 01 3l:lnlIV:::ll:lO:::llIVr NI SAva
:31VO l:lOfONV llvr SAva
l:lOfONV 3NI:::l
$
:30N3.lN3S
9 9 v € c: :H~NVl:l8 ll:lnOO 0
Al:lnrD
:31VO :lVIl:l.l
Allln8 0
.lS3.lNOO ON 0
Allln8 10N 0 A1lln8 0 :S8NIONI:::l Allln8 .lON 0 :V31d
uoseal:l - pass!WS!a 0
uoseal:l - UO!ln:>asoJd Aq pa!uaa 0
:O.l papuawv 0 uoseal:l - Aoua6v Aq uMeJp41!M 0
r:1~nd:sl 9b:u,~:O~,a:::l~ 31VO
m:lO~3t:1 A~N3~"