HomeMy WebLinkAboutCitation #44742 (6/09/2003)T_-
t t +~ ~ ~ CITY OF OSHKOSH, WISCONSIN Juvenile Yes Incident NO. Deposit
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FOR COURT USE ONLY
STATE OF fAIISCONSIN THE UNDERSIGNED FOR AND IN BEHALF OF THE THAT SAID DEFENDANT DID
aRCUir COURT CITY OF OSHKOSH STATES UPON INFORMATION AND BELIEF
WINNEBAGO COUNTY
ORDINANCE ADOPTING WIS STATS
ON ~ ~ ~a-~-, AT' r ~/PM VIOLATE ~ "~".., ~ ;;~ TO WIT:
DEFENDANT LAST FIRST MIDDLE DESCRIBE VIOLATION
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SCHOOL ADDRESS/PLACE OF EMPLOYMENT/HOMEPHONE '`°
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BIRTH DATE DRIVERS LICENSE STATE .+y ~p ~
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SEX RACE HEIGHT WEIGHT HAIR EYES MARKS, SCARS, TATTOOS
VEH. PLATE EXP. STATE YEAR/MAKE OF VEH. TYPE COLOR ON HWY/STREET -PRIVATE/PUBLIC PROPERTY
PARENT/GUARDIAN ADDRESS PHONE '~ '' ~ ~ ~ '
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YOU ARE HEREBY SUMMONED TO APPEAR IN THE ABOVE COURT Winnebago County, City of Oshkosh
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: OSHKOSH p'(~t.'fLE DEPARTAVIENT
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OFFICER'S SIG ATI~R~ NUMBER
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LOCATED AT SAFETY BUILDING, RM. 194, 420 JACKSON ST., OSHKOSH, WI 54903-2808 ~ ' ~ "'_ ~ r ~ ~'
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(RECORD COPY)
AGENCY RECORD
DATE OF SPOSITION STIPULATION
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^ Withdrawrt by Agency -Reason ^ Amended To:
^ Denied by Prosecution -Reason
^ Dismissed -Reason
PLEA: ^ NOT GUILTY FINDINGS: GUILTY ^ NOT GUILTY
($NO CONTEST
^ GUILTY ^ DISMISSED
TRIAL: DATE: COURT
^ JURY
^ COURT BRANCH: 1 2 3 4 5 6
SENTENCE: WARRANT STATUS
^ ~ FINE AND/OR ORDERED:
^ DAYS JAIL AND/OR DATE: / /
^ DAYS IN JAIL FOR FAILURE TO PAY: SERVED:
^ Driver's License Suspension For Failure To Pay DATE: / /
INCIDENT REPORT: RETURN
DATE: / /
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INCIDENT DI TAT D YES NO ARREST REPORT DICTATED YES NO
DATE: DATE:
SIGNATUR O OFFI DATE RMS JALES
DATA
ENTERED: / / / /