HomeMy WebLinkAboutIncident #88H0325DEPOSIT ASSESS COURT- TOTAL
CITY OF OSHKOSH, WISCONSIN , , $ $ srs* $ ,~~M~ • ~• ~/ ~ ~ ~'
UNIFORM MUNICIPAL CITATION & COMPLAINT S - /v ``
COUNTY OF WINNEBAGO INCIDENT N0. ~ -
STATE OF WISCONSIN CIRCUIT COURT BRANCH ---
THE UNDERSIGNED, AN OFFICER FOR.AND IN BEHALF ~OF THE CITY OF OSHKOSH BEING DULV'SWORN, STATES UPON INFORMATION AND BELIEF THAT
;``f qT~--HOURS, VIOLATE ORD. NO. TO WIT:
THE SAID DEFENDANT DID, ON
CITY
OF (/ ~ Describe Violation
NAME -LAST, FIRST, MIDDLE INITIAL ~/~/ ~ /
OSHKOSH vs. _
ADDRESS IRESIDENCEI APT. NO. POST OFFICEISTATE ZIP
PARENT OR GUARDIAN NAME, ADDRESS, PHONE
PHONE AGE BIRTHDATE PLACE OF BIRTH
M F WHT. BLK. NAT. ASN. HSP. NON EYES HAIR WEIGHT HEIGHT -.
AM. HSP ON HWV.ISTREET -PRIVATE/PUBLIC PROPERTY
^ ^ ~.LJ 2.u 3.^ 4.^ 1.^i 2.^
DRIVER'S LICENSE STATE EXP. SOCIAL SECURITY NO. AT
YEAR MODEL COLOR COUNTY CITY
VEH. -PLATE EXP. STATE MAKE OF WINNEBAGO OF OSHKOSH
OFFICER'S SIGNATURE NUMBER
YOU ARE HEREBY NOTIFIED TO APPEAR IN THE ABOVE NAMED COURT
A.M.
ON ~ 9 AT P.M. SWORN TO BEFORE ME DATE:
420 JACKSON ST. OSHKOSH, WI 54901 TITLE
LOCATED AT PUBLIC SAFETY BUILDING
AGENCY COPY
ARREST
NO.
AGENCY RECORD
DATE OF~ISPOS Ti.ON STIPULATION ASSESSMENT COURT TOTAL
,/'' ~"" ~ COSTS
dra by Augency -Reason
-' D Hied by Prosecution -Reason
~ismissed -Reason ~i~LL
PLEA:
i l GUILTY OT GUILTY NO CONTEST
FINDINGS
7 NOT GUILTY ~~' GUILTY
SENTENCE:
~~
$ +COSTS AND/OR
~_ DAYS JAIL AND/OR
' DAYS IN JAIL FOR FAILURE TO PAY:
INCIDENT REPORT:
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