HomeMy WebLinkAboutIncident #85B0068 - 10/08/1995 -FILE )/La_ DH-1 �7--
DEPOSIT ASSESS COURT- TOTAL'
CITY OF OSHKOSH, WISCONSIN 2 S $5,Z5" COS DEPOSIT
UNIFORM MUNICIPAL CITATION COMPLAINT 3 ,7 °SI 6 5 5 Z.
"DO NOT INCLUDE IF RETURNABLE BEFORE JUVENILE COURT I
STATE OF WISCONSIN CIRCUIT COURT BRANCH .Y_ COUNTY OF WINNEBAGO INCIDENT NO. 85 g
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THE UNDERSIGNED. AN OFFICER FOR AND IN BEHALF OF THE CITY OF OSHKOSH BEING DULY SWORN. STATES UPON INFORM N A QE IEF THAT
THE SAID DEFENDANT DID, ON Ocr 7 Z3 AT HOURS, VIOLATE ORD. NO.
CITY TO WIT:
OF NAME LAST, FIRST. MIDDLE INITIAL Describe Violation
OSHKOSH vs. 1 y MI i C9�lD4i( SS1V,? /A; A e,4�fA�M
ADD SS IRESIDENCEI APT. NO. POST OFFICE /STATE ZIP
/1 (i. AR- L I 7D/ d-�. (,�sfficosq uz- s49d/ 7",M 4 fit- .4
PARENT OR GUARDIAN NAME, ADDRESS, PHONE
PHONE AGE BIRTHDATE PLACE OF BIRTH
fsrzIcr tort Your,-
M F WHT. BLK. NAT. ASN. HSP. NON EYES HAIR WEIGHT 'HEIGHT Gk2iNCi f4L Sri 067 ti, o Vier
AM. HSP.
1.7i 2. 3. 4. 1. 2. ON HWY. /STREET PRIVATE /PUBLIC PROPERTY
DRIVER'S LICENSE STATE EXP. SOCIAL SECURITY NO.
AT
/9;01-CN /Q Sr-
VEH. PLATE EXP. STATE MAKE YEAR MODEL COLOR COUNTY CITY
OF WINNEBAGO OF OSHKOSH
YOU ARE HEREBY NOTIFIED TO APPEAR IN THE ABOVE NAMED COURT
ON l y FFIURE NUMBER
J 1� Ey O A.M. Q ft
J L j 3 19 AT P.M. P•M. SWORN�0 BEFORE ME DATE: /D� /J /[J
LOCATED AT PUBLIC SAFETY BUILDING g 7.,C": JACKSON ST. OSHKOSH, WI 54901 TITLE y y� p/X� C� Q
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