HomeMy WebLinkAboutCitation #4774 CITY OF OSHKOSH, WISCONSIN
Juvenile Yes Incident No. Deposit
CITATION Parents g 1
Notified Yes J 6J 1 LA S FOR COURT USE ONLY
STATE OF WISCONSIN THE UNDERSIGNED FOR AND IN BEHALF OF THE
CIRCUIT COURT THAT SAID DEFENDANT DID
WINNEBAGO COUNTY CITY OF OSHKOSH STATES UPON INFORMATION AND BELIEF
ORDINANCE ADOPTING WIS STATS
ON 19 AT s AM /PM VIOLATE TO WIT:
DEFENDANT LAST FIRST MIDDLE DESCRIBE VIOLATION
ADDRESS (HOME) APT. f CITY /STATE ZIP CODE
SCHOOL ADDRESS /PLACE OF _EMPLOYMENT
f
BIRTH DATE DRIVERS LICENSE STATE
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 AT
YOU ARE HEREBY SUMMONED TO APPEAR IN THE ABOVE COURT Winnebago County, City of Oshkosh
ON 19 AT AM /PM OSHKOSH POLICE DEPARTMENT
OFFICER'S SIGNATURE NUMBER
LOCATED AT SAFETY BUILDING, RM. 194, 420 JACKSON ST., OSHKOSH, WI 54903 -2808
(RECORD COPY)
AGENCY RECORD
DATE OF DISPOSITION STIPU TION
11 c' CV
II Withdrawn by Agency Reason Amended To:
Denied by Prosecution Reason
Dismissed Reason
PLEA: NOT GUILTY FINDINGS: GUILTY NOT GUILTY
NO CONTEST
GUILTY DISMISSED
TRIAL: DATE: T
II JURY C 1\ W
COURT BRANCH: 1 L )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: 1
INCIDENT EPORT: RETURN
OA 10,15 i7)?. Ac/'! J Lp2. e),AF DATE:
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INCIDENT DICTATED YES NO ARREST REPORT DICTATED YES NO
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DATE: /5 /T 3 DATE:
SIGN URE OFFICER DATE RMS JALES
DATA
ENTERED: