HomeMy WebLinkAbout1990-Incident #90H0622 CITY OF OSHKOSH, WISCONSIN DEPOSIT ASSESS COURT TOTAL
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STATE OF WISCONSIN CIRCUIT COURT BRANCH COUNTY OF WINNEBAGO INCIDENT NO. 10-72.
THE UNDERSIGNED, AN OFFICER FOR AND IN BEHALF OF THE CITY OF OSHKOSH BEING DULY SWORN, STATES UPON INFORMATION AND d. r THAT
THE SAID DEFENDANT DID, ON - i...' ) - AT HOURS, VIOLATE ORD. NO.
CITY TO WIT:
OF NAME - LAST, FIRST, MIDDLE INITIAL Describe Violation
OSHKOSH VS.
ADDRESS (RESIDENCE) APT. NO. POST OFFICE /STATE ZIP
3 _ - 1 I i...
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
tii
Fil ❑ 1. ❑ 2. C 3. ❑ 4. PI 1 n 2. ❑ ON HWY./STREET - PRIVATE /PUBLIC PROPERTY
DRIVER'S LICENSE STATE EXP. SOCIAL SECURITY NO.
AT
VEH. - PLATE EXP. STATE MAKE YEAR MODEL COLOR COUNTY WINNEBAGO CITY
OF OF OSHKOSH
YOU ARE HEREBY NOTIFIED TO APPEAR IN THE ABOVE NAMED COURT OFFIER' $IFNATURE NUMBER
.r- f ,. �y I .t E
ON 19 AT - Gry
.P.m. SWORN TO BEFORE ME DATE:
Ili LOCATED AT PUBLIC SAFETY BUILDING 420 JACKSON ST. OSHKOSH, WI 54901 TITLE
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AGENCY COPY
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