HomeMy WebLinkAboutCitation #48938 - 07/15/2004 CITY OF OSHKOSH, WISCONSIN Juvenile Yes Incident No. Deposit
48938 CITATION Parents
Notified Yes $ , 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 , AT ; AM /PM VIOLATE TO WIT:
DEFENDANT ` LAST x ' = FIRST MIfDLE DESCRIBE VIOLATION
ADDRESS (HOME) r APT. CITY /STATE ZIP CODE al ' "j' . ` ' ' ' '' °' '
SCHOOL ADDRESS /PLACEOF EMPLO\'MENT /HOME'PH0NE
" 4D1TI'r ' "F ' s �I `11 ID":.::x.�,:
BIRTH DATE DRIVERS LICENSE STATE
' 'a ; ' '7)'`'I: °3
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 , 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 STIPULATION
❑ Withdrawn by Agency - Reason ❑ Amended To: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: 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
' ATE: / /
p ,{A A 0.1 A it AM 0 P
4
INCIDENT DI ATE / YE NO ARREST REPORT DICTATED YES NO
DATE: 6// DATE:
SIGNATU OF 0 FIC DATE RMS JALES
DATA
ENTERED: / / / /