HomeMy WebLinkAboutCitation #31168 - 06/04/1999 CITY OF OSHKOSH, WISCONSIN Juvenile Yes Incident No. Deposit --r—L •.4 —
3 1 1 ! 0 CITATION Parents
Notified Yes $ k a , ii 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 . ,AM/PM VIOLATE; TO WIT:
DEFENDANT LAST FIRST MIDDLE DESCRIBE'VIOLATION
'..:. y�'ti.LA�it3 4ON!C L I ANCC W 1 Tl4 OSHKOSH CODE
ADDRESS (HOME t y s APT. CITY /STATE ■` - ZIP CODE
SCHOOL ADDRESS /PLACE OF EMPLOYMENT /HOME PHONE
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
.X
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 STIPULATION IS
❑
Withdra4 by Agency - Reason ❑ Amended To:
❑ Denied by Prosecution - Reason
❑ Dismissed - Reason
PLEA: NQLGUILTY FINDINGS: 0 ,4UILTY ❑ 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
DATE: / /
CA-4 a
INCIDENT 1 • S ATE � YEE(S NO ARREST REPORT DICTATED YES NO
V G
DATE: ` ` OK DATE:
SIGNA UR: 0 FFI • DATE RMS JALES
/� r DATA
/ ' ENTERED: / / / /