HomeMy WebLinkAboutCitation #51162 - 04/19/2005CZ 1 'I
CITY OF OSHKOSH, WISCONSIN
CITATION
Juvenile Yes Incident No.
Parents
Notified Yes
Deposit
$
FOR COURT USE ONLY
STATE OF WISCONSIN
CIRCUIT GO C OUNTY r
WINNEBAGO C
THE UNDERSIGNED FOR AND IN BEHALF OF THE
CITY OF OSHKOSH STATES UPON INFORMATION AND BELIEF THAT SAID DEFENDANT DID
ON
ORDINANCE
AT A M /PM VIOLATE
ADOPTING WIS STATS
TO WIT:
DEFENDANT LAST FIRST MIDDLE
DESCRIBE VIOLATION
ADDRESS (HOME)
APT. CITY / STATF ZIP CODE
SCHOOL ADDRESSIPLACE OF EMPLOYMENT/HOME PHONE
BIRTH DATE
DRIVERS LICENSE STATE
SEX
RACF HEIGHT WEIGHT
HAIR
EYES
MARKS, SCARS, TATTOOS
VEH. PLATE EXP.
STATE
YFARIMAKE OF VEH. TYPE COLOR
ON HWYISTREET — PRIVATE /PUBLIC PROPERTY
PARENT/GUARDIAN
ADDRESS PHONE
AT
YOU ARE HEREBY SUMMONED TO APPEAR IN THE ABOVE COURT
ON AT AM/PM
Winnebago County, City of Oshkosh
OSHKOSH POLICE DEPARTMENT
OFFICER'S SIGNATURE NUMBER
LOCATED AT SAFETY BUILDING, RM. 194,420 JACKSON ST., OSHKOSH, WI 54903 -2808
SHI- �VHU WFY)
AGENCY RECORD
DATE OF DISPOSITION STIPULATION
❑ Withdrawn by Agency - Reason ❑ Amended To: tr
❑ Denied by Prosecution - Reason
❑ Dismissed - Reason
PLEA: ❑ NOT GUILTY FINDINGS: L1 GUILTY F1 NOT GUILTY
❑ NO CONTEST
F1 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
JALES
DATE:
INCIDENT TATE YES
NO
ARRE T REPORT DICTATED
YES
NO
DATE:
DATE:
SIGNAT 4E OF € FIG
DATE RMS
JALES
DATA
ENTERED: ! !
1