HomeMy WebLinkAboutCitation #35719 - 08/08/2000{ M
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CITY OF OSHKOSH, WISCONSIN
"IS M CITATION
Juvenile Yes
Parents.
Notified Yes
Incident No
Deposit
$
FOR COURT USE ONLY
STATE OF WISCONSIN
Cr
WINNB AGO COUNTY EGO
WINN
THE UNDERSIGNED FOR AND IN BEHALF OF THE THAT SAID DEFENDANT DID
CITY OF OSHKOSH STATES UPON INFORMATION AND BELIEF
ON
ORDINANCE
19 , AT — 4M /PM VIOLATE
ADOPTING WIS STATS
TO WIT:
DEFENDANT
LAST FIRST MIDDLE
DESCRIBE VIOLATION
ADDRESS (HOME)
APT. CITY /STATE ZIP CODE
SCHOOL ADDRESS /PLACE OF EMPLOYMENT /HOME PHONE
5_. r _ ura; f,c:AL. r; 77
Y
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
ON 19 - 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
(RECORD COPY)
AGENCY RECORD
DATE OF DISPOSITION
STIPULATION
ARREST REPORT DICTATED
YES
NO
/
DATE:
❑ Withdrawn by Agency - Reason ❑ Amended
To:
Q Denied by Prosecution - Reason
❑ Dismissed - Reason
DATA
PLEA: ❑ NOT GUILTY
FINDINGS:
❑ GUILTY ❑ NOT GUILTY
Q NO CONTEST
❑ GUILTY
$DISMISSED
TRIAL: DATE: �- / /'�
C f d
COURTJ
;/
❑ JURY
A 0 or
❑ COURT BRANCH:
f 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:
INCIDENT DI T�AyT
YES NO
ARREST REPORT DICTATED
YES
NO
DATE: ,
DATE:
SIGNAT E OFFICER
DATE RMS
DALES
DATA
ENTERED:
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