HomeMy WebLinkAboutCitation #50182 - 10/21/2003CITY OF OSHKOSH, WISCONSIN
p g 2 CITATION
I Juvenile Yes
Parents
Notified Yes
Incident No.
Deposit
S
FOR COURT USE ONLY
STATE OF WISCONSIN THE UNDERSIGNED FOR AND IN BEHALF OF THE
CIRCUIT COURT CITY OF OSHKOSH STATES UPON INFORMATION AND BELIEF THAT SAID DEFENDANT DID
WINNFBAGO COUNTY
ORDINANCE ADOPTING WIS STATS
ON AT A MIPM VIOLATE TO WIT:
DEFENDANT LAST FIRST MIDDLE
DESCRIBE VIOLATION
ADDRESS (HOME) APT. CITYISTATF ZIP CODE
SCHOOL ADDRESS /PLACE OF FMPLOYMENT /HOME PHONE
BIRTH DATE
DRIVERS LICENSE STATE
SEX T FAACE
HEIGHT
WEIGHT
HAIR EYES
MARKS, SCARS, TATTOOS
VEH. PLATE EXP. STATE
YEARIMAKE OF VEH. TYPE COLOR
ON HWY /STREET — PRIVATEIPUBLIC PROPERTY
PARENTIGUARDIAN ADDRESS PHONE
AT
YOU ARE HEREBY SUMMONED TO APPEAR IN THE ABOVE COURT
ON AT AM/PM
Winn go Count' , ity of Oshkosh
OSHKOSH POLICE DEPARTMENT
OFFICER'S SIGNATURE NUMBER
LOCATED AT SAFETY BUILDING, RM. 194, 420 JACKSON ST., OSHKOSH, WI 54903 -2808
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