HomeMy WebLinkAboutCitation #31159 - 06/15/1999I
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CITY OF OSHKOSH, WISCONSIN
CITATION
Juvenile Yes
Parents
Notified Yes
Incident No.
Deposit
$
OR COURT USE ONLY
STATE OF WISCONSIN
CIRCUIT COURT
WINNEBA6C COUNTY
THE UNDERSIGNED FOR AND IN BEHALF OF THE THAT SAID DEFENDANT DID
CITY OF OSHKOSH STATES UPON INFORMATION AND BELIEF
ON
ORDINANCE
19 , AT MIPM VIOLATE
ADOPTING WIS STATS
TO WIT:
DEFENDANT
LAST FIRST MIDDLE
DESCRIBE VIOLATION
ADDRESS (HOME)
APT. CITWSTATE ZIP CODE
SCHOOL ADDRESS/PLACE OF EMPLOYMENT /HOME PHONE
BIRTH DATE
DRIVERS LICENSE STATE
SEX
I RACE
HEIGHT
WEIGHT
HAIR
EYES
MARKS, SCARS, TATTOOS
VEH. PLATE EXP. STATE
YEAR/MAKE OF VEH. TYPE COLOR
ON HWYlSTREET PR IVATF/PU BLIC PROPERTY
PARFNTlGUARDIAN
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
JAT�� FDIYI�ITI�f�L STIPULATION
�� 9 9 11 q
❑ Withdrawn by Agency - Reason ❑ Amended To:
❑ Denied by Prosecution - Reason
❑ Dismissed - Reason
PLEA: ❑ N GUILTY FINDINGS: El GUILTY L1 NOT GUILTY
°❑ GUIL D D NOT APRI IS6ED
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: 1
INCIDENT REPORT:
RETURN
,.
DATE: 1 !
INCIDENT DJCTATRD
YES
NO
ARREST REPORT DICTATED
YES
NO
DATE:
DATE:
SIG NAT OFFICER
DATE RMS
JALES
DATA
ENTERED: 1 1
! 1
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