HomeMy WebLinkAboutCitation #45582 - 11/26/2002 M��c�I� CITY OF OSHKOSH, WISCONSIN �wenile Yes Incident No. Deposit
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Notified Yes E� ' 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
WINNEBAGO COUNN
�` ORDINANCE ADOPTING WIS STATS
ON , AT�;AM/PM VIOLATE _ TO WIT:
DEFENDANT LAST 'IRST MIDDLE DESCRIBE VIOLATION
_ .., . ._ . ._ . , ., . .
ADDRESS(HOME) APT. CITY/STATE � ZIP CODE" " " " ' � M1
R ' . .. � � _ . .,. ,. �:
� ` SCHOOL ADDRESS/PLACE bF EMPLOVMENT/ROME PHONE � �
BIRTH DATE DRIVERS LICENSE STATE
. . _ : . � •i-, ..
SEX RACE HEIGHT WEIGHT HAIR EYES MARKS,SCARS,TATTOOS
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VEH.PLATE EXP. STATE YEAR/MAKE OF VEH. TYPE COLOR ON HWY/STREET—PRIVATE/PUBLIC PROPERTY
a PARENT/GUARDIAN ADDRESS PHONE AT
YOU ARE HEREBY SUMMONED TO APPEAR IN THE ABOVE COURT Winnebago County, City of Oshkosh
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oN , . ,�A��_AM/PM O�HKOSH POLICE DEPARTMENT
OFFJCER'S SIGNATURE NUMBER
LOCATED AT SAFETY BUILDING,RM.194,420 JACKSON ST.,OSHKOSH,WI 54903-2808 ' � " ' ' '
(RECORD COPY) �
` . AGENCY RECORD
� DATE OF DISPOSITION STIPULATION
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❑Withdrawn by Agency- Reason ❑Amended To:
❑ Denied by Prosecution - Reason
❑ Dismissed- Reason :
PLEA: ❑ NOT GUILTY FINDINGS: GUILTY ❑ NOT GUILTY � 's
�NO CONTEST
UILTY ❑ DISMISSED
TRIAL: DATE: COURT
❑JURY
❑COURT BRANCH: 1 2 3 4 5 6
SENTENC � WARRANT STATUS ;
❑ $�UFINE 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: / /
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INCIDENT DIC ATE YES NO ARREST REPORT DICTATED YES NO
DATE: DATE:
SIGNATUFiE F O FICE DATE RMS JALES
�� DATA
� ENTERED: / / / /