HomeMy WebLinkAboutCitation #45581 - 11/26/2002 4��Q� CITY OF OSHKOSH, WISCONSIN �uvenile Yes Incident No. Deposit
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� CITATION Notified Yes S 'j : , FOR COURT USE ONLY
STATE OF CONSIN THE UNDERSIGNED FOR AND IN BEHALF OF THE THAT SAID DEFENDANT DID
CIRCUIT COURT CITY OF OSHKOSH STATES UPON INFORMATION AND BELIEF
WINNEBAGO COUNTY
ORDINANCE ADOPTING WIS STATS
ON , , AT� . AM/PM VIOLATE , TO WIT:
DEFENDANT LAST �fIRST MIDDLE DESCRIBE VIOLATION
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ADDRESS(HOME) APT. , CITY/STATE ZI ,CODE `
SCHOOL ADDRESS/PLAEE OF EMPLOYMENT/HOME PHONE ' ' "
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 " 'Vdinn bago CoUnty,City of Oshkosh
oN , , AT. AMiPM OSHKOSH POLICE DEPARTMENT
y OFFICER'S SIGNATURE NUMBER
LOCATED AT SAFETY BUILDING,RM.194,420 JACKSON ST.,OSHKOSH,WI 54903-2808
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;, . AGENCY RECORD
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_�? DATE OPDISPOSITION STIPULATION
1`- �-Q�
❑WitFiirawn by Agency- Reason ❑Amended To:
❑ Denied by Prosecution - Reason
❑ Dismissed - Reason ; `
. .., ,::._. . , .,. .�r... .: ,:....
PLEA: ❑ NOT GUILTY FINDINGS: ❑GUILTY ❑ NOT GUILTY
❑ NO CONTEST _ p,
❑GUILTY DISMISSED � �f�'��
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: / /
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INCIDENT REPORT: RETURN
DATE: / /
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INCIDENT DI ATE Y S NO ARREST REPORT DICTATED YES NO
DATE: DATE:
SIGNATU O FI R \ DATE RMS JALES ;
DATA
� ENTERED: / / / /