HomeMy WebLinkAboutCitation #52026 - 03/17/2004 CITY OF OSHKOSH, WISCONSIN �uvenile Yes Incident No. Deposit
5�0�s CITATION Parents
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Notified Yes � ^ FOR COURT USE ONLY
r� 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 COUNTY
ORDINANCE ADOPTING WIS STATS
ON , , AT AM1PM VIOLATE TO WIT:
DEFENDANT + % LAST ' `• FI ST MIDDLE. '-• � DESCRBE VIOLATION
ADDRESS(HOME) ,APT. CIJY/STATE ZIP CODE .
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SCHOOL ADDRESS/PLA E 0 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 NWY/STREET=PRIVATE/PUBLIC PROPERTY
PARENT/GUARDIAN ADDRESS PHONE AT
YOU ARE HEREBY SUMMONED TO APPEAR IN THE ABOVE COURT inneliago County,City of Oshkosh
oN , , AT � ,AM/PM OSHKOSH POLICE DEPARTMENT
' OFFICER'S SIGNATURE NUMBER
LOCATED AT SAFETY BUILDING,RM.194,420 JACKSON ST.,OSHKOSH,WI 54903-2808
(RECORD COPY)
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AGENCY RECORD
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DATE OF DISP SITIO STIPULATION "r,
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❑Withdra by A cy- eason �Amended To:
❑Denied by Prosecution Reason
❑ Dismissed- Reason
� PLEA: ❑ NOT GUILTY FINDINGS: ❑GUILTY ❑ NOT GUILTY
❑ NO CONTEST
❑GUILTY ISMI D � ;
TRIAL: DATE: O T
❑JURY
❑COURT BRANCH: 1 2 4 5 6
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SENTENCE: WARRANT STATUS
❑ $ FINE AND/OR ORDERED:
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❑ 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 D T,4T ES NO ARREST REPORT DICTATED YES NO
DATE: DATE:
SIGNA E OF FF1C DATE RMS JALES
DATA - `�
ENTERED: / / / / ��F