HomeMy WebLinkAboutCitation #37839 - 09/27/2001 .�
�7Q�� CITY OF OSHKOSH, WISCONSIN ,luvenile Yes Incident No. Deposit
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Notified Yes 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 DEFENDAIVT DID
WINNEBAGO COUNTY
ORDINANCE ADOPTING WIS STATS
ON G i:�1'�"P:'2::u 3 r , �, AT ' � +' /I�M VIOLATE TO WIT:
DEFENDANT LAST FIRST I DL C I VIOLATION
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ADDRESS(HOME) APT. CI / A ZIP CODE
SCHOOL ADDRESS/PLACE OF M NE' - � �� �``
BIRTH DATE DRIVERS LICENSE STATE ' �
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SEX RACE HEIGHT WEIGHT HAIR EYES MARKS,SCARS,TATTOOS ' "' "
VEH.PLATE EXP. STATE YEAR/MAKE OF VEH. TYPE COLOR A U IC
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PARENT/GUARDIAN ADDRESS PHONE AT
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YOU ARE HEREBY SUMMONED TO APPEAR IN THE ABOVE COURT Winnebago County, City of Oshkosh
oN , ��, AT--{----�nror�M OSHKOSH POLICE DEPARTMENT
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OFfICER'S SIGNAT.11RE� NUMBER
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� LOCATED AT SAFETY BUILDING,RM.194,420 JACKSON ST.,OSHKOSH,WI 54903-2808 =s , � r � �• "
(RECORD COPY)
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�� �AGENCY RECORD �,
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DATE OF DISPOSITION STIPULATION
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❑kVithdrawn by Agency- Reason ❑ Amended To:
❑ Denied by Prosecution - Reason
❑ Dismissed- Reason
PLEA: ❑ OT GUILTY FINDINGS: GU ❑ NOT GUILTY
�ONTEST
❑ GUILTY ❑ DISMISSEO
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: / /
INCIDENT REPORT: RETURN
DATE: / /
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INCIDENT DICT T YES NO ARREST REPORT DICTATED YES NO
DATE: �L � � � � DATE:
SIGNATURE OF FfiIC� DATE RMS JALES
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ENTERED: / / / /