HomeMy WebLinkAboutCitation #19837 - 08/19/1997 �;. . ., ,.,
� � � CITY OF OSHKOSH, WISCONSIN �uvenile Yes Incident No. Deposit
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i CIRCUIT COURT THAT SAID DEFENDANT DID
���s � wiNNEBAGO COUN7v CITY OF OSHKOSH STATES UPON INFORMATION AND BELIEF
' ORDINANCE ADOPTING WIS STATS
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� ON , 19 , AT;__�__�AM/PM VIOLATE TO WIT:
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� DEfENDANT. LAST FIRST MIDDLE"Y -' DESCRIBE VIOLATION
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� BIRTH DATE DRIVERS LICENSE STATE "'
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� SEX RACE HEIGHT WEIGHT HAIR EYES MARKS,SCARS,TATTOOS
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�'a i VEH.PLATE EXP. STATE YEAR/MAKE OF VEH. TYPE COLOR ON HWY/STREET—PRIVATE/PUBLIC PROPERTY
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'� � PARENT/GUARDIAN ADDRESS PHONE 7
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� � YOU ARE HEREBY SUMMONED TO APPEAR IN THE ABOVE COURT � iiebagd�Cou ty, City of D9hko§fl'
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V` � oN � , 19 , , AT ! `AM/PM OSHKOSH POLICE DEPARTMENT
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� � OFFICER'S SIGNATURE NUMBER
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� LOCATED AT SAFETY BUILDING,RM. 194,420 JACKSON ST.,OSHKOSH,WI 54903-2808 .�-,,�. , f,., , '
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�� � (RECORD COPY) � ' � _
� AGENCY RECORD
DATE OF DISPOSITION STIPULATION
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❑ Withdrawn by Agency- Reason ❑ Amended To:
❑ Denied by Prosecution - Reason
❑ Dismissed- Reason E r
PLEA: ❑ NOT GUILTY FINDINGS: ❑GUILTY ❑ NOT GUILTY �
❑ NO CONTEST
❑GUILTY ❑ DISMISSED
TRIAL: DATE: COURT � �
❑JURY � �
❑COURT BRANCH: 1 2 3 4 5 6
SENTENCE: WARRANT STATUS
❑ $ FINE AND/OR ORDERED:
❑ DAYS JAIL AND/OR DATE: / /
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❑ 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 DICTATED YES NO ARREST REPORT DICTATED YES NO
DATE: '� � � � DATE:
SIG AT O OF E DATE RMS JALES
DATA
ENTERED: / / / /