HomeMy WebLinkAboutCitation #19838 - 08/19/1997 ,�
�+ � �� � –` CITY OF OSHKOSH, WISCONSIN Juvenile Yes incident No. Deposit
, 4 �� �� .
� ; CITATION Notifed Yes � $ FOR COURT USE ONLY
� i
- � STATE OF WISCONSIN THE UNDERSIGNED FOR AND IN BEHALF OF THE
" � CIRCUIT COURT THAT SAID DEfENDANT DID
� WIpINEBAGO COUNTY CITY OF OSHKOSH STATES UPON INFORMATION AND BELIEF
� ORDINANCE ADOPTING WIS STATS
�
� � ON ;�,� �'1` , 19 , AT. � � AM/PM VIOLATE TO WIT:
`� � DEFENDANT LAST fIRST MIDDLE DESCRIBE VIOLATION
:�� �
r ...
' , .^ r,y� •� <r• , , �, _ "� ?;.r .
�' � ADDRESS(HOME) " APT. ' CITY/STATE ZIP CODE
s���� � .
,`� I ` ',7�. �� . � �t� -j5r ? riT 1.
..t. ....,.. . . _
�'-� � SCHOOL ADDRESS/PLA E 0 EMPLOY ENT/HY ME PHONE 4
�
�' � ( .; �
�� � BIRTH DATE DRIVERS LICENSE STATE � ' '
�.. �
1
� �
� 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
,*� �
� '�� <,.... , w ......; �i •.,,
; YOU ARE HEREBY SUMMONED TO APPEAR IN THE ABOVE COURT ' '' inl5e�ago `1bunty,City of Osfikosh �
�
'' � ; oN , �s � , Ar °—,�-�A^^iP^^ OSHKOSH POLICE DEPARTMENT
�; ,
+
' a OFFICER'S SIGNATURE NUMBER
�
� LOCATED AT SAFETY BUILDING,RM.194,420 JACKSON ST.,OSHKOSH,WI 549034808 �`, �
�
+ (RECORD COPY)
� �
�- ___-- -- -- --- '
_ . _----._ __ � _. ��. . �__.____ _
ra.��� �-._ �.n. �� . .. „. ....,�...
. ' , �
AGENCY RECORD
� r
•JATE OF DISPOSITION STIPULATION
r ,
❑Withdrawn by A ency- Reason ❑Amended To:
❑ Denied by Prosecution- Reason
❑ Dismissed- Reason
PLEA: ❑ NOTGUILTY �yl�)4 � ��QlNll�'��O/�1�T�1��
❑ NO CONTEST ��� �'j a i1 ��LH
� ❑ 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: / /
❑ DAYS IN JAIL FOR FAILURE TO PAY: SERVED:
❑ Driver's License Suspension For Failure To Pay DATE: / /
INCIDENT REPORT: RETURN
ATE: / /
�
INCIDENT D T E YES NO ARREST REPORT DICTATED YES NO
DA : � 'l DATE:
S NA E F O ICER DATE RMS JALES
DATA
` ENTERED: / / / /