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<br /> SECTION 66.119 MUNICIPAL CITATION AGENCY COPY
<br /> DEPOSIT i
<br /> X N2 48038 County of Dane Citation & Complaint $ i)
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<br /> COURT • COUNTY OF OANE,..
<br /> STATE OPWISCONSIN • TRAFFIC — - ' and,belief that authorized' official for and on:behalf of the County of Dane states upon information
<br /> The undersigned,a
<br /> named alleged violator did,on, DATE f 1, / / ../AT(Time) ....... .., A m VIOLATE ORD„.NOroy...., ),/, 1 i x
<br /> S 1 i 0/OS 1 , A
<br /> ''.-"? P .'' /X) I 4 N., / .1. ii il / III f 1 1 I:1',....Prro,
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<br /> • -TO WIT: I G F OFFE NSE
<br /> NAME-I /ST FIRU.NAME m I DESI ATION O
<br /> 4- t1R1
<br /> ADDRESS ,„.._„...., 3,---- i _.., ,.„...,,,
<br /> ....` i,.
<br /> Qi mi.vt4 Afrli, .,./ , I
<br /> „,x4 ifti(„ "izt ..r.) 1,, p4'-77,n,,,i <0 Vic,y
<br /> BIRTHDATE HAIR EYES WEIGH. H IGHT SEX RACE DESCRIBE VIOLATION
<br /> -v-A-1446" eilC /-,44-/I Vit.
<br /> DRIVERS LICENSE NO VEH-PLATE EXP STATE
<br /> YOU R tHEREBY ! TAfIED TRAPPE AR Ilt HE ABEVENAMED X CiOU R T, .
<br /> RM. CA, ON MAt f. ,20 aAT OO kW.m. u , Ri71 i . I e....
<br /> ..,
<br /> L AT
<br /> IF YOU DO NOT MAKE A CASH DEPOSIT AND DO NOT APPEAR IN COURT f,Sp,/ /0:1• ..„
<br /> . 2 7 b0712-11—tL7V
<br /> AT THE TIMEABOVE SPECIFIED,AN ACTION MAY BE COMMENCED AGAINST COUNTY ` CITY,VIL GE TOWNS
<br /> YOU TO COLLECT THE FORFEITURE AND COSTS. DANE
<br /> Sworn to before me OFFIC;0011111rd,. 0 DATE ,
<br /> Date Title
<br /> 080-127(11/00)
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