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Complaint Form

COMPLAINT

Name of Offender:  

Address of Offender: 

Date of Offense: 

Time of Offense: 

Location of Offense: 

Village Ordinance number and title: 

The undersigned, being duly sworn, says the above named offender at the date and time shown above did unlawfully violate the Stratton Village Ordinance No.: 

The factual circumstances of the offense are as follows:

Names, addresses, and phone numbers of all witnesses:

 

Date: 

 

 

 

The Village of Stratton is an Equal Opportunity Provider and Employer.

 

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