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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:
Name of Complainant:
Date:
The Village of Stratton is an Equal Opportunity Provider and Employer.
