2023-06-08_ENFORCEMENT - M2021068

• Permit No: M2021068
• IBM Index Class Name: Enforcement
• Doc Date: 6/8/2023
• Doc Name: Penalty Payment
• From: Joe Forster
• To: DRMS
• Violation No.: MV2022004
• Email Name: BFB
• Email Name: MAC
• Email Name: AWA
• Media Type: D
• Archive: No

Jack D.Tabb,LLC
Page 3 of 3
May 31,2023
Signature:
Title: C C)o
State of-
_ \ )ss.
County of L:� \ e_- _)
The foregoing instrument was acknowledged before me this to day of U
by of ©a
TAMMY H"Z Notary Public
NOTARY PUBLIC
STATE OF WISCONSIN My Commission Expires: V
41,
SIGNATURES MUST BE IN BLUE INK