+ All Categories
Home > Documents > 13 Tickets Issued to Sac County Residents in Sac County That Became Public on or Between September...

13 Tickets Issued to Sac County Residents in Sac County That Became Public on or Between September...

Date post: 14-Apr-2018
Category:
Upload: thesacnews
View: 218 times
Download: 0 times
Share this document with a friend

of 17

Transcript
  • 7/29/2019 13 Tickets Issued to Sac County Residents in Sac County That Became Public on or Between September 10-13, 2

    1/17

  • 7/29/2019 13 Tickets Issued to Sac County Residents in Sac County That Became Public on or Between September 10-13, 2

    2/17

  • 7/29/2019 13 Tickets Issued to Sac County Residents in Sac County That Became Public on or Between September 10-13, 2

    3/17

  • 7/29/2019 13 Tickets Issued to Sac County Residents in Sac County That Became Public on or Between September 10-13, 2

    4/17

    E-FILED 2013 SEP 05 8:04 AM SAC - CLERK OF DISTRICT COURT

  • 7/29/2019 13 Tickets Issued to Sac County Residents in Sac County That Became Public on or Between September 10-13, 2

    5/17

  • 7/29/2019 13 Tickets Issued to Sac County Residents in Sac County That Became Public on or Between September 10-13, 2

    6/17

    E-FILED 2013 SEP 05 8:02 AM SAC - CLERK OF DISTRICT COURT

  • 7/29/2019 13 Tickets Issued to Sac County Residents in Sac County That Became Public on or Between September 10-13, 2

    7/17

    E-FILED 2013 SEP 05 8:02 AM SAC - CLERK OF DISTRICT COURT

  • 7/29/2019 13 Tickets Issued to Sac County Residents in Sac County That Became Public on or Between September 10-13, 2

    8/17

  • 7/29/2019 13 Tickets Issued to Sac County Residents in Sac County That Became Public on or Between September 10-13, 2

    9/17

    chargedinthiscitation,thecourtisauthorizedtoenteraconvictionandrenderjudgmentagainstmefortheamountofmyappearancebondinsatisfactionofthepenaltyandsurchargepluscourtcost.

    You hereby are given notice that within a reasonable time but no later than the date scheduled for yourinitial appearance a citation/complaint sworn under oath will be filed with the district court clerk of thecounty in which this citation was issued.

    Speed

    IACode:

    State of Iowa

    this

    Road Work Zone

    Weight

    Agency

    City

    Zone

    Court Costs

    1.Iherebyswearandaffirmthattheinformationprovidedbymeonthiscitationistrueunderpenaltyofprovidingfalseinformation.

    My signature below is not a plea of guilty, but acknowledges all of the following:

    PLAINTIFF

    4. I hereby give my unsecured appearance bond in the amount of

    ICISSec#:

    Subscribed and sworn to me by

    at

    Fed/AdmCode:

    NOTICE:ProvidingfalseidentificationinformationisaviolationofSection719.1AoftheCodeofIowaandispunishableasasimplemisdemeanor.

    Law Enforcement Agency -

    Violation

    DL State

    In the Court at

    Located in the county and state aforesaid and did then and there commit the following offense:

    Fatal Accident

    DL Rest.

    Dated

    Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not

    day of

    Zip Code

    Form420001E1/07

    DOB

    Local Ord.

    Height

    require an appearance, report to the above named court on:

    Court Appearance Required (805.10)

    VS.

    Name

    DL/StateIDViewed?

    Race

    Sex

    The following applies to simple misdemeanors only:

    The undersigned states that on or about

    Sec #:

    Upon a public highway at

    CDLReq?

    Year

    dollarsandentermywrittenappearance.IagreethatifIfailtoappearinpersonorbycounseltodefendagainsttheoffense

    DL End.

    DL#

    Address

    IOWA UNIFORM CITATION AND COMPLAINT

    I swear that the foregoing complaint is true and correct. , Iowa

    ICC# Lic. Plate #/REG

    I.D. No.

    Reference#:

    SignatureofDefendant

    City of:

    Dispatch /Case #:

    20

    US DOT#

    DL Class

    State

    2. I promise to appear in said court at said time and place. I understand that a person who willfully fails to appear in court as specified by this citation may be subject to arrest and/or loss of driving privileges.

    First

    defendant did unlawfully: Operate Motor Vehicle/Boat

    State

    Scheduled Violation/Fine

    Suffix

    Criminal SurchargeSerious P.I.

    in

    Notary/other

    Reason:

    3. If a court appearance is not required, I may enter a plea of guilty prior to the designated appearance date by delivery in person, or by agent, or by mail to the court specified by this citation.

    Civil Damage Assessment Other

    County of:

    Officer'sSignature

    Total Fine/Costs

    HazMatEndReq?

    Officer'sSignature

    Non-scheduled Violation

    X

    ICISOrd.

    at

    Defendant, Last

    at

    COMPLAINT

    PassEndReq?

    Co. Enf. Surcharge

    Middle

    Notary/otherSignature

    Dated

    P04 2LUK 130906 180108 3

    *+P042LUK1309061801083+*

    Citation #:

    IOWA STATE PATROL - DIST 04

    SAC - 81

    SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583

    487ZZ0629EGNER KELLY KRISTINE 8/8/1968YES

    NEthnicity51450-0000LAKE VIEW IA965 E. SHORE DR

    5' 06"IA NONE FEMALEC NONE

    09/06/2013 6:01 PM 2005 BLK KIA - KIA SP5 4D

    2013 NOIA559YXN

    E OF WADSLEY AVE HWY 175 EB (72)

    5565$40.00

    $14.00

    N/A13SPEEDING 55 OR < (6 THRU 10 OVER)

    $60.00

    321.285 321.285-B$114.00

    492

    09/06/2013

    09/06/2013

    9:00 AM10/07/2013

    $141.00

    SAC CITY - 6717LUKE, C

    SEPTEMBER, 201309

    TROOPERIOWA STATE PATROL - DIST 04

    Continued to:SURCHARGE $FINED $

    COURT NO.

    Day

    None

    DATE:

    GUILTYNO JURY TRIAL orPROCEEDING

    DATE:

    Date Signature, person taking bail

    GUILTY

    Citation #:

    NOT GUILTY

    LICENSE NO.

    PLEA

    Phone

    REASON

    The court Therefore Enters in Following Order This Date

    FORFEIT BOND

    Name

    Days

    STATE:

    CASE NO.

    School

    CASE NO.

    REASON

    DOCKET NO.

    Days:

    JURY TRIAL

    Address

    ABSTRACT OF COURT RECORD

    COST $

    TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:

    Signature, person giving bail

    Mo.

    Revo

    TESTIMONY - JUDGE'S NOTES: (Other Orders)

    DISMISSED

    Iowa

    WARRANT ISSUED

    VERDICT

    Incarceration in

    Continued to:DATE:

    BAIL CASH DEPOSIT

    Yr.

    Susp.

    Other

    OTHER DISPOSITION Driver's LicenseRecommendation

    NOT GUILTY

    P04 2LUK 130906 180108 3

    FILED 09/10/2013 09:41AM

    CLERK DISTRICT COURT

    SAC COUNTY IOWA

  • 7/29/2019 13 Tickets Issued to Sac County Residents in Sac County That Became Public on or Between September 10-13, 2

    10/17

    chargedinthiscitation,thecourtisauthorizedtoenteraconvictionandrenderjudgmentagainstmefortheamountofmyappearancebondinsatisfactionofthepenaltyandsurchargepluscourtcost.

    You hereby are given notice that within a reasonable time but no later than the date scheduled for yourinitial appearance a citation/complaint sworn under oath will be filed with the district court clerk of thecounty in which this citation was issued.

    Speed

    IACode:

    State of Iowa

    this

    Road Work Zone

    Weight

    Agency

    City

    Zone

    Court Costs

    1.Iherebyswearandaffirmthattheinformationprovidedbymeonthiscitationistrueunderpenaltyofprovidingfalseinformation.

    My signature below is not a plea of guilty, but acknowledges all of the following:

    PLAINTIFF

    4. I hereby give my unsecured appearance bond in the amount of

    ICISSec#:

    Subscribed and sworn to me by

    at

    Fed/AdmCode:

    NOTICE:ProvidingfalseidentificationinformationisaviolationofSection719.1AoftheCodeofIowaandispunishableasasimplemisdemeanor.

    Law Enforcement Agency -

    Violation

    DL State

    In the Court at

    Located in the county and state aforesaid and did then and there commit the following offense:

    Fatal Accident

    DL Rest.

    Dated

    Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not

    day of

    Zip Code

    Form420001E1/07

    DOB

    Local Ord.

    Height

    require an appearance, report to the above named court on:

    Court Appearance Required (805.10)

    VS.

    Name

    DL/StateIDViewed?

    Race

    Sex

    The following applies to simple misdemeanors only:

    The undersigned states that on or about

    Sec #:

    Upon a public highway at

    CDLReq?

    Year

    dollarsandentermywrittenappearance.IagreethatifIfailtoappearinpersonorbycounseltodefendagainsttheoffense

    DL End.

    DL#

    Address

    IOWA UNIFORM CITATION AND COMPLAINT

    I swear that the foregoing complaint is true and correct. , Iowa

    ICC# Lic. Plate #/REG

    I.D. No.

    Reference#:

    SignatureofDefendant

    City of:

    Dispatch /Case #:

    20

    US DOT#

    DL Class

    State

    2. I promise to appear in said court at said time and place. I understand that a person who willfully fails to appear in court as specified by this citation may be subject to arrest and/or loss of driving privileges.

    First

    defendant did unlawfully: Operate Motor Vehicle/Boat

    State

    Scheduled Violation/Fine

    Suffix

    Criminal SurchargeSerious P.I.

    in

    Notary/other

    Reason:

    3. If a court appearance is not required, I may enter a plea of guilty prior to the designated appearance date by delivery in person, or by agent, or by mail to the court specified by this citation.

    Civil Damage Assessment Other

    County of:

    Officer'sSignature

    Total Fine/Costs

    HazMatEndReq?

    Officer'sSignature

    Non-scheduled Violation

    X

    ICISOrd.

    at

    Defendant, Last

    at

    COMPLAINT

    PassEndReq?

    Co. Enf. Surcharge

    Middle

    Notary/otherSignature

    Dated

    P04 8MEA 130909 164800 2

    *+P048MEA1309091648002+*

    Citation #:

    IOWA STATE PATROL - DIST 04

    SAC - 81

    SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583

    327AE9528ASCHINGER VERYL DEAN 5/1/1935YES

    Ethnicity51466-0000ALL LAKE IA3498 NEEDHAM AVE

    5' 08"IA B MALEC NONE

    09/09/2013 4:47 PM 2013 RED RAM RTR PK

    2013 NOIA088ZEG

    SOUTH OF HWY 20 ON HWY 196

    5565$40.00

    $14.00

    N/A13SPEEDING 55 OR < (ST R RATT NB NS 74)

    $60.00

    321.285 321.285-B$114.00

    068

    09/09/2013

    09/09/2013

    8:30 AM10/07/2013

    $141.00

    SAC CITY - 6717MEADOWS, B

    SEPTEMBER, 201309

    OTHERIOWA STATE PATROL - DIST 04

    Continued to:SURCHARGE $FINED $

    COURT NO.

    Day

    None

    DATE:

    GUILTYNO JURY TRIAL orPROCEEDING

    DATE:

    Date Signature, person taking bail

    GUILTY

    Citation #:

    NOT GUILTY

    LICENSE NO.

    PLEA

    Phone

    REASON

    The court Therefore Enters in Following Order This Date

    FORFEIT BOND

    Name

    Days

    STATE:

    CASE NO.

    School

    CASE NO.

    REASON

    DOCKET NO.

    Days:

    JURY TRIAL

    Address

    ABSTRACT OF COURT RECORD

    COST $

    TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:

    Signature, person giving bail

    Mo.

    Revo

    TESTIMONY - JUDGE'S NOTES: (Other Orders)

    DISMISSED

    Iowa

    WARRANT ISSUED

    VERDICT

    Incarceration in

    Continued to:DATE:

    BAIL CASH DEPOSIT

    Yr.

    Susp.

    Other

    OTHER DISPOSITION Driver's LicenseRecommendation

    NOT GUILTY

    P04 8MEA 130909 164800 2

    FILED 09/10/2013 01:41PM

    CLERK DISTRICT COURT

    SAC COUNTY IOWA

  • 7/29/2019 13 Tickets Issued to Sac County Residents in Sac County That Became Public on or Between September 10-13, 2

    11/17

  • 7/29/2019 13 Tickets Issued to Sac County Residents in Sac County That Became Public on or Between September 10-13, 2

    12/17

    chargedinthiscitation,thecourtisauthorizedtoenteraconvictionandrenderjudgmentagainstmefortheamountofmyappearancebondinsatisfactionofthepenaltyandsurchargepluscourtcost.

    You hereby are given notice that within a reasonable time but no later than the date scheduled for yourinitial appearance a citation/complaint sworn under oath will be filed with the district court clerk of thecounty in which this citation was issued.

    Speed

    IACode:

    State of Iowa

    this

    Road Work Zone

    Weight

    Agency

    City

    Zone

    Court Costs

    1.Iherebyswearandaffirmthattheinformationprovidedbymeonthiscitationistrueunderpenaltyofprovidingfalseinformation.

    My signature below is not a plea of guilty, but acknowledges all of the following:

    PLAINTIFF

    4. I hereby give my unsecured appearance bond in the amount of

    ICISSec#:

    Subscribed and sworn to me by

    at

    Fed/AdmCode:

    NOTICE:ProvidingfalseidentificationinformationisaviolationofSection719.1AoftheCodeofIowaandispunishableasasimplemisdemeanor.

    Law Enforcement Agency -

    Violation

    DL State

    In the Court at

    Located in the county and state aforesaid and did then and there commit the following offense:

    Fatal Accident

    DL Rest.

    Dated

    Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not

    day of

    Zip Code

    Form420001E1/07

    DOB

    Local Ord.

    Height

    require an appearance, report to the above named court on:

    Court Appearance Required (805.10)

    VS.

    Name

    DL/StateIDViewed?

    Race

    Sex

    The following applies to simple misdemeanors only:

    The undersigned states that on or about

    Sec #:

    Upon a public highway at

    CDLReq?

    Year

    dollarsandentermywrittenappearance.IagreethatifIfailtoappearinpersonorbycounseltodefendagainsttheoffense

    DL End.

    DL#

    Address

    IOWA UNIFORM CITATION AND COMPLAINT

    I swear that the foregoing complaint is true and correct. , Iowa

    ICC# Lic. Plate #/REG

    I.D. No.

    Reference#:

    SignatureofDefendant

    City of:

    Dispatch /Case #:

    20

    US DOT#

    DL Class

    State

    2. I promise to appear in said court at said time and place. I understand that a person who willfully fails to appear in court as specified by this citation may be subject to arrest and/or loss of driving privileges.

    First

    defendant did unlawfully: Operate Motor Vehicle/Boat

    State

    Scheduled Violation/Fine

    Suffix

    Criminal SurchargeSerious P.I.

    in

    Notary/other

    Reason:

    3. If a court appearance is not required, I may enter a plea of guilty prior to the designated appearance date by delivery in person, or by agent, or by mail to the court specified by this citation.

    Civil Damage Assessment Other

    County of:

    Officer'sSignature

    Total Fine/Costs

    HazMatEndReq?

    Officer'sSignature

    Non-scheduled Violation

    X

    ICISOrd.

    at

    Defendant, Last

    at

    COMPLAINT

    PassEndReq?

    Co. Enf. Surcharge

    Middle

    Notary/otherSignature

    Dated

    P04 4WIS 130910 073520 2

    *+P044WIS1309100735202+*

    Citation #:

    IOWA STATE PATROL - DIST 04

    SAC - 81

    SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583

    188CC8338LENZ ROBERT THOMAS 10/6/1965NO

    NEthnicity51458ODEBOLT IA313 S MAPLE ST

    6' 00"IA 210 LBSS MALEC NONE

    09/10/2013 7:35 AM 2012 LGR DODGE - R35 PK

    2013 NOIABBT331

    M-54 1.5 N OF 71 SB

    5575$90.00

    $31.50

    N/A13SPEEDING 55 OR < (16 THRU 20)

    $60.00

    321.285 321.285-D$181.50

    294

    09/10/2013

    09/10/2013

    8:30 AM10/14/2013

    $242.25

    DENISON - 1920ISSLER, JAMES

    SEPTEMBER, 201310

    TROOPERIOWA STATE PATROL - DIST 04

    Continued to:SURCHARGE $FINED $

    COURT NO.

    Day

    None

    DATE:

    GUILTYNO JURY TRIAL orPROCEEDING

    DATE:

    Date Signature, person taking bail

    GUILTY

    Citation #:

    NOT GUILTY

    LICENSE NO.

    PLEA

    Phone

    REASON

    The court Therefore Enters in Following Order This Date

    FORFEIT BOND

    Name

    Days

    STATE:

    CASE NO.

    School

    CASE NO.

    REASON

    DOCKET NO.

    Days:

    JURY TRIAL

    Address

    ABSTRACT OF COURT RECORD

    COST $

    TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:

    Signature, person giving bail

    Mo.

    Revo

    TESTIMONY - JUDGE'S NOTES: (Other Orders)

    DISMISSED

    Iowa

    WARRANT ISSUED

    VERDICT

    Incarceration in

    Continued to:DATE:

    BAIL CASH DEPOSIT

    Yr.

    Susp.

    Other

    OTHER DISPOSITION Driver's LicenseRecommendation

    NOT GUILTY

    P04 4WIS 130910 073520 2

    FILED 09/10/2013 08:49PM

    CLERK DISTRICT COURT

    SAC COUNTY IOWA

  • 7/29/2019 13 Tickets Issued to Sac County Residents in Sac County That Became Public on or Between September 10-13, 2

    13/17

    chargedinthiscitation,thecourtisauthorizedtoenteraconvictionandrenderjudgmentagainstmefortheamountofmyappearancebondinsatisfactionofthepenaltyandsurchargepluscourtcost.

    Youherebyaregivennoticethatwithinareasonabletimebutnolaterthanthedatescheduledforyourinitialappearanceacitation/complaintswornunderoathwillbefiledwiththedistrictcourtclerkofthecountyinwhichthiscitationwasissued.

    Speed

    IACode:

    State of Iowa

    this

    Road Work Zone

    Weight

    Agency

    City

    Zone

    Court Costs

    1.Iherebyswearandaffirmthattheinformationprovidedbymeonthiscitationistrueunderpenaltyofprovidingfalseinformation.

    My signature below is not a plea of guilty, but acknowledges all of the following:

    PLAINTIFF

    4. I hereby give my unsecured appearance bond in the amount of

    ICISSec#:

    Subscribed and sworn to me by

    at

    Fed/AdmCode:

    NOTICE:ProvidingfalseidentificationinformationisaviolationofSection719.1AoftheCodeofIowaandispunishableasasimplemisdemeanor.

    Law Enforcement Agency -

    Violation

    DL State

    In the Court at

    Located in the county and state aforesaid and did then and there commit the following offense:

    Fatal Accident

    DL Rest.

    Dated

    Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not

    day of

    Zip Code

    Form420001E1/07

    DOB

    Local Ord.

    Height

    require an appearance, report to the above named court on:

    Court Appearance Required (805.10)

    VS.

    Name

    DL/StateIDViewed?

    Race

    Sex

    The following applies to simple misdemeanors only:

    The undersigned states that on or about

    Sec #:

    Upon a public highway at

    CDLReq?

    Year

    dollarsandentermywrittenappearance.IagreethatifIfailtoappearinpersonorbycounseltodefendagainsttheoffense

    DL End.

    DL#

    Address

    IOWA UNIFORM CITATION AND COMPLAINT

    I swear that the foregoing complaint is true and correct. , Iowa

    ICC# Lic. Plate #/REG

    I.D. No.

    Reference#:

    SignatureofDefendant

    City of:

    Dispatch/Case#:

    20

    US DOT#

    DL Class

    State

    2. I promise to appear in said court at said time and place. I understand that a person who willfully fails to appear in court as specified by this citation may be subject to arrest and/or loss of driving privileges.

    First

    defendant did unlawfully: Operate Motor Vehicle/Boat

    State

    Scheduled Violation/Fine

    Suffix

    Criminal SurchargeSerious P.I.

    in

    Notary/other

    Reason:

    3. If a court appearance is not required, I may enter a plea of guilty prior to the designated appearance date by delivery in person, or by agent, or by mail to the court specified by this citation.

    Civil Damage Assessment Other

    County of:

    Officer'sSignature

    Total Fine/Costs

    HazMatEndReq?

    Officer'sSignature

    Non-scheduled Violation

    X

    ICISOrd.

    at

    Defendant, Last

    at

    COMPLAINT

    PassEndReq?

    Co. Enf. Surcharge

    Middle

    Notary/otherSignature

    Dated

    S81 RMAN 130910 155750 Citation #:

    SAC COUNTY SHERIFF'S OFFICE

    SAC - 81

    SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583

    442AF7635REINERT ALISSA MARIE 4/28/1995YES

    NEthnicity51450-0000LAKE VIEW IA621 HIGH ST

    5' 09"IA NONE FEMALEC NONE

    09/10/2013 3:57 PM 1996 RED FORD - CNT 4D

    2014 NOIAABM162

    HWY 71 AND D365565$40.00

    $14.00

    $5.00SPEED (55 ZONE) 6-10 OVER

    $60.00

    4.5.2/4(1) 4.5.2/4(1)-B$119.00

    81-5

    09/10/2013

    09/10/2013

    8:30 AM10/14/2013

    $148.50

    SAC CITY - 6717HATTERMAN, JOHN

    SEPTEMBER, 201310

    NOTARYSAC COUNTY SHERIFF'S OFFICE

    Continued to:SURCHARGE $FINED $

    COURT NO.

    Day

    None

    DATE:

    GUILTYNO JURY TRIAL or

    PROCEEDING

    DATE:

    Date Signature, person taking bail

    GUILTY

    Citation#:

    NOT GUILTY

    LICENSE NO.

    PLEA

    Phone

    REASON

    The court Therefore Enters in Following Order This Date

    FORFEIT BOND

    Name

    Days

    STATE:

    CASE NO.

    School

    CASE NO.

    REASON

    DOCKET NO.

    Days:

    JURY TRIAL

    Address

    ABSTRACT OF COURT RECORD

    COST $

    TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:

    Signature, person giving bail

    Mo.

    Revo

    TESTIMONY - JUDGE'S NOTES: (Other Orders)

    DISMISSED

    Iowa

    WARRANT ISSUED

    VERDICT

    Incarceration in

    Continued to:DATE:

    BAIL CASH DEPOSIT

    Yr.

    Susp.

    Other

    OTHER DISPOSITION Driver's LicenseRecommendation

    NOT GUILTY

    S81 RMAN 130910 155750 7

    E-FILED 2013 SEP 11 8:07 AM SAC - CLERK OF DISTRICT COURT

  • 7/29/2019 13 Tickets Issued to Sac County Residents in Sac County That Became Public on or Between September 10-13, 2

    14/17

  • 7/29/2019 13 Tickets Issued to Sac County Residents in Sac County That Became Public on or Between September 10-13, 2

    15/17

  • 7/29/2019 13 Tickets Issued to Sac County Residents in Sac County That Became Public on or Between September 10-13, 2

    16/17

  • 7/29/2019 13 Tickets Issued to Sac County Residents in Sac County That Became Public on or Between September 10-13, 2

    17/17

    chargedinthiscitation,thecourtisauthorizedtoenteraconvictionandrenderjudgmentagainstmefortheamountofmyappearancebondinsatisfactionofthepenaltyandsurchargepluscourtcost.

    Youherebyaregivennoticethatwithinareasonabletimebutnolaterthanthedatescheduledforyourinitialappearanceacitation/complaintswornunderoathwillbefiledwiththedistrictcourtclerkofthecountyinwhichthiscitationwasissued.

    Speed

    IACode:

    State of Iowa

    this

    Road Work Zone

    Weight

    Agency

    City

    Zone

    Court Costs

    1.Iherebyswearandaffirmthattheinformationprovidedbymeonthiscitationistrueunderpenaltyofprovidingfalseinformation.

    My signature below is not a plea of guilty, but acknowledges all of the following:

    PLAINTIFF

    4. I hereby give my unsecured appearance bond in the amount of

    ICISSec#:

    Subscribed and sworn to me by

    at

    Fed/AdmCode:

    NOTICE:ProvidingfalseidentificationinformationisaviolationofSection719.1AoftheCodeofIowaandispunishableasasimplemisdemeanor.

    Law Enforcement Agency -

    Violation

    DL State

    In the Court at

    Located in the county and state aforesaid and did then and there commit the following offense:

    Fatal Accident

    DL Rest.

    Dated

    Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not

    day of

    Zip Code

    Form420001E1/07

    DOB

    Local Ord.

    Height

    require an appearance, report to the above named court on:

    Court Appearance Required (805.10)

    VS.

    Name

    DL/StateIDViewed?

    Race

    Sex

    The following applies to simple misdemeanors only:

    The undersigned states that on or about

    Sec #:

    Upon a public highway at

    CDLReq?

    Year

    dollarsandentermywrittenappearance.IagreethatifIfailtoappearinpersonorbycounseltodefendagainsttheoffense

    DL End.

    DL#

    Address

    IOWA UNIFORM CITATION AND COMPLAINT

    I swear that the foregoing complaint is true and correct. , Iowa

    ICC# Lic. Plate #/REG

    I.D. No.

    Reference#:

    SignatureofDefendant

    City of:

    Dispatch/Case#:

    20

    US DOT#

    DL Class

    State

    2. I promise to appear in said court at said time and place. I understand that a person who willfully fails to appear in court as specified by this citation may be subject to arrest and/or loss of driving privileges.

    First

    defendant did unlawfully: Operate Motor Vehicle/Boat

    State

    Scheduled Violation/Fine

    Suffix

    Criminal SurchargeSerious P.I.

    in

    Notary/other

    Reason:

    3. If a court appearance is not required, I may enter a plea of guilty prior to the designated appearance date by delivery in person, or by agent, or by mail to the court specified by this citation.

    Civil Damage Assessment Other

    County of:

    Officer'sSignature

    Total Fine/Costs

    HazMatEndReq?

    Officer'sSignature

    Non-scheduled Violation

    X

    ICISOrd.

    at

    Defendant, Last

    at

    COMPLAINT

    PassEndReq?

    Co. Enf. Surcharge

    Middle

    Notary/otherSignature

    Dated

    S81 URNS 130912 213520 Citation #:

    SAC COUNTY SHERIFF'S OFFICE

    SAC - 81

    SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583

    965ZZ9072TOMS SHEILA RAE 10/2/1973NO

    NEthnicity50561LYTTON IA206 WALNUT AVE

    5' 06"IA L FEMALEC TP

    09/12/2013 9:35 PM 2001 SIL PONTIAC - GRM 2D

    2013 NOIAARF307

    N28 AND 290TH ST5565$40.00

    $14.00

    $5.00SPEED (55 ZONE) 6-10 OVER

    $60.00

    4.5.2/4(1) 4.5.2/4(1)-B$119.00

    81-8

    09/12/2013

    09/12/2013

    8:30 AM09/30/2013

    $148.50

    LYTTON - 4620BURNS, JOEL

    SEPTEMBER, 201312

    NOTARYSAC COUNTY SHERIFF'S OFFICE

    Continued to:SURCHARGE $FINED $

    COURT NO.

    Day

    None

    DATE:

    GUILTYNO JURY TRIAL or

    PROCEEDING

    DATE:

    Date Signature, person taking bail

    GUILTY

    Citation#:

    NOT GUILTY

    LICENSE NO.

    PLEA

    Phone

    REASON

    The court Therefore Enters in Following Order This Date

    FORFEIT BOND

    Name

    Days

    STATE:

    CASE NO.

    School

    CASE NO.

    REASON

    DOCKET NO.

    Days:

    JURY TRIAL

    Address

    ABSTRACT OF COURT RECORD

    COST $

    TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:

    Signature, person giving bail

    Mo.

    Revo

    TESTIMONY - JUDGE'S NOTES: (Other Orders)

    DISMISSED

    Iowa

    WARRANT ISSUED

    VERDICT

    Incarceration in

    Continued to:DATE:

    BAIL CASH DEPOSIT

    Yr.

    Susp.

    Other

    OTHER DISPOSITION Driver's LicenseRecommendation

    NOT GUILTY

    S81 URNS 130912 213520 5

    E-FILED 2013 SEP 13 8:42 AM SAC - CLERK OF DISTRICT COURT


Recommended