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Dated
Notary/otherSignature
Middle
Co. Enf. Surcharge
Pass EndReq?
COMPLAINT
at
Defendant, Last
at
ICIS Ord.
X
Non-scheduled Violation
Officer'sSignature
HazMat End Req?
Total Fine/Costs
Officer'sSignature
County of:
OtherCivil Damage Assessment
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.
Reason:
Notary/other
in
Serious P.I.Criminal Surcharge
Suffix
Scheduled Violation/Fine
State
defendant did unlawfully: Operate Motor Vehicle/Boat
First
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.
State
DL Class
US DOT#
20
Dispatch /Case #:
City of:
Signature ofDefendant
Reference #:
I.D. No.
Lic. Plate #/REGICC#
, IowaI swear that the foregoing complaint is true and correct.
IOWA UNIFORM CITATION AND COMPLAINT
Address
DL#
DL End.
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
YearCDLReq?
Upon a public highway at
Sec #:
The undersigned states that on or about
The following applies to simple misdemeanors only:
Sex
Race
DL/State IDViewed?Name
VS.
Court Appearance Required (805.10)
require an appearance, report to the above named court on:
Height
Local Ord.
DOB
Form 420001E 1/07
Zip Code
day of
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
Dated
DL Rest.
Fatal Accident
Located in the county and state aforesaid and did then and there commit the following offense:
In the Court at
DL State
Violation
Law Enforcement Agency -
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
Fed/Adm Code:
at
Subscribed and sworn to me by
ICIS Sec #:
4. I hereby give my unsecured appearance bond in the amount of
PLAINTIFF
My signature below is not a plea of guilty, but acknowledges all of the following:
1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
Court Costs
Zone
City
Agency
Weight
Road Work Zone
this
State of Iowa
IA Code:
Speed
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.
charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty and surcharge plus court cost.
P06 5BRE 140422 180210 0
*+P065BRE1404221802100+*
Citation #:
IOWA STATE PATROL - DIST 06
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
230CC4190DOAN VY NGOC K 5/3/1990YES
A NEthnicity50588-0000STORM LAKE IA101 ONEIDA ST
5' 00"IA NONE FEMALEC NONE
04/22/2014 6:02 PM 2011 WHI TOYOTA -TOYT
HGH SW
2014 NOIA930XZL
M043/GARD AVE S D15 NB LV DL SD 79
5575$90.00
$31.50
N/A13SPEEDING 55 OR < (16 THRU 20)
$60.00
321.285 321.285-D$181.50
025
04/22/2014
04/22/2014
9:30 AM05/27/2014
$242.25
ALTA - 0125BRECHWALD, T
APRIL, 201422
NOTARYIOWA STATE PATROL - DIST 06
NOT GUILTY
Driver's LicenseRecommendation
OTHER DISPOSITION
Other
Susp.
Yr.
BAIL CASH DEPOSIT
DATE: Continued to:
Incarceration in
VERDICT
WARRANT ISSUED
Iowa
DISMISSED
TESTIMONY - JUDGE'S NOTES: (Other Orders)
Revo
Mo.
Signature, person giving bail
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
COST $
ABSTRACT OF COURT RECORD
Address
JURY TRIAL
Days:
DOCKET NO.
REASON
CASE NO.
School
CASE NO.
STATE:
Days
Name
FORFEIT BOND
The court Therefore Enters in Following Order This Date
REASON
Phone
PLEA
LICENSE NO.
NOT GUILTY
Citation #:
GUILTY
Signature, person taking bailDate
DATE:
NO JURY TRIAL orPROCEEDING
GUILTY
DATE:
None
Day
COURT NO.
FINED $ SURCHARGE $ Continued to:
P06 5BRE 140422 180210 0
FILED 04/23/2014 07:25AMCLERK DISTRICT COURTSAC COUNTY IOWA
Dated
Notary/otherSignature
Middle
Co. Enf. Surcharge
Pass EndReq?
COMPLAINT
at
Defendant, Last
at
ICIS Ord.
X
Non-scheduled Violation
Officer'sSignature
HazMat End Req?
Total Fine/Costs
Officer'sSignature
County of:
OtherCivil Damage Assessment
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.
Reason:
Notary/other
in
Serious P.I.Criminal Surcharge
Suffix
Scheduled Violation/Fine
State
defendant did unlawfully: Operate Motor Vehicle/Boat
First
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.
State
DL Class
US DOT#
20
Dispatch /Case #:
City of:
Signature ofDefendant
Reference #:
I.D. No.
Lic. Plate #/REGICC#
, IowaI swear that the foregoing complaint is true and correct.
IOWA UNIFORM CITATION AND COMPLAINT
Address
DL#
DL End.
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
YearCDLReq?
Upon a public highway at
Sec #:
The undersigned states that on or about
The following applies to simple misdemeanors only:
Sex
Race
DL/State IDViewed?Name
VS.
Court Appearance Required (805.10)
require an appearance, report to the above named court on:
Height
Local Ord.
DOB
Form 420001E 1/07
Zip Code
day of
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
Dated
DL Rest.
Fatal Accident
Located in the county and state aforesaid and did then and there commit the following offense:
In the Court at
DL State
Violation
Law Enforcement Agency -
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
Fed/Adm Code:
at
Subscribed and sworn to me by
ICIS Sec #:
4. I hereby give my unsecured appearance bond in the amount of
PLAINTIFF
My signature below is not a plea of guilty, but acknowledges all of the following:
1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
Court Costs
Zone
City
Agency
Weight
Road Work Zone
this
State of Iowa
IA Code:
Speed
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.
charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty and surcharge plus court cost.
P06 5BRE 140422 172922 7
*+P065BRE1404221729227+*
Citation #:
IOWA STATE PATROL - DIST 06
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
649LL7789BRENNY BRIAN RAYMOND 10/3/1977YES
W NEthnicity51401-0000CARROLL IA1302 SIMON AVE
5' 10"IA B MALEC NONE
04/22/2014 5:25 PM 2011 BLK CHEVROLET - CHEV
SLV PK
2014 NOIA362YLW
D015/190TH ST E M43 EB LV DL 83
$20.00
$7.00
N/A13FAIL TO CARRY REGISTRATION CARD (TRAILER IA 4840DQ)
$60.00
321.32 321.32$87.00
025
04/22/2014
04/22/2014
9:30 AM05/27/2014
$100.50
ALTA - 0125BRECHWALD, T
APRIL, 201422
NOTARYIOWA STATE PATROL - DIST 06
NOT GUILTY
Driver's LicenseRecommendation
OTHER DISPOSITION
Other
Susp.
Yr.
BAIL CASH DEPOSIT
DATE: Continued to:
Incarceration in
VERDICT
WARRANT ISSUED
Iowa
DISMISSED
TESTIMONY - JUDGE'S NOTES: (Other Orders)
Revo
Mo.
Signature, person giving bail
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
COST $
ABSTRACT OF COURT RECORD
Address
JURY TRIAL
Days:
DOCKET NO.
REASON
CASE NO.
School
CASE NO.
STATE:
Days
Name
FORFEIT BOND
The court Therefore Enters in Following Order This Date
REASON
Phone
PLEA
LICENSE NO.
NOT GUILTY
Citation #:
GUILTY
Signature, person taking bailDate
DATE:
NO JURY TRIAL orPROCEEDING
GUILTY
DATE:
None
Day
COURT NO.
FINED $ SURCHARGE $ Continued to:
P06 5BRE 140422 172922 7
FILED 04/23/2014 07:34AMCLERK DISTRICT COURTSAC COUNTY IOWA
Dated
Notary/otherSignature
Middle
Co. Enf. Surcharge
Pass EndReq?
COMPLAINT
at
Defendant, Last
at
ICIS Ord.
X
Non-scheduled Violation
Officer'sSignature
HazMat End Req?
Total Fine/Costs
Officer'sSignature
County of:
OtherCivil Damage Assessment
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.
Reason:
Notary/other
in
Serious P.I.Criminal Surcharge
Suffix
Scheduled Violation/Fine
State
defendant did unlawfully: Operate Motor Vehicle/Boat
First
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.
State
DL Class
US DOT#
20
Dispatch /Case #:
City of:
Signature ofDefendant
Reference #:
I.D. No.
Lic. Plate #/REGICC#
, IowaI swear that the foregoing complaint is true and correct.
IOWA UNIFORM CITATION AND COMPLAINT
Address
DL#
DL End.
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
YearCDLReq?
Upon a public highway at
Sec #:
The undersigned states that on or about
The following applies to simple misdemeanors only:
Sex
Race
DL/State IDViewed?Name
VS.
Court Appearance Required (805.10)
require an appearance, report to the above named court on:
Height
Local Ord.
DOB
Form 420001E 1/07
Zip Code
day of
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
Dated
DL Rest.
Fatal Accident
Located in the county and state aforesaid and did then and there commit the following offense:
In the Court at
DL State
Violation
Law Enforcement Agency -
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
Fed/Adm Code:
at
Subscribed and sworn to me by
ICIS Sec #:
4. I hereby give my unsecured appearance bond in the amount of
PLAINTIFF
My signature below is not a plea of guilty, but acknowledges all of the following:
1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
Court Costs
Zone
City
Agency
Weight
Road Work Zone
this
State of Iowa
IA Code:
Speed
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.
charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty and surcharge plus court cost.
P06 5BRE 140422 172548 6
*+P065BRE1404221725486+*
Citation #:
IOWA STATE PATROL - DIST 06
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
649LL7789BRENNY BRIAN RAYMOND 10/3/1977YES
W NEthnicity51401-0000CARROLL IA1302 SIMON AVE
5' 10"IA B MALEC NONE
04/22/2014 5:25 PM 2011 BLK CHEVROLET - CHEV
SLV PK
2014 NOIA362YLW
D015/190TH ST E M43 EB LV DL 83
5579$120.00
$42.00
N/A13SPEEDING 55 OR < (20 MPH OVER + $5.00 EA. MILE)
$60.00
321.285 321.285-E$222.00
025
04/22/2014
04/22/2014
9:30 AM05/27/2014
$303.00
ALTA - 0125BRECHWALD, T
APRIL, 201422
NOTARYIOWA STATE PATROL - DIST 06
NOT GUILTY
Driver's LicenseRecommendation
OTHER DISPOSITION
Other
Susp.
Yr.
BAIL CASH DEPOSIT
DATE: Continued to:
Incarceration in
VERDICT
WARRANT ISSUED
Iowa
DISMISSED
TESTIMONY - JUDGE'S NOTES: (Other Orders)
Revo
Mo.
Signature, person giving bail
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
COST $
ABSTRACT OF COURT RECORD
Address
JURY TRIAL
Days:
DOCKET NO.
REASON
CASE NO.
School
CASE NO.
STATE:
Days
Name
FORFEIT BOND
The court Therefore Enters in Following Order This Date
REASON
Phone
PLEA
LICENSE NO.
NOT GUILTY
Citation #:
GUILTY
Signature, person taking bailDate
DATE:
NO JURY TRIAL orPROCEEDING
GUILTY
DATE:
None
Day
COURT NO.
FINED $ SURCHARGE $ Continued to:
P06 5BRE 140422 172548 6
FILED 04/23/2014 08:24AMCLERK DISTRICT COURTSAC COUNTY IOWA
E-FILED 2014 APR 23 10:40 PM SAC - CLERK OF DISTRICT COURT
charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty and surcharge plus court cost.
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
IA Code:
State of Iowa
this
Road Work Zone
Weight
Agency
City
Zone
Court Costs
1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
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
ICIS Sec #:
Subscribed and sworn to me by
at
Fed/Adm Code:
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
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
Form 420001E 1/07
DOB
Local Ord.
Height
require an appearance, report to the above named court on:
Court Appearance Required (805.10)
VS.
Name
DL/State IDViewed?
Race
Sex
The following applies to simple misdemeanors only:
The undersigned states that on or about
Sec #:
Upon a public highway at
CDLReq?
Year
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
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 #:
Signature ofDefendant
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
HazMat End Req?
Officer'sSignature
Non-scheduled Violation
X
ICIS Ord.
at
Defendant, Last
at
COMPLAINT
Pass EndReq?
Co. Enf. Surcharge
Middle
Notary/otherSignature
Dated
S81 BACK 140420 192322 0
*+S81BACK1404201923220+*
Citation #:
SAC COUNTY SHERIFF'S OFFICE
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
015AA2266JENSEN ERIC PETER 5/20/1966YES
W NEthnicity51401-0000CARROLL IA2406 FOREST ST
6' 02"IA NONE MALEC NONE
04/20/2014 7:23 PM 2010 BLK FORD -FORD
EPD SW
2014 NOIAAHT752
US 71/370TH ST
5570$80.00
$28.00
$5.0013SPEEDING 55 OR < (11 THRU 15 OVER)
$60.00
321.285 321.285-C$173.00
81-5
04/20/2014
04/20/2014
8:30 AM05/19/2014
$229.50
SAC CITY - 6717CUDABACK, TORY
APRIL, 201420
NOTARYSAC COUNTY SHERIFF'S OFFICE
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
S81 BACK 140420 192322 0
E-FILED 2014 APR 24 8:06 AM SAC - CLERK OF DISTRICT COURT
charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty and surcharge plus court cost.
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
IA Code:
State of Iowa
this
Road Work Zone
Weight
Agency
City
Zone
Court Costs
1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
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
ICIS Sec #:
Subscribed and sworn to me by
at
Fed/Adm Code:
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
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
Form 420001E 1/07
DOB
Local Ord.
Height
require an appearance, report to the above named court on:
Court Appearance Required (805.10)
VS.
Name
DL/State IDViewed?
Race
Sex
The following applies to simple misdemeanors only:
The undersigned states that on or about
Sec #:
Upon a public highway at
CDLReq?
Year
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
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 #:
Signature ofDefendant
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
HazMat End Req?
Officer'sSignature
Non-scheduled Violation
X
ICIS Ord.
at
Defendant, Last
at
COMPLAINT
Pass EndReq?
Co. Enf. Surcharge
Middle
Notary/otherSignature
Dated
S81 URNS 140425 104644 3
*+S81URNS1404251046443+*
Citation #:
SAC COUNTY SHERIFF'S OFFICE
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
188AD4198PRICE KRISTEN LACHELLE 4/11/1991YES
B NEthnicity50588-0000STORM LAKE IA204 W 8TH ST
5' 04"IA NONE FEMALEC NONE
04/25/2014 10:46 AM 2009 GRY TOYOTA -TOYT
CORROLA 4D
2014 NOIA559TTW
US 20 AND 230TH ST
6575$40.00
$14.00
$5.0013SPEEDING > 55 (6 THRU 10 OVER)
$60.00
321.285 321.285-G$119.00
81-7
04/25/2014
04/25/2014
8:30 AM05/19/2014
$148.50
SAC CITY - 6717BURNS, JOEL
APRIL, 201425
NOTARYSAC COUNTY SHERIFF'S OFFICE
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
S81 URNS 140425 104644 3
E-FILED 2014 APR 25 12:16 PM SAC - CLERK OF DISTRICT COURT
E-FILED 2014 APR 28 2:45 PM SAC - CLERK OF DISTRICT COURT
E-FILED 2014 APR 28 2:45 PM SAC - CLERK OF DISTRICT COURT
Dated
Notary/otherSignature
Middle
Co. Enf. Surcharge
Pass EndReq?
COMPLAINT
at
Defendant, Last
at
ICIS Ord.
X
Non-scheduled Violation
Officer'sSignature
HazMat End Req?
Total Fine/Costs
Officer'sSignature
County of:
OtherCivil Damage Assessment
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.
Reason:
Notary/other
in
Serious P.I.Criminal Surcharge
Suffix
Scheduled Violation/Fine
State
defendant did unlawfully: Operate Motor Vehicle/Boat
First
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.
State
DL Class
US DOT#
20
Dispatch /Case #:
City of:
Signature ofDefendant
Reference #:
I.D. No.
Lic. Plate #/REGICC#
, IowaI swear that the foregoing complaint is true and correct.
IOWA UNIFORM CITATION AND COMPLAINT
Address
DL#
DL End.
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
YearCDLReq?
Upon a public highway at
Sec #:
The undersigned states that on or about
The following applies to simple misdemeanors only:
Sex
Race
DL/State IDViewed?Name
VS.
Court Appearance Required (805.10)
require an appearance, report to the above named court on:
Height
Local Ord.
DOB
Form 420001E 1/07
Zip Code
day of
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
Dated
DL Rest.
Fatal Accident
Located in the county and state aforesaid and did then and there commit the following offense:
In the Court at
DL State
Violation
Law Enforcement Agency -
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
Fed/Adm Code:
at
Subscribed and sworn to me by
ICIS Sec #:
4. I hereby give my unsecured appearance bond in the amount of
PLAINTIFF
My signature below is not a plea of guilty, but acknowledges all of the following:
1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
Court Costs
Zone
City
Agency
Weight
Road Work Zone
this
State of Iowa
IA Code:
Speed
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.
charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty and surcharge plus court cost.
P06 5MAI 140429 202352 3
*+P065MAI1404292023523+*
Citation #:
IOWA STATE PATROL - DIST 06
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
601AH1067SMIT KAYLYNN KRISTINE MCK 6/26/1997YES
W NEthnicity51025-0000HOLSTEIN IA1236 GERMAN AVE
5' 07"IA Y FEMALEC NONE
04/29/2014 8:23 PM 2003 SIL CHEVROLET - CHEV
TBZ SW
2014 NOIA672XZL
110 / D15 NB LK74 NB 110
5570$80.00
$28.00
N/A13SPEEDING 55 OR < (11 THRU 15 OVER)
$60.00
321.285 321.285-C$168.00
215
04/29/2014
04/29/2014
8:30 AM05/19/2014
$222.00
STORM LAKE - 7422MAIER, D
APRIL, 201429
TROOPERIOWA STATE PATROL - DIST 06
NOT GUILTY
Driver's LicenseRecommendation
OTHER DISPOSITION
Other
Susp.
Yr.
BAIL CASH DEPOSIT
DATE: Continued to:
Incarceration in
VERDICT
WARRANT ISSUED
Iowa
DISMISSED
TESTIMONY - JUDGE'S NOTES: (Other Orders)
Revo
Mo.
Signature, person giving bail
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
COST $
ABSTRACT OF COURT RECORD
Address
JURY TRIAL
Days:
DOCKET NO.
REASON
CASE NO.
School
CASE NO.
STATE:
Days
Name
FORFEIT BOND
The court Therefore Enters in Following Order This Date
REASON
Phone
PLEA
LICENSE NO.
NOT GUILTY
Citation #:
GUILTY
Signature, person taking bailDate
DATE:
NO JURY TRIAL orPROCEEDING
GUILTY
DATE:
None
Day
COURT NO.
FINED $ SURCHARGE $ Continued to:
P06 5MAI 140429 202352 3
FILED 04/30/2014 06:54AMCLERK DISTRICT COURTSAC COUNTY IOWA
Dated
Notary/otherSignature
Middle
Co. Enf. Surcharge
Pass EndReq?
COMPLAINT
at
Defendant, Last
at
ICIS Ord.
X
Non-scheduled Violation
Officer'sSignature
HazMat End Req?
Total Fine/Costs
Officer'sSignature
County of:
OtherCivil Damage Assessment
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.
Reason:
Notary/other
in
Serious P.I.Criminal Surcharge
Suffix
Scheduled Violation/Fine
State
defendant did unlawfully: Operate Motor Vehicle/Boat
First
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.
State
DL Class
US DOT#
20
Dispatch /Case #:
City of:
Signature ofDefendant
Reference #:
I.D. No.
Lic. Plate #/REGICC#
, IowaI swear that the foregoing complaint is true and correct.
IOWA UNIFORM CITATION AND COMPLAINT
Address
DL#
DL End.
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
YearCDLReq?
Upon a public highway at
Sec #:
The undersigned states that on or about
The following applies to simple misdemeanors only:
Sex
Race
DL/State IDViewed?Name
VS.
Court Appearance Required (805.10)
require an appearance, report to the above named court on:
Height
Local Ord.
DOB
Form 420001E 1/07
Zip Code
day of
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
Dated
DL Rest.
Fatal Accident
Located in the county and state aforesaid and did then and there commit the following offense:
In the Court at
DL State
Violation
Law Enforcement Agency -
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
Fed/Adm Code:
at
Subscribed and sworn to me by
ICIS Sec #:
4. I hereby give my unsecured appearance bond in the amount of
PLAINTIFF
My signature below is not a plea of guilty, but acknowledges all of the following:
1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
Court Costs
Zone
City
Agency
Weight
Road Work Zone
this
State of Iowa
IA Code:
Speed
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.
charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty and surcharge plus court cost.
P04 8MEA 140429 110119 6
*+P048MEA1404291101196+*
Citation #:
IOWA STATE PATROL - DIST 04
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
515YY5261KEISER BRENT ALAN 10/27/1962YES
W Ethnicity50579-0000ROCKWELL CITY IA912 RICHMOND ST
5' 09"IA 155 LBSNONE MALEA L
04/29/2014 11:01 AM 2013 WHI CHEVROLET - CHEV
SLV PK
2014 NOIAAPK784
EAST OF WADSLEY AVE ON D036/255TH S
5564$40.00
$14.00
N/A13SPEEDING 55 OR < (R RATT SW WB NS 69)
$60.00
321.285 321.285-B$114.00
068
04/29/2014
04/29/2014
8:30 AM06/02/2014
$141.00
DENISON - 1920MEADOWS, B
APRIL, 201430
OTHERIOWA STATE PATROL - DIST 04
NOT GUILTY
Driver's LicenseRecommendation
OTHER DISPOSITION
Other
Susp.
Yr.
BAIL CASH DEPOSIT
DATE: Continued to:
Incarceration in
VERDICT
WARRANT ISSUED
Iowa
DISMISSED
TESTIMONY - JUDGE'S NOTES: (Other Orders)
Revo
Mo.
Signature, person giving bail
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
COST $
ABSTRACT OF COURT RECORD
Address
JURY TRIAL
Days:
DOCKET NO.
REASON
CASE NO.
School
CASE NO.
STATE:
Days
Name
FORFEIT BOND
The court Therefore Enters in Following Order This Date
REASON
Phone
PLEA
LICENSE NO.
NOT GUILTY
Citation #:
GUILTY
Signature, person taking bailDate
DATE:
NO JURY TRIAL orPROCEEDING
GUILTY
DATE:
None
Day
COURT NO.
FINED $ SURCHARGE $ Continued to:
P04 8MEA 140429 110119 6
FILED 04/30/2014 10:53AMCLERK DISTRICT COURTSAC COUNTY IOWA
Dated
Notary/otherSignature
Middle
Co. Enf. Surcharge
Pass EndReq?
COMPLAINT
at
Defendant, Last
at
ICIS Ord.
X
Non-scheduled Violation
Officer'sSignature
HazMat End Req?
Total Fine/Costs
Officer'sSignature
County of:
OtherCivil Damage Assessment
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.
Reason:
Notary/other
in
Serious P.I.Criminal Surcharge
Suffix
Scheduled Violation/Fine
State
defendant did unlawfully: Operate Motor Vehicle/Boat
First
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.
State
DL Class
US DOT#
20
Dispatch /Case #:
City of:
Signature ofDefendant
Reference #:
I.D. No.
Lic. Plate #/REGICC#
, IowaI swear that the foregoing complaint is true and correct.
IOWA UNIFORM CITATION AND COMPLAINT
Address
DL#
DL End.
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
YearCDLReq?
Upon a public highway at
Sec #:
The undersigned states that on or about
The following applies to simple misdemeanors only:
Sex
Race
DL/State IDViewed?Name
VS.
Court Appearance Required (805.10)
require an appearance, report to the above named court on:
Height
Local Ord.
DOB
Form 420001E 1/07
Zip Code
day of
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
Dated
DL Rest.
Fatal Accident
Located in the county and state aforesaid and did then and there commit the following offense:
In the Court at
DL State
Violation
Law Enforcement Agency -
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
Fed/Adm Code:
at
Subscribed and sworn to me by
ICIS Sec #:
4. I hereby give my unsecured appearance bond in the amount of
PLAINTIFF
My signature below is not a plea of guilty, but acknowledges all of the following:
1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
Court Costs
Zone
City
Agency
Weight
Road Work Zone
this
State of Iowa
IA Code:
Speed
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.
charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty and surcharge plus court cost.
P06 5BRE 140502 113043 6
*+P065BRE1405021130436+*
Citation #:
IOWA STATE PATROL - DIST 06
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
034AA6993LO HAK 4/26/1956YES
A NEthnicity50588-0000STORM LAKE IA1624 ROSE LN
5' 06"IA NONE MALEC NONE
05/02/2014 11:30 AM 2004 RED MERCEDES - MERZ
M35 SW
2014 NOIA764WQB
M043/GARD AVE AND D015/190TH ST SB
$100.00
$35.00
N/A13FAIL TO OBEY STOP SIGN AND YIELD RIGHT OF WAY
$60.00
321.322 321.322(1)$195.00
025
05/02/2014
05/02/2014
9:30 AM06/09/2014
$262.50
ALTA - 0125BRECHWALD, T
MAY, 201402
NOTARYIOWA STATE PATROL - DIST 06
NOT GUILTY
Driver's LicenseRecommendation
OTHER DISPOSITION
Other
Susp.
Yr.
BAIL CASH DEPOSIT
DATE: Continued to:
Incarceration in
VERDICT
WARRANT ISSUED
Iowa
DISMISSED
TESTIMONY - JUDGE'S NOTES: (Other Orders)
Revo
Mo.
Signature, person giving bail
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
COST $
ABSTRACT OF COURT RECORD
Address
JURY TRIAL
Days:
DOCKET NO.
REASON
CASE NO.
School
CASE NO.
STATE:
Days
Name
FORFEIT BOND
The court Therefore Enters in Following Order This Date
REASON
Phone
PLEA
LICENSE NO.
NOT GUILTY
Citation #:
GUILTY
Signature, person taking bailDate
DATE:
NO JURY TRIAL orPROCEEDING
GUILTY
DATE:
None
Day
COURT NO.
FINED $ SURCHARGE $ Continued to:
P06 5BRE 140502 113043 6
FILED 05/02/2014 05:34PMCLERK DISTRICT COURTSAC COUNTY IOWA
Dated
Notary/otherSignature
Middle
Co. Enf. Surcharge
Pass EndReq?
COMPLAINT
at
Defendant, Last
at
ICIS Ord.
X
Non-scheduled Violation
Officer'sSignature
HazMat End Req?
Total Fine/Costs
Officer'sSignature
County of:
OtherCivil Damage Assessment
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.
Reason:
Notary/other
in
Serious P.I.Criminal Surcharge
Suffix
Scheduled Violation/Fine
State
defendant did unlawfully: Operate Motor Vehicle/Boat
First
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.
State
DL Class
US DOT#
20
Dispatch /Case #:
City of:
Signature ofDefendant
Reference #:
I.D. No.
Lic. Plate #/REGICC#
, IowaI swear that the foregoing complaint is true and correct.
IOWA UNIFORM CITATION AND COMPLAINT
Address
DL#
DL End.
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
YearCDLReq?
Upon a public highway at
Sec #:
The undersigned states that on or about
The following applies to simple misdemeanors only:
Sex
Race
DL/State IDViewed?Name
VS.
Court Appearance Required (805.10)
require an appearance, report to the above named court on:
Height
Local Ord.
DOB
Form 420001E 1/07
Zip Code
day of
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
Dated
DL Rest.
Fatal Accident
Located in the county and state aforesaid and did then and there commit the following offense:
In the Court at
DL State
Violation
Law Enforcement Agency -
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
Fed/Adm Code:
at
Subscribed and sworn to me by
ICIS Sec #:
4. I hereby give my unsecured appearance bond in the amount of
PLAINTIFF
My signature below is not a plea of guilty, but acknowledges all of the following:
1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
Court Costs
Zone
City
Agency
Weight
Road Work Zone
this
State of Iowa
IA Code:
Speed
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.
charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty and surcharge plus court cost.
T01 T324 140429 161358 5
*+T01T3241404291613585+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
707YY0304TIEFENTHALER ANDREW STEVEN 2/17/1984YES
W NEthnicity51025-0000HOLSTEIN IA213 HANOVER ST
6' 04"IA 300 LBSB MALEA LN
04/29/2014 4:00 PM 2010 RED PETERBILT - PTRB
TT
2014 YES NO NOIAVA635501211351 745870
44 - JCT HWY 71/20 EARLY
$155.00
$54.25392.2-SLLEWA2
N/A13AXLE 2-7 O/W 3,260#'S, 85,260#'S
$60.00
321.463 321.463$269.25
T324
04/29/2014
04/29/2014
8:30 AM05/19/2014
$373.88
EARLY - 2200DAGIT, JOSHUA
MAY, 201402
OTHERMOTOR VEHICLE ENFORCEMENT
NOT GUILTY
Driver's LicenseRecommendation
OTHER DISPOSITION
Other
Susp.
Yr.
BAIL CASH DEPOSIT
DATE: Continued to:
Incarceration in
VERDICT
WARRANT ISSUED
Iowa
DISMISSED
TESTIMONY - JUDGE'S NOTES: (Other Orders)
Revo
Mo.
Signature, person giving bail
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
COST $
ABSTRACT OF COURT RECORD
Address
JURY TRIAL
Days:
DOCKET NO.
REASON
CASE NO.
School
CASE NO.
STATE:
Days
Name
FORFEIT BOND
The court Therefore Enters in Following Order This Date
REASON
Phone
PLEA
LICENSE NO.
NOT GUILTY
Citation #:
GUILTY
Signature, person taking bailDate
DATE:
NO JURY TRIAL orPROCEEDING
GUILTY
DATE:
None
Day
COURT NO.
FINED $ SURCHARGE $ Continued to:
T01 T324 140429 161358 5
FILED 05/03/2014 06:43AMCLERK DISTRICT COURTSAC COUNTY IOWA
charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty and surcharge plus court cost.
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
IA Code:
State of Iowa
this
Road Work Zone
Weight
Agency
City
Zone
Court Costs
1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
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
ICIS Sec #:
Subscribed and sworn to me by
at
Fed/Adm Code:
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
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
Form 420001E 1/07
DOB
Local Ord.
Height
require an appearance, report to the above named court on:
Court Appearance Required (805.10)
VS.
Name
DL/State IDViewed?
Race
Sex
The following applies to simple misdemeanors only:
The undersigned states that on or about
Sec #:
Upon a public highway at
CDLReq?
Year
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
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 #:
Signature ofDefendant
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
HazMat End Req?
Officer'sSignature
Non-scheduled Violation
X
ICIS Ord.
at
Defendant, Last
at
COMPLAINT
Pass EndReq?
Co. Enf. Surcharge
Middle
Notary/otherSignature
Dated
S81 IEDE 140503 223241 7
*+S81IEDE1405032232417+*
Citation #:
SAC COUNTY SHERIFF'S OFFICE
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
184AD1719GALVIN JAKE PATRICK 11/17/1993YES
W NEthnicity51025-0000HOLSTEIN IA1990 GERMAN AVE
5' 11"IA 200 LBSNONE MALEA N
05/03/2014 10:32 PM 2008 RED FORD -FORD
F35 PK
2014 NOIA101REH
HANSON BLVD AND 2ND ST
$250.00
$87.50
$5.0013VIOLATION - FINANCIAL LIABILITY COVERAGE
$60.00
321.20B 321.20B-A$402.50
81-4
05/03/2014
05/03/2014
8:30 AM06/02/2014
$573.75
SAC CITY - 6717BIEDE, MATT
MAY, 201403
NOTARYSAC COUNTY SHERIFF'S OFFICE
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
S81 IEDE 140503 223241 7
E-FILED 2014 MAY 05 8:23 AM SAC - CLERK OF DISTRICT COURT
charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty and surcharge plus court cost.
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
IA Code:
State of Iowa
this
Road Work Zone
Weight
Agency
City
Zone
Court Costs
1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
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
ICIS Sec #:
Subscribed and sworn to me by
at
Fed/Adm Code:
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
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
Form 420001E 1/07
DOB
Local Ord.
Height
require an appearance, report to the above named court on:
Court Appearance Required (805.10)
VS.
Name
DL/State IDViewed?
Race
Sex
The following applies to simple misdemeanors only:
The undersigned states that on or about
Sec #:
Upon a public highway at
CDLReq?
Year
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
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 #:
Signature ofDefendant
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
HazMat End Req?
Officer'sSignature
Non-scheduled Violation
X
ICIS Ord.
at
Defendant, Last
at
COMPLAINT
Pass EndReq?
Co. Enf. Surcharge
Middle
Notary/otherSignature
Dated
S81 KINE 140505 172739 4
*+S81KINE1405051727394+*
Citation #:
SAC COUNTY SHERIFF'S OFFICE
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
015AA1149MUEGGENBERG ARLENE BERNADINE 3/12/1945YES
W NEthnicity51436-0000BREDA IA12435 FALCON AVE
5' 07"IA B FEMALEC NONE
05/05/2014 5:27 PM 2011 RED CHEVROLET - CHEV
EQX SW
2015 NOIAACV980
STATE 196/UNION AVE
5560$20.00
$7.00
$5.0013SPEEDING 55 OR < (1 THRU 5 OVER)
$60.00
321.285 321.285-A$92.00
81-8
05/05/2014
05/05/2014
8:30 AM06/02/2014
$108.00
SAC CITY - 6717ERSKINE, KRISTAN
MAY, 201405
NOTARYSAC COUNTY SHERIFF'S OFFICE
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
S81 KINE 140505 172739 4
E-FILED 2014 MAY 06 8:13 AM SAC - CLERK OF DISTRICT COURT
Dated
Notary/otherSignature
Middle
Co. Enf. Surcharge
Pass EndReq?
COMPLAINT
at
Defendant, Last
at
ICIS Ord.
X
Non-scheduled Violation
Officer'sSignature
HazMat End Req?
Total Fine/Costs
Officer'sSignature
County of:
OtherCivil Damage Assessment
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.
Reason:
Notary/other
in
Serious P.I.Criminal Surcharge
Suffix
Scheduled Violation/Fine
State
defendant did unlawfully: Operate Motor Vehicle/Boat
First
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.
State
DL Class
US DOT#
20
Dispatch /Case #:
City of:
Signature ofDefendant
Reference #:
I.D. No.
Lic. Plate #/REGICC#
, IowaI swear that the foregoing complaint is true and correct.
IOWA UNIFORM CITATION AND COMPLAINT
Address
DL#
DL End.
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
YearCDLReq?
Upon a public highway at
Sec #:
The undersigned states that on or about
The following applies to simple misdemeanors only:
Sex
Race
DL/State IDViewed?Name
VS.
Court Appearance Required (805.10)
require an appearance, report to the above named court on:
Height
Local Ord.
DOB
Form 420001E 1/07
Zip Code
day of
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
Dated
DL Rest.
Fatal Accident
Located in the county and state aforesaid and did then and there commit the following offense:
In the Court at
DL State
Violation
Law Enforcement Agency -
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
Fed/Adm Code:
at
Subscribed and sworn to me by
ICIS Sec #:
4. I hereby give my unsecured appearance bond in the amount of
PLAINTIFF
My signature below is not a plea of guilty, but acknowledges all of the following:
1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
Court Costs
Zone
City
Agency
Weight
Road Work Zone
this
State of Iowa
IA Code:
Speed
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.
charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty and surcharge plus court cost.
P06 5MAI 140507 072115 4
*+P065MAI1405070721154+*
Citation #:
IOWA STATE PATROL - DIST 06
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
811ZZ0386WILLER ANGELA CAROL 1/6/1983YES
W NEthnicity50588-0000STORM LAKE IA5936 HIGHWAY 71
5' 06"IA NONE FEMALEC NONE
05/07/2014 7:21 AM 2012 WHI CHEVROLET - CHEV
CTV SW
2015 NOIAWILLSO1
D015 1-1/2 WEST 71 WB OV LK68
5565$40.00
$14.00
N/A13SPEEDING 55 OR < (6 THRU 10 OVER)
$60.00
321.285 321.285-B$114.00
215
05/07/2014
05/07/2014
8:30 AM06/09/2014
$141.00
STORM LAKE - 7422MAIER, D
MAY, 201407
TROOPERIOWA STATE PATROL - DIST 06
NOT GUILTY
Driver's LicenseRecommendation
OTHER DISPOSITION
Other
Susp.
Yr.
BAIL CASH DEPOSIT
DATE: Continued to:
Incarceration in
VERDICT
WARRANT ISSUED
Iowa
DISMISSED
TESTIMONY - JUDGE'S NOTES: (Other Orders)
Revo
Mo.
Signature, person giving bail
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
COST $
ABSTRACT OF COURT RECORD
Address
JURY TRIAL
Days:
DOCKET NO.
REASON
CASE NO.
School
CASE NO.
STATE:
Days
Name
FORFEIT BOND
The court Therefore Enters in Following Order This Date
REASON
Phone
PLEA
LICENSE NO.
NOT GUILTY
Citation #:
GUILTY
Signature, person taking bailDate
DATE:
NO JURY TRIAL orPROCEEDING
GUILTY
DATE:
None
Day
COURT NO.
FINED $ SURCHARGE $ Continued to:
P06 5MAI 140507 072115 4
FILED 05/07/2014 11:54AMCLERK DISTRICT COURTSAC COUNTY IOWA
Dated
Notary/otherSignature
Middle
Co. Enf. Surcharge
Pass EndReq?
COMPLAINT
at
Defendant, Last
at
ICIS Ord.
X
Non-scheduled Violation
Officer'sSignature
HazMat End Req?
Total Fine/Costs
Officer'sSignature
County of:
OtherCivil Damage Assessment
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.
Reason:
Notary/other
in
Serious P.I.Criminal Surcharge
Suffix
Scheduled Violation/Fine
State
defendant did unlawfully: Operate Motor Vehicle/Boat
First
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.
State
DL Class
US DOT#
20
Dispatch /Case #:
City of:
Signature ofDefendant
Reference #:
I.D. No.
Lic. Plate #/REGICC#
, IowaI swear that the foregoing complaint is true and correct.
IOWA UNIFORM CITATION AND COMPLAINT
Address
DL#
DL End.
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
YearCDLReq?
Upon a public highway at
Sec #:
The undersigned states that on or about
The following applies to simple misdemeanors only:
Sex
Race
DL/State IDViewed?Name
VS.
Court Appearance Required (805.10)
require an appearance, report to the above named court on:
Height
Local Ord.
DOB
Form 420001E 1/07
Zip Code
day of
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
Dated
DL Rest.
Fatal Accident
Located in the county and state aforesaid and did then and there commit the following offense:
In the Court at
DL State
Violation
Law Enforcement Agency -
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
Fed/Adm Code:
at
Subscribed and sworn to me by
ICIS Sec #:
4. I hereby give my unsecured appearance bond in the amount of
PLAINTIFF
My signature below is not a plea of guilty, but acknowledges all of the following:
1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
Court Costs
Zone
City
Agency
Weight
Road Work Zone
this
State of Iowa
IA Code:
Speed
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.
charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty and surcharge plus court cost.
T01 T319 140505 145454 5
*+T01T3191405051454545+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
706YY9438SMITH MATTHEW J 12/23/1984NO
W NEthnicity50588STORM LAKE IA215 IRVING ST
6' 00"IA 205 LBSNONE MALEA NONE
05/05/2014 2:36 PM 1997 WHI MACK -MACK
TT-ST
2014 YES NO NOIA960ZXQ
44 - JCT HWY 71/20 EARLY
$50.00
$17.50396.3A1BOS
N/A13BRAKES OUT OF ADJUSTMENT 2 OF 6 BRAKES OUT OF ADJUSTMENT
$60.00
321.449 321.449-A$127.50
T319
05/05/2014
05/05/2014
8:30 AM06/02/2014
$161.25
EARLY - 2200LAAKE, PAUL
MAY, 201406
OTHERMOTOR VEHICLE ENFORCEMENT
NOT GUILTY
Driver's LicenseRecommendation
OTHER DISPOSITION
Other
Susp.
Yr.
BAIL CASH DEPOSIT
DATE: Continued to:
Incarceration in
VERDICT
WARRANT ISSUED
Iowa
DISMISSED
TESTIMONY - JUDGE'S NOTES: (Other Orders)
Revo
Mo.
Signature, person giving bail
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
COST $
ABSTRACT OF COURT RECORD
Address
JURY TRIAL
Days:
DOCKET NO.
REASON
CASE NO.
School
CASE NO.
STATE:
Days
Name
FORFEIT BOND
The court Therefore Enters in Following Order This Date
REASON
Phone
PLEA
LICENSE NO.
NOT GUILTY
Citation #:
GUILTY
Signature, person taking bailDate
DATE:
NO JURY TRIAL orPROCEEDING
GUILTY
DATE:
None
Day
COURT NO.
FINED $ SURCHARGE $ Continued to:
T01 T319 140505 145454 5
FILED 05/07/2014 07:00PMCLERK DISTRICT COURTSAC COUNTY IOWA
Dated
Notary/otherSignature
Middle
Co. Enf. Surcharge
Pass EndReq?
COMPLAINT
at
Defendant, Last
at
ICIS Ord.
X
Non-scheduled Violation
Officer'sSignature
HazMat End Req?
Total Fine/Costs
Officer'sSignature
County of:
OtherCivil Damage Assessment
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.
Reason:
Notary/other
in
Serious P.I.Criminal Surcharge
Suffix
Scheduled Violation/Fine
State
defendant did unlawfully: Operate Motor Vehicle/Boat
First
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.
State
DL Class
US DOT#
20
Dispatch /Case #:
City of:
Signature ofDefendant
Reference #:
I.D. No.
Lic. Plate #/REGICC#
, IowaI swear that the foregoing complaint is true and correct.
IOWA UNIFORM CITATION AND COMPLAINT
Address
DL#
DL End.
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
YearCDLReq?
Upon a public highway at
Sec #:
The undersigned states that on or about
The following applies to simple misdemeanors only:
Sex
Race
DL/State IDViewed?Name
VS.
Court Appearance Required (805.10)
require an appearance, report to the above named court on:
Height
Local Ord.
DOB
Form 420001E 1/07
Zip Code
day of
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
Dated
DL Rest.
Fatal Accident
Located in the county and state aforesaid and did then and there commit the following offense:
In the Court at
DL State
Violation
Law Enforcement Agency -
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
Fed/Adm Code:
at
Subscribed and sworn to me by
ICIS Sec #:
4. I hereby give my unsecured appearance bond in the amount of
PLAINTIFF
My signature below is not a plea of guilty, but acknowledges all of the following:
1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
Court Costs
Zone
City
Agency
Weight
Road Work Zone
this
State of Iowa
IA Code:
Speed
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.
charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty and surcharge plus court cost.
T01 T142 140501 112909 8
*+T01T1421405011129098+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
706XX8016CONOVER ERIC WAYNE 7/29/1986YES
W NEthnicity51025-0000HOLSTEIN IA118 S ALTONA ST
6' 00"IA 150 LBSNONE MALEA LN
05/01/2014 10:55 AM 2009 GRY PETERBILT - PTRB
TT/ST
2014 YES NO NOIAVA175302131872 787829
SB M43
$155.00
$54.25392.2-SLLEWA1
N/A13OW ON TANDEM AXLES 5 & 6 BY 2,160 LBS (36,160 LBS) WHL BSE 5 FT
$60.00
321.463 321.463$269.25
T142
05/01/2014
05/01/2014
8:30 AM05/19/2014
$373.88
EARLY - 2200PEREZ, WILLIAM
MAY, 201408
OTHERMOTOR VEHICLE ENFORCEMENT
NOT GUILTY
Driver's LicenseRecommendation
OTHER DISPOSITION
Other
Susp.
Yr.
BAIL CASH DEPOSIT
DATE: Continued to:
Incarceration in
VERDICT
WARRANT ISSUED
Iowa
DISMISSED
TESTIMONY - JUDGE'S NOTES: (Other Orders)
Revo
Mo.
Signature, person giving bail
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
COST $
ABSTRACT OF COURT RECORD
Address
JURY TRIAL
Days:
DOCKET NO.
REASON
CASE NO.
School
CASE NO.
STATE:
Days
Name
FORFEIT BOND
The court Therefore Enters in Following Order This Date
REASON
Phone
PLEA
LICENSE NO.
NOT GUILTY
Citation #:
GUILTY
Signature, person taking bailDate
DATE:
NO JURY TRIAL orPROCEEDING
GUILTY
DATE:
None
Day
COURT NO.
FINED $ SURCHARGE $ Continued to:
T01 T142 140501 112909 8
FILED 05/08/2014 06:33PMCLERK DISTRICT COURTSAC COUNTY IOWA
Dated
Notary/otherSignature
Middle
Co. Enf. Surcharge
Pass EndReq?
COMPLAINT
at
Defendant, Last
at
ICIS Ord.
X
Non-scheduled Violation
Officer'sSignature
HazMat End Req?
Total Fine/Costs
Officer'sSignature
County of:
OtherCivil Damage Assessment
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.
Reason:
Notary/other
in
Serious P.I.Criminal Surcharge
Suffix
Scheduled Violation/Fine
State
defendant did unlawfully: Operate Motor Vehicle/Boat
First
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.
State
DL Class
US DOT#
20
Dispatch /Case #:
City of:
Signature ofDefendant
Reference #:
I.D. No.
Lic. Plate #/REGICC#
, IowaI swear that the foregoing complaint is true and correct.
IOWA UNIFORM CITATION AND COMPLAINT
Address
DL#
DL End.
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
YearCDLReq?
Upon a public highway at
Sec #:
The undersigned states that on or about
The following applies to simple misdemeanors only:
Sex
Race
DL/State IDViewed?Name
VS.
Court Appearance Required (805.10)
require an appearance, report to the above named court on:
Height
Local Ord.
DOB
Form 420001E 1/07
Zip Code
day of
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
Dated
DL Rest.
Fatal Accident
Located in the county and state aforesaid and did then and there commit the following offense:
In the Court at
DL State
Violation
Law Enforcement Agency -
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
Fed/Adm Code:
at
Subscribed and sworn to me by
ICIS Sec #:
4. I hereby give my unsecured appearance bond in the amount of
PLAINTIFF
My signature below is not a plea of guilty, but acknowledges all of the following:
1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
Court Costs
Zone
City
Agency
Weight
Road Work Zone
this
State of Iowa
IA Code:
Speed
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.
charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty and surcharge plus court cost.
T01 T142 140501 112820 7
*+T01T1421405011128207+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
706XX8016CONOVER ERIC WAYNE 7/29/1986YES
W NEthnicity51025-0000HOLSTEIN IA118 S ALTONA ST
6' 00"IA 150 LBSNONE MALEA LN
05/01/2014 10:55 AM 2009 GRY PETERBILT - PTRB
TT/ST
2014 YES NO NOIAVA175302131872 787829
SB M43
$375.00
$131.25392.2-SLLEWA2
N/A13OW ON TRIPLE AXLES 5-7 BY 4,600 LBS (48,100 LBS) WHL BSE 10 FT
$60.00
321.463 321.463$566.25
T142
05/01/2014
05/01/2014
8:30 AM05/19/2014
$819.38
EARLY - 2200PEREZ, WILLIAM
MAY, 201408
OTHERMOTOR VEHICLE ENFORCEMENT
NOT GUILTY
Driver's LicenseRecommendation
OTHER DISPOSITION
Other
Susp.
Yr.
BAIL CASH DEPOSIT
DATE: Continued to:
Incarceration in
VERDICT
WARRANT ISSUED
Iowa
DISMISSED
TESTIMONY - JUDGE'S NOTES: (Other Orders)
Revo
Mo.
Signature, person giving bail
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
COST $
ABSTRACT OF COURT RECORD
Address
JURY TRIAL
Days:
DOCKET NO.
REASON
CASE NO.
School
CASE NO.
STATE:
Days
Name
FORFEIT BOND
The court Therefore Enters in Following Order This Date
REASON
Phone
PLEA
LICENSE NO.
NOT GUILTY
Citation #:
GUILTY
Signature, person taking bailDate
DATE:
NO JURY TRIAL orPROCEEDING
GUILTY
DATE:
None
Day
COURT NO.
FINED $ SURCHARGE $ Continued to:
T01 T142 140501 112820 7
FILED 05/08/2014 06:35PMCLERK DISTRICT COURTSAC COUNTY IOWA
Dated
Notary/otherSignature
Middle
Co. Enf. Surcharge
Pass EndReq?
COMPLAINT
at
Defendant, Last
at
ICIS Ord.
X
Non-scheduled Violation
Officer'sSignature
HazMat End Req?
Total Fine/Costs
Officer'sSignature
County of:
OtherCivil Damage Assessment
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.
Reason:
Notary/other
in
Serious P.I.Criminal Surcharge
Suffix
Scheduled Violation/Fine
State
defendant did unlawfully: Operate Motor Vehicle/Boat
First
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.
State
DL Class
US DOT#
20
Dispatch /Case #:
City of:
Signature ofDefendant
Reference #:
I.D. No.
Lic. Plate #/REGICC#
, IowaI swear that the foregoing complaint is true and correct.
IOWA UNIFORM CITATION AND COMPLAINT
Address
DL#
DL End.
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
YearCDLReq?
Upon a public highway at
Sec #:
The undersigned states that on or about
The following applies to simple misdemeanors only:
Sex
Race
DL/State IDViewed?Name
VS.
Court Appearance Required (805.10)
require an appearance, report to the above named court on:
Height
Local Ord.
DOB
Form 420001E 1/07
Zip Code
day of
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
Dated
DL Rest.
Fatal Accident
Located in the county and state aforesaid and did then and there commit the following offense:
In the Court at
DL State
Violation
Law Enforcement Agency -
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
Fed/Adm Code:
at
Subscribed and sworn to me by
ICIS Sec #:
4. I hereby give my unsecured appearance bond in the amount of
PLAINTIFF
My signature below is not a plea of guilty, but acknowledges all of the following:
1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
Court Costs
Zone
City
Agency
Weight
Road Work Zone
this
State of Iowa
IA Code:
Speed
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.
charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty and surcharge plus court cost.
T01 T142 140501 112643 6
*+T01T1421405011126436+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
706XX8016CONOVER ERIC WAYNE 7/29/1986YES
W NEthnicity51025-0000HOLSTEIN IA118 S ALTONA ST
6' 00"IA 150 LBSNONE MALEA LN
05/01/2014 10:55 AM 2009 GRY PETERBILT - PTRB
TT/ST
2014 YES NO NOIAVA175302131872 787829
SB M43
$155.00
$54.25392.2-SLLEWA2
N/A13OW ON BRIDGE AXLES 2-7 BY 2,940 LBS (86,940 LBS) WH BSE 50 FT
$60.00
321.463 321.463$269.25
T142
05/01/2014
05/01/2014
8:30 AM05/19/2014
$373.88
EARLY - 2200PEREZ, WILLIAM
MAY, 201408
OTHERMOTOR VEHICLE ENFORCEMENT
NOT GUILTY
Driver's LicenseRecommendation
OTHER DISPOSITION
Other
Susp.
Yr.
BAIL CASH DEPOSIT
DATE: Continued to:
Incarceration in
VERDICT
WARRANT ISSUED
Iowa
DISMISSED
TESTIMONY - JUDGE'S NOTES: (Other Orders)
Revo
Mo.
Signature, person giving bail
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
COST $
ABSTRACT OF COURT RECORD
Address
JURY TRIAL
Days:
DOCKET NO.
REASON
CASE NO.
School
CASE NO.
STATE:
Days
Name
FORFEIT BOND
The court Therefore Enters in Following Order This Date
REASON
Phone
PLEA
LICENSE NO.
NOT GUILTY
Citation #:
GUILTY
Signature, person taking bailDate
DATE:
NO JURY TRIAL orPROCEEDING
GUILTY
DATE:
None
Day
COURT NO.
FINED $ SURCHARGE $ Continued to:
T01 T142 140501 112643 6
FILED 05/08/2014 06:48PMCLERK DISTRICT COURTSAC COUNTY IOWA
