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23 Traffic Citations Issued to Out of Area Residents - April 11, 2014 - April 17, 2014

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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 140411 144237 3

*+S81URNS1404111442373+*

Citation #:

SAC COUNTY SHERIFF'S OFFICE

SAC - 81

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

H12289334ORTNER CHRISTOPHER D 12/18/1978YES

W NEthnicity68116-0000OMAHA NE2401 N 176TH ST

6' 00"NE NONE MALEO NONE

04/11/2014 2:42 PM 2009 SIL FORD -FORD

EDGE SUV

2014 NONESGT 308

M068/PERKINS AVE AND 380TH ST

5560$20.00

$7.00

$5.00SPEED (55 ZONE) 1-5 OVER

$60.00

4.5.2/4(1) 4.5.2/4(1)-A$92.00

81-7

04/11/2014

04/11/2014

8:30 AM05/05/2014

$108.00

LAKE VIEW - 4157BURNS, JOEL

APRIL, 201411

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 140411 144237 3

E-FILED 2014 APR 11 2:51 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 RITT 140411 150016 7

*+S81RITT1404111500167+*

Citation #:

SAC COUNTY SHERIFF'S OFFICE

SAC CITY - 6717SAC - 81

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

173AC6869CRARY ELISE NIKOLE 8/15/1993YES

W NEthnicity51103-0000SIOUX CITY IA313 S TURNER ST

5' 06"IA NONE FEMALEC NONE

04/11/2014 3:00 PM 2000 BLK HONDA -HOND

CIV 2D

2014 NOIA235XNJ

US 20

6575$40.00

$14.00

$5.0013SPEEDING > 55 (6 THRU 10 OVER)

$60.00

321.285 321.285-G$119.00

81-3

04/11/2014

04/11/2014

8:00 AM04/28/2014

$148.50

SAC CITY - 6717ERRITT, BRIAN

APRIL, 201411

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 RITT 140411 150016 7

E-FILED 2014 APR 11 3:18 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.

T01 T319 140407 193245 4

*+T01T3191404071932454+*

Citation #:

MOTOR VEHICLE ENFORCEMENT

SAC - 81

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

T790202895416HARVATH CHARLES PAUL 6/22/1957YES

W NEthnicity55416MINNEAPOLIS MN5901 LAUREL AVE APT 129

5' 11"MN 185 LBSNONE MALEA NONE

04/07/2014 7:25 PM 2008 RED KENWORTH - KW

TT-ST

2014 YES NO NOKS13179100315503 197897

44 - JCT HWY 71/20 EARLY

$12.00

$4.20392.2-SLLEWA1

N/A13OVR WGT AXLES 2-3 AT 35240 LEGAL 34000 OVR 1240LBS

$60.00

321.463 321.463$76.20

T319

04/07/2014

04/07/2014

8:30 AM04/28/2014

$84.30

EARLY - 2200LAAKE, PAUL

APRIL, 201411

NOTARYMOTOR 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 140407 193245 4

FILED 04/12/2014 06:32AMCLERK 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 140411 185441 5

*+T01T3191404111854415+*

Citation #:

MOTOR VEHICLE ENFORCEMENT

SAC - 81

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

112537422COFIE HASSAN OMAR 1/1/1986YES

B UEthnicity37013-0000ANTIOCH TN3000 BEACHMIST LN

5' 11"TN NONE MALEA NONE

04/11/2014 6:34 PM 2007 WHI FREIGHTLINER - F

TT-ST

2013 YES NO NOVA70350 PY02347451 803295

44 - JCT HWY 71/20 EARLY

$50.00

$17.50396.17C

N/A13NO PROOF OF CURRENT ANNUAL INSPECTION STICKER SHOWS 2012

$60.00

321.449 321.449-A$127.50

T319

04/11/2014

04/11/2014

8:30 AM04/28/2014

$161.25

EARLY - 2200LAAKE, PAUL

APRIL, 201411

NOTARYMOTOR 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 140411 185441 5

FILED 04/12/2014 06:32AMCLERK 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 140411 191258 7

*+T01T3191404111912587+*

Citation #:

MOTOR VEHICLE ENFORCEMENT

SAC - 81

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

K571129794413FRIEDRICH MICHAEL ALVIN 3/27/1954YES

W NEthnicity55092WYOMING MN18418 VERMILLION ST NE

6' 00"MN 210 LBSB MALEA XNT

04/11/2014 7:06 PM 2013 YEL PETERBILT - PTRB

TT-ST

2014 YES NO YESMNPAL713100164261 144110

44 - JCT HWY 71/20 EARLY

$12.00

$4.20392.2-SLLEWA1

N/A13OVR WGT AXLES 2-3 35300 LEGAL 34000 OVR 1300LBS

$60.00

321.463 321.463$76.20

T319

04/11/2014

04/11/2014

8:30 AM05/05/2014

$84.30

EARLY - 2200LAAKE, PAUL

APRIL, 201411

NOTARYMOTOR 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 140411 191258 7

FILED 04/12/2014 06:32AMCLERK 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 140412 094448 3

*+T01T1421404120944483+*

Citation #:

MOTOR VEHICLE ENFORCEMENT

SAC - 81

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

715YY4616ROLD TRENT ADAM 1/4/1980YES

W NEthnicity51537-0000HARLAN IA3002 12TH ST LOT 73

5' 10"IA 140 LBSNONE MALEA LX

04/12/2014 9:15 AM 2004 MAR FREIGHTLINER - F

TT/ST

2014 YES NO NOIASD182300073777 316447

44 - JCT HWY 71/20 EARLY

$22.00

$7.70392.2-SLLEWA1

N/A13OW ON BRIDGE AXLES 2-5 BY 1,100 LBS (69,100 LBS) WHL BSE 37FT

$60.00

321.463 321.463$89.70

T142

04/12/2014

04/12/2014

8:30 AM04/28/2014

$104.55

EARLY - 2200PEREZ, WILLIAM

APRIL, 201412

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 140412 094448 3

FILED 04/12/2014 06:32PMCLERK 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 140412 094350 2

*+T01T1421404120943502+*

Citation #:

MOTOR VEHICLE ENFORCEMENT

SAC - 81

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

715YY4616ROLD TRENT ADAM 1/4/1980YES

W NEthnicity51537-0000HARLAN IA3002 12TH ST LOT 73

5' 10"IA 140 LBSNONE MALEA LX

04/12/2014 9:15 AM 2004 MAR FREIGHTLINER - F

TT/ST

2014 YES NO NOIASD182300073777 316447

44 - JCT HWY 71/20 EARLY

$22.00

$7.70392.2-SLLEWA1

N/A13OW ON TANDEM AXLES 2 & 3 BY 1,600 LBS (35,600 LBS) WHL BSE 5FT

$60.00

321.463 321.463$89.70

T142

04/12/2014

04/12/2014

8:30 AM04/28/2014

$104.55

EARLY - 2200PEREZ, WILLIAM

APRIL, 201412

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 140412 094350 2

FILED 04/12/2014 06:43PMCLERK 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 140408 125852 6

*+T01T1421404081258526+*

Citation #:

MOTOR VEHICLE ENFORCEMENT

SAC - 81

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

0040044886ROLAND SCOTT A 8/8/1969YES

W NEthnicity46737-0000FREMONT IN15 2ND ST

5' 09"IN 160 LBSNONE MALEA LNT

04/08/2014 12:30 PM 1993 BRZ KENTUCKY - KENT

TT/ST

2014 YES NO NOIN215993900615838 295244

44 - JCT HWY 71/20 EARLY

$50.00

$17.50393.110B

N/A13INSUFF. TIEDOWNS; W/O HEADERBOARD/BLOCKING 4 OF 7 NEEDED

$60.00

321.449 321.449-A$127.50

T142

04/08/2014

04/08/2014

8:30 AM04/28/2014

$161.25

EARLY - 2200PEREZ, WILLIAM

APRIL, 201412

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 140408 125852 6

FILED 04/12/2014 06:53PMCLERK 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 T424 140412 081641 5

*+T01T4241404120816415+*

Citation #:

MOTOR VEHICLE ENFORCEMENT

SAC - 81

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

534WW5038MEIER MICHAEL MERLE 10/2/1950YES

W NEthnicity50529-0000DAKOTA CITY IA705 2ND AVE N

5' 09"IA 230 LBSNONE MALEC L

04/12/2014 8:16 AM 1988 RED GENERALMOTORS -

TRST

2015 NOIABGL337

STATE 110/DEAN AVE

$20.00

$7.00

N/A13GROSS WEIGHT IN EXCESS OF REG WT BY 1300#

$60.00

321.466 321.466$87.00

T424

04/12/2014

04/12/2014

8:30 AM04/21/2014

$100.50

CHEROKEE - 1272CLAYCAMP, FRED

APRIL, 201412

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 T424 140412 081641 5

FILED 04/13/2014 06:34PMCLERK 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 T424 140412 084539 6

*+T01T4241404120845396+*

Citation #:

MOTOR VEHICLE ENFORCEMENT

SAC - 81

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

534WW5038MEIER MICHAEL MERLE 10/2/1950YES

W NEthnicity50529-0000DAKOTA CITY IA705 2ND AVE N

5' 09"IA 230 LBSNONE MALEC L

04/12/2014 8:16 AM 1988 RED GENERALMOTORS -

TRST

2015 NOIABGL337

STATE 110/DEAN AVE

$100.00

$35.00

N/A13DRIVING OR TOWING UNSAFE VEHICLE

$60.00

321.381 321.381$195.00

T424

04/12/2014

04/12/2014

8:30 AM04/21/2014

$262.50

CHEROKEE - 1272CLAYCAMP, FRED

APRIL, 201412

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 T424 140412 084539 6

FILED 04/13/2014 06:34PMCLERK 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 T424 140412 115831 1

*+T01T4241404121158311+*

Citation #:

MOTOR VEHICLE ENFORCEMENT

SAC - 81

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

G22002434MUSIL DAVID JON 6/25/1962YES

W NEthnicity68465-0000WILBER NE1663 COUNTY RD 1500

6' 04"NE 290 LBSB MALEA X

04/12/2014 11:15 AM 2008 ONG PETERBILT - PTRB

TTST

2014 YES NO NONE17772401849421 669913

44 - JCT HWY 71/20 EARLY

$240.00

$84.00392.2-SLLEWA2

N/A13OVERWEIGHT AXLE 2-6 BY 3800# MEASURES 42'4" LEGAL @ 74,000#

$60.00

321.463 321.463$384.00

T424

04/12/2014

04/12/2014

8:30 AM04/21/2014

$546.00

CHEROKEE - 1272CLAYCAMP, FRED

APRIL, 201412

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 T424 140412 115831 1

FILED 04/13/2014 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 T424 140412 120325 2

*+T01T4241404121203252+*

Citation #:

MOTOR VEHICLE ENFORCEMENT

SAC - 81

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

G22002434MUSIL DAVID JON 6/25/1962YES

W NEthnicity68465-0000WILBER NE1663 COUNTY RD 1500

6' 04"NE 290 LBSB MALEA X

04/12/2014 11:15 AM 2008 ONG PETERBILT - PTRB

TTST

2014 YES NO NONE17772401849421 669913

44 - JCT HWY 71/20 EARLY

$22.00

$7.70392.2-SLLEWA1

N/A13OVERWEIGHT AXLE 3-4 BY 1680#

$60.00

321.463 321.463$89.70

T424

04/12/2014

04/12/2014

8:30 AM04/21/2014

$104.55

CHEROKEE - 1272CLAYCAMP, FRED

APRIL, 201412

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 T424 140412 120325 2

FILED 04/13/2014 06:37PMCLERK 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 T424 140412 100712 7

*+T01T4241404121007127+*

Citation #:

MOTOR VEHICLE ENFORCEMENT

SAC - 81

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

K02680294DAVIED THOMAS JOSEPH 8/25/1962YES

W NEthnicity66780WALNUT KS256 S 20TH STREET

5' 06"KS 170 LBSNONE MALEA X

04/12/2014 9:30 AM 2005 WHI KENWORTH - KW

TTST

2014 YES NO NOKS13404900255141 181029

44 - JCT HWY 71/20 EARLY

$240.00

$84.00392.2-SLLEWA2

N/A13OVERWEIGHT AXLE 2-5 BY 3700# MEASURES 34'11"

$60.00

321.463 321.463$384.00

T424

04/12/2014

04/12/2014

8:30 AM04/21/2014

$546.00

CHEROKEE - 1272CLAYCAMP, FRED

APRIL, 201412

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 T424 140412 100712 7

FILED 04/13/2014 06:37PMCLERK 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 T424 140412 101009 8

*+T01T4241404121010098+*

Citation #:

MOTOR VEHICLE ENFORCEMENT

SAC - 81

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

K02680294DAVIED THOMAS JOSEPH 8/25/1962YES

W NEthnicity66780WALNUT KS256 S 20TH STREET

5' 06"KS 170 LBSNONE MALEA X

04/12/2014 9:30 AM 2005 WHI KENWORTH - KW

TTST

2014 YES NO NOKS13404900255141 181029

44 - JCT HWY 71/20 EARLY

$155.00

$54.25392.2-SLLEWA1

N/A13OVERWEIGHT AXLE 2-3 BY 2180#

$60.00

321.463 321.463$269.25

T424

04/12/2014

04/12/2014

8:30 AM04/21/2014

$373.88

CHEROKEE - 1272CLAYCAMP, FRED

APRIL, 201412

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 T424 140412 101009 8

FILED 04/13/2014 06:38PMCLERK 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 URNS 140412 130512 6

*+S81URNS1404121305126+*

Citation #:

SAC COUNTY SHERIFF'S OFFICE

SAC - 81

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

293AE4385DE LA PAZ REIDEL 11/11/1976YES

W HEthnicity51442-0000DENISON IA302 N MAIN ST

5' 08"IA N MALEA P

04/12/2014 1:05 PM 2011 RED CHEVROLET - CHEV

CAM 2D

2014 NOIA309XWI

M043/FOX AVE AND 300TH ST

5565$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

81-7

04/12/2014

04/12/2014

8:30 AM05/12/2014

$148.50

ODEBOLT - 5655BURNS, JOEL

APRIL, 201412

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 140412 130512 6

E-FILED 2014 APR 14 8:34 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 140412 124146 5

*+S81URNS1404121241465+*

Citation #:

SAC COUNTY SHERIFF'S OFFICE

SAC - 81

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

388AE7697SAUCEDA MANUELA 11/20/1967YES

W NEthnicity51201-0000SHELDON IA309 8TH AVE

5' 07"IA NONE FEMALEC NONE

04/12/2014 12:41 PM 2008 RED NISSAN -NISS

XTR SW

2014 NOIA407XBL

US 20/220TH ST AND IRA AVE

5565$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

81-7

04/12/2014

04/12/2014

8:30 AM05/12/2014

$148.50

EARLY - 2200BURNS, JOEL

APRIL, 201412

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 140412 124146 5

E-FILED 2014 APR 14 8:35 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 LURE 140414 085856 9

*+S81LURE1404140858569+*

Citation #:

SAC COUNTY SHERIFF'S OFFICE

SAC - 81

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

519AG2111MEDRANO HERNAND EDVIN ALEJANDRO 1/20/1989YES

W HEthnicity51103-0000SIOUX CITY IA1510 W 6TH ST

5' 03"IA B MALEC NONE

04/14/2014 8:58 AM 2000 RED NISSAN -NISS

SUV SUV

2013 NOIA304ZIQ

US 20

$50.00

$17.50

$5.0013OPERATION OF MOTOR VEHICLE WITH EXPIRED LICENSE

$60.00

321.174A 321.174A$132.50

81-1

04/14/2014

04/14/2014

8:30 AM05/12/2014

$168.75

SAC CITY - 6717MCCLURE, KEN

APRIL, 201414

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 LURE 140414 085856 9

E-FILED 2014 APR 14 10:14 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.

P04 5SAC 140415 085812 0

*+P045SAC1404150858120+*

Citation #:

IOWA STATE PATROL - DIST 04

SAC - 81

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

015BB5099WARE LINDA DIANA 12/20/1960YES

W NEthnicity51443-0000GLIDDEN IA221 IDAHO ST

5' 06"IA B FEMALEC L

04/15/2014 8:58 AM 2006 GRY CHEVROLET - CHEV

SW

2014 NOIAAXG514

WB HWY 175 AND MM 126

5560$20.00

$7.00

N/A13SPEEDING 55 OR < (1 THRU 5 OVER)

$60.00

321.285 321.285-A$87.00

235

04/15/2014

04/15/2014

8:30 AM05/19/2014

$100.50

ONAWA - 5700SACKETT, J

APRIL, 201415

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 5SAC 140415 085812 0

FILED 04/15/2014 09:13PMCLERK 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 140415 181132 6

*+S81IEDE1404151811326+*

Citation #:

SAC COUNTY SHERIFF'S OFFICE

SAC - 81

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

K01751159BALTZELL RONALD LEON 8/3/1959YES

W NEthnicity67401-0000SALINA KS1310 E NORTH STREET

6' 00"KS 240 LBSB MALEA TN

04/15/2014 6:11 PM 2005 BLU PONTIAC -PONT

MONT MO

2013 NONE17L991

VOSS AVE AND D036/255TH ST

5565$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

81-4

04/15/2014

04/15/2014

8:30 AM05/05/2014

$148.50

SAC CITY - 6717BIEDE, MATT

APRIL, 201415

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 140415 181132 6

E-FILED 2014 APR 16 8:17 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.

P04 8MEA 140415 162429 5

*+P048MEA1404151624295+*

Citation #:

IOWA STATE PATROL - DIST 04

SAC - 81

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

K43078081312KHLOTH SOM 11/2/1981YES

A Ethnicity60435-0000JOLIET IL1215 DEVONSHIRE DR

5' 09"IL 160 LBS**** MALED ****

04/15/2014 4:24 PM 2011 GRY ACURA -ACUR

RDX SW

2015 NOIA937YYR

US 20

6575$40.00

$14.00

N/A13SPEEDING > 55 (R FATT WB NS 81)

$60.00

321.285 321.285-G$114.00

068

04/15/2014

04/15/2014

8:30 AM05/12/2014

$141.00

DENISON - 1920MEADOWS, B

APRIL, 201416

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 140415 162429 5

FILED 04/16/2014 03:18PMCLERK 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 URNS 140416 114323 8

*+S81URNS1404161143238+*

Citation #:

SAC COUNTY SHERIFF'S OFFICE

SAC - 81

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

G01329656RYAN JAMES P 10/20/1958YES

W NEthnicity68114-0000OMAHA NE763 N 73RD ST

5' 09"NE B MALEO NONE

04/16/2014 11:43 AM 2013 GRY FORD -FORD

FUSION 4D

2014 NONETHX187

STATE 39/IOWA 39 AND DEAN AVE AND 3

5565$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

81-7

04/16/2014

04/16/2014

8:30 AM05/12/2014

$148.50

ODEBOLT - 5655BURNS, JOEL

APRIL, 201416

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 140416 114323 8

E-FILED 2014 APR 16 12:15 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 URNS 140416 135143 9

*+S81URNS1404161351439+*

Citation #:

SAC COUNTY SHERIFF'S OFFICE

SAC - 81

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

S35329073164STIENTJES GREGORY J 6/9/1973YES

W NEthnicity60564NAPERVILLE IL2955 BETH LN

6' 00"IL 170 LBSB MALED NONE

04/16/2014 1:51 PM 2008 SIL HONDA -HOND

ACCORD 4D

2012 NOILX207962

M065/ROLF AVE AND US 20

$50.00

$17.50

$5.0013OPERATION W/O REGISTRATION

$60.00

321.98 321.98$132.50

81-7

04/16/2014

04/16/2014

8:30 AM05/12/2014

$168.75

SAC CITY - 6717BURNS, JOEL

APRIL, 201416

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 140416 135143 9

E-FILED 2014 APR 17 8:32 AM SAC - CLERK OF DISTRICT COURT

E-FILED 2014 APR 17 8:41 AM SAC - CLERK OF DISTRICT COURT


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