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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
P04 1LEF 140316 122413 6
*+P041LEF1403161224136+*
Citation #:
IOWA STATE PATROL - DIST 04
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
235AD6541COATS JONATHAN LYNN 12/15/1993YES
W NEthnicity50583-0000SAC CITY IA704 MEADOWLARK AVE
5' 11"IA B MALEC NONE
03/16/2014 12:24 PM 2000 RED CHEVROLET - CHEV
CAV 2D
2014 NOIA037TNZ
MAIN ST AND S 14TH ST AND N 14TH ST
$50.00
$17.50
N/A13FAIL TO WEAR/MAINTAIN SAFETY BELTS
$60.00
321.445 321.445$127.50
141
03/16/2014
03/16/2014
9:00 AM04/14/2014
$161.25
DENISON - 1920LEFFLER, K
MARCH, 201417
OTHERIOWA STATE PATROL - DIST 04
Continued to:SURCHARGE $FINED $
COURT NO.
Day
None
DATE:
GUILTYNO JURY TRIAL orPROCEEDING
DATE:
Date Signature, person taking bail
GUILTY
Citation #:
NOT GUILTY
LICENSE NO.
PLEA
Phone
REASON
The court Therefore Enters in Following Order This Date
FORFEIT BOND
Name
Days
STATE:
CASE NO.
School
CASE NO.
REASON
DOCKET NO.
Days:
JURY TRIAL
Address
ABSTRACT OF COURT RECORD
COST $
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
Signature, person giving bail
Mo.
Revo
TESTIMONY - JUDGE'S NOTES: (Other Orders)
DISMISSED
Iowa
WARRANT ISSUED
VERDICT
Incarceration in
Continued to:DATE:
BAIL CASH DEPOSIT
Yr.
Susp.
Other
OTHER DISPOSITION Driver's LicenseRecommendation
NOT GUILTY
P04 1LEF 140316 122413 6
FILED 03/17/2014 07:32PMCLERK 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
P04 1LEF 140316 123615 7
*+P041LEF1403161236157+*
Citation #:
IOWA STATE PATROL - DIST 04
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
524YY6704WHITEING ELIZABETH MAXINE 2/5/1978YES
W NEthnicity51450-0000LAKE VIEW IA2322 310TH ST
5' 04"IA B FEMALEC NONE
03/16/2014 12:36 PM 1995 BLK CHRYSLER - CHRY
CNC 4D
2015 NOIABXF757
MAIN ST AND N 11TH ST AND S 11TH ST
$100.00
$35.00
N/A13FAILURE TO SECURE CHILD UNDER 18 YOA
$60.00
321.446 321.446$195.00
141
03/16/2014
03/16/2014
8:30 AM04/14/2014
$262.50
DENISON - 1920LEFFLER, K
MARCH, 201417
OTHERIOWA STATE PATROL - DIST 04
Continued to:SURCHARGE $FINED $
COURT NO.
Day
None
DATE:
GUILTYNO JURY TRIAL orPROCEEDING
DATE:
Date Signature, person taking bail
GUILTY
Citation #:
NOT GUILTY
LICENSE NO.
PLEA
Phone
REASON
The court Therefore Enters in Following Order This Date
FORFEIT BOND
Name
Days
STATE:
CASE NO.
School
CASE NO.
REASON
DOCKET NO.
Days:
JURY TRIAL
Address
ABSTRACT OF COURT RECORD
COST $
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
Signature, person giving bail
Mo.
Revo
TESTIMONY - JUDGE'S NOTES: (Other Orders)
DISMISSED
Iowa
WARRANT ISSUED
VERDICT
Incarceration in
Continued to:DATE:
BAIL CASH DEPOSIT
Yr.
Susp.
Other
OTHER DISPOSITION Driver's LicenseRecommendation
NOT GUILTY
P04 1LEF 140316 123615 7
FILED 03/17/2014 07:32PMCLERK 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
P04 1LEF 140316 141118 0
*+P041LEF1403161411180+*
Citation #:
IOWA STATE PATROL - DIST 04
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
040AA6607FREY WILMA JEAN 1/20/1947YES
W NEthnicity50583-0000SAC CITY IA2251 SIERRA AVE
5' 02"IA B FEMALEC NONE
03/16/2014 2:11 PM 2005 BLU CHRYSLER - CHRY
TNC VN
2012 NOIA289RRR
N 5TH ST AND WILLIAMS ST
$50.00
$17.50
N/A13FAIL TO WEAR/MAINTAIN SAFETY BELTS
$60.00
321.445 321.445$127.50
141
03/16/2014
03/16/2014
8:30 AM04/14/2014
$161.25
DENISON - 1920LEFFLER, K
MARCH, 201417
OTHERIOWA STATE PATROL - DIST 04
Continued to:SURCHARGE $FINED $
COURT NO.
Day
None
DATE:
GUILTYNO JURY TRIAL orPROCEEDING
DATE:
Date Signature, person taking bail
GUILTY
Citation #:
NOT GUILTY
LICENSE NO.
PLEA
Phone
REASON
The court Therefore Enters in Following Order This Date
FORFEIT BOND
Name
Days
STATE:
CASE NO.
School
CASE NO.
REASON
DOCKET NO.
Days:
JURY TRIAL
Address
ABSTRACT OF COURT RECORD
COST $
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
Signature, person giving bail
Mo.
Revo
TESTIMONY - JUDGE'S NOTES: (Other Orders)
DISMISSED
Iowa
WARRANT ISSUED
VERDICT
Incarceration in
Continued to:DATE:
BAIL CASH DEPOSIT
Yr.
Susp.
Other
OTHER DISPOSITION Driver's LicenseRecommendation
NOT GUILTY
P04 1LEF 140316 141118 0
FILED 03/17/2014 07:33PMCLERK 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
P04 1LEF 140316 144318 2
*+P041LEF1403161443182+*
Citation #:
IOWA STATE PATROL - DIST 04
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
790YY5214STRANDBERG ERICA SUE 8/6/1974YES
W NEthnicity50583-0000SAC CITY IA700 S 13TH ST
5' 04"IA NONE FEMALEC NONE
03/16/2014 2:43 PM 2005 BLK BUICK -BUIC
RNR SW
2014 NOIA748ZEF
S 9TH ST AND MAIN ST AND N 9TH ST
$50.00
$17.50
N/A13FAIL TO WEAR/MAINTAIN SAFETY BELTS
$60.00
321.445 321.445$127.50
141
03/16/2014
03/16/2014
8:30 AM04/14/2014
$161.25
DENISON - 1920LEFFLER, K
MARCH, 201417
OTHERIOWA STATE PATROL - DIST 04
Continued to:SURCHARGE $FINED $
COURT NO.
Day
None
DATE:
GUILTYNO JURY TRIAL orPROCEEDING
DATE:
Date Signature, person taking bail
GUILTY
Citation #:
NOT GUILTY
LICENSE NO.
PLEA
Phone
REASON
The court Therefore Enters in Following Order This Date
FORFEIT BOND
Name
Days
STATE:
CASE NO.
School
CASE NO.
REASON
DOCKET NO.
Days:
JURY TRIAL
Address
ABSTRACT OF COURT RECORD
COST $
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
Signature, person giving bail
Mo.
Revo
TESTIMONY - JUDGE'S NOTES: (Other Orders)
DISMISSED
Iowa
WARRANT ISSUED
VERDICT
Incarceration in
Continued to:DATE:
BAIL CASH DEPOSIT
Yr.
Susp.
Other
OTHER DISPOSITION Driver's LicenseRecommendation
NOT GUILTY
P04 1LEF 140316 144318 2
FILED 03/17/2014 07:33PMCLERK 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
P04 1LEF 140316 114800 4
*+P041LEF1403161148004+*
Citation #:
IOWA STATE PATROL - DIST 04
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
621AH4902WALLS CARRY RAY JR 7/4/1993YES
W NEthnicity50567-0000NEMAHA IA2561 175TH ST
6' 00"IA S MALEC NONE
03/16/2014 11:47 AM 2011 BLK SCIO TC 2D
2014 NOIABSL843
US 71 AND D059/370TH ST
$50.00
$17.50
N/A13(2)DARK WINDOW/WINDSHIELD DRIVER WINDOW 3%
$60.00
321.438 321.438(2)$127.50
141
03/16/2014
03/16/2014
8:30 AM04/14/2014
$161.25
DENISON - 1920LEFFLER, K
MARCH, 201417
OTHERIOWA STATE PATROL - DIST 04
Continued to:SURCHARGE $FINED $
COURT NO.
Day
None
DATE:
GUILTYNO JURY TRIAL orPROCEEDING
DATE:
Date Signature, person taking bail
GUILTY
Citation #:
NOT GUILTY
LICENSE NO.
PLEA
Phone
REASON
The court Therefore Enters in Following Order This Date
FORFEIT BOND
Name
Days
STATE:
CASE NO.
School
CASE NO.
REASON
DOCKET NO.
Days:
JURY TRIAL
Address
ABSTRACT OF COURT RECORD
COST $
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
Signature, person giving bail
Mo.
Revo
TESTIMONY - JUDGE'S NOTES: (Other Orders)
DISMISSED
Iowa
WARRANT ISSUED
VERDICT
Incarceration in
Continued to:DATE:
BAIL CASH DEPOSIT
Yr.
Susp.
Other
OTHER DISPOSITION Driver's LicenseRecommendation
NOT GUILTY
P04 1LEF 140316 114800 4
FILED 03/17/2014 07:54PMCLERK 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
P04 1LEF 140316 121857 5
*+P041LEF1403161218575+*
Citation #:
IOWA STATE PATROL - DIST 04
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
MCCEAR TIFFANY ANNE 12/15/1997NO
W NEthnicity50561SAC CITY IA1106 AUDUBON ST
OT NONE FEMALE0 NONE
03/16/2014 12:18 PM 2000 RED CHEVROLET - CHEV
CAV 2D
2014 NOIA037TNZ
MAIN ST AND S 14TH ST AND N 14TH ST
$50.00
$17.50
N/A13FAIL TO WEAR/MAINTAIN SAFETY BELTS
$60.00
321.445 321.445$127.50
141
03/16/2014
03/16/2014
8:30 AM04/14/2014
$161.25
DENISON - 1920LEFFLER, K
MARCH, 201417
OTHERIOWA STATE PATROL - DIST 04
Continued to:SURCHARGE $FINED $
COURT NO.
Day
None
DATE:
GUILTYNO JURY TRIAL orPROCEEDING
DATE:
Date Signature, person taking bail
GUILTY
Citation #:
NOT GUILTY
LICENSE NO.
PLEA
Phone
REASON
The court Therefore Enters in Following Order This Date
FORFEIT BOND
Name
Days
STATE:
CASE NO.
School
CASE NO.
REASON
DOCKET NO.
Days:
JURY TRIAL
Address
ABSTRACT OF COURT RECORD
COST $
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
Signature, person giving bail
Mo.
Revo
TESTIMONY - JUDGE'S NOTES: (Other Orders)
DISMISSED
Iowa
WARRANT ISSUED
VERDICT
Incarceration in
Continued to:DATE:
BAIL CASH DEPOSIT
Yr.
Susp.
Other
OTHER DISPOSITION Driver's LicenseRecommendation
NOT GUILTY
P04 1LEF 140316 121857 5
FILED 03/17/2014 08:08PMCLERK 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
P04 1LEF 140316 142414 1
*+P041LEF1403161424141+*
Citation #:
IOWA STATE PATROL - DIST 04
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
441AF6801TJOSSEM-HINKELDEY AVERY WENDELL 4/26/1995YES
W NEthnicity50583-0000SAC CITY IA3310 230TH ST
6' 02"IA NONE MALEC NONE
03/16/2014 2:24 PM 1991 RED CHEVROLET - CHEV
BLZ SW
2014 NOIA559YCH
N 5TH ST AND WILLIAMS ST
$50.00
$17.50
N/A13FAIL TO WEAR/MAINTAIN SAFETY BELTS
$60.00
321.445 321.445$127.50
141
03/16/2014
03/16/2014
8:30 AM04/14/2014
$161.25
DENISON - 1920LEFFLER, K
MARCH, 201417
OTHERIOWA STATE PATROL - DIST 04
Continued to:SURCHARGE $FINED $
COURT NO.
Day
None
DATE:
GUILTYNO JURY TRIAL orPROCEEDING
DATE:
Date Signature, person taking bail
GUILTY
Citation #:
NOT GUILTY
LICENSE NO.
PLEA
Phone
REASON
The court Therefore Enters in Following Order This Date
FORFEIT BOND
Name
Days
STATE:
CASE NO.
School
CASE NO.
REASON
DOCKET NO.
Days:
JURY TRIAL
Address
ABSTRACT OF COURT RECORD
COST $
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
Signature, person giving bail
Mo.
Revo
TESTIMONY - JUDGE'S NOTES: (Other Orders)
DISMISSED
Iowa
WARRANT ISSUED
VERDICT
Incarceration in
Continued to:DATE:
BAIL CASH DEPOSIT
Yr.
Susp.
Other
OTHER DISPOSITION Driver's LicenseRecommendation
NOT GUILTY
P04 1LEF 140316 142414 1
FILED 03/17/2014 08:10PMCLERK 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
P04 1LEF 140316 132951 8
*+P041LEF1403161329518+*
Citation #:
IOWA STATE PATROL - DIST 04
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
543ZZ8690REMMICK HEATHER MARIE 5/27/1973NO
W NEthnicity50583SAC CITY IA1701 WEST MAIN STREET
IA NONE FEMALEC NONE
03/16/2014 1:29 PM 2000 WHI CHEVROLET - CHEV
BLZ SW
2014 NOIABXF713
S 12TH ST AND MAIN ST AND N 12TH ST
$50.00
$17.50
N/A13FAIL TO WEAR/MAINTAIN SAFETY BELTS
$60.00
321.445 321.445$127.50
141
03/16/2014
03/16/2014
8:30 AM04/14/2014
$161.25
DENISON - 1920LEFFLER, K
MARCH, 201417
OTHERIOWA STATE PATROL - DIST 04
Continued to:SURCHARGE $FINED $
COURT NO.
Day
None
DATE:
GUILTYNO JURY TRIAL orPROCEEDING
DATE:
Date Signature, person taking bail
GUILTY
Citation #:
NOT GUILTY
LICENSE NO.
PLEA
Phone
REASON
The court Therefore Enters in Following Order This Date
FORFEIT BOND
Name
Days
STATE:
CASE NO.
School
CASE NO.
REASON
DOCKET NO.
Days:
JURY TRIAL
Address
ABSTRACT OF COURT RECORD
COST $
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
Signature, person giving bail
Mo.
Revo
TESTIMONY - JUDGE'S NOTES: (Other Orders)
DISMISSED
Iowa
WARRANT ISSUED
VERDICT
Incarceration in
Continued to:DATE:
BAIL CASH DEPOSIT
Yr.
Susp.
Other
OTHER DISPOSITION Driver's LicenseRecommendation
NOT GUILTY
P04 1LEF 140316 132951 8
FILED 03/17/2014 08:19PMCLERK 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 LURE 140317 143659 4
*+S81LURE1403171436594+*
Citation #:
SAC COUNTY SHERIFF'S OFFICE
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
116AC6643COATS LARISSA RUTH 5/23/1992YES
W NEthnicity50583-0000SAC CITY IA505 S 11TH ST
5' 05"IA B FEMALEC NONE
03/17/2014 2:36 PM 2006 WHI GENERALMOTORS -
E/D SW
2014 NOIA803XOC
STATE 196/UNION 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
81-1
03/17/2014
03/17/2014
8:30 AM04/14/2014
$148.50
SAC CITY - 6717MCCLURE, KEN
MARCH, 201417
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 140317 143659 4
E-FILED 2014 MAR 17 3:23 PM SAC - CLERK OF DISTRICT COURT
DEFENDANT COPY Citation #: P06 5MAI 1405T7 14035 Form 420001 E 1/07 PLAINTIFF:
iCountvof S a c - 8 1 :^:State of lowa
In the Court at SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12
IOWA UNIFORM CITATION AND COMPLAINT Law Enforcement Agency - IOWA STATE PATROL - DIST 06
i " i City of
Reference
VS.
Name
City SAC CITY State IA
STRIEGEL DAVID LEON 515ZZ6014 Defendant, Last
Address 516 S 3RD ST
DL State IA
First Middle Suffix
City S A C C I T Y
Data of Birth 01/09/1950
State IA
DL Class C DL End. N O N E DL Res. B
Zip Code 50583-0000
Height
Race W Ethnicity N
5' 09"
The undersigned states that on or about
US DOT# ICC#
03/17/2014 at 2:03 P M defendant did unlawfully: Operate Motor Vehicle/Boat 2013 B L K
State IA Year 2014
Weight
S L V
Sex MALE
Lie Plate #/REG BSL881
Upon a public highway at M54 1/2 SO D15 SB OV H68 LK66
Scheduled Violation/Fine
Criminal Surcharge
Co. Enf. Surcharge
Court Costs
Total Fine/Costs
Located in the county and state aforesaid and did then and there commit the fcdJwing offense:
S40.00
$14.00
N/A
$60.00
Court Appearance Required (805 10) : : Road Work Zone
Reason f " ; Serious P.I Fatal Accident Civil Damage Assessment
Violation S P E E D I N G 55 O R < (6 T H R U 10 O V E R )
$114.00 Sec#: 321.285 ICIS Sec #: 321.285-B
Officer's Signature mi
I.D. No. u s
'CiLQJl Dated 03/17/2014
C o u r t Da te : If you must appear in court or il you choose to appear to answehto a charge which does not require an appearance, report to the above named, court on:
NOTICE: Providing false identification information is a violation of Section 719.IA of the Co'
oath will be Filed with the You hereby are given notice that within a reasonable time but no later than the dale scheduled for your initial appearance"! district court clerk of the county in which this citation was issued.
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.
2.1 promise to appear in said court at said time and place. I understand that a person who willfully fails to appear in court as specif ied by this citation may be subject to arrest and/or loss of driving privileges.
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 specif ied by this citation.
The following applies to simple misdemeanors only: 4. I hereby give my unsecured appearance bond in the amount of $141.00 dollars and enter written appearance. I agree that if I fail to appear in person or by counsel to
defend against the offense 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
Dated If you require the assistance of auxiliary aids or services to participate in court because of a disability, immediately call the A D A district coordinator in the county which the citation was
03/17/2014 issued, or i f y / ] are hrnring imiii i inii l i iill Pi i l . i j Inwn I I V n) 1 HBO 7 T i ?14? "
D e f e n d a n t
S i g n a t u r e
DEFENDANT'S COPY (FURNISH TO COURT) IOWA U N I F O R M CITATION flMP GOMPI . ftlNT
$ - J E 3 County o t _
Ci ty of:
SAC GtTY F*QUGE>OEPT.
J l l State 0 81
SAC CITY V .
' In the Court at
Defendant, Last .
Address
. State .Zip".
DL End.. . DL Class
' DOB O / l --• ̂ Race Jy^
DL Rest.
. State
. E t h n - ^ ^ S e x ^ ; W / B / l / A / U . H / N / U
4 DL/State ID Viewed? Yes£
H t / ^ - " Wt.
N o D
The undersigned states that on or about defendant did unlawfully:
Operate Motor Vehicle/Boat (describe
CDL Reg? Y e s D „No[ l ]
- • —t s y r-, n A M
Day , , "Yr.
Reg; . U S D O T # .
Pass. End: Req? Y e s D Nc-J^D HazMat End. Req? Y e s D N o f i
:: Upon a public highway at - y
. Located in the county and state aforesaid and did then and there commit the following offense:
;^ l /3Traf f ic •Nav iga t ion • Snowmobile/ATV • Fish-Game • Parks • Tobacco
V - t i s c h e d . Violation/Fine $ ^ ^ L f t Q . •
Criminal Surcharge
Co. Enf. Surcharge
Court Costs
Total Fine/Costs jy?so
Road Work Zone
Non-scheduled Violation
Court Appearance Required (805.10)
R e a s o n :
• Serious P.I • Fatal Accident
Violation
Speed
- i n e / C O S t S * _ ' • . ? • Civil Damage A s s e s s m e n t X D Other
. Zone Sec. . 2 0 . lACode
DATA C O D E
Dated.
. Fed/Adm. C o d e ,
Mo. . Day Yr. 7 'Officer's Signature
ate: If you must appear in court or if you choose to ap| nee, report to the above named court on
! L ' U n n < i u Y r
Local Ord.
Cour t Date: If you must appear in court or if you choose to appear to answer to a charge which does not require an appearance, report to the above named court on
A M • P M
N O T I C E : Providing false information is a violation of Section 719.3 of the Code of lowa and Is punishable as an | aggravated misdemeanor.
- You hereby are given notice that within a reasonable time but no later than the date scheduled for your Initial . appearance a citation/complaint swom under oath will be filed with the district court cleric of the county in which the
citation was issued.
My signature below is not a plea of guilty, but acknowledges all ofthe following: 1. I hereby, swear and affirm that the information provided by me on this.dtation .is true under penalty of providing false information. ' „
. 2. I promise to appear in said court at said time and place; or I will comply with the provision on the top of the reverse side of the citation. The following applies to simple misdemeanors only:
-.3. .I hereby give my unsecured appearance bond in the amount of '•' ^ l l d o l l a r s and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against Ihe offense 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 costs.. ;--\
wm uuinpiy wim uie pre
V/ if it Of 1 - * r W
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 140319 150612 5
*+S81RITT1403191506125+*
Citation #:
SAC COUNTY SHERIFF'S OFFICE
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
040AA6436NEWMAN DWAYNE ALLEN 8/22/1967YES
W NEthnicity50583-0000SAC CITY IA113 N 16TH ST
5' 09"IA NONE MALEC NONE
03/19/2014 3:06 PM 1990 BLK CHEVROLET - CHEV
C25 PK
2014 NOIABSL777
PERKINS AVE AND US 20
6570$20.00
$7.00
$5.0013SPEEDING > 55 (1 THRU 5 OVER)
$60.00
321.285 321.285-F$92.00
81-3
03/19/2014
03/19/2014
8:00 AM04/14/2014
$108.00
SAC CITY - 6717ERRITT, BRIAN
MARCH, 201419
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 140319 150612 5
E-FILED 2014 MAR 19 3:56 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
P04 4WIS 140319 091133 8
*+P044WIS1403190911338+*
Citation #:
IOWA STATE PATROL - DIST 04
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
224DD5527YOUNG CRAIG ALLAN 1/26/1955YES
W NEthnicity50025-0000AUDUBON IA1109 RIDGEWAY DR
6' 00"IA NONE MALEC NONE
03/19/2014 9:11 AM 2011 RED TOYOTA -TOYT
CAM 4D
2015 NOIAAKW248
M068/PERKINS AVE S OF 300TH NB OS 7
5565$40.00
$14.00
N/A13SPEEDING 55 OR < (6 THRU 10 OVER)
$60.00
321.285 321.285-B$114.00
294
03/19/2014
03/19/2014
8:30 AM04/28/2014
$141.00
WALL LAKE - 8065WISSLER, J
MARCH, 201419
TROOPERIOWA STATE PATROL - DIST 04
Continued to:SURCHARGE $FINED $
COURT NO.
Day
None
DATE:
GUILTYNO JURY TRIAL orPROCEEDING
DATE:
Date Signature, person taking bail
GUILTY
Citation #:
NOT GUILTY
LICENSE NO.
PLEA
Phone
REASON
The court Therefore Enters in Following Order This Date
FORFEIT BOND
Name
Days
STATE:
CASE NO.
School
CASE NO.
REASON
DOCKET NO.
Days:
JURY TRIAL
Address
ABSTRACT OF COURT RECORD
COST $
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
Signature, person giving bail
Mo.
Revo
TESTIMONY - JUDGE'S NOTES: (Other Orders)
DISMISSED
Iowa
WARRANT ISSUED
VERDICT
Incarceration in
Continued to:DATE:
BAIL CASH DEPOSIT
Yr.
Susp.
Other
OTHER DISPOSITION Driver's LicenseRecommendation
NOT GUILTY
P04 4WIS 140319 091133 8
FILED 03/20/2014 03:52PMCLERK 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
P06 5MAI 140317 121631 4
*+P065MAI1403171216314+*
Citation #:
IOWA STATE PATROL - DIST 06
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
040AA6041MCKEEVER MITCHELL LEE 6/8/1962YES
W NEthnicity50583-0000SAC CITY IA1502 HOBBS ST
6' 00"IA NONE MALEA NONE
03/17/2014 12:16 PM 2008 CHEVROLET - CHEV
SLV PK
2014 NOIAAEY626
196 1/4 NO 175 NB OV H68 LK67
5565$40.00
$14.00
N/A13SPEEDING 55 OR < (6 THRU 10 OVER)
$60.00
321.285 321.285-B$114.00
215
03/17/2014
03/17/2014
8:30 AM04/21/2014
$141.00
STORM LAKE - 7422MAIER, D
MARCH, 201417
TROOPERIOWA STATE PATROL - DIST 06
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
P06 5MAI 140317 121631 4
FILED 03/20/2014 03:56PMCLERK 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
P04 8MEA 140320 181211 6
*+P048MEA1403201812116+*
Citation #:
IOWA STATE PATROL - DIST 04
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
444AF8161STRANDBERG ABBY JO 6/7/1996YES
W Ethnicity50583-0000SAC CITY IA700 S 13TH ST
5' 03"IA 165 LBSNONE FEMALEC NONE
03/20/2014 6:12 PM 1999 SIL DODGE -DODG
INT 4D
2014 NOIABBS802
SOUTH OF SAC CITY ON STATE 196/UNIO
5569$80.00
$28.00
N/A13SPEEDING 55 OR < (R FATT SB NS 74)
$60.00
321.285 321.285-C$168.00
068
03/20/2014
03/20/2014
8:30 AM04/21/2014
$222.00
DENISON - 1920MEADOWS, B
MARCH, 201421
OTHERIOWA STATE PATROL - DIST 04
Continued to:SURCHARGE $FINED $
COURT NO.
Day
None
DATE:
GUILTYNO JURY TRIAL orPROCEEDING
DATE:
Date Signature, person taking bail
GUILTY
Citation #:
NOT GUILTY
LICENSE NO.
PLEA
Phone
REASON
The court Therefore Enters in Following Order This Date
FORFEIT BOND
Name
Days
STATE:
CASE NO.
School
CASE NO.
REASON
DOCKET NO.
Days:
JURY TRIAL
Address
ABSTRACT OF COURT RECORD
COST $
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
Signature, person giving bail
Mo.
Revo
TESTIMONY - JUDGE'S NOTES: (Other Orders)
DISMISSED
Iowa
WARRANT ISSUED
VERDICT
Incarceration in
Continued to:DATE:
BAIL CASH DEPOSIT
Yr.
Susp.
Other
OTHER DISPOSITION Driver's LicenseRecommendation
NOT GUILTY
P04 8MEA 140320 181211 6
FILED 03/22/2014 04:47AMCLERK 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
P04 8MEA 140320 183706 7
*+P048MEA1403201837067+*
Citation #:
IOWA STATE PATROL - DIST 04
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
040BB8700ROLAND RENEE LEE 6/22/1973YES
W Ethnicity50583-0000SAC CITY IA2141 WADSLEY AVE
5' 03"IA 175 LBSB FEMALEC NONE
03/20/2014 6:36 PM 2007 MAR CHEVROLET - CHEV
TAH SW
2014 NOIA950ZEF
SOUTH OF 340TH ST ON STATE 196/UNIO
5565$40.00
$14.00
N/A13SPEEDING 55 OR < (ST R RATT NB NS 71)
$60.00
321.285 321.285-B$114.00
068
03/20/2014
03/20/2014
8:30 AM04/21/2014
$141.00
DENISON - 1920MEADOWS, B
MARCH, 201421
OTHERIOWA STATE PATROL - DIST 04
Continued to:SURCHARGE $FINED $
COURT NO.
Day
None
DATE:
GUILTYNO JURY TRIAL orPROCEEDING
DATE:
Date Signature, person taking bail
GUILTY
Citation #:
NOT GUILTY
LICENSE NO.
PLEA
Phone
REASON
The court Therefore Enters in Following Order This Date
FORFEIT BOND
Name
Days
STATE:
CASE NO.
School
CASE NO.
REASON
DOCKET NO.
Days:
JURY TRIAL
Address
ABSTRACT OF COURT RECORD
COST $
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
Signature, person giving bail
Mo.
Revo
TESTIMONY - JUDGE'S NOTES: (Other Orders)
DISMISSED
Iowa
WARRANT ISSUED
VERDICT
Incarceration in
Continued to:DATE:
BAIL CASH DEPOSIT
Yr.
Susp.
Other
OTHER DISPOSITION Driver's LicenseRecommendation
NOT GUILTY
P04 8MEA 140320 183706 7
FILED 03/22/2014 04:47AMCLERK 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
P04 8MEA 140320 174015 5
*+P048MEA1403201740155+*
Citation #:
IOWA STATE PATROL - DIST 04
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
541AG5996BLISS KATHLEEN MARY 1/5/1941YES
W Ethnicity51450-0000LAKE VIEW IA440 SUNSET DR
5' 02"IA 170 LBSNONE FEMALEC NONE
03/20/2014 5:40 PM 2011 BLK MERCEDES - MERZ
GL4 SW
2015 NOIA300XOD
SOUTH OF 380TH ST ON N-20 NB
5569$80.00
$28.00
N/A13SPEEDING 55 OR < (R FATT NB NS 77)
$60.00
321.285 321.285-C$168.00
068
03/20/2014
03/20/2014
8:30 AM04/21/2014
$222.00
DENISON - 1920MEADOWS, B
MARCH, 201421
OTHERIOWA STATE PATROL - DIST 04
Continued to:SURCHARGE $FINED $
COURT NO.
Day
None
DATE:
GUILTYNO JURY TRIAL orPROCEEDING
DATE:
Date Signature, person taking bail
GUILTY
Citation #:
NOT GUILTY
LICENSE NO.
PLEA
Phone
REASON
The court Therefore Enters in Following Order This Date
FORFEIT BOND
Name
Days
STATE:
CASE NO.
School
CASE NO.
REASON
DOCKET NO.
Days:
JURY TRIAL
Address
ABSTRACT OF COURT RECORD
COST $
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
Signature, person giving bail
Mo.
Revo
TESTIMONY - JUDGE'S NOTES: (Other Orders)
DISMISSED
Iowa
WARRANT ISSUED
VERDICT
Incarceration in
Continued to:DATE:
BAIL CASH DEPOSIT
Yr.
Susp.
Other
OTHER DISPOSITION Driver's LicenseRecommendation
NOT GUILTY
P04 8MEA 140320 174015 5
FILED 03/22/2014 05:47AMCLERK 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
P04 8MEA 140320 191140 8
*+P048MEA1403201911408+*
Citation #:
IOWA STATE PATROL - DIST 04
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
957AA5420LUCHT ROGER ELMER 5/22/1944YES
W Ethnicity50058-0000COON RAPIDS IA721 6TH AVE
5' 10"IA 220 LBSB MALEA NONE
03/20/2014 7:09 PM 2002 WHI VOLVO -VOLV
CONV TT-ST
2015 YES NO NOIAVA061137133P
SOUTH OF 250TH ST ON STATE 196/UNIO
5565$40.00
$14.00
N/A13SPEEDING 55 OR < (ST R FATT SB NS 70)
$60.00
321.285 321.285-B$114.00
068
03/20/2014
03/20/2014
8:30 AM04/21/2014
$141.00
DENISON - 1920MEADOWS, B
MARCH, 201421
OTHERIOWA STATE PATROL - DIST 04
Continued to:SURCHARGE $FINED $
COURT NO.
Day
None
DATE:
GUILTYNO JURY TRIAL orPROCEEDING
DATE:
Date Signature, person taking bail
GUILTY
Citation #:
NOT GUILTY
LICENSE NO.
PLEA
Phone
REASON
The court Therefore Enters in Following Order This Date
FORFEIT BOND
Name
Days
STATE:
CASE NO.
School
CASE NO.
REASON
DOCKET NO.
Days:
JURY TRIAL
Address
ABSTRACT OF COURT RECORD
COST $
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
Signature, person giving bail
Mo.
Revo
TESTIMONY - JUDGE'S NOTES: (Other Orders)
DISMISSED
Iowa
WARRANT ISSUED
VERDICT
Incarceration in
Continued to:DATE:
BAIL CASH DEPOSIT
Yr.
Susp.
Other
OTHER DISPOSITION Driver's LicenseRecommendation
NOT GUILTY
P04 8MEA 140320 191140 8
FILED 03/22/2014 06:19AMCLERK 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 LURE 140321 154125 7
*+S81LURE1403211541257+*
Citation #:
SAC COUNTY SHERIFF'S OFFICE
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
538AG8090BROWN AUSTIN WILLIAM 7/22/1997YES
W NEthnicity51466-0000WALL LAKE IA704 HIGHLAND
5' 09"IA Y MALEC NONE
03/21/2014 3:41 PM FORD -FORD
F150 PU
2014 NOIABBT 247
280TH ST AND QUINCY AVE
$100.00
$35.00
$5.0013FAIL TO OBEY STOP SIGN AND YIELD RIGHT OF WAY
$60.00
321.322 321.322(1)$200.00
81-1
03/21/2014
03/21/2014
8:30 AM04/21/2014
$270.00
SAC CITY - 6717MCCLURE, KEN
MARCH, 201421
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 140321 154125 7
E-FILED 2014 MAR 21 4:00 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 T255 140321 114856 1
*+T01T2551403211148561+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
677YY2450SHOLTY GRANT ALLEN 5/29/1973NO
W NEthnicity50535EARLY IA206 E 4TH STREET
5' 09"IA 168 LBSNONE MALE0 NONE
03/21/2014 11:48 AM 1999 GRN DODGE -DODG
RAM TRUCK
2014 NOIA949XOC
MAPLE ST AND 4TH ST
N/A13DRIVING WHILE SUSPENDED NON PAYMENT OF IOWA FINE
321.218 321.218
T255
03/21/2014
03/21/2014
8:30 AM04/07/2014
$566.25
POCAHONTAS - 6150TRUOG, KEITH
MARCH, 201424
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 T255 140321 114856 1
FILED 03/24/2014 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 T255 140321 120105 2
*+T01T2551403211201052+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
677YY2450SHOLTY GRANT ALLEN 5/29/1973NO
W NEthnicity50535EARLY IA206 E 4TH STREET
5' 09"IA 168 LBSNONE MALE0 NONE
03/21/2014 11:48 AM 1999 GRN DODGE -DODG
RAM TRUCK
2014 NOIA949XOC
MAPLE ST AND 4TH ST
$250.00
$87.50
N/A13VIOLATION - FINANCIAL LIABILITY COVERAGE
$60.00
321.20B 321.20B-A$397.50
T255
03/21/2014
03/21/2014
8:30 AM04/07/2014
$566.25
POCAHONTAS - 6150TRUOG, KEITH
MARCH, 201424
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 T255 140321 120105 2
FILED 03/24/2014 06:39PMCLERK 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 T255 140321 095422 7
*+T01T2551403210954227+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
515YY5675DINGES STEVEN ANTHONY 11/25/1970YES
W NEthnicity50583-0000SAC CITY IA3244 210TH ST
5' 09"IA 200 LBSB MALEA NONE
03/21/2014 9:30 AM 2003 BLU PETERBILT - PTRB
TT/ST
2015 YES NO NOIASE479400742521 436887
HWY 20 AND HWY 71
$200.00
$70.00383.23A2
N/A13FAILURE TO HAVE VALID LICENSE/PERMIT WHILE OPER. MOTOR VEH.
$60.00
321.174 321.174(1)$330.00
T255
03/21/2014
03/21/2014
8:30 AM04/07/2014
$465.00
POCAHONTAS - 6150TRUOG, KEITH
MARCH, 201424
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 T255 140321 095422 7
FILED 03/24/2014 06:42PMCLERK 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 T255 140321 095831 8
*+T01T2551403210958318+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
515YY5675DINGES STEVEN ANTHONY 11/25/1970YES
W NEthnicity50583-0000SAC CITY IA3244 210TH ST
5' 09"IA 200 LBSB MALEA NONE
03/21/2014 9:30 AM 2003 BLU PETERBILT - PTRB
TT/ST
2015 YES NO NOIASE479400742521 436887
HWY 20 AND 71
$50.00
$17.50396.17C
N/A13OPERATING WITHOUT ANNUAL INSPECTION ALSO NO TAG ON TRACTOR
$60.00
321.449 321.449-A$127.50
T255
03/21/2014
03/21/2014
8:30 AM04/07/2014
$161.25
POCAHONTAS - 6150TRUOG, KEITH
MARCH, 201424
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 T255 140321 095831 8
FILED 03/24/2014 06:45PMCLERK 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
P06 5MAI 140320 192801 0
*+P065MAI1403201928010+*
Citation #:
IOWA STATE PATROL - DIST 06
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
040CC8948FREDERICK BRIAN JAMES 6/16/1997YES
W NEthnicity50583-0000SAC CITY IA2141 WADSLEY AVE
5' 10"IA BY MALEC NONE
03/20/2014 7:28 PM 1995 RED CHEVROLET - CHEV
C15 PK
2014 NOIABXF821
OLD 20 MAIN ST EB WEST OF PARK AVE
$50.00
$17.50
N/A13FAIL TO WEAR/MAINTAIN SAFETY BELTS
$60.00
321.445 321.445$127.50
215
03/20/2014
03/20/2014
8:30 AM04/28/2014
$161.25
SAC CITY - 6717MAIER, D
MARCH, 201420
TROOPERIOWA STATE PATROL - DIST 06
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
P06 5MAI 140320 192801 0
FILED 03/25/2014 06:24AMCLERK 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
P06 5MAI 140320 222523 1
*+P065MAI1403202225231+*
Citation #:
IOWA STATE PATROL - DIST 06
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
529YY2763CRUM CASSANDRA RAE MARIE 4/22/1978YES
W NEthnicity50535-0000EARLY IA408 WEST MAIN ST
5' 01"IA NONE FEMALEC NONE
03/20/2014 10:25 PM 2007 SIL CHEVROLET - CHEV
UPL VN
2014 NOIA648YPJ
HWY 71 1/2 SO BV LINE SB OV LK68
$20.00
$7.00
N/A13FAILED TO DISPLAY 2014 STICKER
$60.00
321.34 321.34$87.00
215
03/20/2014
03/20/2014
8:30 AM04/21/2014
$100.50
SAC CITY - 6717MAIER, D
MARCH, 201420
TROOPERIOWA STATE PATROL - DIST 06
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
P06 5MAI 140320 222523 1
FILED 03/25/2014 06:25AMCLERK DISTRICT COURTSAC COUNTY IOWA
01l0f
o State of Iowa
~ Countyof:_S_A_C _~CitYOf SAC CITY
81No.. _===- __ 1N2 00066961
COMPLAINTIOWA UNIFORM CITATION AND COMPLAINT
SAC CITY POLICE DEPT
SAC CO. COURTHOUSEInthe Courtat 100 N.W. STATE ST. STE. 12vs: ~Name 3.J """""See- ""
Defendant, LasL) ~
Address L..{0 --, 1+W 'j
City __ E__O""C""""'-_'~\A~----------State -rfr Zip ~o>J5,DL#------"5"--"}•...•5.L1---a•..•..6-oC-.!D""'----Sc:>""""-~=_\__. State :rn-DL Class c....... DL End. ~ DL Rest. ""OUState ID Viewed? YesD NO~
DOB;J. pl, Iq~ Race \# Ethn. ~ Sex~Ht.~Wt. -WI BI I IAI U HI N IUD AM
:51 6 1 J 4 at .:;J! '3S ~MMo. Day Yr. t\, Cf crr VDd~ :rt\tr(p.Jcg.~
CDL Req? YesD NoJI Pass. End. Req? YesD NorfJ HazMat End. Req?YesD NOy!
Reg#1>iS:r U State ? 'T= Year I" US DOT # '
Upon a public highway at -----'/'--'~<--l\-;_£'------'Y"'\<--""a."""'-.L· du-""S=-.,,}'----- _Located in the county and state aforesaid and did then and there commit the following offense:~Traffic oNavigation 0 Snowmobile/ATV 0 Fish-Game 0 Parks 0 Tobacco
'1;XfSched.Violation/Fine $ aOQ 0 RoadWorkZoneCriminal Surcharge $ 'j () - 0 Non-scheduledViolation
$---~--$ <ap$(?3'O uS)
Violation _-=-~_._o_V -'-'1lt~L'"_1\.--''t\•.•.•...-:3)----'''''-''''L''''"--------------
--J"'"4\.er\ First11
SAC CITY, IA 50583
\.,.,u ~'-Ly\~P~ __\ Middle
The undersigned states that on or aboutdefendant did unlawfully:
Operate Motor Vehicle/Boat (describe)
Co. Enf. Surcharqe o Court Appearance Required (80S.10)
Court Costs Reason:
Total Fine/Costso Serious P.I D Fatal Accident
o Civil Damage Assessment 0 Other
Speed in Zone Sec. -.---:;::_ 20 __ IA ~e
DATA CODE Fed/Adm. Code Local Ord. _,""'"- ••;;;iI!L-.----'O---"'--"{'----"'::;'...)...;-
8~:~iDated ? 15 \ !l "" -------.::::t '--Mo. Da~ fyr. -I-,O"'ff"'ic-e-,.,-s-"SC-ig-n-at,-u-re------
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not require anappearance, report to the above named court on
-'~ K:i 1 It at __ Q~~-=~ ,%AM 0 PM
NOTICE: Providing false information is a violation of Section 719.3 of the Code of Iowa and is punishable as anaggravated misdemeanor.
You hereby are given notice that within a reasonable time but no later than the date scheduled for your initialappearance a citation/complaint sworn under oath will be filed with the district court clerk of the county in which thecitation was issued.
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 falseinformation. -2. I promise to appear in said court at said time and place, or I will comply with the provision on the top of the reverse side ofthe citation. t.J 5.:J\.The following applies to simple misdemeanors only: I _ - ~3. I hereby give my unsecured appearance bond in the amount of Wi'"". dollars and enter my written appearance. Iagree that if I fail to appear in person or by counsel to defend against the offense charged in this citation, the court isauthorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of thepenalty and surcharge plus c urt costs.*~~~~~~~--------
E-FILED 2014 MAR 24 3:19 AM SAC - CLERK OF DISTRICT COURT
ABSTRACT OF COLRf R[CORll
COURT NOD()CKET NO,1 !CfNSL ,0
CASLCASE, '\0,
STATE IOWA()TIIER ...
FORFElT BO,\D BAIL CASIl DEPOSIT
JURY TRIAL
NO JURY 'TRIALor PRC)CEEDl'\G
PL1'.:\GUILTY'\OT GUILTY
VERI)lCaGUILTY,\OTGUILTYD[S~vlISSLD
orlU.R DISPOSITION
The CourtTherefore Enters In Following Order This Date .--'-__Mo, Day v.
......................................CRH·vllNAL SURCHARCd S
COUNTY E'\F( )RCEtvlENT SURUIARGl: ....................................................COSTS S
tncarceranor 111
Rcvo
Dn vers Licensel{,C(:QIll.m"ml1<itg)Jl
f)·\TF: ....RL\::;(JNRE\SQ2L
nSTI\lONY - .IUDGLSNOTES (Othcr Ordcrsj
.l!..•i
20 l~,,
Iornt COt'Rr: rhc WIr.nCS~t" who c'an
the facts (\1'illh violation, Plen'c subpoena rro<'('(:ul'ing
Address Phone
1.
2.
to
E-FILED 2014 MAR 24 3:19 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 RITT 140323 101428 6
*+S81RITT1403231014286+*
Citation #:
SAC COUNTY SHERIFF'S OFFICE
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
200CC1609CLARK ADAM BLAINE 6/28/1990YES
W NEthnicity51450-0000LAKE VIEW IA702 MADISON ST
5' 09"IA B MALEC NONE
03/23/2014 10:14 AM 1997 RED PONTIAC -PONT
GRA 4D
2015 NOIABXF660
STATE 175/330TH ST
5565$40.00
$14.00
$5.0013SPEEDING 55 OR < (6 THRU 10 OVER)
$60.00
321.285 321.285-B$119.00
81-3
03/23/2014
03/23/2014
8:00 AM04/21/2014
$148.50
SAC CITY - 6717ERRITT, BRIAN
MARCH, 201423
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 140323 101428 6
E-FILED 2014 MAR 24 8:29 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
P04 5BAR 140325 084513 6
*+P045BAR1403250845136+*
Citation #:
IOWA STATE PATROL - DIST 04
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
683YY5875ROOSE RAASCH MELISSA ANN 6/20/1972YES
W NEthnicity51458-0000ODEBOLT IA1817 290TH ST
5' 04"IA NONE FEMALEC L
03/25/2014 8:45 AM 2006 WHI CADILLAC - CADI
ESC SW
2014 NOIABBT284
M043/FOX AVE
5565$40.00
$14.00
N/A13SPEEDING 55 OR < (6 THRU 10 OVER)
$60.00
321.285 321.285-B$114.00
185
03/25/2014
03/25/2014
9:30 AM05/02/2014
$141.00
SIOUX CITY - 7057BARBER, C
MARCH, 201425
OTHERIOWA STATE PATROL - DIST 04
Continued to:SURCHARGE $FINED $
COURT NO.
Day
None
DATE:
GUILTYNO JURY TRIAL orPROCEEDING
DATE:
Date Signature, person taking bail
GUILTY
Citation #:
NOT GUILTY
LICENSE NO.
PLEA
Phone
REASON
The court Therefore Enters in Following Order This Date
FORFEIT BOND
Name
Days
STATE:
CASE NO.
School
CASE NO.
REASON
DOCKET NO.
Days:
JURY TRIAL
Address
ABSTRACT OF COURT RECORD
COST $
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
Signature, person giving bail
Mo.
Revo
TESTIMONY - JUDGE'S NOTES: (Other Orders)
DISMISSED
Iowa
WARRANT ISSUED
VERDICT
Incarceration in
Continued to:DATE:
BAIL CASH DEPOSIT
Yr.
Susp.
Other
OTHER DISPOSITION Driver's LicenseRecommendation
NOT GUILTY
P04 5BAR 140325 084513 6
FILED 03/25/2014 04:46PMCLERK 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
P04 1LEF 140325 145803 3
*+P041LEF1403251458033+*
Citation #:
IOWA STATE PATROL - DIST 04
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
034AA7478THORNTON NICHOLAS SCOTT 4/16/1987YES
W NEthnicity50583-0000SAC CITY IA1410 HOBBS ST
6' 06"IA B MALEC NONE
03/25/2014 2:58 PM 2002 BLK FORD -FORD
MUS 2D
2014 NOIABSL821
MAIN ST AND E MAIN ST AND N 2ND ST
$50.00
$17.50
N/A13(2)DARK WINDOW/WINDSHIELD DRVIER FRONT WINDOW 8%
$60.00
321.438 321.438(2)$127.50
141
03/25/2014
03/25/2014
8:30 AM04/21/2014
$161.25
DENISON - 1920LEFFLER, K
MARCH, 201425
OTHERIOWA STATE PATROL - DIST 04
Continued to:SURCHARGE $FINED $
COURT NO.
Day
None
DATE:
GUILTYNO JURY TRIAL orPROCEEDING
DATE:
Date Signature, person taking bail
GUILTY
Citation #:
NOT GUILTY
LICENSE NO.
PLEA
Phone
REASON
The court Therefore Enters in Following Order This Date
FORFEIT BOND
Name
Days
STATE:
CASE NO.
School
CASE NO.
REASON
DOCKET NO.
Days:
JURY TRIAL
Address
ABSTRACT OF COURT RECORD
COST $
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
Signature, person giving bail
Mo.
Revo
TESTIMONY - JUDGE'S NOTES: (Other Orders)
DISMISSED
Iowa
WARRANT ISSUED
VERDICT
Incarceration in
Continued to:DATE:
BAIL CASH DEPOSIT
Yr.
Susp.
Other
OTHER DISPOSITION Driver's LicenseRecommendation
NOT GUILTY
P04 1LEF 140325 145803 3
FILED 03/25/2014 04:53PMCLERK 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
P04 8MEA 140324 160627 8
*+P048MEA1403241606278+*
Citation #:
IOWA STATE PATROL - DIST 04
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
528XX9790BABCOCK ADAM JOHN 11/20/1984YES
W Ethnicity50583-0000SAC CITY IA3027 190TH ST
6' 01"IA 280 LBSB MALEA NONE
03/24/2014 4:54 PM 2011 WHI CHEVROLET - CHEV
SLV PK
2014 NOIA395SEQ
SOUTH OF 270TH ST ON M068/PERKINS A
5564$40.00
$14.00
N/A13SPEEDING 55 OR < (R FATT NB NS 69)
$60.00
321.285 321.285-B$114.00
068
03/24/2014
03/24/2014
8:30 AM04/21/2014
$141.00
DENISON - 1920MEADOWS, B
MARCH, 201425
OTHERIOWA STATE PATROL - DIST 04
Continued to:SURCHARGE $FINED $
COURT NO.
Day
None
DATE:
GUILTYNO JURY TRIAL orPROCEEDING
DATE:
Date Signature, person taking bail
GUILTY
Citation #:
NOT GUILTY
LICENSE NO.
PLEA
Phone
REASON
The court Therefore Enters in Following Order This Date
FORFEIT BOND
Name
Days
STATE:
CASE NO.
School
CASE NO.
REASON
DOCKET NO.
Days:
JURY TRIAL
Address
ABSTRACT OF COURT RECORD
COST $
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
Signature, person giving bail
Mo.
Revo
TESTIMONY - JUDGE'S NOTES: (Other Orders)
DISMISSED
Iowa
WARRANT ISSUED
VERDICT
Incarceration in
Continued to:DATE:
BAIL CASH DEPOSIT
Yr.
Susp.
Other
OTHER DISPOSITION Driver's LicenseRecommendation
NOT GUILTY
P04 8MEA 140324 160627 8
FILED 03/25/2014 06:15PMCLERK 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
P04 8MEA 140324 170707 9
*+P048MEA1403241707079+*
Citation #:
IOWA STATE PATROL - DIST 04
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
396AE9126MARSHALL TIFFANY ANN 10/9/1995YES
W Ethnicity50583-0000SAC CITY IA3100 GREENLEE AVE
5' 04"IA B FEMALEC NONE
03/24/2014 5:07 PM 1998 BLK FORD -FORD
TAU 4D
2014 NOIABXF258
SOUTH OF 280TH ST ON M068/PERKINS A
5560$20.00
$7.00
N/A13SPEEDING 55 OR < (ST R FATT NB NS 67)
$60.00
321.285 321.285-A$87.00
068
03/24/2014
03/24/2014
8:30 AM04/21/2014
$100.50
DENISON - 1920MEADOWS, B
MARCH, 201425
OTHERIOWA STATE PATROL - DIST 04
Continued to:SURCHARGE $FINED $
COURT NO.
Day
None
DATE:
GUILTYNO JURY TRIAL orPROCEEDING
DATE:
Date Signature, person taking bail
GUILTY
Citation #:
NOT GUILTY
LICENSE NO.
PLEA
Phone
REASON
The court Therefore Enters in Following Order This Date
FORFEIT BOND
Name
Days
STATE:
CASE NO.
School
CASE NO.
REASON
DOCKET NO.
Days:
JURY TRIAL
Address
ABSTRACT OF COURT RECORD
COST $
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
Signature, person giving bail
Mo.
Revo
TESTIMONY - JUDGE'S NOTES: (Other Orders)
DISMISSED
Iowa
WARRANT ISSUED
VERDICT
Incarceration in
Continued to:DATE:
BAIL CASH DEPOSIT
Yr.
Susp.
Other
OTHER DISPOSITION Driver's LicenseRecommendation
NOT GUILTY
P04 8MEA 140324 170707 9
FILED 03/25/2014 06:15PMCLERK 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
P06 5BRE 140329 140829 3
*+P065BRE1403291408293+*
Citation #:
IOWA STATE PATROL - DIST 06
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
079FF2914STANGE JOHN HENRY 3/28/1972YES
W NEthnicity51053-0000SCHALLER IA104 S HANOVER ST
5' 11"IA NONE MALEA L
03/29/2014 2:08 PM 2002 RED FORD -FORD
F150 PK
2015 NOIA997SNZ
D15 E M43 WB LV DL 68
5565$40.00
$14.00
N/A13SPEEDING 55 OR < (6 THRU 10 OVER)
$60.00
321.285 321.285-B$114.00
025
03/29/2014
03/29/2014
9:30 AM05/01/2014
$141.00
ALTA - 0125BRECHWALD, T
MARCH, 201429
NOTARYIOWA STATE PATROL - DIST 06
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
P06 5BRE 140329 140829 3
FILED 03/29/2014 10:28PMCLERK 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
P06 5BRE 140330 102638 1
*+P065BRE1403301026381+*
Citation #:
IOWA STATE PATROL - DIST 06
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
885ZZ6695BELLCOCK RONALD JAMES 6/21/1946YES
W NEthnicity50583-0000SAC CITY IA215 WILLIAMS ST
6' 00"IA L MALEB N
03/30/2014 10:26 AM 2008 WHI CHEVROLET - CHEV
SLV PK
2014 NOIAAUC924
M54 N D15 NB LV DL 74
5569$80.00
$28.00
N/A13SPEEDING 55 OR < (11 THRU 15 OVER)
$60.00
321.285 321.285-C$168.00
025
03/30/2014
03/30/2014
9:30 AM05/06/2014
$222.00
ALTA - 0125BRECHWALD, T
MARCH, 201430
NOTARYIOWA STATE PATROL - DIST 06
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
P06 5BRE 140330 102638 1
FILED 03/30/2014 04:39PMCLERK 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 140329 184312 5
*+S81URNS1403291843125+*
Citation #:
SAC COUNTY SHERIFF'S OFFICE
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
164AC2169DAISY DACORY PAUL 10/31/1993YES
W NEthnicity50583-0000SAC CITY IA111 N 6TH ST
5' 11"IA B MALEC NONE
03/29/2014 6:43 PM 1995 WHI CHEVROLET - CHEV
MOC 2D
2014 NOIA188YCH
US 20/220TH ST AND HOPE 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
03/29/2014
03/29/2014
8:30 AM04/21/2014
$148.50
EARLY - 2200BURNS, JOEL
MARCH, 201429
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 140329 184312 5
E-FILED 2014 MAR 31 9:38 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 140328 160159 2
*+S81URNS1403281601592+*
Citation #:
SAC COUNTY SHERIFF'S OFFICE
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
544ZZ0742GROTE PERRY LEE 8/7/1965YES
W NEthnicity51466-0000WALL LAKE IA2077 360TH ST
5' 10"IA NONE MALEC NONE
03/28/2014 4:01 PM 2009 WHI CHEVROLET - CHEV
SLV PK
2014 NOIAMS972
OTTER AVE AND US 71/330TH 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
03/28/2014
03/28/2014
8:30 AM04/21/2014
$148.50
WALL LAKE - 8065BURNS, JOEL
MARCH, 201428
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 140328 160159 2
E-FILED 2014 MAR 31 9:34 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.
T01 T142 140331 105231 8
*+T01T1421403311052318+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
515ZZ5965LAURSEN JENS KIM 1/5/1955YES
W NEthnicity50583-0000SAC CITY IA2488 NEEDHAM AVE
5' 10"IA 275 LBSB MALEA L
03/31/2014 10:30 AM 1995 RED FREIGHTLINER - F
TT/ST
2014 NOIA563SCB
M50 & D27
$50.00
$17.50393.9
N/A13INOPERABLE LEFT & RIGHT BRAKE LAMPS ON SEMI-TRAILER
$60.00
321.449 321.449-A$127.50
T142
03/31/2014
03/31/2014
8:30 AM04/21/2014
$161.25
JEFFERSON - 3800PEREZ, WILLIAM
APRIL, 201407
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 140331 105231 8
FILED 04/07/2014 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 140331 113112 0
*+T01T1421403311131120+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
515ZZ5965LAURSEN JENS KIM 1/5/1955YES
W NEthnicity50583-0000SAC CITY IA2488 NEEDHAM AVE
5' 10"IA 275 LBSB MALEA L
03/31/2014 10:30 AM 1995 RED FREIGHTLINER - F
TT/ST
2014 NOIA563SCB
M50 & D27
$50.00
$17.50396.3A1
N/A13TT FAILED TO MAINTAIN AIR RESSURE WHILE BRAKES WERE FULLY
APPLIED$60.00
321.449 321.449-A$127.50
T142
03/31/2014
03/31/2014
8:30 AM04/21/2014
$161.25
JEFFERSON - 3800PEREZ, WILLIAM
APRIL, 201407
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 140331 113112 0
FILED 04/07/2014 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 140403 133913 8
*+T01T1421404031339138+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
305VV3073ROHDE DEREK DEAN 3/9/1958YES
W NEthnicity51450-0000LAKE VIEW IA3371 OTTER AVE
5' 10"IA 160 LBSNONE MALED 1L
04/03/2014 1:15 PM 2000 WHI VOLVO -VOLV
TT/ST
2014 NOIA606SCB
SB M50 & MAIN ST
$155.00
$54.25392.2-SLLEWA1
N/A13OW ON TANDEM AXLES 4 & 5 BY 2,400 LBS (36,400 LBS) WHL BSE 5FT
$60.00
321.463 321.463$269.25
T142
04/03/2014
04/03/2014
8:30 AM04/28/2014
$373.88
JEFFERSON - 3800PEREZ, WILLIAM
APRIL, 201407
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 140403 133913 8
FILED 04/07/2014 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 T142 140403 133651 6
*+T01T1421404031336516+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
305VV3073ROHDE DEREK DEAN 3/9/1958YES
W NEthnicity51450-0000LAKE VIEW IA3371 OTTER AVE
5' 10"IA 160 LBSNONE MALED 1L
04/03/2014 1:15 PM 2000 WHI VOLVO -VOLV
TT/ST
2014 NOIA606SCB
SB M50 & MAIN ST
$120.00
$42.00392.2-SLLEWG2
N/A13OW ON GROSS AXLES 1-5 BY 3,600 LBS (83,600 LBS) WHL BSE 41
$60.00
321.463 321.463$222.00
T142
04/03/2014
04/03/2014
8:30 AM04/28/2014
$303.00
JEFFERSON - 3800PEREZ, WILLIAM
APRIL, 201407
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 140403 133651 6
FILED 04/07/2014 06:44PMCLERK 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 140331 105736 9
*+T01T1421403311057369+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
515ZZ5965LAURSEN JENS KIM 1/5/1955YES
W NEthnicity50583-0000SAC CITY IA2488 NEEDHAM AVE
5' 10"IA 275 LBSB MALEA L
03/31/2014 10:30 AM 1995 RED FREIGHTLINER - F
TT/ST
2014 NOIA563SCB
M50 & D27
$375.00
$131.25392.2-SLLEWA2
N/A13OW ON BRIDGE AXLES 1-4 BY 4,200 LBS (64,700 LBS) WHL BSE 28 FT
$60.00
321.463 321.463$566.25
T142
03/31/2014
03/31/2014
8:30 AM04/21/2014
$819.38
JEFFERSON - 3800PEREZ, WILLIAM
APRIL, 201407
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 140331 105736 9
FILED 04/07/2014 07:07PMCLERK 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 140407 071705 6
*+S81URNS1404070717056+*
Citation #:
SAC COUNTY SHERIFF'S OFFICE
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
448XX9586CRABB SHERI RAE 6/27/1958YES
W NEthnicity50583-0000SAC CITY IA615 S 12TH ST
5' 06"IA B FEMALEC L
04/07/2014 7:10 AM 2007 BGE CHEVROLET - CHEV
IMP 4D
2014 NOIA965TNY
US 71/KARR AVE AND 320TH 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
04/07/2014
04/07/2014
8:30 AM04/28/2014
$108.00
LAKE VIEW - 4157BURNS, JOEL
APRIL, 201407
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 140407 071705 6
E-FILED 2014 APR 07 8:22 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 140407 080433 7
*+S81URNS1404070804337+*
Citation #:
SAC COUNTY SHERIFF'S OFFICE
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
604AH2110SCHARN BRADEN EDWARD 1/9/1998YES
W NEthnicity50583-0000SAC CITY IA2787 WADSLEY AVE
5' 11"IA Y MALEC NONE
04/07/2014 7:58 AM 2005 BLU CHEVROLET - CHEV
SILVERADO PK
2014 NOIA121 ZAD
M054/ROLF AVE AND 320TH 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
04/07/2014
04/07/2014
8:30 AM04/28/2014
$148.50
LAKE VIEW - 4157BURNS, JOEL
APRIL, 201407
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 140407 080433 7
E-FILED 2014 APR 07 9:53 AM SAC - CLERK OF DISTRICT COURT
charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty and surcharge plus court cost.
You hereby are given notice that within a reasonable time but no later than the date scheduled for yourinitial appearance a citation/complaint sworn under oath will be filed with the district court clerk of thecounty in which this citation was issued.
Speed
IA Code:
State of Iowa
this
Road Work Zone
Weight
Agency
City
Zone
Court Costs
1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
My signature below is not a plea of guilty, but acknowledges all of the following:
PLAINTIFF
4. I hereby give my unsecured appearance bond in the amount of
ICIS Sec #:
Subscribed and sworn to me by
at
Fed/Adm Code:
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
Law Enforcement Agency -
Violation
DL State
In the Court at
Located in the county and state aforesaid and did then and there commit the following offense:
Fatal Accident
DL Rest.
Dated
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
day of
Zip Code
Form 420001E 1/07
DOB
Local Ord.
Height
require an appearance, report to the above named court on:
Court Appearance Required (805.10)
VS.
Name
DL/State IDViewed?
Race
Sex
The following applies to simple misdemeanors only:
The undersigned states that on or about
Sec #:
Upon a public highway at
CDLReq?
Year
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
DL End.
DL#
Address
IOWA UNIFORM CITATION AND COMPLAINT
I swear that the foregoing complaint is true and correct. , Iowa
ICC# Lic. Plate #/REG
I.D. No.
Reference #:
Signature ofDefendant
City of:
Dispatch /Case #:
20
US DOT#
DL Class
State
2. I promise to appear in said court at said time and place. I understand that a person who willfully fails to appear in court as specified by this citation may be subject to arrest and/or loss of driving privileges.
First
defendant did unlawfully: Operate Motor Vehicle/Boat
State
Scheduled Violation/Fine
Suffix
Criminal SurchargeSerious P.I.
in
Notary/other
Reason:
3. If a court appearance is not required, I may enter a plea of guilty prior to the designated appearance date by delivery in person, or by agent, or by mail to the court specified by this citation.
Civil Damage Assessment Other
County of:
Officer'sSignature
Total Fine/Costs
HazMat End Req?
Officer'sSignature
Non-scheduled Violation
X
ICIS Ord.
at
Defendant, Last
at
COMPLAINT
Pass EndReq?
Co. Enf. Surcharge
Middle
Notary/otherSignature
Dated
S81 KINE 140405 012804 3
*+S81KINE1404050128043+*
Citation #:
SAC COUNTY SHERIFF'S OFFICE
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
C6134172MERIDA ERWIN 2/7/1966YES
W HEthnicity51458ODEBOLT IA201 WEST HIGHWAY
5' 04"IA NONE MALE0 NONE
04/05/2014 1:28 AM 1997 DBL MAZDA -MAZD
PRO 4D
2015 NOIAARF149
STATE 39/FOX AVE
$200.00
$70.00
$5.0013FAILURE TO HAVE VALID LICENSE/PERMIT WHILE OPER. MOTOR VEH.
$60.00
321.174 321.174(1)$335.00
81-8
04/05/2014
04/05/2014
8:30 AM05/19/2014
$472.50
SAC CITY - 6717ERSKINE, KRISTAN
APRIL, 201405
NOTARYSAC COUNTY SHERIFF'S OFFICE
Continued to:SURCHARGE $FINED $
COURT NO.
Day
None
DATE:
GUILTYNO JURY TRIAL orPROCEEDING
DATE:
Date Signature, person taking bail
GUILTY
Citation #:
NOT GUILTY
LICENSE NO.
PLEA
Phone
REASON
The court Therefore Enters in Following Order This Date
FORFEIT BOND
Name
Days
STATE:
CASE NO.
School
CASE NO.
REASON
DOCKET NO.
Days:
JURY TRIAL
Address
ABSTRACT OF COURT RECORD
COST $
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
Signature, person giving bail
Mo.
Revo
TESTIMONY - JUDGE'S NOTES: (Other Orders)
DISMISSED
Iowa
WARRANT ISSUED
VERDICT
Incarceration in
Continued to:DATE:
BAIL CASH DEPOSIT
Yr.
Susp.
Other
OTHER DISPOSITION Driver's LicenseRecommendation
NOT GUILTY
S81 KINE 140405 012804 3
E-FILED 2014 APR 07 8:23 AM SAC - CLERK OF DISTRICT COURT
DEFENDANT COPY Citation #: 762 TZER 140405 194308 8 Form420001E 1/07 PLAINTIFF:
V estate Df Iowa County of: Sac - 81
IOWA UNIFORM CITATION AND COMPLAINT Law Enforcement Agency S A C CITY POLICE D E P A R T M E N T
•joty of:
R e f e r e n c e #: XXDB05M
In the Court at SAC C O U N T Y C O U R T H O U S E 100 NW S T A T E STREET SUITE 12 V S .
NamB
City SAC CITY Sta te IA Zip 50583
M A H L E R H E R B E R T R I C H A R D 888ZZ782S 8/29/1954
Defendant, Last
Address 406 S y T H ST
DL State IA
Middle Suffix
City S A C C I T Y State I A Zip Code 50583-UUUtJ Race W Ethnicity N
DL End. 3 DL Res. N O N E Height 6' 0 0 "
The undersigned states that on or about 04/0572014 at 7:43 P M defendant did unlawfully: Operate Motor Vehicle/Boat 2005 B L K
ICC# U S D O T * Lie. Plate fc/REG A J R 1 U 7 State I A Year 2014 CDL - R e n ?
C H F V
Weight 1 -
T B Z
Sex M A L E
SW
NO Pass End Req?
HazMal End Req?
Upon a public highway al S I U T H S T A N D N 1UTH S T A N D M A I N S T
Scheduled Violation/Fine
Criminal Surcharge
Co. Enf. Surcharge
Court Costs
Total Fine/Costs
SI 00.110
S3S.00
N N / A
$60.00
Located in the county and state aforesaid and did then and there commit the following offense:
Court Appearance Required (805.10) IRoad Work Zone : Non-scheduled Violation Speed
" " j Other Reason: : " " ; Serious P.I. \ " "\ Fatal Accident : : Civil Damage Assessment
violation F O L L O W I N G T O O C L O S E
$195.00 Sec #.'321.307 ICIS S e c * : 321.307
Fed/Adm Code:
l A C o d e : 20 13
ICIS Ord. .
Of f i ce r ' s S i g n a t u r e
I.D. No. 81-23 C o u r t Da te : If you must appear in court or if you choose to appear to answer to a charge which does not require an appearance, report to the above named court on:
Dated 04/05/2014 04/27/2014 a t 8:30 A M
NOTICE: Providing false identification information isV violation of Section 719.1 A of the Code of Iowa and is punishable as a simple misdemeanor.
You hereby are given notice that within a reasonable time but no later than the date scheduled for your initial appearance a citation/complaint swom under oath will be filed with the district court clerk of the county in which this citation was issued. ^
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.
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. ^
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. J " C
The following applies to simple misdemeanors only: 4. I hereby give my unsecured appearance bond in the amount of I 51262.50 dollars and enter written appearance. I agree that if I fail to appear in person or by counsel to
defend against the offej satisfaction ojrnie pen,
Defendan; Signaturi
citation, jflp court iij authorized to enter a conviction and render judgment against me for the amount of my appearance bond in
Dated " y o u r e < * u ' r e l n e assistance of auxiliary aids or services lo participate in court because of a C disability, immediately'caH'the ADA district coordinator in the county which the citation was
04/05/2014 j Ssued, or if you are hearing impaired, call Relay Iowa TTY at 1-800-735-2942. v...
IF PLEADING GUILTY DETACH AND REMIT WITH PAYMENT OR PAY ONLINE AT WWW.IOWACOURTS.GOV
C H E C K S P A Y A B L E TO: C L E R K OF COURT citation*
S U B M I T P A Y M E N T T O : S A C C O U N T Y C O U R T H O U S E 100 NW S T A T E STREET SUITE 12
762 TZER 140405 194308 8 City S A C CITY State I A Zip 50583
ISSUING LAW ENFORCEMENT AGENCY
N a m e
Sac C i t y Hulice Depar tmen t
R I C H A R D DL# 888ZZ7825
Reference #: X X D B 0 5 H
Date of Birth 8/29/1954
Defendant, Last
Address 4U6 S 91H ST
Suffix
C i ty S A C C I T Y S ta te IA Z i p C o d e 5U583-U000 Race W
DL Class D DL End. 3 DL Res. NONE
The undersigned states that on or about 04/05/2014 at 19:43 defendant did unlawfully Operate Motor Vehicle/Boat 2 M 5
Height 6' 00' Weight . t - i ievru ie l
TBZ
Ethnicity N
Sex M A L E
SW
US DOT# ICC# Lie. Plate #/REG AJR1D7 State 'A Year 2014 ̂ NO Pass End Req? HazMat End Req?
Upon a public highway at S IUTH ST AJVD N 10TH ST AND M.YIN ST
Violation F O L L O W I N G TOO C L O S E
Scheduled Fine S100.00 C r i m i n a l Surcharge S35.00
Located in the county and state aforesaid and did then and there commit the following offense:
Sec #: 321.307 ICIS SBC 321.307 Local Ord. ICIS Ord. a-
Cu. Enf. Surcharge si.\ Cuurt Custs S60.00 Total Fine/Costs S195.00 B u n d A m o u n t S262.50 ;Road Work Zone Court Appearance Required (805.10) Court Date: 04/27/2014 Speed Zone Fed/Adm Code: l A C o d e : 2013
~ ; A P P E A R A N C E P L E A OF GUILTY I, the undersigned, do hereby enter my appearance on the complaint of the offense charged on this citation. I have been informed of my right to a trial, that my signature to this plea of guilty will have the same effect as a judgment of court and this record will be sent to the Department of Transportation of this state (or of the state of my residence). I do hereby PLEAD GUILTY to said offense as charged and agree to the penalty prescribed for my offense. Amount to pay: S1M5.0U
; IF Y O U A R E R E Q U I R E D T O P O S T B A I L T O O B T A I N R E L E A S E A. If you desire to enter a plea of guilty, the officer may release you from custody upon observing you mail the citation, admission of guilt and minimum fine, surcharge, with court costs to a traffic violations office in an envelope furnished by the officer.
B. If you choose to plead NOT GUILTY, the officer may release you from custody by observing you mail the citation, and one and one half times the minimum fine, surcharge, with court costs, or in lieu of one and one half times the fine and costs a guaranteed arrest bond certificate together with signing the following statement:
"I agree that either (1) I will appear pursuant to this citation or (2) if I do not so appear, the amount deposited as bail will be forfeited."
Signature of Defendant O f f i c e r : M E N T Z E R , BRIAN I.D. N o . 8 1 - "
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 140407 101702 9
*+S81URNS1404071017029+*
Citation #:
SAC COUNTY SHERIFF'S OFFICE
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
678YY3499GREEN LEIF YADAN 9/10/1979YES
B NEthnicity50583-0000SAC CITY IA315 AUDUBON ST
5' 06"IA NONE MALEC NONE
04/07/2014 10:10 AM 2009 WHI CHEVROLET - CHEV
AVA UT
2014 NOIABXF819
D059/360TH ST AND STATE 39/FOX AVE
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
04/07/2014
04/07/2014
8:30 AM05/05/2014
$108.00
ODEBOLT - 5655BURNS, JOEL
APRIL, 201407
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 140407 101702 9
E-FILED 2014 APR 07 11:03 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 140407 095245 8
*+S81URNS1404070952458+*
Citation #:
SAC COUNTY SHERIFF'S OFFICE
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
760ZZ6879VOLKMANN JESSE HEIDEN 1/28/1978YES
W NEthnicity51450-0000LAKE VIEW IA809 6TH ST
6' 05"IA F MALEC NONE
04/07/2014 9:45 AM 2005 BLU CHEVROLET - CHEV
CLD PK
2014 NOIA419PNM
D059/360TH ST AND STATE 39/FOX AVE
5570$80.00
$28.00
$5.00SPEED (55 ZONE) 11-15 OVER
$60.00
4.5.2/4(1) 4.5.2/4(1)-C$173.00
81-7
04/07/2014
04/07/2014
8:30 AM05/05/2014
$229.50
ODEBOLT - 5655BURNS, JOEL
APRIL, 201407
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 140407 095245 8
E-FILED 2014 APR 07 11:02 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 3SCH 140408 101052 2
*+P043SCH1404081010522+*
Citation #:
IOWA STATE PATROL - DIST 04
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
538XX8846LINDNER JERRY ALAN 5/15/1948YES
W NEthnicity51458-0000ODEBOLT IA104 E 6TH ST
6' 01"IA B MALEC NONE
04/08/2014 10:10 AM 1996 RED CHEVROLET - CHEV
C15 PK
2014 NOIA399YCH
STATE 39/FOX AVE SB 22MM
5565$40.00
$14.00
N/A13SPEEDING 55 OR < (6 THRU 10 OVER)
$60.00
321.285 321.285-B$114.00
333
04/08/2014
04/08/2014
9:30 AM05/06/2014
$141.00
MOVILLE - 5307SCHWEITZBERGER, C
APRIL, 201408
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 3SCH 140408 101052 2
FILED 04/08/2014 06:14PMCLERK DISTRICT COURTSAC COUNTY IOWA
Dated
Notary/otherSignature
Middle
Co. Enf. Surcharge
Pass EndReq?
COMPLAINT
at
Defendant, Last
at
ICIS Ord.
X
Non-scheduled Violation
Officer'sSignature
HazMat End Req?
Total Fine/Costs
Officer'sSignature
County of:
OtherCivil Damage Assessment
3. If a court appearance is not required, I may enter a plea of guilty prior to the designated appearance date by delivery in person, or by agent, or by mail to the court specified by this citation.
Reason:
Notary/other
in
Serious P.I.Criminal Surcharge
Suffix
Scheduled Violation/Fine
State
defendant did unlawfully: Operate Motor Vehicle/Boat
First
2. I promise to appear in said court at said time and place. I understand that a person who willfully fails to appear in court as specified by this citation may be subject to arrest and/or loss of driving privileges.
State
DL Class
US DOT#
20
Dispatch /Case #:
City of:
Signature ofDefendant
Reference #:
I.D. No.
Lic. Plate #/REGICC#
, IowaI swear that the foregoing complaint is true and correct.
IOWA UNIFORM CITATION AND COMPLAINT
Address
DL#
DL End.
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
YearCDLReq?
Upon a public highway at
Sec #:
The undersigned states that on or about
The following applies to simple misdemeanors only:
Sex
Race
DL/State IDViewed?Name
VS.
Court Appearance Required (805.10)
require an appearance, report to the above named court on:
Height
Local Ord.
DOB
Form 420001E 1/07
Zip Code
day of
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
Dated
DL Rest.
Fatal Accident
Located in the county and state aforesaid and did then and there commit the following offense:
In the Court at
DL State
Violation
Law Enforcement Agency -
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
Fed/Adm Code:
at
Subscribed and sworn to me by
ICIS Sec #:
4. I hereby give my unsecured appearance bond in the amount of
PLAINTIFF
My signature below is not a plea of guilty, but acknowledges all of the following:
1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
Court Costs
Zone
City
Agency
Weight
Road Work Zone
this
State of Iowa
IA Code:
Speed
You hereby are given notice that within a reasonable time but no later than the date scheduled for yourinitial appearance a citation/complaint sworn under oath will be filed with the district court clerk of thecounty in which this citation was issued.
charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty and surcharge plus court cost.
P04 3SCH 140408 075109 1
*+P043SCH1404080751091+*
Citation #:
IOWA STATE PATROL - DIST 04
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
200CC1964MORRIS RANDALL JAMES 1/6/1976YES
W NEthnicity51450-0000LAKE VIEW IA311 MADISON ST
6' 01"IA NONE MALEC L
04/08/2014 7:51 AM 1998 GRN DODGE -DODG
STA 4D
2015 NOIABXF594
STATE 175/325TH ST E OF BUCHANON
$50.00
$17.50
N/A13FAIL TO WEAR/MAINTAIN SAFETY BELTS
$60.00
321.445 321.445$127.50
333
04/08/2014
04/08/2014
9:30 AM05/06/2014
$161.25
MOVILLE - 5307SCHWEITZBERGER, C
APRIL, 201408
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 3SCH 140408 075109 1
FILED 04/08/2014 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.
P06 5MAI 140409 081746 3
*+P065MAI1404090817463+*
Citation #:
IOWA STATE PATROL - DIST 06
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
706XX5908MILLER KENDALL WANE 11/10/1983YES
W NEthnicity50583-0000SAC CITY IA918 COLLEGE AVE
6' 03"IA M MALEA NP
04/09/2014 8:17 AM 1993 GRN CHEVROLET - CHEV
C15 PK
2014 NOIA159XOD
1/8 SO D42ON 196 SB
$50.00
$17.50
N/A13FAIL TO WEAR/MAINTAIN SAFETY BELTS
$60.00
321.445 321.445$127.50
215
04/09/2014
04/09/2014
8:30 AM05/05/2014
$161.25
SPENCER - 7170MAIER, D
APRIL, 201409
TROOPERIOWA STATE PATROL - DIST 06
NOT GUILTY
Driver's LicenseRecommendation
OTHER DISPOSITION
Other
Susp.
Yr.
BAIL CASH DEPOSIT
DATE: Continued to:
Incarceration in
VERDICT
WARRANT ISSUED
Iowa
DISMISSED
TESTIMONY - JUDGE'S NOTES: (Other Orders)
Revo
Mo.
Signature, person giving bail
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
COST $
ABSTRACT OF COURT RECORD
Address
JURY TRIAL
Days:
DOCKET NO.
REASON
CASE NO.
School
CASE NO.
STATE:
Days
Name
FORFEIT BOND
The court Therefore Enters in Following Order This Date
REASON
Phone
PLEA
LICENSE NO.
NOT GUILTY
Citation #:
GUILTY
Signature, person taking bailDate
DATE:
NO JURY TRIAL orPROCEEDING
GUILTY
DATE:
None
Day
COURT NO.
FINED $ SURCHARGE $ Continued to:
P06 5MAI 140409 081746 3
FILED 04/09/2014 07:02PMCLERK DISTRICT COURTSAC COUNTY IOWA
Dated
Notary/otherSignature
Middle
Co. Enf. Surcharge
Pass EndReq?
COMPLAINT
at
Defendant, Last
at
ICIS Ord.
X
Non-scheduled Violation
Officer'sSignature
HazMat End Req?
Total Fine/Costs
Officer'sSignature
County of:
OtherCivil Damage Assessment
3. If a court appearance is not required, I may enter a plea of guilty prior to the designated appearance date by delivery in person, or by agent, or by mail to the court specified by this citation.
Reason:
Notary/other
in
Serious P.I.Criminal Surcharge
Suffix
Scheduled Violation/Fine
State
defendant did unlawfully: Operate Motor Vehicle/Boat
First
2. I promise to appear in said court at said time and place. I understand that a person who willfully fails to appear in court as specified by this citation may be subject to arrest and/or loss of driving privileges.
State
DL Class
US DOT#
20
Dispatch /Case #:
City of:
Signature ofDefendant
Reference #:
I.D. No.
Lic. Plate #/REGICC#
, IowaI swear that the foregoing complaint is true and correct.
IOWA UNIFORM CITATION AND COMPLAINT
Address
DL#
DL End.
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
YearCDLReq?
Upon a public highway at
Sec #:
The undersigned states that on or about
The following applies to simple misdemeanors only:
Sex
Race
DL/State IDViewed?Name
VS.
Court Appearance Required (805.10)
require an appearance, report to the above named court on:
Height
Local Ord.
DOB
Form 420001E 1/07
Zip Code
day of
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
Dated
DL Rest.
Fatal Accident
Located in the county and state aforesaid and did then and there commit the following offense:
In the Court at
DL State
Violation
Law Enforcement Agency -
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
Fed/Adm Code:
at
Subscribed and sworn to me by
ICIS Sec #:
4. I hereby give my unsecured appearance bond in the amount of
PLAINTIFF
My signature below is not a plea of guilty, but acknowledges all of the following:
1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
Court Costs
Zone
City
Agency
Weight
Road Work Zone
this
State of Iowa
IA Code:
Speed
You hereby are given notice that within a reasonable time but no later than the date scheduled for yourinitial appearance a citation/complaint sworn under oath will be filed with the district court clerk of thecounty in which this citation was issued.
charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty and surcharge plus court cost.
P06 5MAI 140409 080613 2
*+P065MAI1404090806132+*
Citation #:
IOWA STATE PATROL - DIST 06
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
040BB8370HERRIG THOMAS CRAIG 9/5/1987YES
W NEthnicity50583-0000SAC CITY IA607 LEONARD STREET
6' 03"IA NONE MALEC NONE
04/09/2014 8:06 AM 1994 GRN FORD -FORD
BRO UT
2014 NOIA239XBM
196 1/4 NO D42 SB OV
$50.00
$17.50
N/A13FAIL TO WEAR/MAINTAIN SAFETY BELTS
$60.00
321.445 321.445$127.50
215
04/09/2014
04/09/2014
8:30 AM05/05/2014
$161.25
SPENCER - 7170MAIER, D
APRIL, 201409
TROOPERIOWA STATE PATROL - DIST 06
NOT GUILTY
Driver's LicenseRecommendation
OTHER DISPOSITION
Other
Susp.
Yr.
BAIL CASH DEPOSIT
DATE: Continued to:
Incarceration in
VERDICT
WARRANT ISSUED
Iowa
DISMISSED
TESTIMONY - JUDGE'S NOTES: (Other Orders)
Revo
Mo.
Signature, person giving bail
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
COST $
ABSTRACT OF COURT RECORD
Address
JURY TRIAL
Days:
DOCKET NO.
REASON
CASE NO.
School
CASE NO.
STATE:
Days
Name
FORFEIT BOND
The court Therefore Enters in Following Order This Date
REASON
Phone
PLEA
LICENSE NO.
NOT GUILTY
Citation #:
GUILTY
Signature, person taking bailDate
DATE:
NO JURY TRIAL orPROCEEDING
GUILTY
DATE:
None
Day
COURT NO.
FINED $ SURCHARGE $ Continued to:
P06 5MAI 140409 080613 2
FILED 04/09/2014 07:03PMCLERK DISTRICT COURTSAC COUNTY IOWA
Dated
Notary/otherSignature
Middle
Co. Enf. Surcharge
Pass EndReq?
COMPLAINT
at
Defendant, Last
at
ICIS Ord.
X
Non-scheduled Violation
Officer'sSignature
HazMat End Req?
Total Fine/Costs
Officer'sSignature
County of:
OtherCivil Damage Assessment
3. If a court appearance is not required, I may enter a plea of guilty prior to the designated appearance date by delivery in person, or by agent, or by mail to the court specified by this citation.
Reason:
Notary/other
in
Serious P.I.Criminal Surcharge
Suffix
Scheduled Violation/Fine
State
defendant did unlawfully: Operate Motor Vehicle/Boat
First
2. I promise to appear in said court at said time and place. I understand that a person who willfully fails to appear in court as specified by this citation may be subject to arrest and/or loss of driving privileges.
State
DL Class
US DOT#
20
Dispatch /Case #:
City of:
Signature ofDefendant
Reference #:
I.D. No.
Lic. Plate #/REGICC#
, IowaI swear that the foregoing complaint is true and correct.
IOWA UNIFORM CITATION AND COMPLAINT
Address
DL#
DL End.
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
YearCDLReq?
Upon a public highway at
Sec #:
The undersigned states that on or about
The following applies to simple misdemeanors only:
Sex
Race
DL/State IDViewed?Name
VS.
Court Appearance Required (805.10)
require an appearance, report to the above named court on:
Height
Local Ord.
DOB
Form 420001E 1/07
Zip Code
day of
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
Dated
DL Rest.
Fatal Accident
Located in the county and state aforesaid and did then and there commit the following offense:
In the Court at
DL State
Violation
Law Enforcement Agency -
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
Fed/Adm Code:
at
Subscribed and sworn to me by
ICIS Sec #:
4. I hereby give my unsecured appearance bond in the amount of
PLAINTIFF
My signature below is not a plea of guilty, but acknowledges all of the following:
1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
Court Costs
Zone
City
Agency
Weight
Road Work Zone
this
State of Iowa
IA Code:
Speed
You hereby are given notice that within a reasonable time but no later than the date scheduled for yourinitial appearance a citation/complaint sworn under oath will be filed with the district court clerk of thecounty in which this citation was issued.
charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty and surcharge plus court cost.
P04 8MEA 140407 070328 5
*+P048MEA1404070703285+*
Citation #:
IOWA STATE PATROL - DIST 04
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
794ZZ5086MEYER BRETT ALAN 9/28/1980YES
W Ethnicity50561-0000LYTTON IA417 4TH ST
6' 00"IA 220 LBSNONE MALEA NONE
04/07/2014 7:00 AM 2008 WHI CHEVROLET - CHEV
SLV PK
2014 NOIA647YPJ
NORTH OF HWY 175 ON M054/ROLF AVE
5575$90.00
$31.50
N/A13SPEEDING 55 OR < AIR 373-SB 78
$60.00
321.285 321.285-D$181.50
068
04/07/2014
04/07/2014
8:30 AM05/05/2014
$242.25
DENISON - 1920MEADOWS, B
APRIL, 201409
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 140407 070328 5
FILED 04/09/2014 10:12PMCLERK 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 140410 080316 1
*+S81URNS1404100803161+*
Citation #:
SAC COUNTY SHERIFF'S OFFICE
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
333AE8696TOKHEIM ZACHARY JAMES 6/26/1996YES
W NEthnicity51053-0000SCHALLER IA204 S PERTH ST
6' 03"IA Y MALEC NONE
04/10/2014 8:03 AM 1998 WHI CHEVROLET - CHEV
MAL 4D
2015 NOIABHB040
D015/200TH ST AND M027/ARMSTRONG AV
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
04/10/2014
04/10/2014
8:30 AM04/28/2014
$108.00
SCHALLER - 6832BURNS, JOEL
APRIL, 201410
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 140410 080316 1
E-FILED 2014 APR 10 8:40 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 140410 085226 2
*+S81URNS1404100852262+*
Citation #:
SAC COUNTY SHERIFF'S OFFICE
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
034AA7858TURNQUIST GLENDA 6/22/1959YES
W NEthnicity51053-0000SCHALLER IA309 SELKIRK ST
5' 00"IA B FEMALEC NONE
04/10/2014 8:45 AM 2004 RED CHEVROLET - CHEV
IMP 4D
2014 NOIA596ZEF
US 20/220TH ST AND M043/FOX AVE
5570$80.00
$28.00
$5.00SPEED (55 ZONE) 11-15 OVER
$60.00
4.5.2/4(1) 4.5.2/4(1)-C$173.00
81-7
04/10/2014
04/10/2014
8:30 AM04/28/2014
$229.50
SCHALLER - 6832BURNS, JOEL
APRIL, 201410
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 140410 085226 2
E-FILED 2014 APR 10 10:36 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 4WIS 140410 080259 6
*+P044WIS1404100802596+*
Citation #:
IOWA STATE PATROL - DIST 04
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
965ZZ9426SCHMIDT CASEY RAY 9/17/1960YES
W NEthnicity51053-0000SCHALLER IA1680 DEAN AVE
6' 01"IA M MALEA NPST
04/10/2014 8:02 AM 2009 BLK CADILLAC - CADI
STS 4D
2013 NOIASPTTEC
D015 E OF M-27 WB
$50.00
$17.50
N/A13OPERATION W/O REGISTRATION
$60.00
321.98 321.98$127.50
294
04/10/2014
04/10/2014
8:30 AM05/12/2014
$161.25
SAC CITY - 6717WISSLER, J
APRIL, 201410
TROOPERIOWA 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 4WIS 140410 080259 6
FILED 04/10/2014 11:31AMCLERK 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 140409 123959 8
*+T01T4241404091239598+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
135BB3322BABCOCK-YENDER JESSE JAMES 12/29/1990YES
W NEthnicity50535-0000EARLY IA2442 HIGHWAY 71
6' 04"IA 250 LBSNONE MALEA NONE
04/09/2014 11:15 AM 2008 WHI PETERBILT - PTRB
TT
2014 YES NO NOIAVA626302263835 772718
44 - JCT HWY 71/20 EARLY
$50.00
$17.50393.95F
N/A13NO WARNING DEVICES
$60.00
321.449 321.449-A$127.50
T424
04/09/2014
04/09/2014
8:30 AM04/21/2014
$161.25
EARLY - 2200CLAYCAMP, FRED
APRIL, 201409
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 140409 123959 8
FILED 04/10/2014 02:43PMCLERK 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.
P04 4PRO 140410 114016 9
*+P044PRO1404101140169+*
Citation #:
IOWA STATE PATROL - DIST 04
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
515YY4753BROUCHOUS SONYA JOY 2/15/1976YES
W NEthnicity50583-0000SAC CITY IA710 OAK ST
5' 04"IA NONE FEMALEC NONE
04/10/2014 11:40 AM 2011 RED KIA - KIA RIO 4D
2015 NOIA031ZEG
HOPE AVE AND STATE 175/330TH ST
5560$20.00
$7.00
N/A13SPEEDING 55 OR < (1 THRU 5 OVER)
$60.00
321.285 321.285-A$87.00
174
04/10/2014
04/10/2014
9:30 AM05/05/2014
$100.50
SIOUX CITY - 7057PROBASCO, J
APRIL, 201410
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 4PRO 140410 114016 9
FILED 04/10/2014 06:23PMCLERK 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.
762 TZER 140410 181702 1
*+762TZER1404101817021+*
Citation #:
XXDB06QSAC CITY POLICE DEPARTMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
765AJ6243SALGADO-VALTIERR MARTIN 1/4/1981YES
U UEthnicity51466-0000WALL LAKE IA409 SUMMIT ST
5' 06"IA NONE MALEC NONE
04/10/2014 6:17 PM 2008 SIL TOYOTA -TOYT
PRUIS 4DR
2012 NOMOHF5Y1M
ROBBINS ST AND S 14TH ST
$50.00
$17.50
N/A13OPERATING NON REGISTERED VEHICLE
$60.00
321.17 321.17$127.50
81-23
04/10/2014
04/10/2014
8:30 AM04/27/2014
$161.25
SAC CITY - 6717MENTZER, BRIAN
APRIL, 201410
OTHERSAC CITY POLICE DEPARTMENT
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:
762 TZER 140410 181702 1
FILED 04/11/2014 10:19AMCLERK DISTRICT COURTSAC COUNTY IOWA
IF P L E A D I N G G U I L T Y D E T A C H A N D R E M I T W I T H P A Y M E N T O R P A Y O N L I N E A T W W W . I O W A C O U R T S . e o /
CHECKS P A Y A B L E TO: C L E R K OF COURT Citation*:
SUBMIT PAYMENT TO: SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12
P04 2LUK 140410 Crr\ SAC CITY State IA I Zip 50583
I S S U I N G L A W E N F O R C E M E N T A G E N C Y Iowa State Patrol - Dist 04
Name B E L L CHARLES VERNON DL# 7 9 0 Y Y 7 6 2 8
Defendant, Last
Address 6 J S * 180TH ST
DL State IA
First Middle
City
Suffix
SCHALLER State IA
The undersigned states that on or about
U S DOT# ICC#
DL Class C_
04/10/2014 a i
Lie. Plate #/REG 857ZBF
DL End. N O N E DL Res . N O N E
Zip Code 51053-8004
Height
Reference #:
Date of Birth 11/21/1952
Race W Ethnicity N
08:15 defendant did unlawfully: Operate Motor Vehicle/Boat 2007 F O R D CDL
Weight_
F15
Sex MALE
PK
State LA Year 2015 Req? NO Pass End Req? HazMat End Req?
Upon a public highway at E B P I S w O F M-27
Violation FAIL TO WEAR/MAINTAIN SAFETY BELTS
Located in the county and state aforesaid and did then and there commit the followjp,
Sec#: 321.445 ICi^5ec~~s321.445 Local Ord. JfitsOrd.
Scheduled Fine $50.00 Criminal Surcharge $17.50 Co. Enf. Surcharge
B o n d Amoun t $161.25 : ! Road Work Zone Court Appearance Required (805.10) Court Date: 7 0$/l
N/A ourt Costs $60.00
1/12/2014 Speed Zone Fed/Adm Code:
A P P E A R A N C E P L E A OF GUILTY / I, the undersigned, do hereby enter my appearance on the complaint ofthe offense charged on thisVtitation. I have been informed of my right to a trial, that my signature to this plea of guilty will have the same effect as a judgment of court and this record will be sent to the Department of Transportation of this state (or of the state of my residence). I do hereby P L E A D GUILTY to said offense as charged and agree to the penalty prescribed for my offense. Amount to pay: $127.50
IF YOU ARE REQUIRED TO POST BAIL TO OBTAIN RELEASE A. If you desire to enter a plea of guilty, the officer may release you from custody upon observing you mail the citation, admission of guilt and minimum fine, surcharge, with court costs to a traffic violations office in an envelope furnished by the officer.
B. Ifyou choose to plead NOT GUILTY, the officer may release you from custody by observing you mail the citation, and one and one half times the minimum fine, surcharge, with court costs, or in lieu of one and one half times the fine and costs a guaranteed arrest bond certificate together with signing the following statement:
I a g r e e tha t e i the r (1) I wil l a p p e a r p u r s u a n t to t h i s c i t a t i o n o r (2) if I d o no t s o a p p e a r , t h e a m o u n t d e p o s i t e d a s ba i l wil l b e f o r f e i t ed . '
S i g n a t u r e o f
D e f e n d a n t Officer: L U K E , C L D . N o . 492