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Scheduled and Unscheduled charges Filed - February 27, 2015.pdf

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  • 8/9/2019 Scheduled and Unscheduled charges Filed - February 27, 2015.pdf

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  • 8/9/2019 Scheduled and Unscheduled charges Filed - February 27, 2015.pdf

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    charged in this citation, the court isauthorized to enter a conviction andrender judgment against me for theamount of myappearance bond insatisfaction of thepenalty 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 thatthe information provided by me onthis citation is trueunder penalty ofproviding 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 of the 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 entermy written appearance. I agree that if I fail to appear in person orby 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 of Defendant

    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/other Signature

    Dated

    T 1 T4 4 15 223 33748 8

    *+T01T4041502230337488+*

    Citation #:

    MOTOR VEHICLE ENFORCEMENTSAC - 81

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

    475AF5337SMITH CHANNING EDWARD 2/12/1971YES

    NEthnicity50577-0000RENWICK IA712 MCCURRY ST

    6' 00"IA 145 LBSNONE MALEA N

    02/23/2015 3:05 AM 2007 HI FREIGHT

    TT/ST

    2015 YES NO NOIAVA412300995356 526519

    M065/ROLF AVE

    $50.00

    $17.50395.8F1

    N/A13LOG NOT CURRENT MISSING SEVERAL DAYS SEE BELOW

    $60.00

    321.449 321.449-C$127.50

    T404

    02/23/2015

    02/23/2015

    8:30 AM03/09/2015

    $161.25

    STORM LAKE - 7422HANSEN, JEFFREY

    FEBRUARY, 201527

    OTHER MOTOR 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 DateREASON

    Phone

    PLEA

    LICENSE NO.

    NOT GUILTY

    Citation :

    GUILTY

    Signature, person taking bailDate

    DATE:

    NO JURY TRIAL or PROCEEDING

    GUILTY

    DATE:

    None

    Day

    COURT NO.

    FINED $ SURCHARGE $ Continued to:

    T 1 T4 4 15 223 33748 8

    FILED 02/27/2015 04:30AMCLERK DISTRICT COURTSAC COUNTY IOWA

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  • 8/9/2019 Scheduled and Unscheduled charges Filed - February 27, 2015.pdf

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    charged in this citation, the court isauthorized to enter a conviction andrender judgment against me for theamount of myappearance bond insatisfaction of thepenalty 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 thatthe information provided by me onthis citation is trueunder penalty ofproviding 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 of the 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 entermy written appearance. I agree that if I fail to appear in person orby 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 of Defendant

    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/other Signature

    Dated

    T 1 T4 4 15 223 232452 2

    *+T01T4041502232324522+*

    Citation #:

    MOTOR VEHICLE ENFORCEMENTSAC - 81

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

    H12389754HANSON JAYDE L 4/24/1981YES

    NEthnicity68624-0000BELLWOOD NE640 44TH RD

    6' 00"NE 240 LBSNONE MALEA MN

    02/23/2015 11:00 PM 1986 BLK KENWOR

    TT/ST

    2015 YES NO NONE18509002274069 787073

    OFF ROADWAY/ROADWAY NOT FOUND

    $50.00

    $17.50395.8K2

    N/A13NO LOGBOOK OR PRIOR 7 DAYS

    $60.00

    321.449 321.449-C$127.50

    T404

    02/23/2015

    02/23/2015

    8:30 AM03/09/2015

    $161.25

    STORM LAKE - 7422HANSEN, JEFFREY

    FEBRUARY, 201527

    OTHER MOTOR 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 DateREASON

    Phone

    PLEA

    LICENSE NO.

    NOT GUILTY

    Citation :

    GUILTY

    Signature, person taking bailDate

    DATE:

    NO JURY TRIAL or PROCEEDING

    GUILTY

    DATE:

    None

    Day

    COURT NO.

    FINED $ SURCHARGE $ Continued to:

    T 1 T4 4 15 223 232452 2

    FILED 02/27/2015 04:30AMCLERK DISTRICT COURTSAC COUNTY IOWA

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    5/23

    charged in this citation, the court isauthorized to enter a conviction andrender judgment against me for theamount of myappearance bond insatisfaction of thepenalty 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 thatthe information provided by me onthis citation is trueunder penalty ofproviding 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 of the 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 entermy written appearance. I agree that if I fail to appear in person orby 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 of Defendant

    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/other Signature

    Dated

    T 1 T4 4 15 224 3 4

    *+T01T4041502240003004+*

    Citation #:

    MOTOR VEHICLE ENFORCEMENTSAC - 81

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

    194AD6193BOTO ETHA 1/1/1991YES

    B NEthnicity50315-0000DES MOINES IA6700 SW 9TH ST APT 14

    6' 01"IA 200 LBSNONE MALEC NONE

    02/24/2015 12:02 AM 2002 HI FORD - XPL SW

    2015 NOIABYJ226

    US 71/KARR AVE

    5565$40.00

    $14.00

    N/A15NB HWY 71 CROSSING D15 AS 74 IN A 55 ZONE

    $60.00

    321.285 321.285-B$114.00

    T404

    02/24/2015

    02/24/2015

    8:30 AM03/09/2015

    $141.00

    STORM LAKE - 7422HANSEN, JEFFREY

    FEBRUARY, 201527

    OTHER MOTOR 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 DateREASON

    Phone

    PLEA

    LICENSE NO.

    NOT GUILTY

    Citation :

    GUILTY

    Signature, person taking bailDate

    DATE:

    NO JURY TRIAL or PROCEEDING

    GUILTY

    DATE:

    None

    Day

    COURT NO.

    FINED $ SURCHARGE $ Continued to:

    T 1 T4 4 15 224 3 4

    FILED 02/27/2015 04:30AMCLERK DISTRICT COURTSAC COUNTY IOWA

  • 8/9/2019 Scheduled and Unscheduled charges Filed - February 27, 2015.pdf

    6/23

    charged in this citation, the court isauthorized to enter a conviction andrender judgment against me for theamount of myappearance bond insatisfaction of thepenalty 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 thatthe information provided by me onthis citation is trueunder penalty ofproviding 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 of the 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 entermy written appearance. I agree that if I fail to appear in person orby 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 of Defendant

    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/other Signature

    Dated

    T 1 T4 4 15 224 452 5

    *+T01T4041502240004525+*

    Citation #:

    MOTOR VEHICLE ENFORCEMENTSAC - 81

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

    194AD6193BOTO ETHA 1/1/1991YES

    B NEthnicity50315-0000DES MOINES IA6700 SW 9TH ST APT 14

    6' 01"IA 200 LBSNONE MALEC NONE

    02/24/2015 12:04 AM 2002 HI FORD - XPL SW

    2015 NOIABYJ226

    US 71/KARR AVE

    $250.00

    $87.50

    N/A15VIOLATION - FINANCIAL LIABILITY COVERAGE

    $60.00

    321.20B 321.20B-A$397.50

    T404

    02/24/2015

    02/24/2015

    8:30 AM03/09/2015

    $566.25

    STORM LAKE - 7422HANSEN, JEFFREY

    FEBRUARY, 201527

    OTHER MOTOR 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 DateREASON

    Phone

    PLEA

    LICENSE NO.

    NOT GUILTY

    Citation :

    GUILTY

    Signature, person taking bailDate

    DATE:

    NO JURY TRIAL or PROCEEDING

    GUILTY

    DATE:

    None

    Day

    COURT NO.

    FINED $ SURCHARGE $ Continued to:

    T 1 T4 4 15 224 452 5

    FILED 02/27/2015 04:30AMCLERK DISTRICT COURTSAC COUNTY IOWA

  • 8/9/2019 Scheduled and Unscheduled charges Filed - February 27, 2015.pdf

    7/23

    charged in this citation, the court isauthorized to enter a conviction andrender judgment against me for theamount of myappearance bond insatisfaction of thepenalty 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 thatthe information provided by me onthis citation is trueunder penalty ofproviding 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 of the 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 entermy written appearance. I agree that if I fail to appear in person orby 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 of Defendant

    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/other Signature

    Dated

    T 1 T4 4 15 224 4616 6

    *+T01T4041502240046166+*

    Citation #:

    MOTOR VEHICLE ENFORCEMENTSAC - 81

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

    W015173002JOHNSON ILLIAM ALLEN 10/30/1955YES

    NEthnicity64444EDGERTON MO24065 COUNTY RD B

    6' 00"MO 210 LBSB MALEA TX

    02/24/2015 12:32 AM 1998 RED PETERBIL

    TT/ST

    2015 YES NO NOIASA248401141185 460287

    US 71/KARR AVE

    $50.00

    $17.50395.3A2-PROP

    N/A1314HR VIO DROVE 6 HOURS PAST IN VIOL 1830HRS ON 2/23

    $60.00

    321.449 321.449-C$127.50

    T404

    02/24/2015

    02/24/2015

    8:30 AM03/09/2015

    $161.25

    STORM LAKE - 7422HANSEN, JEFFREY

    FEBRUARY, 201527

    OTHER MOTOR 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 DateREASON

    Phone

    PLEA

    LICENSE NO.

    NOT GUILTY

    Citation :

    GUILTY

    Signature, person taking bailDate

    DATE:

    NO JURY TRIAL or PROCEEDING

    GUILTY

    DATE:

    None

    Day

    COURT NO.

    FINED $ SURCHARGE $ Continued to:

    T 1 T4 4 15 224 4616 6

    FILED 02/27/2015 04:30AMCLERK DISTRICT COURTSAC COUNTY IOWA

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    8/23

    charged in this citation, the court isauthorized to enter a conviction andrender judgment against me for theamount of myappearance bond insatisfaction of thepenalty 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 thatthe information provided by me onthis citation is trueunder penalty ofproviding 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 of the 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 entermy written appearance. I agree that if I fail to appear in person orby 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 of Defendant

    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/other Signature

    Dated

    T 1 T4 4 15 225 35349 2

    *+T01T4041502250353492+*

    Citation #:

    MOTOR VEHICLE ENFORCEMENTSAC - 81

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

    MARTINEZ BERENICE 3/5/1981NO

    HEthnicity51053SCHALLER IA100 DUNDAS ST

    5' 06"NO 150 LBSNONE FEMALENONE

    02/25/2015 3:53 AM 1995 GRY HONDA - CIVIC PS

    2015 NOIACLU480

    STATE 110/DEAN AVE AND 170TH ST

    5570$80.00

    $28.00

    N/A15NB HWY 110 CROSSING 170TH ST AS 71 IN A 55 ZONE

    $60.00

    321.285 321.285-C$168.00

    T404

    02/25/2015

    02/25/2015

    8:30 AM03/16/2015

    $222.00

    STORM LAKE - 7422HANSEN, JEFFREY

    FEBRUARY, 201527

    OTHER MOTOR 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 DateREASON

    Phone

    PLEA

    LICENSE NO.

    NOT GUILTY

    Citation :

    GUILTY

    Signature, person taking bailDate

    DATE:

    NO JURY TRIAL or PROCEEDING

    GUILTY

    DATE:

    None

    Day

    COURT NO.

    FINED $ SURCHARGE $ Continued to:

    T 1 T4 4 15 225 35349 2

    FILED 02/27/2015 04:30AMCLERK DISTRICT COURTSAC COUNTY IOWA

  • 8/9/2019 Scheduled and Unscheduled charges Filed - February 27, 2015.pdf

    9/23

    charged in this citation, the court isauthorized to enter a conviction andrender judgment against me for theamount of myappearance bond insatisfaction of thepenalty 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 thatthe information provided by me onthis citation is trueunder penalty ofproviding 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 of the 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 entermy written appearance. I agree that if I fail to appear in person orby 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 of Defendant

    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/other Signature

    Dated

    T 1 T4 4 15 225 35748 3

    *+T01T4041502250357483+*

    Citation #:

    MOTOR VEHICLE ENFORCEMENTSAC - 81

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

    MARTINEZ BERENICE 3/5/1981NO

    HEthnicity51053SCHALLER IA100 DUNDAS ST

    5' 06"NO 150 LBSNONE FEMALENONE

    02/25/2015 3:57 AM 1995 GRY HONDA - CIVIC PS

    2015 NOIACLU480

    STATE 110/DEAN AVE AND 170TH ST

    $200.00

    $70.00

    N/A15FAILURE TO HAVE VALID LICENSE/PERMIT WHILE OPER. MOTOR VEH.

    $60.00

    321.174 321.174(1)$330.00

    T404

    02/25/2015

    02/25/2015

    8:30 AM03/16/2015

    $465.00

    STORM LAKE - 7422HANSEN, JEFFREY

    FEBRUARY, 201527

    OTHER MOTOR 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 DateREASON

    Phone

    PLEA

    LICENSE NO.

    NOT GUILTY

    Citation :

    GUILTY

    Signature, person taking bailDate

    DATE:

    NO JURY TRIAL or PROCEEDING

    GUILTY

    DATE:

    None

    Day

    COURT NO.

    FINED $ SURCHARGE $ Continued to:

    T 1 T4 4 15 225 35748 3

    FILED 02/27/2015 04:30AMCLERK DISTRICT COURTSAC COUNTY IOWA

  • 8/9/2019 Scheduled and Unscheduled charges Filed - February 27, 2015.pdf

    10/23

    charged in this citation, the court isauthorized to enter a conviction andrender judgment against me for theamount of myappearance bond insatisfaction of thepenalty 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 thatthe information provided by me onthis citation is trueunder penalty ofproviding 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 of the 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 entermy written appearance. I agree that if I fail to appear in person orby 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 of Defendant

    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/other Signature

    Dated

    T 1 T4 4 15 225 215333 4

    *+T01T4041502252153334+*

    Citation #:

    MOTOR VEHICLE ENFORCEMENTSAC - 81

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

    N013090003HARKRIDER SCOTT ALAN 11/20/1969YES

    NEthnicity64468-0000MARYVILLE MO30091 EASTVIEW DR

    6' 01"MO 250 LBSNONE MALEA MN

    02/25/2015 9:40 PM 2000 HI FREIGHT

    TT/ST

    2015 YES NO NOIAVB156502481618 858848

    OFF ROADWAY/ROADWAY NOT FOUND

    $50.00

    $17.50396.17C

    N/A13ANNUAL ON TRAILER EXPIRED 12/14

    $60.00

    321.449 321.449-A$127.50

    T404

    02/25/2015

    02/25/2015

    8:30 AM03/16/2015

    $161.25

    STORM LAKE - 7422HANSEN, JEFFREY

    FEBRUARY, 201527

    OTHER MOTOR 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 DateREASON

    Phone

    PLEA

    LICENSE NO.

    NOT GUILTY

    Citation :

    GUILTY

    Signature, person taking bailDate

    DATE:

    NO JURY TRIAL or PROCEEDING

    GUILTY

    DATE:

    None

    Day

    COURT NO.

    FINED $ SURCHARGE $ Continued to:

    T 1 T4 4 15 225 215333 4

    FILED 02/27/2015 04:30AMCLERK DISTRICT COURTSAC COUNTY IOWA

  • 8/9/2019 Scheduled and Unscheduled charges Filed - February 27, 2015.pdf

    11/23

    charged in this citation, the court isauthorized to enter a conviction andrender judgment against me for theamount of myappearance bond insatisfaction of thepenalty 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 thatthe information provided by me onthis citation is trueunder penalty ofproviding 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 of the 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 entermy written appearance. I agree that if I fail to appear in person orby 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 of Defendant

    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/other Signature

    Dated

    T 1 T4 4 15 225 23325 6

    *+T01T4041502252332506+*

    Citation #:

    MOTOR VEHICLE ENFORCEMENTSAC - 81

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

    H13046980LLOYD DILLON JAMES 11/15/1989YES

    NEthnicity68644-0000LINDSAY NE43279 490TH ST

    6' 00"NE 140 LBSNONE MALEO NONE

    02/25/2015 11:00 PM 2001 HI FORD - DRW DR

    2014 YES NO NONE0711140

    US 71/KARR AVE

    $50.00

    $17.50393.43

    N/A13INOP BREAKAWAY ON TRAILER NOT CONNECTED BROKEN WIRE

    $60.00

    321.449 321.449-A$127.50

    T404

    02/25/2015

    02/25/2015

    8:30 AM03/16/2015

    $161.25

    STORM LAKE - 7422HANSEN, JEFFREY

    FEBRUARY, 201527

    OTHER MOTOR 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 DateREASON

    Phone

    PLEA

    LICENSE NO.

    NOT GUILTY

    Citation :

    GUILTY

    Signature, person taking bailDate

    DATE:

    NO JURY TRIAL or PROCEEDING

    GUILTY

    DATE:

    None

    Day

    COURT NO.

    FINED $ SURCHARGE $ Continued to:

    T 1 T4 4 15 225 23325 6

    FILED 02/27/2015 04:30AMCLERK DISTRICT COURTSAC COUNTY IOWA

  • 8/9/2019 Scheduled and Unscheduled charges Filed - February 27, 2015.pdf

    12/23

    charged in this citation, the court isauthorized to enter a conviction andrender judgment against me for theamount of myappearance bond insatisfaction of thepenalty 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 thatthe information provided by me onthis citation is trueunder penalty ofproviding 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 of the 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 entermy written appearance. I agree that if I fail to appear in person orby 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 of Defendant

    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/other Signature

    Dated

    T 1 T4 4 15 225 233843 7

    *+T01T4041502252338437+*

    Citation #:

    MOTOR VEHICLE ENFORCEMENTSAC - 81

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

    H13046980LLOYD DILLON JAMES 11/15/1989YES

    NEthnicity68644-0000LINDSAY NE43279 490TH ST

    6' 00"NE 140 LBSNONE MALEO NONE

    02/25/2015 11:00 PM 2001 HI FORD - DRW DR

    2014 YES NO NONE0711140

    US 71/KARR AVE

    $50.00

    $17.50393.110C

    N/A13NOT ENOUGH TIEDOWNS 2 LOOSE AND NEEDS 2 SEE COMMENTS ON VSIS

    $60.00

    321.449 321.449-A$127.50

    T404

    02/25/2015

    02/25/2015

    8:30 AM03/16/2015

    $161.25

    STORM LAKE - 7422HANSEN, JEFFREY

    FEBRUARY, 201527

    OTHER MOTOR 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 DateREASON

    Phone

    PLEA

    LICENSE NO.

    NOT GUILTY

    Citation :

    GUILTY

    Signature, person taking bailDate

    DATE:

    NO JURY TRIAL or PROCEEDING

    GUILTY

    DATE:

    None

    Day

    COURT NO.

    FINED $ SURCHARGE $ Continued to:

    T 1 T4 4 15 225 233843 7

    FILED 02/27/2015 04:30AMCLERK DISTRICT COURTSAC COUNTY IOWA

  • 8/9/2019 Scheduled and Unscheduled charges Filed - February 27, 2015.pdf

    13/23

    charged in this citation, the court isauthorized to enter a conviction andrender judgment against me for theamount of myappearance bond insatisfaction of thepenalty 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 thatthe information provided by me onthis citation is trueunder penalty ofproviding 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 of the 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 entermy written appearance. I agree that if I fail to appear in person orby 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 of Defendant

    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/other Signature

    Dated

    T 1 T4 4 15 225 233952 8

    *+T01T4041502252339528+*

    Citation #:

    MOTOR VEHICLE ENFORCEMENTSAC - 81

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

    H13046980LLOYD DILLON JAMES 11/15/1989YES

    NEthnicity68644-0000LINDSAY NE43279 490TH ST

    6' 00"NE 140 LBSNONE MALEO NONE

    02/25/2015 11:00 PM 2001 HI FORD - DRW DR

    2014 YES NO NONE0711140

    US 71/KARR AVE

    $50.00

    $17.50393.9TS

    N/A13INOP LEFT TURN SIGNAL ON TRAILER

    $60.00

    321.449 321.449-A$127.50

    T404

    02/25/2015

    02/25/2015

    8:30 AM03/16/2015

    $161.25

    STORM LAKE - 7422HANSEN, JEFFREY

    FEBRUARY, 201527

    OTHER MOTOR 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 DateREASON

    Phone

    PLEA

    LICENSE NO.

    NOT GUILTY

    Citation :

    GUILTY

    Signature, person taking bailDate

    DATE:

    NO JURY TRIAL or PROCEEDING

    GUILTY

    DATE:

    None

    Day

    COURT NO.

    FINED $ SURCHARGE $ Continued to:

    T 1 T4 4 15 225 233952 8

    FILED 02/27/2015 04:30AMCLERK DISTRICT COURTSAC COUNTY IOWA

  • 8/9/2019 Scheduled and Unscheduled charges Filed - February 27, 2015.pdf

    14/23

    charged in this citation, the court isauthorized to enter a conviction andrender judgment against me for theamount of myappearance bond insatisfaction of thepenalty 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 thatthe information provided by me onthis citation is trueunder penalty ofproviding 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 of the 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 entermy written appearance. I agree that if I fail to appear in person orby 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 of Defendant

    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/other Signature

    Dated

    T 1 T4 4 15 225 234219 9

    *+T01T4041502252342199+*

    Citation #:

    MOTOR VEHICLE ENFORCEMENTSAC - 81

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

    H13046980LLOYD DILLON JAMES 11/15/1989YES

    NEthnicity68644-0000LINDSAY NE43279 490TH ST

    6' 00"NE 140 LBSNONE MALEO NONE

    02/25/2015 11:00 PM 2001 HI FORD - DRW DR

    2014 YES NO NONE0711140

    US 71/KARR AVE

    $50.00

    $17.50393.48A

    N/A13INOP ELECTRIC BRAKES ATTEMPTED TWICE AND DID NOT WORK

    $60.00

    321.449 321.449-A$127.50

    T404

    02/25/2015

    02/25/2015

    8:30 AM03/16/2015

    $161.25

    STORM LAKE - 7422HANSEN, JEFFREY

    FEBRUARY, 201527

    OTHER MOTOR 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 DateREASON

    Phone

    PLEA

    LICENSE NO.

    NOT GUILTY

    Citation :

    GUILTY

    Signature, person taking bailDate

    DATE:

    NO JURY TRIAL or PROCEEDING

    GUILTY

    DATE:

    None

    Day

    COURT NO.

    FINED $ SURCHARGE $ Continued to:

    T 1 T4 4 15 225 234219 9

    FILED 02/27/2015 04:30AMCLERK DISTRICT COURTSAC COUNTY IOWA

  • 8/9/2019 Scheduled and Unscheduled charges Filed - February 27, 2015.pdf

    15/23

    charged in this citation, the court isauthorized to enter a conviction andrender judgment against me for theamount of myappearance bond insatisfaction of thepenalty 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 thatthe information provided by me onthis citation is trueunder penalty ofproviding 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 of the 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 entermy written appearance. I agree that if I fail to appear in person orby 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 of Defendant

    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/other Signature

    Dated

    T 1 T4 4 15 225 2346 9

    *+T01T4041502252346090+*

    Citation #:

    MOTOR VEHICLE ENFORCEMENTSAC - 81

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

    H13046980LLOYD DILLON JAMES 11/15/1989YES

    NEthnicity68644-0000LINDSAY NE43279 490TH ST

    6' 00"NE 140 LBSNONE MALEO NONE

    02/25/2015 11:00 PM 2001 HI FORD - DRW DR

    2014 YES NO NONE0711140

    US 71/KARR AVE

    $200.00

    $70.00392.2FT

    N/A13DRIVER INTERSTATE ACTUAL WEIGHT 34,080LBS

    $60.00

    452A.52 452A.52$330.00

    T404

    02/25/2015

    02/25/2015

    8:30 AM03/16/2015

    $465.00

    STORM LAKE - 7422HANSEN, JEFFREY

    FEBRUARY, 201527

    OTHER MOTOR 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 DateREASON

    Phone

    PLEA

    LICENSE NO.

    NOT GUILTY

    Citation :

    GUILTY

    Signature, person taking bailDate

    DATE:

    NO JURY TRIAL or PROCEEDING

    GUILTY

    DATE:

    None

    Day

    COURT NO.

    FINED $ SURCHARGE $ Continued to:

    T 1 T4 4 15 225 2346 9

    FILED 02/27/2015 04:30AMCLERK DISTRICT COURTSAC COUNTY IOWA

  • 8/9/2019 Scheduled and Unscheduled charges Filed - February 27, 2015.pdf

    16/23

    charged in this citation, the court isauthorized to enter a conviction andrender judgment against me for theamount of myappearance bond insatisfaction of thepenalty 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 thatthe information provided by me onthis citation is trueunder penalty ofproviding 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 of the 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 entermy written appearance. I agree that if I fail to appear in person orby 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 of Defendant

    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/other Signature

    Dated

    T 1 T4 4 15 225 234725 1

    *+T01T4041502252347251+*

    Citation #:

    MOTOR VEHICLE ENFORCEMENTSAC - 81

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

    H13046980LLOYD DILLON JAMES 11/15/1989YES

    NEthnicity68644-0000LINDSAY NE43279 490TH ST

    6' 00"NE 140 LBSNONE MALEO NONE

    02/25/2015 11:00 PM 2001 HI FORD - DRW DR

    2014 YES NO NONE0711140

    US 71/KARR AVE

    $200.00

    $70.00383.91A

    N/A15OPERATING CMV WITHOUT A VALID CDL

    $60.00

    321.174 321.174(2)(B)$330.00

    T404

    02/25/2015

    02/25/2015

    8:30 AM03/16/2015

    $465.00

    STORM LAKE - 7422HANSEN, JEFFREY

    FEBRUARY, 201527

    OTHER MOTOR 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 DateREASON

    Phone

    PLEA

    LICENSE NO.

    NOT GUILTY

    Citation :

    GUILTY

    Signature, person taking bailDate

    DATE:

    NO JURY TRIAL or PROCEEDING

    GUILTY

    DATE:

    None

    Day

    COURT NO.

    FINED $ SURCHARGE $ Continued to:

    T 1 T4 4 15 225 234725 1

    FILED 02/27/2015 04:30AMCLERK DISTRICT COURTSAC COUNTY IOWA

  • 8/9/2019 Scheduled and Unscheduled charges Filed - February 27, 2015.pdf

    17/23

    charged in this citation, the court isauthorized to enter a conviction andrender judgment against me for theamount of myappearance bond insatisfaction of thepenalty 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 thatthe information provided by me onthis citation is trueunder penalty ofproviding 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 of the 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 entermy written appearance. I agree that if I fail to appear in person orby 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 of Defendant

    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/other Signature

    Dated

    T 1 T4 4 15 226 31152 8

    *+T01T4041502260311528+*

    Citation #:

    MOTOR VEHICLE ENFORCEMENTSAC - 81

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

    242CC3074SORENSON LOGAN CURTIS 11/16/1991YES

    NEthnicity50558-0000LIVERMORE IA806 3RD AVE

    6' 02"IA 290 LBSNONE MALEA NONE

    02/26/2015 3:10 AM 2000 HI FREIGHT

    TT/ST

    2015 YES NO NOIAVB288101693507 621908

    US 71/KARR AVE

    $50.00

    $17.50393.95A

    N/A13FIRE EXTINGUISHER DISCHARGED IN THE BOX OF THE TRUCK

    $60.00

    321.449 321.449-A$127.50

    T404

    02/26/2015

    02/26/2015

    8:30 AM03/16/2015

    $161.25

    STORM LAKE - 7422HANSEN, JEFFREY

    FEBRUARY, 201527

    OTHER MOTOR 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 DateREASON

    Phone

    PLEA

    LICENSE NO.

    NOT GUILTY

    Citation :

    GUILTY

    Signature, person taking bailDate

    DATE:

    NO JURY TRIAL or PROCEEDING

    GUILTY

    DATE:

    None

    Day

    COURT NO.

    FINED $ SURCHARGE $ Continued to:

    T 1 T4 4 15 226 31152 8

    FILED 02/27/2015 04:30AMCLERK DISTRICT COURTSAC COUNTY IOWA

  • 8/9/2019 Scheduled and Unscheduled charges Filed - February 27, 2015.pdf

    18/23

    charged in this citation, the court isauthorized to enter a conviction andrender judgment against me for theamount of myappearance bond insatisfaction of thepenalty 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 thatthe information provided by me onthis citation is trueunder penalty ofproviding 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 of the 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 entermy written appearance. I agree that if I fail to appear in person orby 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 of Defendant

    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/other Signature

    Dated

    T 1 T4 4 15 226 31812 9

    *+T01T4041502260318129+*

    Citation #:

    MOTOR VEHICLE ENFORCEMENTSAC - 81

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

    242CC3074SORENSON LOGAN CURTIS 11/16/1991YES

    NEthnicity50558-0000LIVERMORE IA806 3RD AVE

    6' 02"IA 290 LBSNONE MALEA NONE

    02/26/2015 3:10 AM 2000 HI FREIGHT

    TT/ST

    2015 YES NO NOIAVB288101693507 621908

    US 71/KARR AVE

    $50.00

    $17.50396.17C

    N/A13NO ANNUAL INSPECTION ON THE TRAILER

    $60.00

    321.449 321.449-A$127.50

    T404

    02/26/2015

    02/26/2015

    8:30 AM03/16/2015

    $161.25

    STORM LAKE - 7422HANSEN, JEFFREY

    FEBRUARY, 201527

    OTHER MOTOR 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 DateREASON

    Phone

    PLEA

    LICENSE NO.

    NOT GUILTY

    Citation :

    GUILTY

    Signature, person taking bailDate

    DATE:

    NO JURY TRIAL or PROCEEDING

    GUILTY

    DATE:

    None

    Day

    COURT NO.

    FINED $ SURCHARGE $ Continued to:

    T 1 T4 4 15 226 31812 9

    FILED 02/27/2015 04:31AMCLERK DISTRICT COURTSAC COUNTY IOWA

  • 8/9/2019 Scheduled and Unscheduled charges Filed - February 27, 2015.pdf

    19/23

  • 8/9/2019 Scheduled and Unscheduled charges Filed - February 27, 2015.pdf

    20/23

    charged in this citation, the court isauthorized to enter a conviction andrender judgmentagainst me for theamount of myappearance bond insatisfaction of thepenalty 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 thatthe information provided by me onthis citation is trueunder penalty ofproviding 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 of the 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 entermy written appearance. I agreethat if I fail to appear in person orby 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 of Defendant

    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


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