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Dispatch /

Case #:

COMPLAINT
Form 420001E 1/07
PLAINTIFF

Reference #:

Law Enforcement Agency -

MOTOR VEHICLE ENFORCEMENT


City of:

SAC CITY

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12

CHAPMAN

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

T01 T404 150218 165823 9

Citation #:

JESSE

Defendant, Last

EVERETT

First

Address 19126 S RANCH ROAD

The undersigned states that on or about


US DOT# 00712079

DL Class

02/18/2015

$50.00

Criminal Surcharge

$17.50

Co. Enf. Surcharge

N/A

Court Costs

$60.00

Total Fine/Costs

$127.50

Serious P.I.

2011 WHI

Race W
64012-0000
5' 10"
Weight 155 LBS

Ethnicity N
Sex MALE

DODGE DODG
Pass
End NO

TR/ST

CDL YES
HazMat End Req? NO
Req?
Req?
Located in the county and state aforesaid and did then and there commit the following offense:

Court Appearance Required (805.10)


Reason:

Height

State MO Year

Upon a public highway at US 71/KARR AVE


Scheduled Violation/Fine

Zip Code

DL Rest. NONE

defendant did unlawfully: Operate Motor Vehicle/Boat

Lic. Plate #/REG 30A3YX

ICC#

State MO

BELTON
DL End. NONE

at 4:40 PM

DOB 8/13/1982

Suffix

City

DL State MO

50583
DL/State ID
Viewed?
YES

R176207009

DL#

Middle

IA

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

Violation INOP ELEC BRAKES ON THE TRAILER ATTEMPTED 3 TIMES


Sec #: 321.449

ICIS Sec #: 321.449-A

Zone

IA Code: 20 13
ICIS Ord.

Local Ord.

I.D. No. T404


Officer's
Signature

in

Fed/Adm Code: 393.48A

NOTICE: Providing false identification information is a violation of Section 719.1A of


the Code of Iowa and is punishable as a simple misdemeanor.

Dated 02/18/2015

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

Court 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:
03/09/2015 at
8:30 AM
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.
The following applies to simple misdemeanors only:

$161.25
4. I hereby give my unsecured appearance bond in the amount of
dollars and enter my 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.

*+T01T4041502181658239+*
Dated

Signature of
Defendant

02/18/2015

I swear that the foregoing complaint is true and correct.

this

23

day of

Agency

Officer's
Signature

MOTOR VEHICLE ENFORCEMENT

ABSTRACT OF COURT RECORD


COURT NO.

CASE NO.

DOCKET NO.
LICENSE NO.

CASE NO.
STATE:

NO JURY TRIAL or
PROCEEDING

Notary/other

OTHER

T01 T404 150218 165823 9

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 02/23/2015 04:30AM


CLERK DISTRICT COURT
SAC COUNTY IOWA

Other
BAIL CASH DEPOSIT
PLEA

VERDICT

GUILTY
NOT GUILTY

GUILTY
NOT GUILTY
Date

DISMISSED

Signature, person giving bail

Driver's License
Recommendation

OTHER DISPOSITION

None

School

Signature, person taking bail

Susp.

Revo

The court Therefore Enters in Following Order This Date


Mo.

FINED $
Incarceration in

SURCHARGE $

, Iowa

SAC CITY - 6717

Notary/other
Signature

Citation #:

FORFEIT BOND

JURY TRIAL

at

HANSEN, JEFFREY
FEBRUARY, 2015

Subscribed and sworn to me by

Day

COST $
Days:

Yr.

DATE:

Continued to:

REASON

DATE:

Continued to:

REASON

DATE:

WARRANT ISSUED

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

Days

Dispatch /
Case #:

COMPLAINT
Form 420001E 1/07
PLAINTIFF

Reference #:

Law Enforcement Agency -

MOTOR VEHICLE ENFORCEMENT


City of:

SAC CITY

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12

ELLINGSON

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

T01 T404 150218 174609 1

Citation #:

MATTHEW

Defendant, Last

First

Address 7135 ST MARYS ST

DL Class

The undersigned states that on or about


US DOT# 00073195

02/18/2015

$50.00

Criminal Surcharge

$17.50

Co. Enf. Surcharge

N/A

Court Costs

$60.00

Total Fine/Costs

$127.50

Serious P.I.

2014 WHI

Race W
68339-0000
6' 00"
Weight 225 LBS

Ethnicity N
Sex MALE

MACK MACK
Pass
End

TT/ST

CDL YES
NO
HazMat End Req? NO
Req?
Req?
Located in the county and state aforesaid and did then and there commit the following offense:

Court Appearance Required (805.10)


Reason:

Height

NE Year 2015

State

Upon a public highway at US 71/KARR AVE


Scheduled Violation/Fine

Zip Code

DL Rest. NONE

defendant did unlawfully: Operate Motor Vehicle/Boat

Lic. Plate #/REG 183196

ICC#

State NE

DENTON
DL End. N

at 5:35 PM

DOB 2/28/1964

Suffix

City

DL State NE

50583
DL/State ID
Viewed?
YES

G02120476

DL#

Middle

IA

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

Violation DRIVER HAD TWO SEPERATE 2/18 DAYS ONE STARTING 0130HRS AO 0900HRS
Sec #: 321.449

ICIS Sec #: 321.449-C

Zone

IA Code: 20 13
ICIS Ord.

Local Ord.

I.D. No. T404


Officer's
Signature

in

Fed/Adm Code: 395.8E

NOTICE: Providing false identification information is a violation of Section 719.1A of


the Code of Iowa and is punishable as a simple misdemeanor.

Dated 02/18/2015

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

Court 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:
03/09/2015 at
8:30 AM
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.
The following applies to simple misdemeanors only:

$161.25
4. I hereby give my unsecured appearance bond in the amount of
dollars and enter my 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.

*+T01T4041502181746091+*
Dated

Signature of
Defendant

02/18/2015

I swear that the foregoing complaint is true and correct.

this

23

day of

Agency

Officer's
Signature

MOTOR VEHICLE ENFORCEMENT

ABSTRACT OF COURT RECORD


COURT NO.

CASE NO.

DOCKET NO.
LICENSE NO.

CASE NO.
STATE:

NO JURY TRIAL or
PROCEEDING

Notary/other

OTHER

T01 T404 150218 174609 1

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 02/23/2015 04:30AM


CLERK DISTRICT COURT
SAC COUNTY IOWA

Other
BAIL CASH DEPOSIT
PLEA

VERDICT

GUILTY
NOT GUILTY

GUILTY
NOT GUILTY
Date

DISMISSED

Signature, person giving bail

Driver's License
Recommendation

OTHER DISPOSITION

None

School

Signature, person taking bail

Susp.

Revo

The court Therefore Enters in Following Order This Date


Mo.

FINED $
Incarceration in

SURCHARGE $

, Iowa

SAC CITY - 6717

Notary/other
Signature

Citation #:

FORFEIT BOND

JURY TRIAL

at

HANSEN, JEFFREY
FEBRUARY, 2015

Subscribed and sworn to me by

Day

COST $
Days:

Yr.

DATE:

Continued to:

REASON

DATE:

Continued to:

REASON

DATE:

WARRANT ISSUED

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

Days

Dispatch /
Case #:

COMPLAINT
Form 420001E 1/07
PLAINTIFF

Reference #:

Law Enforcement Agency -

MOTOR VEHICLE ENFORCEMENT


City of:

SAC CITY

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12

WYANT

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

T01 T404 150219 102539 4

Citation #:

ELIJAH

Defendant, Last

BLUE

First

Address 2929 HAWTHORNE DR APT A

DL Class

02/19/2015

The undersigned states that on or about


US DOT# 00264184

ICC# 133655

$40.00
$14.00

Co. Enf. Surcharge

N/A

Court Costs

$60.00

Total Fine/Costs

$114.00

Court Appearance Required (805.10)


Reason:

Height

Serious P.I.

2015 WHI

Race W
52722-0000
6' 00"
Weight 220 LBS

Ethnicity N
Sex MALE

FREIGHT
LINER
F
Pass
End - NO

TT/ST

CDL YES
HazMat End Req? NO
Req?
Req?
Located in the county and state aforesaid and did then and there commit the following offense:

IN

State

Upon a public highway at US 71/KARR AVE

Criminal Surcharge

Zip Code

DL Rest. B

defendant did unlawfully: Operate Motor Vehicle/Boat

Lic. Plate #/REG 2186434

Scheduled Violation/Fine

State IA

BETTENDORF
DL End. NONE

at 10:15 AM

DOB 2/8/1992

Suffix

City

DL State IA

50583
DL/State ID
Viewed?
YES

357AE0610

DL#

Middle

IA

Year 2015

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

Zone

ICIS Ord.

Local Ord.

I.D. No. T404

55

IA Code: 20 15

ICIS Sec #: 321.285-B

Officer's
Signature

in

Fed/Adm Code: 392.2-SLLS3

Violation EB HWY 20 CROSSING M35 AS 68 IN A 55 ZONE


Sec #: 321.285

65

NOTICE: Providing false identification information is a violation of Section 719.1A of


the Code of Iowa and is punishable as a simple misdemeanor.

Dated 02/19/2015

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

Court 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:
03/09/2015 at
8:30 AM
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.
The following applies to simple misdemeanors only:

$141.00
4. I hereby give my unsecured appearance bond in the amount of
dollars and enter my 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.

*+T01T4041502191025394+*
Dated

Signature of
Defendant

02/19/2015

I swear that the foregoing complaint is true and correct.

this

23

day of

Agency

Officer's
Signature

MOTOR VEHICLE ENFORCEMENT

ABSTRACT OF COURT RECORD


COURT NO.

CASE NO.

DOCKET NO.
LICENSE NO.

CASE NO.
STATE:

NO JURY TRIAL or
PROCEEDING

Notary/other

OTHER

T01 T404 150219 102539 4

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 02/23/2015 04:30AM


CLERK DISTRICT COURT
SAC COUNTY IOWA

Other
BAIL CASH DEPOSIT
PLEA

VERDICT

GUILTY
NOT GUILTY

GUILTY
NOT GUILTY
Date

DISMISSED

Signature, person giving bail

Driver's License
Recommendation

OTHER DISPOSITION

None

School

Signature, person taking bail

Susp.

Revo

The court Therefore Enters in Following Order This Date


Mo.

FINED $
Incarceration in

SURCHARGE $

, Iowa

SAC CITY - 6717

Notary/other
Signature

Citation #:

FORFEIT BOND

JURY TRIAL

at

HANSEN, JEFFREY
FEBRUARY, 2015

Subscribed and sworn to me by

Day

COST $
Days:

Yr.

DATE:

Continued to:

REASON

DATE:

Continued to:

REASON

DATE:

WARRANT ISSUED

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

Days

Dispatch /
Case #:

COMPLAINT
Form 420001E 1/07
PLAINTIFF

Reference #:

Law Enforcement Agency -

MOTOR VEHICLE ENFORCEMENT


City of:

SAC CITY

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12

WYANT

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

T01 T404 150219 103858 6

Citation #:

ELIJAH

Defendant, Last

BLUE

First

Address 2929 HAWTHORNE DR APT A

DL Class

02/19/2015

The undersigned states that on or about


US DOT# 00264184

ICC# 133655

$20.00
$7.00

Co. Enf. Surcharge

N/A

Court Costs

$60.00

Total Fine/Costs

$87.00

Court Appearance Required (805.10)


Reason:

Height

Serious P.I.

2015 WHI

Race W
52722-0000
6' 00"
Weight 220 LBS

Ethnicity N
Sex MALE

FREIGHT
LINER
F
Pass
End - NO

TT/ST

CDL YES
HazMat End Req? NO
Req?
Req?
Located in the county and state aforesaid and did then and there commit the following offense:

IN

State

Upon a public highway at US 71/KARR AVE

Criminal Surcharge

Zip Code

DL Rest. B

defendant did unlawfully: Operate Motor Vehicle/Boat

Lic. Plate #/REG 2186434

Scheduled Violation/Fine

State IA

BETTENDORF
DL End. NONE

at 10:15 AM

DOB 2/8/1992

Suffix

City

DL State IA

50583
DL/State ID
Viewed?
YES

357AE0610

DL#

Middle

IA

Year 2015

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

Violation NO REG PAPER FOR THE TRUCK


Sec #: 321.32

Zone

IA Code: 20 13

ICIS Sec #: 321.32

ICIS Ord.

Local Ord.

I.D. No. T404


Officer's
Signature

in

Fed/Adm Code: 392.2RG

NOTICE: Providing false identification information is a violation of Section 719.1A of


the Code of Iowa and is punishable as a simple misdemeanor.

Dated 02/19/2015

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

Court 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:
03/09/2015 at
8:30 AM
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.
The following applies to simple misdemeanors only:

$100.50
4. I hereby give my unsecured appearance bond in the amount of
dollars and enter my 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.

*+T01T4041502191038586+*
Dated

Signature of
Defendant

02/19/2015

I swear that the foregoing complaint is true and correct.

this

23

day of

Agency

Officer's
Signature

MOTOR VEHICLE ENFORCEMENT

ABSTRACT OF COURT RECORD


COURT NO.

CASE NO.

DOCKET NO.
LICENSE NO.

CASE NO.
STATE:

NO JURY TRIAL or
PROCEEDING

Notary/other

OTHER

T01 T404 150219 103858 6

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 02/23/2015 04:30AM


CLERK DISTRICT COURT
SAC COUNTY IOWA

Other
BAIL CASH DEPOSIT
PLEA

VERDICT

GUILTY
NOT GUILTY

GUILTY
NOT GUILTY
Date

DISMISSED

Signature, person giving bail

Driver's License
Recommendation

OTHER DISPOSITION

None

School

Signature, person taking bail

Susp.

Revo

The court Therefore Enters in Following Order This Date


Mo.

FINED $
Incarceration in

SURCHARGE $

, Iowa

SAC CITY - 6717

Notary/other
Signature

Citation #:

FORFEIT BOND

JURY TRIAL

at

HANSEN, JEFFREY
FEBRUARY, 2015

Subscribed and sworn to me by

Day

COST $
Days:

Yr.

DATE:

Continued to:

REASON

DATE:

Continued to:

REASON

DATE:

WARRANT ISSUED

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

Days

Dispatch /
Case #:

COMPLAINT
Form 420001E 1/07
PLAINTIFF

Reference #:

Law Enforcement Agency -

MOTOR VEHICLE ENFORCEMENT


City of:

SAC CITY

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12

FARLEY

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

T01 T404 150222 200634 0

Citation #:

MELISSA

Defendant, Last

KAY

First

Address 717 NOLTZE DR APT 20

DL Class

The undersigned states that on or about


US DOT#

02/22/2015

$40.00

Criminal Surcharge

$14.00

Co. Enf. Surcharge

N/A

Court Costs

$60.00

Total Fine/Costs

$114.00

Serious P.I.

2003 SIL

Race W
51103-0000
5' 03"
Weight 115 LBS

Ethnicity N
Sex FEMALE

VOLKSW PASSAT
AGON
Pass
End- V

PS

CDL NO
HazMat End Req?
Req?
Req?
Located in the county and state aforesaid and did then and there commit the following offense:

Court Appearance Required (805.10)


Reason:

Height

OT Year 2015

State

Upon a public highway at US 20/220TH ST


Scheduled Violation/Fine

Zip Code

DL Rest. B

defendant did unlawfully: Operate Motor Vehicle/Boat

Lic. Plate #/REG DEALER

ICC#

State IA

SIOUX CITY
DL End. NONE

at 8:06 PM

DOB 10/12/1973

Suffix

City

DL State IA

50583
DL/State ID
Viewed?
YES

327JJ0787

DL#

Middle

IA

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

ICIS Sec #: 321.285-B

55

Zone

IA Code: 20 15
ICIS Ord.

Local Ord.

I.D. No. T404


Officer's
Signature

in

Fed/Adm Code:

Violation WB HWY 20 CROSS ESTHER AVE AS 76 IN A 55 ZONE


Sec #: 321.285

65

NOTICE: Providing false identification information is a violation of Section 719.1A of


the Code of Iowa and is punishable as a simple misdemeanor.

Dated 02/22/2015

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

Court 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:
03/09/2015 at
8:30 AM
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.
The following applies to simple misdemeanors only:

$141.00
4. I hereby give my unsecured appearance bond in the amount of
dollars and enter my 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.

*+T01T4041502222006340+*
Dated

Signature of
Defendant

02/22/2015

I swear that the foregoing complaint is true and correct.

this

23

day of

Agency

Officer's
Signature

MOTOR VEHICLE ENFORCEMENT

ABSTRACT OF COURT RECORD


COURT NO.

CASE NO.

DOCKET NO.
LICENSE NO.

CASE NO.
STATE:

NO JURY TRIAL or
PROCEEDING

Notary/other

OTHER

T01 T404 150222 200634 0

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 02/23/2015 04:30AM


CLERK DISTRICT COURT
SAC COUNTY IOWA

Other
BAIL CASH DEPOSIT
PLEA

VERDICT

GUILTY
NOT GUILTY

GUILTY
NOT GUILTY
Date

DISMISSED

Signature, person giving bail

Driver's License
Recommendation

OTHER DISPOSITION

None

School

Signature, person taking bail

Susp.

Revo

The court Therefore Enters in Following Order This Date


Mo.

FINED $
Incarceration in

SURCHARGE $

, Iowa

SAC CITY - 6717

Notary/other
Signature

Citation #:

FORFEIT BOND

JURY TRIAL

at

HANSEN, JEFFREY
FEBRUARY, 2015

Subscribed and sworn to me by

Day

COST $
Days:

Yr.

DATE:

Continued to:

REASON

DATE:

Continued to:

REASON

DATE:

WARRANT ISSUED

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

Days

Dispatch /
Case #:

COMPLAINT
Form 420001E 1/07
PLAINTIFF

Reference #:

Law Enforcement Agency -

MOTOR VEHICLE ENFORCEMENT


City of:

SAC CITY

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12

TINOCO ZUNIGA

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

T01 T404 150222 205004 1

Citation #:

JUAN

Defendant, Last

First

Address 2701 DARIO ST

DL Class

02/22/2015

The undersigned states that on or about


US DOT# 00959806

ICC# 409758

$40.00
$14.00

Co. Enf. Surcharge

N/A

Court Costs

$60.00

Total Fine/Costs

$114.00

Serious P.I.

2013 WHI

Race W
78596-0000
5' 08"
Weight 217 LBS

Ethnicity H
Sex MALE

PETERBIL
T - PTRB
Pass
End NO

TT/ST

CDL YES
HazMat End Req? NO
Req?
Req?
Located in the county and state aforesaid and did then and there commit the following offense:

Court Appearance Required (805.10)


Reason:

Height

TN Year 2015

State

Upon a public highway at US 71/KARR AVE

Criminal Surcharge

Zip Code

DL Rest. NONE

defendant did unlawfully: Operate Motor Vehicle/Boat

Lic. Plate #/REG A1035HY

Scheduled Violation/Fine

State TX

WESLACO
DL End. NT

at 8:32 PM

DOB 11/21/1981

Suffix

City

DL State TX

50583
DL/State ID
Viewed?
YES

15810884

DL#

Middle

IA

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

ICIS Sec #: 321.285-B

55

Zone

IA Code: 20 15
ICIS Ord.

Local Ord.

I.D. No. T404


Officer's
Signature

in

Fed/Adm Code: 392.2-SLLS3

Violation SPEED NB HWY 71 CROSS 280TH AS 68 IN A 55 ZONE


Sec #: 321.285

65

NOTICE: Providing false identification information is a violation of Section 719.1A of


the Code of Iowa and is punishable as a simple misdemeanor.

Dated 02/22/2015

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

Court 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:
03/09/2015 at
8:30 AM
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.
The following applies to simple misdemeanors only:

$141.00
4. I hereby give my unsecured appearance bond in the amount of
dollars and enter my 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.

*+T01T4041502222050041+*
Dated

Signature of
Defendant

02/22/2015

I swear that the foregoing complaint is true and correct.

this

23

day of

Agency

Officer's
Signature

MOTOR VEHICLE ENFORCEMENT

ABSTRACT OF COURT RECORD


COURT NO.

CASE NO.

DOCKET NO.
LICENSE NO.

CASE NO.
STATE:

NO JURY TRIAL or
PROCEEDING

Notary/other

OTHER

T01 T404 150222 205004 1

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 02/23/2015 04:30AM


CLERK DISTRICT COURT
SAC COUNTY IOWA

Other
BAIL CASH DEPOSIT
PLEA

VERDICT

GUILTY
NOT GUILTY

GUILTY
NOT GUILTY
Date

DISMISSED

Signature, person giving bail

Driver's License
Recommendation

OTHER DISPOSITION

None

School

Signature, person taking bail

Susp.

Revo

The court Therefore Enters in Following Order This Date


Mo.

FINED $
Incarceration in

SURCHARGE $

, Iowa

SAC CITY - 6717

Notary/other
Signature

Citation #:

FORFEIT BOND

JURY TRIAL

at

HANSEN, JEFFREY
FEBRUARY, 2015

Subscribed and sworn to me by

Day

COST $
Days:

Yr.

DATE:

Continued to:

REASON

DATE:

Continued to:

REASON

DATE:

WARRANT ISSUED

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

Days

Dispatch /
Case #:

COMPLAINT
Form 420001E 1/07
PLAINTIFF

Reference #:

Law Enforcement Agency -

MOTOR VEHICLE ENFORCEMENT


City of:

SAC CITY

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12

TINOCO ZUNIGA

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

T01 T404 150222 205046 2

Citation #:

JUAN

Defendant, Last

First

Address 2701 DARIO ST

DL Class

02/22/2015

The undersigned states that on or about


US DOT# 00959806

ICC# 409758

$50.00
$17.50

Co. Enf. Surcharge

N/A

Court Costs

$60.00

Total Fine/Costs

$127.50

Serious P.I.

2013 WHI

Race W
78596-0000
5' 08"
Weight 217 LBS

Ethnicity H
Sex MALE

PETERBIL
T - PTRB
Pass
End NO

TT/ST

CDL YES
HazMat End Req? NO
Req?
Req?
Located in the county and state aforesaid and did then and there commit the following offense:

Court Appearance Required (805.10)


Reason:

Height

TN Year 2015

State

Upon a public highway at US 71/KARR AVE

Criminal Surcharge

Zip Code

DL Rest. NONE

defendant did unlawfully: Operate Motor Vehicle/Boat

Lic. Plate #/REG A1035HY

Scheduled Violation/Fine

State TX

WESLACO
DL End. NT

at 8:32 PM

DOB 11/21/1981

Suffix

City

DL State TX

50583
DL/State ID
Viewed?
YES

15810884

DL#

Middle

IA

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

Violation 11HR VIO 2/22 @1930HRS BEGAN DRIVING AT 0800HRS


Sec #: 321.449

ICIS Sec #: 321.449-C

Zone

IA Code: 20 13
ICIS Ord.

Local Ord.

I.D. No. T404


Officer's
Signature

in

Fed/Adm Code: 395.3A3-PROP

NOTICE: Providing false identification information is a violation of Section 719.1A of


the Code of Iowa and is punishable as a simple misdemeanor.

Dated 02/22/2015

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

Court 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:
03/09/2015 at
8:30 AM
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.
The following applies to simple misdemeanors only:

$161.25
4. I hereby give my unsecured appearance bond in the amount of
dollars and enter my 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.

*+T01T4041502222050462+*
Dated

Signature of
Defendant

02/22/2015

I swear that the foregoing complaint is true and correct.

this

23

day of

Agency

Officer's
Signature

MOTOR VEHICLE ENFORCEMENT

ABSTRACT OF COURT RECORD


COURT NO.

CASE NO.

DOCKET NO.
LICENSE NO.

CASE NO.
STATE:

NO JURY TRIAL or
PROCEEDING

Notary/other

OTHER

T01 T404 150222 205046 2

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 02/23/2015 04:30AM


CLERK DISTRICT COURT
SAC COUNTY IOWA

Other
BAIL CASH DEPOSIT
PLEA

VERDICT

GUILTY
NOT GUILTY

GUILTY
NOT GUILTY
Date

DISMISSED

Signature, person giving bail

Driver's License
Recommendation

OTHER DISPOSITION

None

School

Signature, person taking bail

Susp.

Revo

The court Therefore Enters in Following Order This Date


Mo.

FINED $
Incarceration in

SURCHARGE $

, Iowa

SAC CITY - 6717

Notary/other
Signature

Citation #:

FORFEIT BOND

JURY TRIAL

at

HANSEN, JEFFREY
FEBRUARY, 2015

Subscribed and sworn to me by

Day

COST $
Days:

Yr.

DATE:

Continued to:

REASON

DATE:

Continued to:

REASON

DATE:

WARRANT ISSUED

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

Days

Dispatch /
Case #:

COMPLAINT
Form 420001E 1/07
PLAINTIFF

Reference #:

Law Enforcement Agency -

MOTOR VEHICLE ENFORCEMENT


City of:

SAC CITY

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12

WORTMANN

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

T01 T404 150222 215119 5

Citation #:

DERYK

Defendant, Last

First

Address 2801 TIERRA DR APT 211

DL Class

02/22/2015

The undersigned states that on or about


US DOT# 02522326

ICC# 878721

$50.00
$17.50

Co. Enf. Surcharge

N/A

Court Costs

$60.00

Total Fine/Costs

$127.50

2005 GRY

Serious P.I.

Race W
68516-0000
5' 11"
Weight 265 LBS

Ethnicity N
Sex MALE

PETERBIL
T - PTRB
Pass
End NO

TT/ST

CDL YES
HazMat End Req? NO
Req?
Req?
Located in the county and state aforesaid and did then and there commit the following offense:

Court Appearance Required (805.10)


Reason:

Height

OT Year 2015

State

Upon a public highway at US 71/KARR AVE

Criminal Surcharge

Zip Code

DL Rest. NONE

defendant did unlawfully: Operate Motor Vehicle/Boat

Lic. Plate #/REG NONE

Scheduled Violation/Fine

State NE

LINCOLN
DL End. NONE

at 9:35 PM

DOB 6/15/1992

Suffix

City

DL State NE

50583
DL/State ID
Viewed?
YES

H13233606

DL#

Middle

IA

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

Violation DRIVERS LOG NOT CURRENT SEE COMMENTS BELOW


Sec #: 321.449

ICIS Sec #: 321.449-C

Zone

IA Code: 20 13
ICIS Ord.

Local Ord.

I.D. No. T404


Officer's
Signature

in

Fed/Adm Code: 395.8F1

NOTICE: Providing false identification information is a violation of Section 719.1A of


the Code of Iowa and is punishable as a simple misdemeanor.

Dated 02/22/2015

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

Court 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:
03/09/2015 at
8:30 AM
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.
The following applies to simple misdemeanors only:

$161.25
4. I hereby give my unsecured appearance bond in the amount of
dollars and enter my 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.

*+T01T4041502222151195+*
Dated

Signature of
Defendant

02/22/2015

I swear that the foregoing complaint is true and correct.

this

23

day of

Agency

Officer's
Signature

MOTOR VEHICLE ENFORCEMENT

ABSTRACT OF COURT RECORD


COURT NO.

CASE NO.

DOCKET NO.
LICENSE NO.

CASE NO.
STATE:

NO JURY TRIAL or
PROCEEDING

Notary/other

OTHER

T01 T404 150222 215119 5

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 02/23/2015 04:30AM


CLERK DISTRICT COURT
SAC COUNTY IOWA

Other
BAIL CASH DEPOSIT
PLEA

VERDICT

GUILTY
NOT GUILTY

GUILTY
NOT GUILTY
Date

DISMISSED

Signature, person giving bail

Driver's License
Recommendation

OTHER DISPOSITION

None

School

Signature, person taking bail

Susp.

Revo

The court Therefore Enters in Following Order This Date


Mo.

FINED $
Incarceration in

SURCHARGE $

, Iowa

SAC CITY - 6717

Notary/other
Signature

Citation #:

FORFEIT BOND

JURY TRIAL

at

HANSEN, JEFFREY
FEBRUARY, 2015

Subscribed and sworn to me by

Day

COST $
Days:

Yr.

DATE:

Continued to:

REASON

DATE:

Continued to:

REASON

DATE:

WARRANT ISSUED

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

Days

Dispatch /
Case #:

COMPLAINT
Form 420001E 1/07
PLAINTIFF

Reference #:

Law Enforcement Agency -

MOTOR VEHICLE ENFORCEMENT


City of:

SAC CITY

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12

ORTEGA

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

T01 T404 150222 223031 7

Citation #:

RAUL

Defendant, Last

III

First

Address 2385 CR 47

DL Class

The undersigned states that on or about

02/22/2015

$40.00

Criminal Surcharge

$14.00

Co. Enf. Surcharge

N/A

Court Costs

$60.00

Total Fine/Costs

$114.00

DOB 12/11/1974

Height

Serious P.I.

Race W

78415
5' 11"

1998 GRY

Ethnicity H

Weight 205 LBS

Sex MALE

RAM

TR

CDL NO
Pass End
HazMat End Req?
Req?
Req?
Located in the county and state aforesaid and did then and there commit the following offense:

IA

State

Court Appearance Required (805.10)


Reason:

Zip Code

DL Rest. NONE

defendant did unlawfully: Operate Motor Vehicle/Boat

Upon a public highway at STATE 175/330TH ST


Scheduled Violation/Fine

State TX

CORPUS CHRISTI

Lic. Plate #/REG CTA086

ICC#

10674418

DL#

DL End. NONE

at 10:30 PM

50583
DL/State ID
Viewed?
YES

Suffix

City

DL State TX

US DOT#

III

Middle

IA

Year 2014

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

ICIS Sec #: 321.285-B

55

Zone

IA Code: 20 15
ICIS Ord.

Local Ord.

I.D. No. T404


Officer's
Signature

in

Fed/Adm Code:

Violation WB HWY 175 JUST E OF M43 AS 69 IN A 55 ZONE


Sec #: 321.285

65

NOTICE: Providing false identification information is a violation of Section 719.1A of


the Code of Iowa and is punishable as a simple misdemeanor.

Dated 02/22/2015

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

Court 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:
03/09/2015 at
8:30 AM
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.
The following applies to simple misdemeanors only:

$141.00
4. I hereby give my unsecured appearance bond in the amount of
dollars and enter my 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.

*+T01T4041502222230317+*
Dated

Signature of
Defendant

02/22/2015

I swear that the foregoing complaint is true and correct.

this

23

day of

Agency

Officer's
Signature

MOTOR VEHICLE ENFORCEMENT

ABSTRACT OF COURT RECORD


COURT NO.

CASE NO.

DOCKET NO.
LICENSE NO.

CASE NO.
STATE:

NO JURY TRIAL or
PROCEEDING

Notary/other

OTHER

T01 T404 150222 223031 7

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 02/23/2015 04:30AM


CLERK DISTRICT COURT
SAC COUNTY IOWA

Other
BAIL CASH DEPOSIT
PLEA

VERDICT

GUILTY
NOT GUILTY

GUILTY
NOT GUILTY
Date

DISMISSED

Signature, person giving bail

Driver's License
Recommendation

OTHER DISPOSITION

None

School

Signature, person taking bail

Susp.

Revo

The court Therefore Enters in Following Order This Date


Mo.

FINED $
Incarceration in

SURCHARGE $

, Iowa

SAC CITY - 6717

Notary/other
Signature

Citation #:

FORFEIT BOND

JURY TRIAL

at

HANSEN, JEFFREY
FEBRUARY, 2015

Subscribed and sworn to me by

Day

COST $
Days:

Yr.

DATE:

Continued to:

REASON

DATE:

Continued to:

REASON

DATE:

WARRANT ISSUED

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

Days

Dispatch /
Case #:

COMPLAINT
Form 420001E 1/07
PLAINTIFF

Law Enforcement Agency -

SAC COUNTY SHERIFF'S OFFICE


City of:

SAC CITY

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12

DE WEERD

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

S81 BACK 150220 221509 6

Citation #:

Reference #:

JEFFREY

Defendant, Last

ALAN

First

Address 3951 GOLDFINCH AVE

DL Class

The undersigned states that on or about


US DOT#

02/20/2015

$40.00

Criminal Surcharge

$14.00

Co. Enf. Surcharge

$5.00

Court Costs

$60.00

Total Fine/Costs

$119.00

Court Appearance Required (805.10)


Reason:

Height

Serious P.I.

2005 BLU

Race W
51250-0000
6' 01"
Weight

FORD FORD
Pass
End

Ethnicity N
Sex MALE

FRE

VN

CDL NO
HazMat End Req?
Req?
Req?
Located in the county and state aforesaid and did then and there commit the following offense:

IA

State

Upon a public highway at US 20


Scheduled Violation/Fine

Zip Code

DL Rest. B

defendant did unlawfully: Operate Motor Vehicle/Boat

Lic. Plate #/REG AUV262

ICC#

State IA

SIOUX CENTER
DL End. L

at 10:15 PM

DOB 4/15/1972

Suffix

City

DL State IA

50583
DL/State ID
Viewed?
YES

792YY4087

DL#

Middle

IA

Year 2014

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

55

Zone

IA Code: 20 15

ICIS Sec #: 321.285-B

ICIS Ord.

Local Ord.

I.D. No. 81-5


Officer's
Signature

in

Fed/Adm Code:

Violation SPEEDING 55 OR < (6 THRU 10 OVER)


Sec #: 321.285

65

NOTICE: Providing false identification information is a violation of Section 719.1A of


the Code of Iowa and is punishable as a simple misdemeanor.

Dated 02/20/2015

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

Court 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:
03/23/2015 at
8:30 AM
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.
The following applies to simple misdemeanors only:

$148.50
4. I hereby give my unsecured appearance bond in the amount of
dollars and enter my 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.

*+S81BACK1502202215096+*
Dated

Signature of
Defendant

02/20/2015

I swear that the foregoing complaint is true and correct.

this

20

day of

Agency

Officer's
Signature

SAC COUNTY SHERIFF'S OFFICE

ABSTRACT OF COURT RECORD


COURT NO.

CASE NO.

DOCKET NO.
LICENSE NO.

CASE NO.
STATE:

NO JURY TRIAL or
PROCEEDING

Notary/other

NOTARY

S81 BACK 150220 221509 6

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 02/23/2015 08:22AM


CLERK DISTRICT COURT
SAC COUNTY IOWA

Other
BAIL CASH DEPOSIT
PLEA

VERDICT

GUILTY
NOT GUILTY

GUILTY
NOT GUILTY
Date

DISMISSED

Signature, person giving bail

Driver's License
Recommendation

OTHER DISPOSITION

None

School

Signature, person taking bail

Susp.

Revo

The court Therefore Enters in Following Order This Date


Mo.

FINED $
Incarceration in

, Iowa

SAC CITY - 6717

Notary/other
Signature

Citation #:

FORFEIT BOND

JURY TRIAL

at

CUDABACK, TORY
FEBRUARY, 2015

Subscribed and sworn to me by

SURCHARGE $

Day

COST $
Days:

Yr.

DATE:

Continued to:

REASON

DATE:

Continued to:

REASON

DATE:

WARRANT ISSUED

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

Days

Dispatch /
Case #:

COMPLAINT
Form 420001E 1/07
PLAINTIFF

Law Enforcement Agency -

SAC COUNTY SHERIFF'S OFFICE


City of:

SAC CITY

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12

OLERICH

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

S81 BACK 150221 034702 7

Citation #:

Reference #:

DANIEL

Defendant, Last

SCOTT

First

Address 3051 ROLF AVE

DL Class

The undersigned states that on or about


US DOT#

02/21/2015

$30.00

Criminal Surcharge

$10.50

Co. Enf. Surcharge

$5.00

Court Costs

$60.00

Total Fine/Costs

$105.50

Court Appearance Required (805.10)


Reason:

Height

Serious P.I.

2003 BLK

Race W
51450-0000
6' 02"
Weight

Ethnicity N
Sex MALE

CHEVROL SLV
ET -End
CHEV
Pass

PK

CDL NO
HazMat End Req?
Req?
Req?
Located in the county and state aforesaid and did then and there commit the following offense:

IA

State

Upon a public highway at M054/ROLF AVE


Scheduled Violation/Fine

Zip Code

DL Rest. B

defendant did unlawfully: Operate Motor Vehicle/Boat

Lic. Plate #/REG 755WNJ

ICC#

State IA

LAKE VIEW
DL End. TX

at 3:47 AM

DOB 4/23/1961

Suffix

City

DL State IA

50583
DL/State ID
Viewed?
YES

145CC5013

DL#

Middle

IA

Year 2014

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

in

Zone

Fed/Adm Code:

Violation FAILURE TO DIM

IA Code: 20 15

Sec #: 321.415

ICIS Sec #: 321.415


I.D. No. 81-5

Officer's
Signature

ICIS Ord.

Local Ord.

NOTICE: Providing false identification information is a violation of Section 719.1A of


the Code of Iowa and is punishable as a simple misdemeanor.

Dated 02/21/2015

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

Court 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:
03/23/2015 at
8:30 AM
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.
The following applies to simple misdemeanors only:

$128.25
4. I hereby give my unsecured appearance bond in the amount of
dollars and enter my 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.

*+S81BACK1502210347027+*
Dated

Signature of
Defendant

02/21/2015

I swear that the foregoing complaint is true and correct.

this

21

day of

Agency

Officer's
Signature

SAC COUNTY SHERIFF'S OFFICE

ABSTRACT OF COURT RECORD


COURT NO.

CASE NO.

DOCKET NO.
LICENSE NO.

CASE NO.
STATE:

NO JURY TRIAL or
PROCEEDING

Notary/other

NOTARY

S81 BACK 150221 034702 7

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 02/23/2015 08:22AM


CLERK DISTRICT COURT
SAC COUNTY IOWA

Other
BAIL CASH DEPOSIT
PLEA

VERDICT

GUILTY
NOT GUILTY

GUILTY
NOT GUILTY
Date

DISMISSED

Signature, person giving bail

Driver's License
Recommendation

OTHER DISPOSITION

None

School

Signature, person taking bail

Susp.

Revo

The court Therefore Enters in Following Order This Date


Mo.

FINED $
Incarceration in

, Iowa

SAC CITY - 6717

Notary/other
Signature

Citation #:

FORFEIT BOND

JURY TRIAL

at

CUDABACK, TORY
FEBRUARY, 2015

Subscribed and sworn to me by

SURCHARGE $

Day

COST $
Days:

Yr.

DATE:

Continued to:

REASON

DATE:

Continued to:

REASON

DATE:

WARRANT ISSUED

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

Days

Dispatch /
Case #:

COMPLAINT
Form 420001E 1/07
PLAINTIFF

Law Enforcement Agency -

SAC COUNTY SHERIFF'S OFFICE


City of:

SAC CITY

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12

OLERICH

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

S81 BACK 150221 034912 8

Citation #:

Reference #:

DANIEL

Defendant, Last

SCOTT

First

Address 3051 ROLF AVE

DL Class

The undersigned states that on or about


US DOT#

02/21/2015

$250.00

Criminal Surcharge

$87.50

Co. Enf. Surcharge

$5.00

Court Costs

$60.00

Total Fine/Costs

$402.50

Court Appearance Required (805.10)


Reason:

Height

Serious P.I.

2003 BLK

Race W
51450-0000
6' 02"
Weight

Ethnicity N
Sex MALE

CHEVROL SLV
ET -End
CHEV
Pass

PK

CDL NO
HazMat End Req?
Req?
Req?
Located in the county and state aforesaid and did then and there commit the following offense:

IA

State

Upon a public highway at M054/ROLF AVE


Scheduled Violation/Fine

Zip Code

DL Rest. B

defendant did unlawfully: Operate Motor Vehicle/Boat

Lic. Plate #/REG 755WNJ

ICC#

State IA

LAKE VIEW
DL End. TX

at 3:47 AM

DOB 4/23/1961

Suffix

City

DL State IA

50583
DL/State ID
Viewed?
YES

145CC5013

DL#

Middle

IA

Year 2014

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

Violation VIOLATION - FINANCIAL LIABILITY COVERAGE


Sec #: 321.20B

ICIS Sec #: 321.20B-A

Officer's
Signature

Zone

IA Code: 20 15
ICIS Ord.

Local Ord.

I.D. No. 81-5

in

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.

Dated 02/21/2015

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

Court 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:
03/23/2015 at
8:30 AM
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.
The following applies to simple misdemeanors only:

$573.75
4. I hereby give my unsecured appearance bond in the amount of
dollars and enter my 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.

*+S81BACK1502210349128+*
Dated

Signature of
Defendant

02/21/2015

I swear that the foregoing complaint is true and correct.

this

21

day of

Agency

Officer's
Signature

SAC COUNTY SHERIFF'S OFFICE

ABSTRACT OF COURT RECORD


COURT NO.

CASE NO.

DOCKET NO.
LICENSE NO.

CASE NO.
STATE:

NO JURY TRIAL or
PROCEEDING

Notary/other

NOTARY

S81 BACK 150221 034912 8

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 02/23/2015 08:22AM


CLERK DISTRICT COURT
SAC COUNTY IOWA

Other
BAIL CASH DEPOSIT
PLEA

VERDICT

GUILTY
NOT GUILTY

GUILTY
NOT GUILTY
Date

DISMISSED

Signature, person giving bail

Driver's License
Recommendation

OTHER DISPOSITION

None

School

Signature, person taking bail

Susp.

Revo

The court Therefore Enters in Following Order This Date


Mo.

FINED $
Incarceration in

, Iowa

SAC CITY - 6717

Notary/other
Signature

Citation #:

FORFEIT BOND

JURY TRIAL

at

CUDABACK, TORY
FEBRUARY, 2015

Subscribed and sworn to me by

SURCHARGE $

Day

COST $
Days:

Yr.

DATE:

Continued to:

REASON

DATE:

Continued to:

REASON

DATE:

WARRANT ISSUED

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

Days

Dispatch /
Case #:

COMPLAINT
Form 420001E 1/07
PLAINTIFF

Law Enforcement Agency -

SAC COUNTY SHERIFF'S OFFICE


City of:

SAC CITY

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12

LEHMAN

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

S81 BACK 150221 222520 9

Citation #:

Reference #:

PAIGE

Defendant, Last

DIANE

First

Address 130 PEEBLE LN APT 3

DL Class

The undersigned states that on or about


US DOT#

02/21/2015

$40.00

Criminal Surcharge

$14.00

Co. Enf. Surcharge

$5.00

Court Costs

$60.00

Total Fine/Costs

$119.00

Court Appearance Required (805.10)


Reason:

Height

Serious P.I.

2007 SIL

Race W
51401-0000
5' 07"
Weight

Ethnicity N
Sex FEMALE

HYUNDAI ELN
- HYUN
Pass
End

4D

CDL NO
HazMat End Req?
Req?
Req?
Located in the county and state aforesaid and did then and there commit the following offense:

IA

State

Upon a public highway at US 71/KARR AVE


Scheduled Violation/Fine

Zip Code

DL Rest. NONE

defendant did unlawfully: Operate Motor Vehicle/Boat

Lic. Plate #/REG CLS632

ICC#

State IA

CARROLL
DL End. NONE

at 10:25 PM

DOB 4/27/1992

Suffix

City

DL State IA

50583
DL/State ID
Viewed?
YES

853AK8422

DL#

Middle

IA

Year 2015

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

55

Zone

IA Code: 20 15

ICIS Sec #: 321.285-B

ICIS Ord.

Local Ord.

I.D. No. 81-5


Officer's
Signature

in

Fed/Adm Code:

Violation SPEEDING 55 OR < (6 THRU 10 OVER)


Sec #: 321.285

65

NOTICE: Providing false identification information is a violation of Section 719.1A of


the Code of Iowa and is punishable as a simple misdemeanor.

Dated 02/21/2015

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

Court 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:
03/23/2015 at
8:30 AM
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.
The following applies to simple misdemeanors only:

$148.50
4. I hereby give my unsecured appearance bond in the amount of
dollars and enter my 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.

*+S81BACK1502212225209+*
Dated

Signature of
Defendant

02/21/2015

I swear that the foregoing complaint is true and correct.

this

22

day of

Agency

Officer's
Signature

SAC COUNTY SHERIFF'S OFFICE

ABSTRACT OF COURT RECORD


COURT NO.

CASE NO.

DOCKET NO.
LICENSE NO.

CASE NO.
STATE:

NO JURY TRIAL or
PROCEEDING

Notary/other

NOTARY

S81 BACK 150221 222520 9

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 02/23/2015 08:22AM


CLERK DISTRICT COURT
SAC COUNTY IOWA

Other
BAIL CASH DEPOSIT
PLEA

VERDICT

GUILTY
NOT GUILTY

GUILTY
NOT GUILTY
Date

DISMISSED

Signature, person giving bail

Driver's License
Recommendation

OTHER DISPOSITION

None

School

Signature, person taking bail

Susp.

Revo

The court Therefore Enters in Following Order This Date


Mo.

FINED $
Incarceration in

, Iowa

SAC CITY - 6717

Notary/other
Signature

Citation #:

FORFEIT BOND

JURY TRIAL

at

CUDABACK, TORY
FEBRUARY, 2015

Subscribed and sworn to me by

SURCHARGE $

Day

COST $
Days:

Yr.

DATE:

Continued to:

REASON

DATE:

Continued to:

REASON

DATE:

WARRANT ISSUED

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

Days

Dispatch /
Case #:

COMPLAINT
Form 420001E 1/07
PLAINTIFF

Law Enforcement Agency -

SAC COUNTY SHERIFF'S OFFICE


City of:

SAC CITY

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12

HOWE

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

S81 BACK 150221 234141 0

Citation #:

Reference #:

BENJAMIN

Defendant, Last

REISE

First

Address 1424 1/2 7TH AVE S

DL Class

The undersigned states that on or about


US DOT#

02/21/2015

$200.00

Criminal Surcharge

$70.00

Co. Enf. Surcharge

$5.00

Court Costs

$60.00

Total Fine/Costs

$335.00

Court Appearance Required (805.10)


Reason:

Height

Serious P.I.

2000 TAN

Race W
50501-0000
5' 05"
Weight

BUICK BUIC
Pass
End

Ethnicity N
Sex MALE

LESABRE

4D

CDL NO
HazMat End Req?
Req?
Req?
Located in the county and state aforesaid and did then and there commit the following offense:

IA

State

Upon a public highway at US 71/330TH ST


Scheduled Violation/Fine

Zip Code

DL Rest. 2

defendant did unlawfully: Operate Motor Vehicle/Boat

Lic. Plate #/REG CKR142

ICC#

State IA

FORT DODGE
DL End. NONE

at 11:41 PM

DOB 7/22/1997

Suffix

City

DL State IA

50583
DL/State ID
Viewed?
YES

673AJ9818

DL#

Middle

IA

Year 2015

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

Violation FAILURE TO HAVE VALID LICENSE/PERMIT WHILE OPER. MOTOR VEH.


Sec #: 321.174

ICIS Sec #: 321.174(1)

Officer's
Signature

Zone

IA Code: 20 15
ICIS Ord.

Local Ord.

I.D. No. 81-5

in

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.

Dated 02/21/2015

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

Court 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:
03/23/2015 at
8:30 AM
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.
The following applies to simple misdemeanors only:

$472.50
4. I hereby give my unsecured appearance bond in the amount of
dollars and enter my 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.

*+S81BACK1502212341410+*
Dated

Signature of
Defendant

02/21/2015

I swear that the foregoing complaint is true and correct.

this

21

day of

Agency

Officer's
Signature

SAC COUNTY SHERIFF'S OFFICE

ABSTRACT OF COURT RECORD


COURT NO.

CASE NO.

DOCKET NO.
LICENSE NO.

CASE NO.
STATE:

NO JURY TRIAL or
PROCEEDING

Notary/other

NOTARY

S81 BACK 150221 234141 0

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 02/23/2015 08:22AM


CLERK DISTRICT COURT
SAC COUNTY IOWA

Other
BAIL CASH DEPOSIT
PLEA

VERDICT

GUILTY
NOT GUILTY

GUILTY
NOT GUILTY
Date

DISMISSED

Signature, person giving bail

Driver's License
Recommendation

OTHER DISPOSITION

None

School

Signature, person taking bail

Susp.

Revo

The court Therefore Enters in Following Order This Date


Mo.

FINED $
Incarceration in

, Iowa

SAC CITY - 6717

Notary/other
Signature

Citation #:

FORFEIT BOND

JURY TRIAL

at

CUDABACK, TORY
FEBRUARY, 2015

Subscribed and sworn to me by

SURCHARGE $

Day

COST $
Days:

Yr.

DATE:

Continued to:

REASON

DATE:

Continued to:

REASON

DATE:

WARRANT ISSUED

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

Days

Dispatch /
Case #:

COMPLAINT
Form 420001E 1/07
PLAINTIFF

Law Enforcement Agency -

SAC COUNTY SHERIFF'S OFFICE


City of:

SAC CITY

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12

JOHNSON

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

S81 EYER 150220 234150 8

Citation #:

Reference #:

MANDI

Defendant, Last

ANN

First

Address 203 MAIN ST

DL Class

The undersigned states that on or about


US DOT#

02/20/2015

$40.00

Criminal Surcharge

$14.00

Co. Enf. Surcharge

$5.00

Court Costs

$60.00

Total Fine/Costs

$119.00

Court Appearance Required (805.10)


Reason:

Height

Serious P.I.

2000 RED

Race W
51450-0000
5' 08"
Weight

Ethnicity N
Sex FEMALE

CHEVROL CAV
ET -End
CHEV
Pass

4D

CDL NO
HazMat End Req?
Req?
Req?
Located in the county and state aforesaid and did then and there commit the following offense:

IA

State

Upon a public highway at US 71/KARR AVE


Scheduled Violation/Fine

Zip Code

DL Rest. B

defendant did unlawfully: Operate Motor Vehicle/Boat

Lic. Plate #/REG 810ZEQ

ICC#

State IA

LAKE VIEW
DL End. NONE

at 11:41 PM

DOB 6/27/1994

Suffix

City

DL State IA

50583
DL/State ID
Viewed?
YES

221AD5156

DL#

Middle

IA

Year 2015

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

ICIS Sec #: 321.285-B

Officer's
Signature

55

Zone

IA Code: 20 15
ICIS Ord.

Local Ord.

I.D. No. 81-9

in

Fed/Adm Code:

Violation SPEEDING 55 OR < (6 THRU 10 OVER) RADAR (69)


Sec #: 321.285

65

NOTICE: Providing false identification information is a violation of Section 719.1A of


the Code of Iowa and is punishable as a simple misdemeanor.

Dated 02/20/2015

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

Court 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:
03/23/2015 at
8:30 AM
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.
The following applies to simple misdemeanors only:

$148.50
4. I hereby give my unsecured appearance bond in the amount of
dollars and enter my 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.

*+S81EYER1502202341508+*
Dated

Signature of
Defendant

02/20/2015

I swear that the foregoing complaint is true and correct.

this

20

day of

Agency

Officer's
Signature

SAC COUNTY SHERIFF'S OFFICE

ABSTRACT OF COURT RECORD


COURT NO.

CASE NO.

DOCKET NO.
LICENSE NO.

CASE NO.
STATE:

NO JURY TRIAL or
PROCEEDING

Notary/other

OTHER

S81 EYER 150220 234150 8

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 02/23/2015 08:22AM


CLERK DISTRICT COURT
SAC COUNTY IOWA

Other
BAIL CASH DEPOSIT
PLEA

VERDICT

GUILTY
NOT GUILTY

GUILTY
NOT GUILTY
Date

DISMISSED

Signature, person giving bail

Driver's License
Recommendation

OTHER DISPOSITION

None

School

Signature, person taking bail

Susp.

Revo

The court Therefore Enters in Following Order This Date


Mo.

FINED $
Incarceration in

, Iowa

SAC CITY - 6717

Notary/other
Signature

Citation #:

FORFEIT BOND

JURY TRIAL

at

MEYER, JONATHON
FEBRUARY, 2015

Subscribed and sworn to me by

SURCHARGE $

Day

COST $
Days:

Yr.

DATE:

Continued to:

REASON

DATE:

Continued to:

REASON

DATE:

WARRANT ISSUED

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

Days

DEFENDANT COPY

P05 5MAI 15022

Citation 9:

Form 420001E 1/07


PLAINTIFF:

IOWA UNIFORM CITATION AND COMPLAINT


Law Enforcement Agency IOWA STATE PATROL - DIST 05

ICounty of. Sac - 81

:^:Stateoflowa

i " ! City of

In the Court at S A C C O U N T Y C O U R T H O U S E 100 N W S T A T E S T R E E T S U I T E 12


VS.
KATHERINE
KIME
LILY
Name
Middle
Suffix
Defendant. Last
First
Address

4 1 2 S 12TH ST

DL State

IA

City

US DOT#

ICC#

City S A C C I T Y
490AF8S98

Zip Code 50583-0000

State I A

NONE

Race W

Ethnicity N

Height

DL Res. B

Upon a public highway at M 5 4 1-1/2 S O D15 N B O V L K 6 7


Scheduled Violation/Fine

$20.00

Criminal Surcharge
Co. Enf. Surcharge

$7.00
N/A

Court Costs

$60.00

Total Fine/Costs

$87.00

08/21/1996

. Dale of Birth

SAC CITY
DL End.

Zip 50583

State I A

5' 06"
Weight
r ui'u 02/23/2015 at .' 7:24 A M
defendant did unlawfully Operate Motor Vehicle/Boat
2004 G R N
TAU
FORT)
S'^e J A _ Year _ CDL
N p _ * End _
Lie. Plate #/REG
341ZNX
DL Class

The undersigned states that on or about

Reference #:

Sex F E M A L E
40

Located in the county and state aforesaid and did then and there commit the folli

'"""i-Court Appearance Required (805.10)


Reason. ; " l SeriousP.I.

" | Road Work Zone

Fatal Accident
:

55

\ Non-scheduled Violation

CivilDamage Assessment

Zone

Other

"*
Violation S P E E D I N G 55 O R < (1 T H R U 5 O V E R )
Sec#. 321.285

Local O r d ,

ICISSec*: 321.285-A

Officers
Signature

Court Date:

I.D. No. 215


Dated

II you mupfSppear in court or il you choose lo appear to answevto a charge


which/does not require an appearance, report to the above nameXcourt on:

02/23/2015

03/30/2015

a t

8:30 AM

nvjii^n,. riuvKuiia taise meumnjimon mioniiauou is a violation oi ^ecttort / l y . i f t oi irte iSafle ot towa ana is punisnaote as a simple misaernea#br
VfiU Mt6>l i r e given notice mat witnin a reasonaDie time but no larer man tne aate scneauiea ror your inmai appearance
district court clerk of the county in which this citation was issued.

Itfpmpiatnr, sworn unaer oatn \

niea wnn tne

My signature below Is not a plea of guilty, but acknowledges all of the following:
1.1 hereby swear and affirm that the information provided by me on this citation is true under penalty ol 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 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.

The following applies to simple misdemeanors only:


4.1 hereby give my unsecured appearance bond in the amount of

$100.50

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 Ihe penalty and surcharge plus court cost.
v

Dated

Defendant
Signature

u r 6 c

"
l ''
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
j 6 d , or if y o u / r e hearing impaired, call Relay lowa TTY at 1-800-735-2942.,

02/23/2015

S S U

P05 5HAI 150223 072423 2


IF P L E A D I N G G U I L T Y

CHECKS PAYABLE TO:

D E T A C H A N D REMIT WITH P A Y M E N T !

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 N W S T A T E S T R E E T S U I Tf EE 12

ISSUING LAW ENFORcllBENT AGENCY


Name

K n

"

I E

Defendant. Last

Iowa State Patrol - Dist 05

LILY

KATHERINE

First

Middle
City

A d d r e s s 412 s 12TH ST
DL State I A

U S DOT#

ICC#

02/23/2015

Lie. Plate #/REG

Upon a public highway at M54 1-1/2 SO D15 NB OV LK67


$20.00
sioo.50

': Road Work Zone

5MAI 150223 $72423 2

City S A C C I T Y

IA

Zip 50583

DL# 490AF8598

Date of Birth

08/21/1996

Suffix
SAC CITY

State I A
DL R e s . B

Zip C o d e 50583-0000
Height

5' 06'

2 0 0 4

defendant did unlawfully: Operate Motor Vehicle/Boat


CDL
NO
341ZNX
State
IA Year 2015
Req'
_ Located in the county and state aforesaid and did then

S7.00

State

Reterence #:

Sec# 321.285

Criminal Surcharge

07:24

Violation S P E E D I N G 55 O R < (1 T H R U 5 O V E R )

..SchedoKaTine
Bond amount

P05

*~

DL E n d . N O N E

DL Class C

The undersigned states that on or about

P A Y ONLINE A TVVWW.IOWACOURTS.GOV

Citation #:

CLERK OF COURT

ICIS Sec

Co. Enf, Surcharge

Coun Appearance Required (805.10)

N/A

321.285-A

Court Costs

a c e

Ethnicity

Weight

Sex

4D
rncn
Pass End
HazMat
E
n
d
R
e
q
?
Req?
and there commit the followinj
T

Local Ord.

$60.00

Total Fine/(iosts

Court Date: 03/30/2015 Speed 60 in 55 Zone Fed/Adm Code

i, tr i unoersigneo, ao nereoy enter my appearance on me complaint or tne ortense cnargea on mis citation. I nave Deen inrormea or my ngnt to a mai, mar my
sipr ature to this plea of guilty will have me 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 G U I L T Y to said offense as charged and agree to the penalty prescribed for my offense.
Amount to pay: $87.00
;

i 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 a g r e e t h a t e i t h e r (1) I will a p p e a r p u r s u a n t t o t h i s c i t a t i o n o r (2) if I d o n o 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 b a i l will b e f o r f e i t e d . "
Signature of
Defendant

Officer:

MATER, D

I.D. N o . 215

Dispatch /
Case #:

COMPLAINT

Law Enforcement Agency -

MOTOR VEHICLE ENFORCEMENT


City of:

SAC CITY

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12

PEREZ ROJAS

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

T01 T324 150220 170831 3

Citation #:

Reference #:

Form 420001E 1/07


PLAINTIFF

WILIBALDO

Defendant, Last

Middle

Address 4909 S 76TH PLZ APT 109

DL Class

02/20/2015

The undersigned states that on or about


US DOT# 02283522

ICC# 867137

$50.00
$17.50

Co. Enf. Surcharge

N/A

Court Costs

$60.00

Total Fine/Costs

$127.50

Serious P.I.

2012 GRN

Race U
68127-0000
5' 08"
Weight 166 LBS

Ethnicity U
Sex MALE

DODGE DODG
Pass
End NO

TT

CDL YES
HazMat End Req? NO
Req?
Req?
Located in the county and state aforesaid and did then and there commit the following offense:

Court Appearance Required (805.10)


Reason:

Height

NE Year 2015

State

Upon a public highway at US 71/KARR AVE

Criminal Surcharge

Zip Code

DL Rest. NONE

defendant did unlawfully: Operate Motor Vehicle/Boat

Lic. Plate #/REG 170421

Scheduled Violation/Fine

State NE

OMAHA
DL End. NONE

at 5:00 PM

DOB 1/26/1978

Suffix

City

DL State NE

50583
DL/State ID
Viewed?
YES

H13063723

DL#

First

IA

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

Violation INOPERABLE AUTOMATIC TRAILER BRAKE


Sec #: 321.449

ICIS Ord.

Local Ord.

I.D. No. T324

Zone

IA Code: 20 13

ICIS Sec #: 321.449-A

Officer's
Signature

in

Fed/Adm Code: 393.43D

NOTICE: Providing false identification information is a violation of Section 719.1A of


the Code of Iowa and is punishable as a simple misdemeanor.

Dated 02/20/2015

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

Court 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:
03/09/2015 at
8:30 AM
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.
The following applies to simple misdemeanors only:

$161.25
4. I hereby give my unsecured appearance bond in the amount of
dollars and enter my 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.

*+T01T3241502201708313+*
Dated

Signature of
Defendant

02/20/2015

I swear that the foregoing complaint is true and correct.

this

23

day of

Agency

Officer's
Signature

MOTOR VEHICLE ENFORCEMENT

ABSTRACT OF COURT RECORD


COURT NO.

CASE NO.

DOCKET NO.
LICENSE NO.

CASE NO.
STATE:

NO JURY TRIAL or
PROCEEDING

Notary/other

OTHER

T01 T324 150220 170831 3

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 02/23/2015 05:30PM


CLERK DISTRICT COURT
SAC COUNTY IOWA

Other
BAIL CASH DEPOSIT
PLEA

VERDICT

GUILTY
NOT GUILTY

GUILTY
NOT GUILTY
Date

DISMISSED

Signature, person giving bail

Driver's License
Recommendation

OTHER DISPOSITION

None

School

Signature, person taking bail

Susp.

Revo

The court Therefore Enters in Following Order This Date


Mo.

FINED $
Incarceration in

SURCHARGE $

, Iowa

EARLY - 2200

Notary/other
Signature

Citation #:

FORFEIT BOND

JURY TRIAL

at

DAGIT, JOSHUA
FEBRUARY, 2015

Subscribed and sworn to me by

Day

COST $
Days:

Yr.

DATE:

Continued to:

REASON

DATE:

Continued to:

REASON

DATE:

WARRANT ISSUED

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

Days

Dispatch /
Case #:

COMPLAINT
Form 420001E 1/07
PLAINTIFF

Reference #:

Law Enforcement Agency -

MOTOR VEHICLE ENFORCEMENT


City of:

SAC CITY

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12

HAMILTON

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

T01 T324 150220 182656 6

Citation #:

MARVIN

Defendant, Last

BRADIE

First

Address 1633 PEACH RD

DL Class

02/20/2015

US DOT# 01771673

ICC# 646752

$50.00
$17.50

Co. Enf. Surcharge

N/A

Court Costs

$60.00

Total Fine/Costs

$127.50

DOB 4/10/1966

Height

Serious P.I.

2011 SIL

Race B
51447-0000
5' 10"
Weight 178 LBS

Ethnicity N
Sex MALE

PETERBIL
T - PTRB
Pass
End NO

TT

CDL YES
HazMat End Req? NO
Req?
Req?
Located in the county and state aforesaid and did then and there commit the following offense:

KS

State

Court Appearance Required (805.10)


Reason:

Zip Code

DL Rest. NONE

defendant did unlawfully: Operate Motor Vehicle/Boat

Upon a public highway at US 71/KARR AVE

Criminal Surcharge

State IA

KIRKMAN

Lic. Plate #/REG 134666

Scheduled Violation/Fine

391AE5523

DL#

DL End. NONE

at 6:00 PM

50583
DL/State ID
Viewed?
YES

Suffix

City

DL State IA
The undersigned states that on or about

SR

Middle

IA

Year 2015

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

Violation DRIVING BEYOND 14HRS, 1400HRS TO TIME OF STOP


Sec #: 321.449

ICIS Sec #: 321.449-C

Zone

IA Code: 20 13
ICIS Ord.

Local Ord.

I.D. No. T324


Officer's
Signature

in

Fed/Adm Code: 395.3A2-PROP

NOTICE: Providing false identification information is a violation of Section 719.1A of


the Code of Iowa and is punishable as a simple misdemeanor.

Dated 02/20/2015

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

Court 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:
03/09/2015 at
8:30 AM
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.
The following applies to simple misdemeanors only:

$161.25
4. I hereby give my unsecured appearance bond in the amount of
dollars and enter my 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.

*+T01T3241502201826566+*
Dated

Signature of
Defendant

02/20/2015

I swear that the foregoing complaint is true and correct.

this

23

day of

Agency

Officer's
Signature

MOTOR VEHICLE ENFORCEMENT

ABSTRACT OF COURT RECORD


COURT NO.

CASE NO.

DOCKET NO.
LICENSE NO.

CASE NO.
STATE:

NO JURY TRIAL or
PROCEEDING

Notary/other

OTHER

T01 T324 150220 182656 6

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 02/23/2015 05:30PM


CLERK DISTRICT COURT
SAC COUNTY IOWA

Other
BAIL CASH DEPOSIT
PLEA

VERDICT

GUILTY
NOT GUILTY

GUILTY
NOT GUILTY
Date

DISMISSED

Signature, person giving bail

Driver's License
Recommendation

OTHER DISPOSITION

None

School

Signature, person taking bail

Susp.

Revo

The court Therefore Enters in Following Order This Date


Mo.

FINED $
Incarceration in

SURCHARGE $

, Iowa

EARLY - 2200

Notary/other
Signature

Citation #:

FORFEIT BOND

JURY TRIAL

at

DAGIT, JOSHUA
FEBRUARY, 2015

Subscribed and sworn to me by

Day

COST $
Days:

Yr.

DATE:

Continued to:

REASON

DATE:

Continued to:

REASON

DATE:

WARRANT ISSUED

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

Days

Dispatch /
Case #:

COMPLAINT
Form 420001E 1/07
PLAINTIFF

Reference #:

Law Enforcement Agency -

MOTOR VEHICLE ENFORCEMENT


City of:

SAC CITY

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12

HAMILTON

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

T01 T324 150220 183825 8

Citation #:

MARVIN

Defendant, Last

BRADIE

First

Address 1633 PEACH RD

DL Class

02/20/2015

US DOT# 01771673

ICC# 646752

$50.00
$17.50

Co. Enf. Surcharge

N/A

Court Costs

$60.00

Total Fine/Costs

$127.50

DOB 4/10/1966

Height

Serious P.I.

2011 SIL

Race B
51447-0000
5' 10"
Weight 178 LBS

Ethnicity N
Sex MALE

PETERBIL
T - PTRB
Pass
End NO

TT

CDL YES
HazMat End Req? NO
Req?
Req?
Located in the county and state aforesaid and did then and there commit the following offense:

KS

State

Court Appearance Required (805.10)


Reason:

Zip Code

DL Rest. NONE

defendant did unlawfully: Operate Motor Vehicle/Boat

Upon a public highway at US 71/KARR AVE

Criminal Surcharge

State IA

KIRKMAN

Lic. Plate #/REG 134666

Scheduled Violation/Fine

391AE5523

DL#

DL End. NONE

at 6:00 PM

50583
DL/State ID
Viewed?
YES

Suffix

City

DL State IA
The undersigned states that on or about

SR

Middle

IA

Year 2015

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

Violation FAILURE TO PROVIDE DOCUMENTATION OF CURRENT ANNUAL

INSPECTION. EXPIRED 1/2015


Sec #: 321.449
ICIS Sec #: 321.449-A

Zone

IA Code: 20 13
ICIS Ord.

Local Ord.

I.D. No. T324


Officer's
Signature

in

Fed/Adm Code: 396.17C

NOTICE: Providing false identification information is a violation of Section 719.1A of


the Code of Iowa and is punishable as a simple misdemeanor.

Dated 02/20/2015

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

Court 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:
03/09/2015 at
8:30 AM
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.
The following applies to simple misdemeanors only:

$161.25
4. I hereby give my unsecured appearance bond in the amount of
dollars and enter my 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.

*+T01T3241502201838258+*
Dated

Signature of
Defendant

02/20/2015

I swear that the foregoing complaint is true and correct.

this

23

day of

Agency

Officer's
Signature

MOTOR VEHICLE ENFORCEMENT

ABSTRACT OF COURT RECORD


COURT NO.

CASE NO.

DOCKET NO.
LICENSE NO.

CASE NO.
STATE:

NO JURY TRIAL or
PROCEEDING

Notary/other

OTHER

T01 T324 150220 183825 8

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 02/23/2015 05:30PM


CLERK DISTRICT COURT
SAC COUNTY IOWA

Other
BAIL CASH DEPOSIT
PLEA

VERDICT

GUILTY
NOT GUILTY

GUILTY
NOT GUILTY
Date

DISMISSED

Signature, person giving bail

Driver's License
Recommendation

OTHER DISPOSITION

None

School

Signature, person taking bail

Susp.

Revo

The court Therefore Enters in Following Order This Date


Mo.

FINED $
Incarceration in

SURCHARGE $

, Iowa

EARLY - 2200

Notary/other
Signature

Citation #:

FORFEIT BOND

JURY TRIAL

at

DAGIT, JOSHUA
FEBRUARY, 2015

Subscribed and sworn to me by

Day

COST $
Days:

Yr.

DATE:

Continued to:

REASON

DATE:

Continued to:

REASON

DATE:

WARRANT ISSUED

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

Days

Dispatch /
Case #:

COMPLAINT

Law Enforcement Agency -

MOTOR VEHICLE ENFORCEMENT


City of:

SAC CITY

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12

SALAHUDDIN

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

T01 T324 150220 192654 0

Citation #:

Reference #:

Form 420001E 1/07


PLAINTIFF

OMAR

Defendant, Last

IBN

First

Address 5235 BAMFORD DR

02/20/2015

The undersigned states that on or about


US DOT# 02272056

DL Class

ICC# 775901

$50.00
$17.50

Co. Enf. Surcharge

N/A

Court Costs

$60.00

Total Fine/Costs

$127.50

Serious P.I.

2013 GRY

Race B
95823-0000
6' 00"
Weight 169 LBS

Ethnicity N
Sex MALE

FREIGHT
LINER
F
Pass
End - NO

TT

CDL YES
HazMat End Req? NO
Req?
Req?
Located in the county and state aforesaid and did then and there commit the following offense:

Court Appearance Required (805.10)


Reason:

Height

CA Year 2015

State

Upon a public highway at US 71/KARR AVE

Criminal Surcharge

Zip Code

DL Rest. NONE

defendant did unlawfully: Operate Motor Vehicle/Boat

Lic. Plate #/REG WP04750

Scheduled Violation/Fine

State CA

SACRAMENTO
DL End. TN

at 7:15 PM

DOB 10/26/1969

Suffix

City

DL State CA

50583
DL/State ID
Viewed?
YES

A5955927

DL#

Middle

IA

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

Violation LOGBOOK NOT CURRENT. NO ENTRIES SINCE 0000HRS 2/19/15


Sec #: 321.449

ICIS Sec #: 321.449-C

Zone

IA Code: 20 13
ICIS Ord.

Local Ord.

I.D. No. T324


Officer's
Signature

in

Fed/Adm Code: 395.8F1

NOTICE: Providing false identification information is a violation of Section 719.1A of


the Code of Iowa and is punishable as a simple misdemeanor.

Dated 02/20/2015

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

Court 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:
03/09/2015 at
8:30 AM
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.
The following applies to simple misdemeanors only:

$161.25
4. I hereby give my unsecured appearance bond in the amount of
dollars and enter my 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.

*+T01T3241502201926540+*
Dated

Signature of
Defendant

02/20/2015

I swear that the foregoing complaint is true and correct.

this

23

day of

Agency

Officer's
Signature

MOTOR VEHICLE ENFORCEMENT

ABSTRACT OF COURT RECORD


COURT NO.

CASE NO.

DOCKET NO.
LICENSE NO.

CASE NO.
STATE:

NO JURY TRIAL or
PROCEEDING

Notary/other

OTHER

T01 T324 150220 192654 0

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 02/23/2015 05:31PM


CLERK DISTRICT COURT
SAC COUNTY IOWA

Other
BAIL CASH DEPOSIT
PLEA

VERDICT

GUILTY
NOT GUILTY

GUILTY
NOT GUILTY
Date

DISMISSED

Signature, person giving bail

Driver's License
Recommendation

OTHER DISPOSITION

None

School

Signature, person taking bail

Susp.

Revo

The court Therefore Enters in Following Order This Date


Mo.

FINED $
Incarceration in

SURCHARGE $

, Iowa

EARLY - 2200

Notary/other
Signature

Citation #:

FORFEIT BOND

JURY TRIAL

at

DAGIT, JOSHUA
FEBRUARY, 2015

Subscribed and sworn to me by

Day

COST $
Days:

Yr.

DATE:

Continued to:

REASON

DATE:

Continued to:

REASON

DATE:

WARRANT ISSUED

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

Days

Dispatch /
Case #:

COMPLAINT
Form 420001E 1/07
PLAINTIFF

Reference #:

Law Enforcement Agency -

MOTOR VEHICLE ENFORCEMENT


City of:

SAC CITY

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12

BURSE

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

T01 T324 150220 195515 2

Citation #:

BILLY

Defendant, Last

GENE

First

Address 3696 COUNCIL FIORD

02/20/2015

The undersigned states that on or about


US DOT# 02465339

DL Class

ICC# 852019

$50.00
$17.50

Co. Enf. Surcharge

N/A

Court Costs

$60.00

Total Fine/Costs

$127.50

Serious P.I.

2000 PLE

Race W

38632
5' 08"

Ethnicity N

Weight 190 LBS

Sex MALE

PETERBIL
T - PTRB
Pass
End NO

TT

CDL YES
HazMat End Req? NO
Req?
Req?
Located in the county and state aforesaid and did then and there commit the following offense:

Court Appearance Required (805.10)


Reason:

Height

TN Year 2015

State

Upon a public highway at US 71/KARR AVE

Criminal Surcharge

Zip Code

DL Rest. NONE

defendant did unlawfully: Operate Motor Vehicle/Boat

Lic. Plate #/REG D6248HY

Scheduled Violation/Fine

State MS

HERNANDO
DL End. N

at 7:35 PM

DOB 11/4/1969

Suffix

City

DL State MS

50583
DL/State ID
Viewed?
YES

801065742

DL#

Middle

IA

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

Violation DRIVING BEYOND 70HRS 0930HRS TO TIME OF STOP


Sec #: 321.449

ICIS Sec #: 321.449-C

Zone

IA Code: 20 13
ICIS Ord.

Local Ord.

I.D. No. T324


Officer's
Signature

in

Fed/Adm Code: 395.3B2

NOTICE: Providing false identification information is a violation of Section 719.1A of


the Code of Iowa and is punishable as a simple misdemeanor.

Dated 02/20/2015

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

Court 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:
03/09/2015 at
8:30 AM
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.
The following applies to simple misdemeanors only:

$161.25
4. I hereby give my unsecured appearance bond in the amount of
dollars and enter my 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.

*+T01T3241502201955152+*
Dated

Signature of
Defendant

02/20/2015

I swear that the foregoing complaint is true and correct.

this

23

day of

Agency

Officer's
Signature

MOTOR VEHICLE ENFORCEMENT

ABSTRACT OF COURT RECORD


COURT NO.

CASE NO.

DOCKET NO.
LICENSE NO.

CASE NO.
STATE:

NO JURY TRIAL or
PROCEEDING

Notary/other

OTHER

T01 T324 150220 195515 2

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 02/23/2015 05:31PM


CLERK DISTRICT COURT
SAC COUNTY IOWA

Other
BAIL CASH DEPOSIT
PLEA

VERDICT

GUILTY
NOT GUILTY

GUILTY
NOT GUILTY
Date

DISMISSED

Signature, person giving bail

Driver's License
Recommendation

OTHER DISPOSITION

None

School

Signature, person taking bail

Susp.

Revo

The court Therefore Enters in Following Order This Date


Mo.

FINED $
Incarceration in

SURCHARGE $

, Iowa

EARLY - 2200

Notary/other
Signature

Citation #:

FORFEIT BOND

JURY TRIAL

at

DAGIT, JOSHUA
FEBRUARY, 2015

Subscribed and sworn to me by

Day

COST $
Days:

Yr.

DATE:

Continued to:

REASON

DATE:

Continued to:

REASON

DATE:

WARRANT ISSUED

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

Days

Dispatch /
Case #:

COMPLAINT
Form 420001E 1/07
PLAINTIFF

Reference #:

Law Enforcement Agency -

IOWA STATE PATROL - DIST 05


City of:

SAC CITY

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12

NELSON

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

P05 5MAI 150223 090957 3

Citation #:

DAVID

Defendant, Last

LAWRENCE

First

Address 909 4TH AVE W

DL Class

The undersigned states that on or about


US DOT#

02/23/2015

$80.00

Criminal Surcharge

$28.00

Co. Enf. Surcharge

N/A

Court Costs

$60.00

Total Fine/Costs

$168.00

Court Appearance Required (805.10)


Reason:

Height

Serious P.I.

2005 BGE

Race W
51301-0000
6' 03"
Weight

Ethnicity N
Sex MALE

CHEVROL SLV
ET -End
CHEV
Pass

PK

CDL NO
HazMat End Req?
Req?
Req?
Located in the county and state aforesaid and did then and there commit the following offense:

IA

State

Upon a public highway at M50/BV LINE SB LK76 ON M50


Scheduled Violation/Fine

Zip Code

DL Rest. N

defendant did unlawfully: Operate Motor Vehicle/Boat

Lic. Plate #/REG DL690

ICC#

State IA

SPENCER
DL End. P

at 9:09 AM

DOB 5/16/1975

Suffix

City

DL State IA

50583
DL/State ID
Viewed?
YES

890ZZ1659

DL#

Middle

IA

Year 2015

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

55

Zone

IA Code: 20 15

ICIS Sec #: 321.285-C

ICIS Ord.

Local Ord.

I.D. No. 215


Officer's
Signature

in

Fed/Adm Code:

Violation SPEEDING 55 OR < (11 THRU 15 OVER)


Sec #: 321.285

69

NOTICE: Providing false identification information is a violation of Section 719.1A of


the Code of Iowa and is punishable as a simple misdemeanor.

Dated 02/23/2015

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

Court 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:
03/30/2015 at
8:30 AM
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.
The following applies to simple misdemeanors only:

$222.00
4. I hereby give my unsecured appearance bond in the amount of
dollars and enter my 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.

*+P055MAI1502230909573+*
Dated

Signature of
Defendant

02/23/2015

I swear that the foregoing complaint is true and correct.

this

23

day of

Agency

Officer's
Signature

IOWA STATE PATROL - DIST 05

ABSTRACT OF COURT RECORD


COURT NO.

CASE NO.

DOCKET NO.
LICENSE NO.

CASE NO.
STATE:

NO JURY TRIAL or
PROCEEDING

TROOPER

P05 5MAI 150223 090957 3

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 02/23/2015 09:23PM


CLERK DISTRICT COURT
SAC COUNTY IOWA

BAIL CASH DEPOSIT


VERDICT

GUILTY
NOT GUILTY

GUILTY
NOT GUILTY
Date

DISMISSED

Signature, person giving bail

Driver's License
Recommendation

OTHER DISPOSITION

None

School

Signature, person taking bail

Susp.

Revo

The court Therefore Enters in Following Order This Date


Mo.

FINED $
Incarceration in

SURCHARGE $

Day

COST $
Days:

Yr.

, Iowa

Notary/other

Other

PLEA

CHEROKEE - 1272

Notary/other
Signature

Citation #:

FORFEIT BOND

JURY TRIAL

at

MAIER, D
FEBRUARY, 2015

Subscribed and sworn to me by

DATE:

Continued to:

REASON

DATE:

Continued to:

REASON

DATE:

WARRANT ISSUED

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

Days

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