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Case #:
COMPLAINT
Form 420001E 1/07
PLAINTIFF
Reference #:
SAC CITY
CHAPMAN
Name
State of Iowa
In the Court at
VS.
Citation #:
JESSE
Defendant, Last
EVERETT
First
DL Class
02/18/2015
$50.00
Criminal Surcharge
$17.50
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:
Height
State MO Year
Zip Code
DL Rest. NONE
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
Fatal Accident
Non-scheduled Violation
Speed
Other
Zone
IA Code: 20 13
ICIS Ord.
Local Ord.
in
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
this
23
day of
Agency
Officer's
Signature
CASE NO.
DOCKET NO.
LICENSE NO.
CASE NO.
STATE:
NO JURY TRIAL or
PROCEEDING
Notary/other
OTHER
Other
BAIL CASH DEPOSIT
PLEA
VERDICT
GUILTY
NOT GUILTY
GUILTY
NOT GUILTY
Date
DISMISSED
Driver's License
Recommendation
OTHER DISPOSITION
None
School
Susp.
Revo
FINED $
Incarceration in
SURCHARGE $
, Iowa
Notary/other
Signature
Citation #:
FORFEIT BOND
JURY TRIAL
at
HANSEN, JEFFREY
FEBRUARY, 2015
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 #:
SAC CITY
ELLINGSON
Name
State of Iowa
In the Court at
VS.
Citation #:
MATTHEW
Defendant, Last
First
DL Class
02/18/2015
$50.00
Criminal Surcharge
$17.50
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:
Height
NE Year 2015
State
Zip Code
DL Rest. NONE
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
Fatal Accident
Non-scheduled Violation
Speed
Other
Violation DRIVER HAD TWO SEPERATE 2/18 DAYS ONE STARTING 0130HRS AO 0900HRS
Sec #: 321.449
Zone
IA Code: 20 13
ICIS Ord.
Local Ord.
in
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
this
23
day of
Agency
Officer's
Signature
CASE NO.
DOCKET NO.
LICENSE NO.
CASE NO.
STATE:
NO JURY TRIAL or
PROCEEDING
Notary/other
OTHER
Other
BAIL CASH DEPOSIT
PLEA
VERDICT
GUILTY
NOT GUILTY
GUILTY
NOT GUILTY
Date
DISMISSED
Driver's License
Recommendation
OTHER DISPOSITION
None
School
Susp.
Revo
FINED $
Incarceration in
SURCHARGE $
, Iowa
Notary/other
Signature
Citation #:
FORFEIT BOND
JURY TRIAL
at
HANSEN, JEFFREY
FEBRUARY, 2015
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 #:
SAC CITY
WYANT
Name
State of Iowa
In the Court at
VS.
Citation #:
ELIJAH
Defendant, Last
BLUE
First
DL Class
02/19/2015
ICC# 133655
$40.00
$14.00
N/A
Court Costs
$60.00
Total Fine/Costs
$114.00
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
Criminal Surcharge
Zip Code
DL Rest. B
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
Fatal Accident
Non-scheduled Violation
Speed
Other
Zone
ICIS Ord.
Local Ord.
55
IA Code: 20 15
Officer's
Signature
in
65
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
this
23
day of
Agency
Officer's
Signature
CASE NO.
DOCKET NO.
LICENSE NO.
CASE NO.
STATE:
NO JURY TRIAL or
PROCEEDING
Notary/other
OTHER
Other
BAIL CASH DEPOSIT
PLEA
VERDICT
GUILTY
NOT GUILTY
GUILTY
NOT GUILTY
Date
DISMISSED
Driver's License
Recommendation
OTHER DISPOSITION
None
School
Susp.
Revo
FINED $
Incarceration in
SURCHARGE $
, Iowa
Notary/other
Signature
Citation #:
FORFEIT BOND
JURY TRIAL
at
HANSEN, JEFFREY
FEBRUARY, 2015
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 #:
SAC CITY
WYANT
Name
State of Iowa
In the Court at
VS.
Citation #:
ELIJAH
Defendant, Last
BLUE
First
DL Class
02/19/2015
ICC# 133655
$20.00
$7.00
N/A
Court Costs
$60.00
Total Fine/Costs
$87.00
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
Criminal Surcharge
Zip Code
DL Rest. B
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
Fatal Accident
Non-scheduled Violation
Speed
Other
Zone
IA Code: 20 13
ICIS Ord.
Local Ord.
in
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
this
23
day of
Agency
Officer's
Signature
CASE NO.
DOCKET NO.
LICENSE NO.
CASE NO.
STATE:
NO JURY TRIAL or
PROCEEDING
Notary/other
OTHER
Other
BAIL CASH DEPOSIT
PLEA
VERDICT
GUILTY
NOT GUILTY
GUILTY
NOT GUILTY
Date
DISMISSED
Driver's License
Recommendation
OTHER DISPOSITION
None
School
Susp.
Revo
FINED $
Incarceration in
SURCHARGE $
, Iowa
Notary/other
Signature
Citation #:
FORFEIT BOND
JURY TRIAL
at
HANSEN, JEFFREY
FEBRUARY, 2015
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 #:
SAC CITY
FARLEY
Name
State of Iowa
In the Court at
VS.
Citation #:
MELISSA
Defendant, Last
KAY
First
DL Class
02/22/2015
$40.00
Criminal Surcharge
$14.00
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:
Height
OT Year 2015
State
Zip Code
DL Rest. B
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
Fatal Accident
Non-scheduled Violation
Speed
Other
55
Zone
IA Code: 20 15
ICIS Ord.
Local Ord.
in
Fed/Adm Code:
65
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
this
23
day of
Agency
Officer's
Signature
CASE NO.
DOCKET NO.
LICENSE NO.
CASE NO.
STATE:
NO JURY TRIAL or
PROCEEDING
Notary/other
OTHER
Other
BAIL CASH DEPOSIT
PLEA
VERDICT
GUILTY
NOT GUILTY
GUILTY
NOT GUILTY
Date
DISMISSED
Driver's License
Recommendation
OTHER DISPOSITION
None
School
Susp.
Revo
FINED $
Incarceration in
SURCHARGE $
, Iowa
Notary/other
Signature
Citation #:
FORFEIT BOND
JURY TRIAL
at
HANSEN, JEFFREY
FEBRUARY, 2015
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 #:
SAC CITY
TINOCO ZUNIGA
Name
State of Iowa
In the Court at
VS.
Citation #:
JUAN
Defendant, Last
First
DL Class
02/22/2015
ICC# 409758
$40.00
$14.00
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:
Height
TN Year 2015
State
Criminal Surcharge
Zip Code
DL Rest. NONE
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
Fatal Accident
Non-scheduled Violation
Speed
Other
55
Zone
IA Code: 20 15
ICIS Ord.
Local Ord.
in
65
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
this
23
day of
Agency
Officer's
Signature
CASE NO.
DOCKET NO.
LICENSE NO.
CASE NO.
STATE:
NO JURY TRIAL or
PROCEEDING
Notary/other
OTHER
Other
BAIL CASH DEPOSIT
PLEA
VERDICT
GUILTY
NOT GUILTY
GUILTY
NOT GUILTY
Date
DISMISSED
Driver's License
Recommendation
OTHER DISPOSITION
None
School
Susp.
Revo
FINED $
Incarceration in
SURCHARGE $
, Iowa
Notary/other
Signature
Citation #:
FORFEIT BOND
JURY TRIAL
at
HANSEN, JEFFREY
FEBRUARY, 2015
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 #:
SAC CITY
TINOCO ZUNIGA
Name
State of Iowa
In the Court at
VS.
Citation #:
JUAN
Defendant, Last
First
DL Class
02/22/2015
ICC# 409758
$50.00
$17.50
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:
Height
TN Year 2015
State
Criminal Surcharge
Zip Code
DL Rest. NONE
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
Fatal Accident
Non-scheduled Violation
Speed
Other
Zone
IA Code: 20 13
ICIS Ord.
Local Ord.
in
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
this
23
day of
Agency
Officer's
Signature
CASE NO.
DOCKET NO.
LICENSE NO.
CASE NO.
STATE:
NO JURY TRIAL or
PROCEEDING
Notary/other
OTHER
Other
BAIL CASH DEPOSIT
PLEA
VERDICT
GUILTY
NOT GUILTY
GUILTY
NOT GUILTY
Date
DISMISSED
Driver's License
Recommendation
OTHER DISPOSITION
None
School
Susp.
Revo
FINED $
Incarceration in
SURCHARGE $
, Iowa
Notary/other
Signature
Citation #:
FORFEIT BOND
JURY TRIAL
at
HANSEN, JEFFREY
FEBRUARY, 2015
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 #:
SAC CITY
WORTMANN
Name
State of Iowa
In the Court at
VS.
Citation #:
DERYK
Defendant, Last
First
DL Class
02/22/2015
ICC# 878721
$50.00
$17.50
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:
Height
OT Year 2015
State
Criminal Surcharge
Zip Code
DL Rest. 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
Fatal Accident
Non-scheduled Violation
Speed
Other
Zone
IA Code: 20 13
ICIS Ord.
Local Ord.
in
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
this
23
day of
Agency
Officer's
Signature
CASE NO.
DOCKET NO.
LICENSE NO.
CASE NO.
STATE:
NO JURY TRIAL or
PROCEEDING
Notary/other
OTHER
Other
BAIL CASH DEPOSIT
PLEA
VERDICT
GUILTY
NOT GUILTY
GUILTY
NOT GUILTY
Date
DISMISSED
Driver's License
Recommendation
OTHER DISPOSITION
None
School
Susp.
Revo
FINED $
Incarceration in
SURCHARGE $
, Iowa
Notary/other
Signature
Citation #:
FORFEIT BOND
JURY TRIAL
at
HANSEN, JEFFREY
FEBRUARY, 2015
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 #:
SAC CITY
ORTEGA
Name
State of Iowa
In the Court at
VS.
Citation #:
RAUL
Defendant, Last
III
First
Address 2385 CR 47
DL Class
02/22/2015
$40.00
Criminal Surcharge
$14.00
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
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
Zip Code
DL Rest. NONE
State TX
CORPUS CHRISTI
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
Fatal Accident
Non-scheduled Violation
Speed
Other
55
Zone
IA Code: 20 15
ICIS Ord.
Local Ord.
in
Fed/Adm Code:
65
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
this
23
day of
Agency
Officer's
Signature
CASE NO.
DOCKET NO.
LICENSE NO.
CASE NO.
STATE:
NO JURY TRIAL or
PROCEEDING
Notary/other
OTHER
Other
BAIL CASH DEPOSIT
PLEA
VERDICT
GUILTY
NOT GUILTY
GUILTY
NOT GUILTY
Date
DISMISSED
Driver's License
Recommendation
OTHER DISPOSITION
None
School
Susp.
Revo
FINED $
Incarceration in
SURCHARGE $
, Iowa
Notary/other
Signature
Citation #:
FORFEIT BOND
JURY TRIAL
at
HANSEN, JEFFREY
FEBRUARY, 2015
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
SAC CITY
DE WEERD
Name
State of Iowa
In the Court at
VS.
Citation #:
Reference #:
JEFFREY
Defendant, Last
ALAN
First
DL Class
02/20/2015
$40.00
Criminal Surcharge
$14.00
$5.00
Court Costs
$60.00
Total Fine/Costs
$119.00
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
Zip Code
DL Rest. B
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
Fatal Accident
Non-scheduled Violation
Speed
Other
55
Zone
IA Code: 20 15
ICIS Ord.
Local Ord.
in
Fed/Adm Code:
65
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
this
20
day of
Agency
Officer's
Signature
CASE NO.
DOCKET NO.
LICENSE NO.
CASE NO.
STATE:
NO JURY TRIAL or
PROCEEDING
Notary/other
NOTARY
Other
BAIL CASH DEPOSIT
PLEA
VERDICT
GUILTY
NOT GUILTY
GUILTY
NOT GUILTY
Date
DISMISSED
Driver's License
Recommendation
OTHER DISPOSITION
None
School
Susp.
Revo
FINED $
Incarceration in
, Iowa
Notary/other
Signature
Citation #:
FORFEIT BOND
JURY TRIAL
at
CUDABACK, TORY
FEBRUARY, 2015
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
SAC CITY
OLERICH
Name
State of Iowa
In the Court at
VS.
Citation #:
Reference #:
DANIEL
Defendant, Last
SCOTT
First
DL Class
02/21/2015
$30.00
Criminal Surcharge
$10.50
$5.00
Court Costs
$60.00
Total Fine/Costs
$105.50
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
Zip Code
DL Rest. B
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
Fatal Accident
Non-scheduled Violation
Speed
Other
in
Zone
Fed/Adm Code:
IA Code: 20 15
Sec #: 321.415
Officer's
Signature
ICIS Ord.
Local Ord.
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
this
21
day of
Agency
Officer's
Signature
CASE NO.
DOCKET NO.
LICENSE NO.
CASE NO.
STATE:
NO JURY TRIAL or
PROCEEDING
Notary/other
NOTARY
Other
BAIL CASH DEPOSIT
PLEA
VERDICT
GUILTY
NOT GUILTY
GUILTY
NOT GUILTY
Date
DISMISSED
Driver's License
Recommendation
OTHER DISPOSITION
None
School
Susp.
Revo
FINED $
Incarceration in
, Iowa
Notary/other
Signature
Citation #:
FORFEIT BOND
JURY TRIAL
at
CUDABACK, TORY
FEBRUARY, 2015
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
SAC CITY
OLERICH
Name
State of Iowa
In the Court at
VS.
Citation #:
Reference #:
DANIEL
Defendant, Last
SCOTT
First
DL Class
02/21/2015
$250.00
Criminal Surcharge
$87.50
$5.00
Court Costs
$60.00
Total Fine/Costs
$402.50
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
Zip Code
DL Rest. B
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
Fatal Accident
Non-scheduled Violation
Speed
Other
Officer's
Signature
Zone
IA Code: 20 15
ICIS Ord.
Local Ord.
in
Fed/Adm Code:
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
this
21
day of
Agency
Officer's
Signature
CASE NO.
DOCKET NO.
LICENSE NO.
CASE NO.
STATE:
NO JURY TRIAL or
PROCEEDING
Notary/other
NOTARY
Other
BAIL CASH DEPOSIT
PLEA
VERDICT
GUILTY
NOT GUILTY
GUILTY
NOT GUILTY
Date
DISMISSED
Driver's License
Recommendation
OTHER DISPOSITION
None
School
Susp.
Revo
FINED $
Incarceration in
, Iowa
Notary/other
Signature
Citation #:
FORFEIT BOND
JURY TRIAL
at
CUDABACK, TORY
FEBRUARY, 2015
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
SAC CITY
LEHMAN
Name
State of Iowa
In the Court at
VS.
Citation #:
Reference #:
PAIGE
Defendant, Last
DIANE
First
DL Class
02/21/2015
$40.00
Criminal Surcharge
$14.00
$5.00
Court Costs
$60.00
Total Fine/Costs
$119.00
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
Zip Code
DL Rest. NONE
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
Fatal Accident
Non-scheduled Violation
Speed
Other
55
Zone
IA Code: 20 15
ICIS Ord.
Local Ord.
in
Fed/Adm Code:
65
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
this
22
day of
Agency
Officer's
Signature
CASE NO.
DOCKET NO.
LICENSE NO.
CASE NO.
STATE:
NO JURY TRIAL or
PROCEEDING
Notary/other
NOTARY
Other
BAIL CASH DEPOSIT
PLEA
VERDICT
GUILTY
NOT GUILTY
GUILTY
NOT GUILTY
Date
DISMISSED
Driver's License
Recommendation
OTHER DISPOSITION
None
School
Susp.
Revo
FINED $
Incarceration in
, Iowa
Notary/other
Signature
Citation #:
FORFEIT BOND
JURY TRIAL
at
CUDABACK, TORY
FEBRUARY, 2015
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
SAC CITY
HOWE
Name
State of Iowa
In the Court at
VS.
Citation #:
Reference #:
BENJAMIN
Defendant, Last
REISE
First
DL Class
02/21/2015
$200.00
Criminal Surcharge
$70.00
$5.00
Court Costs
$60.00
Total Fine/Costs
$335.00
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
Zip Code
DL Rest. 2
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
Fatal Accident
Non-scheduled Violation
Speed
Other
Officer's
Signature
Zone
IA Code: 20 15
ICIS Ord.
Local Ord.
in
Fed/Adm Code:
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
this
21
day of
Agency
Officer's
Signature
CASE NO.
DOCKET NO.
LICENSE NO.
CASE NO.
STATE:
NO JURY TRIAL or
PROCEEDING
Notary/other
NOTARY
Other
BAIL CASH DEPOSIT
PLEA
VERDICT
GUILTY
NOT GUILTY
GUILTY
NOT GUILTY
Date
DISMISSED
Driver's License
Recommendation
OTHER DISPOSITION
None
School
Susp.
Revo
FINED $
Incarceration in
, Iowa
Notary/other
Signature
Citation #:
FORFEIT BOND
JURY TRIAL
at
CUDABACK, TORY
FEBRUARY, 2015
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
SAC CITY
JOHNSON
Name
State of Iowa
In the Court at
VS.
Citation #:
Reference #:
MANDI
Defendant, Last
ANN
First
DL Class
02/20/2015
$40.00
Criminal Surcharge
$14.00
$5.00
Court Costs
$60.00
Total Fine/Costs
$119.00
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
Zip Code
DL Rest. B
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
Fatal Accident
Non-scheduled Violation
Speed
Other
Officer's
Signature
55
Zone
IA Code: 20 15
ICIS Ord.
Local Ord.
in
Fed/Adm Code:
65
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
this
20
day of
Agency
Officer's
Signature
CASE NO.
DOCKET NO.
LICENSE NO.
CASE NO.
STATE:
NO JURY TRIAL or
PROCEEDING
Notary/other
OTHER
Other
BAIL CASH DEPOSIT
PLEA
VERDICT
GUILTY
NOT GUILTY
GUILTY
NOT GUILTY
Date
DISMISSED
Driver's License
Recommendation
OTHER DISPOSITION
None
School
Susp.
Revo
FINED $
Incarceration in
, Iowa
Notary/other
Signature
Citation #:
FORFEIT BOND
JURY TRIAL
at
MEYER, JONATHON
FEBRUARY, 2015
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
Citation 9:
:^:Stateoflowa
i " ! City of
4 1 2 S 12TH ST
DL State
IA
City
US DOT#
ICC#
City S A C C I T Y
490AF8S98
State I A
NONE
Race W
Ethnicity N
Height
DL Res. B
$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
Reference #:
Sex F E M A L E
40
Located in the county and state aforesaid and did then and there commit the folli
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:
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.
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.
$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
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
K n
"
I E
Defendant. Last
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
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
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
P A Y ONLINE A TVVWW.IOWACOURTS.GOV
Citation #:
CLERK OF COURT
ICIS Sec
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
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
SAC CITY
PEREZ ROJAS
Name
State of Iowa
In the Court at
VS.
Citation #:
Reference #:
WILIBALDO
Defendant, Last
Middle
DL Class
02/20/2015
ICC# 867137
$50.00
$17.50
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:
Height
NE Year 2015
State
Criminal Surcharge
Zip Code
DL Rest. NONE
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
Fatal Accident
Non-scheduled Violation
Speed
Other
ICIS Ord.
Local Ord.
Zone
IA Code: 20 13
Officer's
Signature
in
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
this
23
day of
Agency
Officer's
Signature
CASE NO.
DOCKET NO.
LICENSE NO.
CASE NO.
STATE:
NO JURY TRIAL or
PROCEEDING
Notary/other
OTHER
Other
BAIL CASH DEPOSIT
PLEA
VERDICT
GUILTY
NOT GUILTY
GUILTY
NOT GUILTY
Date
DISMISSED
Driver's License
Recommendation
OTHER DISPOSITION
None
School
Susp.
Revo
FINED $
Incarceration in
SURCHARGE $
, Iowa
EARLY - 2200
Notary/other
Signature
Citation #:
FORFEIT BOND
JURY TRIAL
at
DAGIT, JOSHUA
FEBRUARY, 2015
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 #:
SAC CITY
HAMILTON
Name
State of Iowa
In the Court at
VS.
Citation #:
MARVIN
Defendant, Last
BRADIE
First
DL Class
02/20/2015
US DOT# 01771673
ICC# 646752
$50.00
$17.50
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
Zip Code
DL Rest. NONE
Criminal Surcharge
State IA
KIRKMAN
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
Fatal Accident
Non-scheduled Violation
Speed
Other
Zone
IA Code: 20 13
ICIS Ord.
Local Ord.
in
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
this
23
day of
Agency
Officer's
Signature
CASE NO.
DOCKET NO.
LICENSE NO.
CASE NO.
STATE:
NO JURY TRIAL or
PROCEEDING
Notary/other
OTHER
Other
BAIL CASH DEPOSIT
PLEA
VERDICT
GUILTY
NOT GUILTY
GUILTY
NOT GUILTY
Date
DISMISSED
Driver's License
Recommendation
OTHER DISPOSITION
None
School
Susp.
Revo
FINED $
Incarceration in
SURCHARGE $
, Iowa
EARLY - 2200
Notary/other
Signature
Citation #:
FORFEIT BOND
JURY TRIAL
at
DAGIT, JOSHUA
FEBRUARY, 2015
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 #:
SAC CITY
HAMILTON
Name
State of Iowa
In the Court at
VS.
Citation #:
MARVIN
Defendant, Last
BRADIE
First
DL Class
02/20/2015
US DOT# 01771673
ICC# 646752
$50.00
$17.50
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
Zip Code
DL Rest. NONE
Criminal Surcharge
State IA
KIRKMAN
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
Fatal Accident
Non-scheduled Violation
Speed
Other
Zone
IA Code: 20 13
ICIS Ord.
Local Ord.
in
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
this
23
day of
Agency
Officer's
Signature
CASE NO.
DOCKET NO.
LICENSE NO.
CASE NO.
STATE:
NO JURY TRIAL or
PROCEEDING
Notary/other
OTHER
Other
BAIL CASH DEPOSIT
PLEA
VERDICT
GUILTY
NOT GUILTY
GUILTY
NOT GUILTY
Date
DISMISSED
Driver's License
Recommendation
OTHER DISPOSITION
None
School
Susp.
Revo
FINED $
Incarceration in
SURCHARGE $
, Iowa
EARLY - 2200
Notary/other
Signature
Citation #:
FORFEIT BOND
JURY TRIAL
at
DAGIT, JOSHUA
FEBRUARY, 2015
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
SAC CITY
SALAHUDDIN
Name
State of Iowa
In the Court at
VS.
Citation #:
Reference #:
OMAR
Defendant, Last
IBN
First
02/20/2015
DL Class
ICC# 775901
$50.00
$17.50
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:
Height
CA Year 2015
State
Criminal Surcharge
Zip Code
DL Rest. NONE
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
Fatal Accident
Non-scheduled Violation
Speed
Other
Zone
IA Code: 20 13
ICIS Ord.
Local Ord.
in
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
this
23
day of
Agency
Officer's
Signature
CASE NO.
DOCKET NO.
LICENSE NO.
CASE NO.
STATE:
NO JURY TRIAL or
PROCEEDING
Notary/other
OTHER
Other
BAIL CASH DEPOSIT
PLEA
VERDICT
GUILTY
NOT GUILTY
GUILTY
NOT GUILTY
Date
DISMISSED
Driver's License
Recommendation
OTHER DISPOSITION
None
School
Susp.
Revo
FINED $
Incarceration in
SURCHARGE $
, Iowa
EARLY - 2200
Notary/other
Signature
Citation #:
FORFEIT BOND
JURY TRIAL
at
DAGIT, JOSHUA
FEBRUARY, 2015
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 #:
SAC CITY
BURSE
Name
State of Iowa
In the Court at
VS.
Citation #:
BILLY
Defendant, Last
GENE
First
02/20/2015
DL Class
ICC# 852019
$50.00
$17.50
N/A
Court Costs
$60.00
Total Fine/Costs
$127.50
Serious P.I.
2000 PLE
Race W
38632
5' 08"
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:
Height
TN Year 2015
State
Criminal Surcharge
Zip Code
DL Rest. NONE
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
Fatal Accident
Non-scheduled Violation
Speed
Other
Zone
IA Code: 20 13
ICIS Ord.
Local Ord.
in
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
this
23
day of
Agency
Officer's
Signature
CASE NO.
DOCKET NO.
LICENSE NO.
CASE NO.
STATE:
NO JURY TRIAL or
PROCEEDING
Notary/other
OTHER
Other
BAIL CASH DEPOSIT
PLEA
VERDICT
GUILTY
NOT GUILTY
GUILTY
NOT GUILTY
Date
DISMISSED
Driver's License
Recommendation
OTHER DISPOSITION
None
School
Susp.
Revo
FINED $
Incarceration in
SURCHARGE $
, Iowa
EARLY - 2200
Notary/other
Signature
Citation #:
FORFEIT BOND
JURY TRIAL
at
DAGIT, JOSHUA
FEBRUARY, 2015
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 #:
SAC CITY
NELSON
Name
State of Iowa
In the Court at
VS.
Citation #:
DAVID
Defendant, Last
LAWRENCE
First
DL Class
02/23/2015
$80.00
Criminal Surcharge
$28.00
N/A
Court Costs
$60.00
Total Fine/Costs
$168.00
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
Zip Code
DL Rest. N
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
Fatal Accident
Non-scheduled Violation
Speed
Other
55
Zone
IA Code: 20 15
ICIS Ord.
Local Ord.
in
Fed/Adm Code:
69
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
this
23
day of
Agency
Officer's
Signature
CASE NO.
DOCKET NO.
LICENSE NO.
CASE NO.
STATE:
NO JURY TRIAL or
PROCEEDING
TROOPER
GUILTY
NOT GUILTY
GUILTY
NOT GUILTY
Date
DISMISSED
Driver's License
Recommendation
OTHER DISPOSITION
None
School
Susp.
Revo
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
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