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E-FILED 2016 DEC 10 12:18 AM SAC - CLERK OF DISTRICT COURT

IN THE IOWA DISTRICT COURT IN AND FOR


SAC COUNTY

This Complaint and Affidavit is to be:

Agency Case Number: 2-16-002087

Filed with Court Clerk (cc: CA)

Arrest Date: 12/07/2016

Submitted to County Attorney


Filed with JCO - Defendant is a Juvenile

THE STATE OF IOWA


VS.

OFFENDER
Last

First

Middle

LOXTERKAMP

SIDNEY

KAY

Suffix

Address

City

State

Zip Code

211 SOUTH 5TH ST., APT. #1

SAC CITY

IA

50583

Date of Birth

Gender

Race

Ethnicity

6/24/1995

FEMALE

WHITE - W

NOT OF HISPANIC ORIGIN - N

State

Height

Weight

Eye Color

Hair Color

IA

5' 05"

140 LBS

BROWN - BRO

BLACK - BLK

OFFENSE
State

County

Local

Code Section

Crime Description

Class

124.414

POSSESSION OF DRUG PARAPHERNALIA

SMMS

Location Type

20 - RESIDENCE/HOME
Literal Description

LEONARD ST AND S 5TH ST


Address

City

State

211 SOUTH 5TH ST., APT. #1

SAC CITY

IA

Is Date and Time of Incident Known?

Incident Date or Low Range

YES

12/07/2016

Upper Date Range

Incident Time or Low Range

Zip Code

50583
Upper Time Range

21:01

STATUS OF OFFENDER/JUVENILE
TAKEN INTO CUSTODY

CUSTODY

SUMMONS TO APPEAR
(Citation Issued)

WARRANT REQUESTED

NO CONTACT ORDER

RELEASED TO

REQUESTED

PARENT/GUARDIAN

NARRATIVE
Narrative of Offense Committed
On or about the above stated date and time, the Defendant did

knowingly possess drug paraphernalia

SUMMONS

I promise to appear in said court at said time and place.

Signature of Defendant
In the Court At

Court Date

12/20/2016

Court Time

8:30 AM

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12, SAC CITY 50583
AFFIDAVIT

STATE OF IOWA,

SAC COUNTY

I, the undersigned, being duly sworn, state that all facts contained in this Complaint and Affidavit, known by me or told to me by other reliable persons form the basis for my
belief that the defendant committed this crime
State all facts and persons relied upon supporting elements of alleged crime

On Wednesday December 7th, 2016 at approximately 21:01 hours a complaint was received of marijuana smoke coming from 211 South 5th Street,
Apt. #1. Defendant gave consent to search the residence. A search of the residence the following items were seized: two glass pipes with burnt black
residue used to smoke marijuana, marijuana blunts, rolling papers, grinder with green residue and a scale. I identified these items to be used to smoke
marijuana and or in the commission of handling marijuana based on my training.
Printed At

SAC CITY POLICE DEPARTMENT

12/10/2016

12:10 AM

Page 1

of 2

Form #:

2-16-002087

E-FILED 2016 DEC 10 12:18 AM SAC - CLERK OF DISTRICT COURT


MENTZER, BRIAN

81-23

Signature of Complainant or Officer, Officer Name & Number

GENERAL PROBABLE CAUSE


Defendant Implicated

01 - POSSESSED DRUGS/PARAPHERNALIA, 02 - CAUGHT IN ACT, 03 - ADMISSION/STATEMENTS, 08 - CRIME OBSERVED BY OFFICERS, 11


- POSSESSION

Operating Motor Vehicle in County

Other Physical Evidence

STATE OF IOWA,

Attempted To Inflict Injury

SAC COUNTY

Subscribed and sworn to before me by the person(s) signing the Complaint and Affidavit(s) on
Notary Name

KAREN KIME

Commission Number

777584

My Commission Expires

03/21/2019

12/09/2016

Signature of Verifying Party

Peace Officer

Notary

Prosecuting Attorney

Any person who fails to appear in court as specified by the citation may be guilty of a separate offense and the court may issue a warrant for their arrest.

Printed At

SAC CITY POLICE DEPARTMENT

12/10/2016

12:10 AM

Page 2

of 2

Form #:

2-16-002087

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