Anda di halaman 1dari 3

tn

on

-n

E-FILED 2015 FEB 2 8:10 AM SAC - CLERK OF DISTRICT COURT

CD
I

IN THE IOWA DISTRICT COURT IN AND FOR


SAC COUNTY

This Complaint and Affidavit is to be:


[X] Filed with Court Clerk (cc: CA)
| Submitted to County Attorney

| Filed with JCO - Defendant is a Juvenile

Arrest Date: 02/01/2015

3:
CO

rsi
THE STATE OF IOWA
vs.

OFFENDER
Last

First

Middle

SORENSEN

MICHAEL

GENE

Suffix

Address

City

State

Zip Code

2922 R O L F LN

S A C CITY

IA

50583

Date of Birth
9/26/1971

Gender

Race

Ethnicity

MALE

WHITE - W

NOT O F HISPANIC ORIGIN - N

State

Height

Weight

Eye Color

Hair Color

IA

5' 09"

200 L B S

BLUE - B L U

BROWN - BRO

OFFENSE
State Local

Code Section

Crime Description

Class

708.2A(2)(A)

D O M E S T I C A B U S E A S S A U L T - 1ST O F F E N S E

SMMS

Location Type
20 - R E S I D E N C E / H O M E
Literal Description
M065/ROLF A V E
Address

City

State

2922 R O L F LN.

S A C CITY

IA

Is Date and Time of Incident Known?

Incident Date or Low Range

YES

02/01/2015

Upper Date Range

Incident Time or Low Range

Zip Code
50583
Upper Time Range

14:00

STATUS OF OFFENDER/JUVENILE
r^j

||

TAKEN INTO C U S T O D Y

WARRANT R E Q U E S T E D

CUSTODY

11

S U M M O N S TO A P P E A R

1 - JAILED

(Citation Issued)

prri

NO CONTACT ORDER

|1

REQUESTED

'

R E L E A S E D TO
'

PARENT/GUARDIAN

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

VICTIM INFORMATION (Optionally displayed, especially if NCO is requested)


Last

First

E'

Suffix

Middle

Business/Organization/State/County/Municipality ^Jame

Address

City

State

Zip

2922 R O L F LN.

S A C CITY

IA

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
ES (juvenile) and mother came to the Sac County LEC and reported ES had been assaulted by his father Michael Sorensen. ES was struck in the back
of the head, and on the face. ES did sustain a swollen bottom lip and a small cut on the inside of the left cheek. ES was then

PrintedAt

SAC COUNTY SHERIFF'S OFFICE

2/2/2015

8:11 AM

Page 1

of 2

Form*

2015-1028

0 0

Rex

ro

Agency Case Number: 2015-1028

wo

E-FILED 2015 FEB 2 8:10 AM S A C - C L E R K OF DISTRICT COURT


sent walking to his mothers in below freezing temperatures and near blizzard conditions. Mother did pick-up ES and brought to the Sac County LEC.

ERRITT, BRIAN

81-3

Signature of Complainant or Officer, Officer Name & Number


GENERAL PROBABLE CAUSE
Defendant Implicated
07 - IDENTIFIED BY WITNESSES

Operating Motor Vehicle in County

Other Physical Evidence

STATE OF IOWA,

Attempted To Inflict Injury

S A C COUNTY

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

PrintedAt

Notary Name

ANNA A N D E R S O N

Commission Number

749271

My Commission Expires

10/04/2016

SAC COUNTY SHERIFF'S OFFICE

02/01/2015

Signature of Verifying Party

CUM. CUidkA**|

2/2/2015

8:11 AM

| Peace Officer

Page 2

of 2

j ^ ] Notary

Form*

Prosecuting Attorney

2015-1028

Anda mungkin juga menyukai