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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

THORPE

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

P05 2LUK 150309 170407 1

Citation #:

JUSTIN

Defendant, Last

CASE

First

Address 310 N. 13TH ST

The undersigned states that on or about


US DOT#

DL Class

03/09/2015

$40.00

Criminal Surcharge

$14.00

Co. Enf. Surcharge

N/A

Court Costs

$60.00

Total Fine/Costs

$114.00

Serious P.I.

2015 BLU

Race W
50583-0000
5' 08"
Weight 175 LBS

Ethnicity N
Sex MALE

HYUNDAI SANTA FE
- HYUN
Pass
End

SUV

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

NE Year 2015

State

Upon a public highway at SB M-68 N OF 280TH ST (74)


Scheduled Violation/Fine

Zip Code

DL Rest. NONE

defendant did unlawfully: Operate Motor Vehicle/Boat

Lic. Plate #/REG TSW001

ICC#

State IA

SAC CITY
DL End. NONE

at 5:04 PM

DOB 11/18/1994

Suffix

City

DL State OK

50583
DL/State ID
Viewed?
YES

V083570666

DL#

Middle

IA

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. 492


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 03/09/2015

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:
04/13/2015 at
9:00 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.

*+P052LUK1503091704071+*
Dated

Signature of
Defendant

03/09/2015

I swear that the foregoing complaint is true and correct.

this

10

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

OTHER

P05 2LUK 150309 170407 1

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 03/10/2015 06:52AM


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

SIOUX CITY - 7057

Notary/other
Signature

Citation #:

FORFEIT BOND

JURY TRIAL

at

LUKE, C
MARCH, 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

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

THORPE

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

P05 2LUK 150309 171433 3

Citation #:

JUSTIN

Defendant, Last

CASE

First

Address 310 N. 13TH ST

The undersigned states that on or about


US DOT#

DL Class

03/09/2015

$200.00

Criminal Surcharge

$70.00

Co. Enf. Surcharge

N/A

Court Costs

$60.00

Total Fine/Costs

$330.00

Serious P.I.

2015 BLU

Race W
50583-0000
5' 08"
Weight 175 LBS

Ethnicity N
Sex MALE

HYUNDAI SANTA FE
- HYUN
Pass
End

SUV

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

NE Year 2015

State

Upon a public highway at SB M-68 N OF 280TH ST (74)


Scheduled Violation/Fine

Zip Code

DL Rest. NONE

defendant did unlawfully: Operate Motor Vehicle/Boat

Lic. Plate #/REG TSW001

ICC#

State IA

SAC CITY
DL End. NONE

at 5:04 PM

DOB 11/18/1994

Suffix

City

DL State OK

50583
DL/State ID
Viewed?
YES

V083570666

DL#

Middle

IA

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

ICIS Sec #: 321.174(1)

IA Code: 20 15
ICIS Ord.

Local Ord.

I.D. No. 492


Officer's
Signature

Zone

Fed/Adm Code:

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


Sec #: 321.174

in

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 03/09/2015

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:
04/13/2015 at
9:00 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:

$465.00
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.

*+P052LUK1503091714333+*
Dated

Signature of
Defendant

03/09/2015

I swear that the foregoing complaint is true and correct.

this

10

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

OTHER

P05 2LUK 150309 171433 3

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 03/10/2015 06:52AM


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

SIOUX CITY - 7057

Notary/other
Signature

Citation #:

FORFEIT BOND

JURY TRIAL

at

LUKE, C
MARCH, 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

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

REXROAT

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

S81 IEDE 150309 175519 1

Citation #:

Reference #:

RACHAEL

Defendant, Last

DAWN

First

Address 6569 HIGHWAY 71

DL Class

The undersigned states that on or about


US DOT#

03/09/2015

$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

2013 WHI

Serious P.I.

Race W
50588-0000
5' 03"
Weight 150 LBS

Ethnicity N
Sex FEMALE

CHRYSLE 2LM
R - CHRY
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 BBF264

ICC#

State IA

STORM LAKE
DL End. NONE

at 5:54 PM

DOB 4/8/1980

Suffix

City

DL State IA

50583
DL/State ID
Viewed?
YES

753YY5054

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. 81-4


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 03/09/2015

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:
04/13/2015 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.

*+S81IEDE1503091755191+*
Dated

Signature of
Defendant

03/09/2015

I swear that the foregoing complaint is true and correct.

this

09

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 IEDE 150309 175519 1

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 03/10/2015 08:02AM


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

BIEDE, MATT
MARCH, 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

ZACHARIAS

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

S81 IEDE 150309 181102 2

Citation #:

Reference #:

CHRISTINA

Defendant, Last

MARIE

First

Address 16 1/2 2ND AVE NE

DL Class

The undersigned states that on or about


US DOT#

03/09/2015

$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

2015 WHI

Serious P.I.

Race W
50441-0000
5' 02"
Weight 135 LBS

Ethnicity N
Sex FEMALE

HYUNDAI ELANTRA
- HYUN
Pass
End

SEDAN

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. NONE

defendant did unlawfully: Operate Motor Vehicle/Boat

Lic. Plate #/REG CZF723

ICC#

State IA

HAMPTON
DL End. NONE

at 6:11 PM

DOB 2/20/1971

Suffix

City

DL State IA

50583
DL/State ID
Viewed?
YES

190AD2890

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. 81-4


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 03/09/2015

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:
04/06/2015 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.

*+S81IEDE1503091811022+*
Dated

Signature of
Defendant

03/09/2015

I swear that the foregoing complaint is true and correct.

this

09

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 IEDE 150309 181102 2

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 03/10/2015 08:02AM


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

BIEDE, MATT
MARCH, 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

ZARZA MALDONADO

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

S81 RMAN 150309 212439 3

Citation #:

Reference #:

Defendant, Last

DULCE

First

Address 1241 PEACHTREE LANE UNIT


DL State IL
The undersigned states that on or about

City

US DOT#

03/09/2015

$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.

2014 BLK

Race W
60120-0000
5' 03"
Weight 172 LBS

NISSAN NISSEnd
Pass

Ethnicity H
Sex FEMALE

ALTIMA

4D

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

IL

State

Upon a public highway at 315TH ST AND M043/FOX AVE


Scheduled Violation/Fine

Zip Code

DL Rest. ****

defendant did unlawfully: Operate Motor Vehicle/Boat

Lic. Plate #/REG E140252

ICC#

State IL

ELGIN
DL End. ****

at 9:24 PM

DOB 12/15/1985

Suffix

DL Class

50583
DL/State ID
Viewed?
YES

Z62517585956

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. 81-6


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 03/09/2015

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:
04/06/2015 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.

*+S81RMAN1503092124393+*
Dated

Signature of
Defendant

03/09/2015

I swear that the foregoing complaint is true and correct.

this

09

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 RMAN 150309 212439 3

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 03/10/2015 08:02AM


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

HATTERMAN, JOHN
MARCH, 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

DUNCAN

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

S81 URNS 150309 155020 6

Citation #:

Reference #:

SARA

Defendant, Last

BETH

First

Address 113 1ST ST CARNARVON

DL Class

The undersigned states that on or about


US DOT#

03/09/2015

$20.00

Criminal Surcharge

$7.00

Co. Enf. Surcharge

$5.00

Court Costs

$60.00

Total Fine/Costs

$92.00

Court Appearance Required (805.10)


Reason:

Height

2006 MAR

Serious P.I.

Race W

51450
6' 00"

Ethnicity N
Sex FEMALE

Weight

TOYOTA - TUNDRA
TOYT
Pass
End

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 M068/PERKINS AVE AND D042/290TH ST


Scheduled Violation/Fine

Zip Code

DL Rest. B

defendant did unlawfully: Operate Motor Vehicle/Boat

Lic. Plate #/REG AJP 975

ICC#

State IA

CARNARVON
DL End. NONE

at 3:50 PM

DOB 6/16/1969

Suffix

City

DL State IA

50583
DL/State ID
Viewed?
YES

040AA6091

DL#

Middle

IA

Year 2016

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

55

Zone

IA Code: 20 15

ICIS Sec #: 321.285-A

ICIS Ord.

Local Ord.

I.D. No. 81-7


Officer's
Signature

in

Fed/Adm Code:

Violation SPEEDING 55 OR < (1 THRU 5 OVER)


Sec #: 321.285

60

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 03/09/2015

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:

$108.00
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.

*+S81URNS1503091550206+*
Dated

Signature of
Defendant

03/09/2015

I swear that the foregoing complaint is true and correct.

this

10

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 URNS 150309 155020 6

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 03/10/2015 08:46AM


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

BURNS, JOEL
MARCH, 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

E-FILED 2015 MAR 10 12:17 AM SAC - CLERK OF DISTRICT COURT

E-FILED 2015 MAR 10 12:17 AM SAC - CLERK OF DISTRICT COURT

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

PRINCE

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

T01 T404 150306 140619 4

Citation #:

DANIEL

Defendant, Last

Middle

Address 166 SW FAIRVIEW AVE

DL Class

The undersigned states that on or about


US DOT# 02565781

03/06/2015

$50.00

Criminal Surcharge

$17.50

Co. Enf. Surcharge

N/A

Court Costs

$60.00

Total Fine/Costs

$127.50

Court Appearance Required (805.10)


Reason:

Height

Serious P.I.

2007 WHI

Race B
34952-7718
5' 06"
Weight 190 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:

FL

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 F7899R

ICC#

State FL

PORT ST LUCIE
DL End. XPST

at 1:40 PM

DOB 6/13/1980

Suffix

City

DL State FL

50583
DL/State ID
Viewed?
YES

P652160802130

DL#

First

IA

Year 2016

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

Violation DRIVERS LOG NOT CURRENT HAD NOT LIST ANYTHING SINCE MIDNIGHT

3/4
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 03/06/2015

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:

$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.

*+T01T4041503061406194+*
Dated

Signature of
Defendant

03/06/2015

I swear that the foregoing complaint is true and correct.

this

10

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 150306 140619 4

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 03/10/2015 04:31PM


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

HANSEN, JEFFREY
MARCH, 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

HOLMGREN

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

T01 T404 150309 075353 6

Citation #:

MADISON

Defendant, Last

LYN

First

Address 711 E MAPLE ST

DL Class

The undersigned states that on or about


US DOT#

03/09/2015

$40.00

Criminal Surcharge

$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.

2006 SIL

Race W
51566-0000
5' 06"
Weight 200 LBS

Ethnicity N
Sex FEMALE

CHEVROL IMP
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 STATE 39/IOWA 39


Scheduled Violation/Fine

Zip Code

DL Rest. B

defendant did unlawfully: Operate Motor Vehicle/Boat

Lic. Plate #/REG BFL886

ICC#

State IA

RED OAK
DL End. NONE

at 7:53 AM

DOB 9/8/1995

Suffix

City

DL State IA

50583
DL/State ID
Viewed?
YES

390AE0600

DL#

Middle

IA

Year 2015

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 SPEED EB HWY 39 CROSSING ESTHER AS 75 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 03/09/2015

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:

$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.

*+T01T4041503090753536+*
Dated

Signature of
Defendant

03/09/2015

I swear that the foregoing complaint is true and correct.

this

10

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 150309 075353 6

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 03/10/2015 04:31PM


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

HANSEN, JEFFREY
MARCH, 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

HANUSA

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

T01 T404 150309 142411 8

Citation #:

MARY

Defendant, Last

ANN

First

Address 121 FOX HAVEN DR

DL Class

The undersigned states that on or about


US DOT#

03/09/2015

$40.00

Criminal Surcharge

$14.00

Co. Enf. Surcharge

N/A

Court Costs

$60.00

Total Fine/Costs

$114.00

Court Appearance Required (805.10)


Reason:

Height

2005 BLU

Serious P.I.

Race W
51503-0000
6' 00"
Weight 180 LBS

Ethnicity N
Sex FEMALE

CADILLA DEV
C - CADI
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 STATE 39/IOWA 39


Scheduled Violation/Fine

Zip Code

DL Rest. B

defendant did unlawfully: Operate Motor Vehicle/Boat

Lic. Plate #/REG 192SZF

ICC#

State IA

COUNCIL BLUFFS
DL End. NONE

at 2:24 PM

DOB 5/26/1963

Suffix

City

DL State IA

50583
DL/State ID
Viewed?
YES

836PP1998

DL#

Middle

IA

Year 2015

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 SPEED WB HWY 39 JUST E OF DEAN AS 74 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 03/09/2015

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:

$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.

*+T01T4041503091424118+*
Dated

Signature of
Defendant

03/09/2015

I swear that the foregoing complaint is true and correct.

this

10

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 150309 142411 8

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 03/10/2015 04:31PM


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

HANSEN, JEFFREY
MARCH, 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

CRAMER

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

T01 T404 150310 092309 9

Citation #:

RICHARD

Defendant, Last

MANFORD

First

Address 502 LAKEVIEW DR

DL Class

The undersigned states that on or about


US DOT# 00395305

03/10/2015

$50.00

Criminal Surcharge

$17.50

Co. Enf. Surcharge

N/A

Court Costs

$60.00

Total Fine/Costs

$127.50

Court Appearance Required (805.10)


Reason:

Height

Serious P.I.

2004 WHI

Race W
50261-0000
6' 02"
Weight 325 LBS

FORD FORD
Pass
End

Ethnicity N
Sex MALE

F450

TR

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 BEP932

ICC#

State IA

VAN METER
DL End. NONE

at 9:00 AM

DOB 5/13/1969

Suffix

City

DL State IA

50583
DL/State ID
Viewed?
YES

161BB7854

DL#

Middle

IA

Year 2015

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

Violation NO ANNUAL INSPECTION ON THE TRUCK


Sec #: 321.449

ICIS Ord.

Local Ord.

I.D. No. T404

Zone

IA Code: 20 13

ICIS Sec #: 321.449-A

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 03/10/2015

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
8:00 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.

*+T01T4041503100923099+*
Dated

Signature of
Defendant

03/10/2015

I swear that the foregoing complaint is true and correct.

this

10

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 150310 092309 9

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 03/10/2015 04:32PM


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

HANSEN, JEFFREY
MARCH, 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

PARSONS

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

T01 T404 150310 101920 1

Citation #:

JOSHUA

Defendant, Last

PAUL

First

Address 201 N COMMERCIAL AVE

DL Class

03/10/2015

The undersigned states that on or about


US DOT# 00255920

ICC# 334634

$50.00
$17.50

Co. Enf. Surcharge

N/A

Court Costs

$60.00

Total Fine/Costs

$127.50

Court Appearance Required (805.10)


Reason:

Height

Serious P.I.

2000 WHI

Race W
57522-0000
5' 10"
Weight 240 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:

SD

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 PR10594

Scheduled Violation/Fine

State SD

BLUNT
DL End. N

at 9:45 AM

DOB 8/25/1987

Suffix

City

DL State SD

50583
DL/State ID
Viewed?
YES

01005128

DL#

Middle

IA

Year 2015

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

Violation 20% OF THE BRAKES ON COMB OUT OF ADJUSTMENT


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: 396.3A1BOS

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 03/10/2015

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:

$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.

*+T01T4041503101019201+*
Dated

Signature of
Defendant

03/10/2015

I swear that the foregoing complaint is true and correct.

this

10

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 150310 101920 1

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 03/10/2015 04:32PM


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

HANSEN, JEFFREY
MARCH, 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

THOMAS

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

T01 T404 150310 110616 3

Citation #:

ALLEN

Defendant, Last

MICHAEL

First

Address 1436 THOMPSON AVE

DL Class

The undersigned states that on or about


US DOT# 00392305

03/10/2015

$50.00

Criminal Surcharge

$17.50

Co. Enf. Surcharge

N/A

Court Costs

$60.00

Total Fine/Costs

$127.50

Court Appearance Required (805.10)


Reason:

Height

Serious P.I.

2000 WHI

Race W
50316-0000
5' 09"
Weight 175 LBS

Ethnicity N
Sex MALE

KENWOR
TH -End
KW
Pass
NO

PK

CDL YES
HazMat End Req? NO
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 826RRC

ICC#

State IA

DES MOINES
DL End. NONE

at 10:50 AM

DOB 12/30/1977

Suffix

City

DL State IA

50583
DL/State ID
Viewed?
YES

089SS9212

DL#

Middle

IA

Year 2015

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

Violation LOOSE BOARDS WITH NAILS AND BOARDS WITH BAD STRAP AND A FEW

ROCKS NOT SECURED


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: 393.100B

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 03/10/2015

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:

$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.

*+T01T4041503101106163+*
Dated

Signature of
Defendant

03/10/2015

I swear that the foregoing complaint is true and correct.

this

10

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 150310 110616 3

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 03/10/2015 04:32PM


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

HANSEN, JEFFREY
MARCH, 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

ZELLER

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

T01 T404 150310 124129 8

Citation #:

Reference #:

Form 420001E 1/07


PLAINTIFF

SCOTT

Defendant, Last

ALLEN

First

Address 1912 320TH ST

DL Class

03/10/2015

The undersigned states that on or about


US DOT# 00562776

ICC# 275648

$50.00
$17.50

Co. Enf. Surcharge

N/A

Court Costs

$60.00

Total Fine/Costs

$127.50

Court Appearance Required (805.10)


Reason:

Height

Serious P.I.

2003 RED

Race W
52329-0000
5' 07"
Weight 238 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:

IA

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 SD4525

Scheduled Violation/Fine

State IA

ROWLEY
DL End. NONE

at 12:15 PM

DOB 2/3/1967

Suffix

City

DL State IA

50583
DL/State ID
Viewed?
YES

317ZZ8003

DL#

Middle

IA

Year 2015

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

Violation CRACKS IN BRAKE PAD OF STEER RT SIDE MEAS 2 1/2 IN L AND LITTLE

OVER 1/16 W
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: 393.47A

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 03/10/2015

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:

$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.

*+T01T4041503101241298+*
Dated

Signature of
Defendant

03/10/2015

I swear that the foregoing complaint is true and correct.

this

10

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 150310 124129 8

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 03/10/2015 04:32PM


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

HANSEN, JEFFREY
MARCH, 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

ZELLER

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

T01 T404 150310 124334 9

Citation #:

Reference #:

Form 420001E 1/07


PLAINTIFF

SCOTT

Defendant, Last

ALLEN

First

Address 1912 320TH ST

DL Class

03/10/2015

The undersigned states that on or about


US DOT# 00562776

ICC# 275648

$22.00
$7.70

Co. Enf. Surcharge

N/A

Court Costs

$60.00

Total Fine/Costs

$89.70

Court Appearance Required (805.10)


Reason:

Height

Serious P.I.

2003 RED

Race W
52329-0000
5' 07"
Weight 238 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:

IA

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 SD4525

Scheduled Violation/Fine

State IA

ROWLEY
DL End. NONE

at 12:15 PM

DOB 2/3/1967

Suffix

City

DL State IA

50583
DL/State ID
Viewed?
YES

317ZZ8003

DL#

Middle

IA

Year 2015

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

Violation AX 2-3 TANDEM WEIGHED 35420 ALLOWED 34K OVER 1,420LBS


Sec #: 321.463

ICIS Sec #: 321.463

Zone

IA Code: 20 13
ICIS Ord.

Local Ord.

I.D. No. T404


Officer's
Signature

in

Fed/Adm Code: 392.2-SLLEWA1

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 03/10/2015

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:

$104.55
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.

*+T01T4041503101243349+*
Dated

Signature of
Defendant

03/10/2015

I swear that the foregoing complaint is true and correct.

this

10

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 150310 124334 9

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 03/10/2015 04:32PM


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

HANSEN, JEFFREY
MARCH, 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

THOMAS

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

T01 T404 150310 110825 5

Citation #:

ALLEN

Defendant, Last

MICHAEL

First

Address 1436 THOMPSON AVE

DL Class

The undersigned states that on or about


US DOT# 00392305

03/10/2015

$50.00

Criminal Surcharge

$17.50

Co. Enf. Surcharge

N/A

Court Costs

$60.00

Total Fine/Costs

$127.50

Court Appearance Required (805.10)


Reason:

Height

Serious P.I.

2000 WHI

Race W
50316-0000
5' 09"
Weight 175 LBS

Ethnicity N
Sex MALE

KENWOR
TH -End
KW
Pass
NO

PK

CDL YES
HazMat End Req? NO
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 826RRC

ICC#

State IA

DES MOINES
DL End. NONE

at 10:50 AM

DOB 12/30/1977

Suffix

City

DL State IA

50583
DL/State ID
Viewed?
YES

089SS9212

DL#

Middle

IA

Year 2015

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

Violation DRIVERS LOG NOT CURRENT STARTED IN DES MOINES TO SPENCER 186.4 M

NO LOG
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 03/10/2015

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:

$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.

*+T01T4041503101108255+*
Dated

Signature of
Defendant

03/10/2015

I swear that the foregoing complaint is true and correct.

this

10

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 150310 110825 5

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 03/10/2015 04:32PM


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

HANSEN, JEFFREY
MARCH, 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

SERRANO

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

T01 T424 150310 084221 8

Citation #:

NELSON

Defendant, Last

Middle

Address 248 N EVERGREEN ST

DL Class

03/10/2015

The undersigned states that on or about


US DOT# 01399943

ICC# 601632

$50.00
$17.50

Co. Enf. Surcharge

N/A

Court Costs

$60.00

Total Fine/Costs

$127.50

Court Appearance Required (805.10)


Reason:

Height

Serious P.I.

2003 MAR

Race U

66030
5' 07"

Ethnicity U

Weight 170 LBS

Sex MALE

PETERBIL
T - PTRB
Pass
End NO

TTST

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

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 077964

Scheduled Violation/Fine

State KS

GARDNER
DL End. T

at 8:15 AM

DOB 6/20/1971

Suffix

City

DL State KS

50583
DL/State ID
Viewed?
YES

K01594551

DL#

First

IA

Year 2015

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

Violation 11 HR VIOL TODAY @ 0700HRS BY 1.25HRS


Sec #: 321.449

ICIS Ord.

Local Ord.

I.D. No. T424

Zone

IA Code: 20 13

ICIS Sec #: 321.449-C

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 03/10/2015

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:
03/31/2015 at
9:00 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.

*+T01T4241503100842218+*
Dated

Signature of
Defendant

03/10/2015

I swear that the foregoing complaint is true and correct.

this

10

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

OTHER

T01 T424 150310 084221 8

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 03/10/2015 04:33PM


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

CLAYCAMP, FRED
MARCH, 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

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

HOFFMAN

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

T01 T424 150310 101836 0

Citation #:

KENNETH

Defendant, Last

ARTHUR

First

Address 432 E LAUDERDALE ST

DL Class

03/10/2015

The undersigned states that on or about


US DOT# 01054563

ICC# 510871

$50.00
$17.50

Co. Enf. Surcharge

N/A

Court Costs

$60.00

Total Fine/Costs

$127.50

Court Appearance Required (805.10)


Reason:

Height

Serious P.I.

2012 ONG

Race W
37388-0000
6' 03"
Weight 210 LBS

Ethnicity N
Sex MALE

FREIGHT
LINER
F
Pass
End - NO

TTST

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

IL

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 P843373

Scheduled Violation/Fine

State TN

TULLAHOMA
DL End. NONE

at 9:45 AM

DOB 11/4/1966

Suffix

City

DL State TN

50583
DL/State ID
Viewed?
YES

111164843

DL#

Middle

IA

Year 2015

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

Violation LOG NOT CURRENT LE ON 03-08-15 AMARILLO TX


Sec #: 321.449

ICIS Sec #: 321.449-C

Zone

IA Code: 20 13
ICIS Ord.

Local Ord.

I.D. No. T424


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 03/10/2015

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:
03/31/2015 at
9:00 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.

*+T01T4241503101018360+*
Dated

Signature of
Defendant

03/10/2015

I swear that the foregoing complaint is true and correct.

this

10

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

OTHER

T01 T424 150310 101836 0

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 03/10/2015 04:33PM


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

CLAYCAMP, FRED
MARCH, 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

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

BAUMFALK

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

T01 T424 150310 130537 2

Citation #:

RANDY

Defendant, Last

First

Address 315 E 7TH ST

DL Class

03/10/2015

The undersigned states that on or about


US DOT# 00159939

ICC# 144417

$50.00
$17.50

Co. Enf. Surcharge

N/A

Court Costs

$60.00

Total Fine/Costs

$127.50

Serious P.I.

2007 BLU

Race W
68372-0000
5' 09"
Weight 170 LBS

Ethnicity N
Sex MALE

KENWOR
TH -End
KW
Pass
NO

TTST

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 115708

Scheduled Violation/Fine

State NE

HICKMAN
DL End. M

at 12:28 PM

DOB 10/7/1964

Suffix

City

DL State NE

50583
DL/State ID
Viewed?
YES

G02120326

DL#

Middle

IA

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

Violation BRAKES OUT OF SERVICE >20% CRITERIA


Sec #: 321.449

ICIS Ord.

Local Ord.

I.D. No. T424

Zone

IA Code: 20 13

ICIS Sec #: 321.449-A

Officer's
Signature

in

Fed/Adm Code: 396.3A1BOS

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 03/10/2015

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:
03/31/2015 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.

*+T01T4241503101305372+*
Dated

Signature of
Defendant

03/10/2015

I swear that the foregoing complaint is true and correct.

this

10

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

OTHER

T01 T424 150310 130537 2

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 03/10/2015 04:33PM


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

CLAYCAMP, FRED
MARCH, 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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