Anda di halaman 1dari 9

E-FILED 2015 MAR 19 8:02 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: 15-331

Filed with Court Clerk (cc: CA)

Arrest Date: 03/18/2015

Submitted to County Attorney


Filed with JCO - Defendant is a Juvenile

THE STATE OF IOWA


VS.

OFFENDER
Last

First

Middle

TACEY

SARA

ANN ELIZABETH

Suffix

Address

City

State

Zip Code

650 NORTH STATE #60

LAKE VIEW

IA

51458

Date of Birth

Gender

Race

Ethnicity

8/16/1984

FEMALE

WHITE - W

NOT OF HISPANIC ORIGIN - N

State

Height

Weight

Eye Color

Hair Color

IA

5' 02"

125 LBS

GREEN - GRN

BROWN - BRO

OFFENSE
State Local

Code Section

Crime Description

Class

726.6(7)

CHILD ENDANGERMENT

AGMS

Location Type

13 - HIGHWAY/ROAD/ALLEY
Literal Description

265TH ST AND M068/PERKINS AVE


Address

City

State

2600 MILE OF PERKINS AVE

SAC CITY

IA

Is Date and Time of Incident Known?

Incident Date or Low Range

YES

03/18/2015

Upper Date Range

Incident Time or Low Range

Zip Code

50583
Upper Time Range

15:45

STATUS OF OFFENDER/JUVENILE
TAKEN INTO CUSTODY

WARRANT REQUESTED

CUSTODY

SUMMONS TO APPEAR

1 - JAILED

(Citation Issued)

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

being a parent, guardian, or person having custody or control over a child or a minor under the age of eighteen with a mental or physical disability, or a
person who is a member of the household in which a child or such minor resides, knowingly act in a manner that creates a substantial risk to SM age 7
's physical, mental or emotional health or safety

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

The defendant was a passenger with her 4 minor children ages 1,2,4 and 7 in a vehicle stopped by the Sac County Sheriff's Office for failure to stop at a
stop sign in the 2600 mile of Perkins Ave. The driver was arrested for OWI and the defendant was highly intoxicated herself. The defendant is the
biological mother of the children present in the vehicle and she knowingly placed her children at substantial risk for serious injury or death.

HATTERMAN, JOHN
Signature of Complainant or Officer, Officer Name & Number

Printed At

SAC COUNTY SHERIFF'S OFFICE

3/19/2015

8:03 AM

Page 1

of 2

Form #:

15-331

81-6

GENERAL PROBABLE CAUSE

E-FILED 2015 MAR 19 8:02 AM SAC - CLERK OF DISTRICT COURT

Defendant Implicated

02 - CAUGHT IN ACT, 03 - ADMISSION/STATEMENTS, 08 - CRIME OBSERVED BY OFFICERS

Operating Motor Vehicle in County

STATE OF IOWA,

Other Physical Evidence

Attempted To Inflict Injury

SAC COUNTY

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

Printed At

Notary Name

TARA MANN

Commission Number

786647

My Commission Expires

10/27/2017

SAC COUNTY SHERIFF'S OFFICE

03/18/2015

Signature of Verifying Party

Peace Officer

3/19/2015

8:03 AM

Page 2

of 2

Notary

Form #:

Prosecuting Attorney

15-331

E-FILED 2015 MAR 19 8:03 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: 15-331

Filed with Court Clerk (cc: CA)

Arrest Date: 03/18/2015

Submitted to County Attorney


Filed with JCO - Defendant is a Juvenile

THE STATE OF IOWA


VS.

OFFENDER
Last

First

Middle

TACEY

SARA

ANN ELIZABETH

Suffix

Address

City

State

Zip Code

650 NORTH STATE #60

LAKE VIEW

IA

51458

Date of Birth

Gender

Race

Ethnicity

8/16/1984

FEMALE

WHITE - W

NOT OF HISPANIC ORIGIN - N

State

Height

Weight

Eye Color

Hair Color

IA

5' 02"

125 LBS

GREEN - GRN

BROWN - BRO

OFFENSE
State Local

Code Section

Crime Description

Class

726.6(7)

CHILD ENDANGERMENT

AGMS

Location Type

13 - HIGHWAY/ROAD/ALLEY
Literal Description

265TH ST AND M068/PERKINS AVE


Address

City

State

2600 MILE OF PERKINS AVE

SAC CITY

IA

Is Date and Time of Incident Known?

Incident Date or Low Range

YES

03/18/2015

Upper Date Range

Incident Time or Low Range

Zip Code

50583
Upper Time Range

15:45

STATUS OF OFFENDER/JUVENILE
TAKEN INTO CUSTODY

WARRANT REQUESTED

CUSTODY

SUMMONS TO APPEAR

1 - JAILED

(Citation Issued)

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

being a parent, guardian, or person having custody or control over a child or a minor under the age of eighteen with a mental or physical disability, or a
person who is a member of the household in which a child or such minor resides, knowingly act in a manner that creates a substantial risk to __AM age
1_'s physical, mental or emotional health or safety

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

The defendant was a passenger with her 4 minor children ages 1,2,4 and 7 in a vehicle stopped by the Sac County Sheriff's Office for failure to stop at a
stop sign in the 2600 mile of Perkins Ave. The driver was arrested for OWI and the defendant was highly intoxicated herself. The defendant is the
biological mother of the children present in the vehicle and she knowingly placed her children at substantial risk for serious injury or death.

HATTERMAN, JOHN
Signature of Complainant or Officer, Officer Name & Number

Printed At

SAC COUNTY SHERIFF'S OFFICE

3/19/2015

8:03 AM

Page 1

of 2

Form #:

15-331

81-6

GENERAL PROBABLE CAUSE

E-FILED 2015 MAR 19 8:03 AM SAC - CLERK OF DISTRICT COURT

Defendant Implicated

02 - CAUGHT IN ACT, 03 - ADMISSION/STATEMENTS, 08 - CRIME OBSERVED BY OFFICERS

Operating Motor Vehicle in County

STATE OF IOWA,

Other Physical Evidence

Attempted To Inflict Injury

SAC COUNTY

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

Printed At

Notary Name

TARA MANN

Commission Number

786647

My Commission Expires

10/27/2017

SAC COUNTY SHERIFF'S OFFICE

03/18/2015

Signature of Verifying Party

Peace Officer

3/19/2015

8:03 AM

Page 2

of 2

Notary

Form #:

Prosecuting Attorney

15-331

E-FILED 2015 MAR 19 8:03 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: 15-331

Filed with Court Clerk (cc: CA)

Arrest Date: 03/18/2015

Submitted to County Attorney


Filed with JCO - Defendant is a Juvenile

THE STATE OF IOWA


VS.

OFFENDER
Last

First

Middle

TACEY

SARA

ANN ELIZABETH

Suffix

Address

City

State

Zip Code

650 NORTH STATE #60

LAKE VIEW

IA

51458

Date of Birth

Gender

Race

Ethnicity

8/16/1984

FEMALE

WHITE - W

NOT OF HISPANIC ORIGIN - N

State

Height

Weight

Eye Color

Hair Color

IA

5' 02"

125 LBS

GREEN - GRN

BROWN - BRO

OFFENSE
State Local

Code Section

Crime Description

Class

726.6(7)

CHILD ENDANGERMENT

AGMS

Location Type

13 - HIGHWAY/ROAD/ALLEY
Literal Description

265TH ST AND M068/PERKINS AVE


Address

City

State

2600 MILE OF PERKINS AVE

SAC CITY

IA

Is Date and Time of Incident Known?

Incident Date or Low Range

YES

03/18/2015

Upper Date Range

Incident Time or Low Range

Zip Code

50583
Upper Time Range

15:45

STATUS OF OFFENDER/JUVENILE
TAKEN INTO CUSTODY

WARRANT REQUESTED

CUSTODY

SUMMONS TO APPEAR

1 - JAILED

(Citation Issued)

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

being a parent, guardian, or person having custody or control over a child or a minor under the age of eighteen with a mental or physical disability, or a
person who is a member of the household in which a child or such minor resides, knowingly act in a manner that creates a substantial risk to __KM age
4 physical, mental or emotional health or safety

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

The defendant was a passenger with her 4 minor children ages 1,2,4 and 7 in a vehicle stopped by the Sac County Sheriff's Office for failure to stop at a
stop sign in the 2600 mile of Perkins Ave. The driver was arrested for OWI and the defendant was highly intoxicated herself. The defendant is the
biological mother of the children present in the vehicle and she knowingly placed her children at substantial risk for serious injury or death.

HATTERMAN, JOHN
Signature of Complainant or Officer, Officer Name & Number

Printed At

SAC COUNTY SHERIFF'S OFFICE

3/19/2015

8:03 AM

Page 1

of 2

Form #:

15-331

81-6

GENERAL PROBABLE CAUSE

E-FILED 2015 MAR 19 8:03 AM SAC - CLERK OF DISTRICT COURT

Defendant Implicated

02 - CAUGHT IN ACT, 03 - ADMISSION/STATEMENTS, 08 - CRIME OBSERVED BY OFFICERS

Operating Motor Vehicle in County

STATE OF IOWA,

Other Physical Evidence

Attempted To Inflict Injury

SAC COUNTY

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

Printed At

Notary Name

TARA MANN

Commission Number

786647

My Commission Expires

10/27/2017

SAC COUNTY SHERIFF'S OFFICE

03/18/2015

Signature of Verifying Party

Peace Officer

3/19/2015

8:03 AM

Page 2

of 2

Notary

Form #:

Prosecuting Attorney

15-331

E-FILED 2015 MAR 19 8:03 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: 15-331

Filed with Court Clerk (cc: CA)

Arrest Date: 03/18/2015

Submitted to County Attorney


Filed with JCO - Defendant is a Juvenile

THE STATE OF IOWA


VS.

OFFENDER
Last

First

Middle

TACEY

SARA

ANN ELIZABETH

Suffix

Address

City

State

Zip Code

650 NORTH STATE #60

LAKE VIEW

IA

51458

Date of Birth

Gender

Race

Ethnicity

8/16/1984

FEMALE

WHITE - W

NOT OF HISPANIC ORIGIN - N

State

Height

Weight

Eye Color

Hair Color

IA

5' 02"

125 LBS

GREEN - GRN

BROWN - BRO

OFFENSE
State Local

Code Section

Crime Description

Class

726.6(7)

CHILD ENDANGERMENT

AGMS

Location Type

13 - HIGHWAY/ROAD/ALLEY
Literal Description

265TH ST AND M068/PERKINS AVE


Address

City

State

2600 MILE OF PERKINS AVE

SAC CITY

IA

Is Date and Time of Incident Known?

Incident Date or Low Range

YES

03/18/2015

Upper Date Range

Incident Time or Low Range

Zip Code

50583
Upper Time Range

15:45

STATUS OF OFFENDER/JUVENILE
TAKEN INTO CUSTODY

WARRANT REQUESTED

CUSTODY

SUMMONS TO APPEAR

1 - JAILED

(Citation Issued)

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

being a parent, guardian, or person having custody or control over a child or a minor under the age of eighteen with a mental or physical disability, or a
person who is a member of the household in which a child or such minor resides, knowingly act in a manner that creates a substantial risk to _CM age
2__'s physical, mental or emotional health or safety

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

The defendant was a passenger with her 4 minor children ages 1,2,4 and 7 in a vehicle stopped by the Sac County Sheriff's Office for failure to stop at a
stop sign in the 2600 mile of Perkins Ave. The driver was arrested for OWI and the defendant was highly intoxicated herself. The defendant is the
biological mother of the children present in the vehicle and she knowingly placed her children at substantial risk for serious injury or death.

HATTERMAN, JOHN
Signature of Complainant or Officer, Officer Name & Number

Printed At

SAC COUNTY SHERIFF'S OFFICE

3/19/2015

8:03 AM

Page 1

of 2

Form #:

15-331

81-6

GENERAL PROBABLE CAUSE

E-FILED 2015 MAR 19 8:03 AM SAC - CLERK OF DISTRICT COURT

Defendant Implicated

02 - CAUGHT IN ACT, 03 - ADMISSION/STATEMENTS, 08 - CRIME OBSERVED BY OFFICERS

Operating Motor Vehicle in County

STATE OF IOWA,

Other Physical Evidence

Attempted To Inflict Injury

SAC COUNTY

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

Printed At

Notary Name

TARA MANN

Commission Number

786647

My Commission Expires

10/27/2017

SAC COUNTY SHERIFF'S OFFICE

03/18/2015

Signature of Verifying Party

Peace Officer

3/19/2015

8:03 AM

Page 2

of 2

Notary

Form #:

Prosecuting Attorney

15-331