march 10, 2015.pdf
TRANSCRIPT
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.
You hereby are given notice that within a reasonable time but no later than the date scheduled for yourinitial appearance a citation/complaint sworn under oath will be filed with the district court clerk of thecounty in which this citation was issued.
Speed
IA Code:
State of Iowa
this
Road Work Zone
Weight
Agency
City
Zone
Court Costs
1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
My signature below is not a plea of guilty, but acknowledges all of the following:
PLAINTIFF
4. I hereby give my unsecured appearance bond in the amount of
ICIS Sec #:
Subscribed and sworn to me by
at
Fed/Adm Code:
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
Law Enforcement Agency -
Violation
DL State
In the Court at
Located in the county and state aforesaid and did then and there commit the following offense:
Fatal Accident
DL Rest.
Dated
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
day of
Zip Code
Form 420001E 1/07
DOB
Local Ord.
Height
require an appearance, report to the above named court on:
Court Appearance Required (805.10)
VS.
Name
DL/State IDViewed?
Race
Sex
The following applies to simple misdemeanors only:
The undersigned states that on or about
Sec #:
Upon a public highway at
CDLReq?
Year
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
DL End.
DL#
Address
IOWA UNIFORM CITATION AND COMPLAINT
I swear that the foregoing complaint is true and correct. , Iowa
ICC# Lic. Plate #/REG
I.D. No.
Reference #:
Signature ofDefendant
City of:
Dispatch /Case #:
20
US DOT#
DL Class
State
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.
First
defendant did unlawfully: Operate Motor Vehicle/Boat
State
Scheduled Violation/Fine
Suffix
Criminal SurchargeSerious P.I.
in
Notary/other
Reason:
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.
Civil Damage Assessment Other
County of:
Officer'sSignature
Total Fine/Costs
HazMat End Req?
Officer'sSignature
Non-scheduled Violation
X
ICIS Ord.
at
Defendant, Last
at
COMPLAINT
Pass EndReq?
Co. Enf. Surcharge
Middle
Notary/otherSignature
Dated
P05 2LUK 150309 170407 1
*+P052LUK1503091704071+*
Citation #:
IOWA STATE PATROL - DIST 05
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
V083570666THORPE JUSTIN CASE 11/18/1994YES
W NEthnicity50583-0000SAC CITY IA310 N. 13TH ST
5' 08"OK 175 LBSNONE MALED NONE
03/09/2015 5:04 PM 2015 BLU HYUNDAI- HYUN
SANTA FE SUV
2015 NONETSW001
SB M-68 N OF 280TH ST (74)
5565$40.00
$14.00
N/A15SPEEDING 55 OR < (6 THRU 10 OVER)
$60.00
321.285 321.285-B$114.00
492
03/09/2015
03/09/2015
9:00 AM04/13/2015
$141.00
SIOUX CITY - 7057LUKE, C
MARCH, 201510
OTHERIOWA STATE PATROL - DIST 05
NOT GUILTY
Driver's LicenseRecommendation
OTHER DISPOSITION
Other
Susp.
Yr.
BAIL CASH DEPOSIT
DATE: Continued to:
Incarceration in
VERDICT
WARRANT ISSUED
Iowa
DISMISSED
TESTIMONY - JUDGE'S NOTES: (Other Orders)
Revo
Mo.
Signature, person giving bail
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
COST $
ABSTRACT OF COURT RECORD
Address
JURY TRIAL
Days:
DOCKET NO.
REASON
CASE NO.
School
CASE NO.
STATE:
Days
Name
FORFEIT BOND
The court Therefore Enters in Following Order This Date
REASON
Phone
PLEA
LICENSE NO.
NOT GUILTY
Citation #:
GUILTY
Signature, person taking bailDate
DATE:
NO JURY TRIAL orPROCEEDING
GUILTY
DATE:
None
Day
COURT NO.
FINED $ SURCHARGE $ Continued to:
P05 2LUK 150309 170407 1
FILED 03/10/2015 06:52AMCLERK DISTRICT COURTSAC COUNTY IOWA
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.
You hereby are given notice that within a reasonable time but no later than the date scheduled for yourinitial appearance a citation/complaint sworn under oath will be filed with the district court clerk of thecounty in which this citation was issued.
Speed
IA Code:
State of Iowa
this
Road Work Zone
Weight
Agency
City
Zone
Court Costs
1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
My signature below is not a plea of guilty, but acknowledges all of the following:
PLAINTIFF
4. I hereby give my unsecured appearance bond in the amount of
ICIS Sec #:
Subscribed and sworn to me by
at
Fed/Adm Code:
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
Law Enforcement Agency -
Violation
DL State
In the Court at
Located in the county and state aforesaid and did then and there commit the following offense:
Fatal Accident
DL Rest.
Dated
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
day of
Zip Code
Form 420001E 1/07
DOB
Local Ord.
Height
require an appearance, report to the above named court on:
Court Appearance Required (805.10)
VS.
Name
DL/State IDViewed?
Race
Sex
The following applies to simple misdemeanors only:
The undersigned states that on or about
Sec #:
Upon a public highway at
CDLReq?
Year
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
DL End.
DL#
Address
IOWA UNIFORM CITATION AND COMPLAINT
I swear that the foregoing complaint is true and correct. , Iowa
ICC# Lic. Plate #/REG
I.D. No.
Reference #:
Signature ofDefendant
City of:
Dispatch /Case #:
20
US DOT#
DL Class
State
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.
First
defendant did unlawfully: Operate Motor Vehicle/Boat
State
Scheduled Violation/Fine
Suffix
Criminal SurchargeSerious P.I.
in
Notary/other
Reason:
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.
Civil Damage Assessment Other
County of:
Officer'sSignature
Total Fine/Costs
HazMat End Req?
Officer'sSignature
Non-scheduled Violation
X
ICIS Ord.
at
Defendant, Last
at
COMPLAINT
Pass EndReq?
Co. Enf. Surcharge
Middle
Notary/otherSignature
Dated
P05 2LUK 150309 171433 3
*+P052LUK1503091714333+*
Citation #:
IOWA STATE PATROL - DIST 05
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
V083570666THORPE JUSTIN CASE 11/18/1994YES
W NEthnicity50583-0000SAC CITY IA310 N. 13TH ST
5' 08"OK 175 LBSNONE MALED NONE
03/09/2015 5:04 PM 2015 BLU HYUNDAI- HYUN
SANTA FE SUV
2015 NONETSW001
SB M-68 N OF 280TH ST (74)
$200.00
$70.00
N/A15FAILURE TO HAVE VALID LICENSE/PERMIT WHILE OPER. MOTOR VEH.
$60.00
321.174 321.174(1)$330.00
492
03/09/2015
03/09/2015
9:00 AM04/13/2015
$465.00
SIOUX CITY - 7057LUKE, C
MARCH, 201510
OTHERIOWA STATE PATROL - DIST 05
NOT GUILTY
Driver's LicenseRecommendation
OTHER DISPOSITION
Other
Susp.
Yr.
BAIL CASH DEPOSIT
DATE: Continued to:
Incarceration in
VERDICT
WARRANT ISSUED
Iowa
DISMISSED
TESTIMONY - JUDGE'S NOTES: (Other Orders)
Revo
Mo.
Signature, person giving bail
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
COST $
ABSTRACT OF COURT RECORD
Address
JURY TRIAL
Days:
DOCKET NO.
REASON
CASE NO.
School
CASE NO.
STATE:
Days
Name
FORFEIT BOND
The court Therefore Enters in Following Order This Date
REASON
Phone
PLEA
LICENSE NO.
NOT GUILTY
Citation #:
GUILTY
Signature, person taking bailDate
DATE:
NO JURY TRIAL orPROCEEDING
GUILTY
DATE:
None
Day
COURT NO.
FINED $ SURCHARGE $ Continued to:
P05 2LUK 150309 171433 3
FILED 03/10/2015 06:52AMCLERK DISTRICT COURTSAC COUNTY IOWA
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.
You hereby are given notice that within a reasonable time but no later than the date scheduled for yourinitial appearance a citation/complaint sworn under oath will be filed with the district court clerk of thecounty in which this citation was issued.
Speed
IA Code:
State of Iowa
this
Road Work Zone
Weight
Agency
City
Zone
Court Costs
1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
My signature below is not a plea of guilty, but acknowledges all of the following:
PLAINTIFF
4. I hereby give my unsecured appearance bond in the amount of
ICIS Sec #:
Subscribed and sworn to me by
at
Fed/Adm Code:
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
Law Enforcement Agency -
Violation
DL State
In the Court at
Located in the county and state aforesaid and did then and there commit the following offense:
Fatal Accident
DL Rest.
Dated
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
day of
Zip Code
Form 420001E 1/07
DOB
Local Ord.
Height
require an appearance, report to the above named court on:
Court Appearance Required (805.10)
VS.
Name
DL/State IDViewed?
Race
Sex
The following applies to simple misdemeanors only:
The undersigned states that on or about
Sec #:
Upon a public highway at
CDLReq?
Year
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
DL End.
DL#
Address
IOWA UNIFORM CITATION AND COMPLAINT
I swear that the foregoing complaint is true and correct. , Iowa
ICC# Lic. Plate #/REG
I.D. No.
Reference #:
Signature ofDefendant
City of:
Dispatch /Case #:
20
US DOT#
DL Class
State
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.
First
defendant did unlawfully: Operate Motor Vehicle/Boat
State
Scheduled Violation/Fine
Suffix
Criminal SurchargeSerious P.I.
in
Notary/other
Reason:
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.
Civil Damage Assessment Other
County of:
Officer'sSignature
Total Fine/Costs
HazMat End Req?
Officer'sSignature
Non-scheduled Violation
X
ICIS Ord.
at
Defendant, Last
at
COMPLAINT
Pass EndReq?
Co. Enf. Surcharge
Middle
Notary/otherSignature
Dated
S81 IEDE 150309 175519 1
*+S81IEDE1503091755191+*
Citation #:
SAC COUNTY SHERIFF'S OFFICE
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
753YY5054REXROAT RACHAEL DAWN 4/8/1980YES
W NEthnicity50588-0000STORM LAKE IA6569 HIGHWAY 71
5' 03"IA 150 LBSNONE FEMALEC NONE
03/09/2015 5:54 PM 2013 WHI CHRYSLER - CHRY
2LM 4D
2015 NOIABBF264
US 71/KARR AVE
5565$40.00
$14.00
$5.0015SPEEDING 55 OR < (6 THRU 10 OVER)
$60.00
321.285 321.285-B$119.00
81-4
03/09/2015
03/09/2015
8:30 AM04/13/2015
$148.50
SAC CITY - 6717BIEDE, MATT
MARCH, 201509
NOTARYSAC COUNTY SHERIFF'S OFFICE
NOT GUILTY
Driver's LicenseRecommendation
OTHER DISPOSITION
Other
Susp.
Yr.
BAIL CASH DEPOSIT
DATE: Continued to:
Incarceration in
VERDICT
WARRANT ISSUED
Iowa
DISMISSED
TESTIMONY - JUDGE'S NOTES: (Other Orders)
Revo
Mo.
Signature, person giving bail
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
COST $
ABSTRACT OF COURT RECORD
Address
JURY TRIAL
Days:
DOCKET NO.
REASON
CASE NO.
School
CASE NO.
STATE:
Days
Name
FORFEIT BOND
The court Therefore Enters in Following Order This Date
REASON
Phone
PLEA
LICENSE NO.
NOT GUILTY
Citation #:
GUILTY
Signature, person taking bailDate
DATE:
NO JURY TRIAL orPROCEEDING
GUILTY
DATE:
None
Day
COURT NO.
FINED $ SURCHARGE $ Continued to:
S81 IEDE 150309 175519 1
FILED 03/10/2015 08:02AMCLERK DISTRICT COURTSAC COUNTY IOWA
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.
You hereby are given notice that within a reasonable time but no later than the date scheduled for yourinitial appearance a citation/complaint sworn under oath will be filed with the district court clerk of thecounty in which this citation was issued.
Speed
IA Code:
State of Iowa
this
Road Work Zone
Weight
Agency
City
Zone
Court Costs
1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
My signature below is not a plea of guilty, but acknowledges all of the following:
PLAINTIFF
4. I hereby give my unsecured appearance bond in the amount of
ICIS Sec #:
Subscribed and sworn to me by
at
Fed/Adm Code:
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
Law Enforcement Agency -
Violation
DL State
In the Court at
Located in the county and state aforesaid and did then and there commit the following offense:
Fatal Accident
DL Rest.
Dated
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
day of
Zip Code
Form 420001E 1/07
DOB
Local Ord.
Height
require an appearance, report to the above named court on:
Court Appearance Required (805.10)
VS.
Name
DL/State IDViewed?
Race
Sex
The following applies to simple misdemeanors only:
The undersigned states that on or about
Sec #:
Upon a public highway at
CDLReq?
Year
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
DL End.
DL#
Address
IOWA UNIFORM CITATION AND COMPLAINT
I swear that the foregoing complaint is true and correct. , Iowa
ICC# Lic. Plate #/REG
I.D. No.
Reference #:
Signature ofDefendant
City of:
Dispatch /Case #:
20
US DOT#
DL Class
State
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.
First
defendant did unlawfully: Operate Motor Vehicle/Boat
State
Scheduled Violation/Fine
Suffix
Criminal SurchargeSerious P.I.
in
Notary/other
Reason:
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.
Civil Damage Assessment Other
County of:
Officer'sSignature
Total Fine/Costs
HazMat End Req?
Officer'sSignature
Non-scheduled Violation
X
ICIS Ord.
at
Defendant, Last
at
COMPLAINT
Pass EndReq?
Co. Enf. Surcharge
Middle
Notary/otherSignature
Dated
S81 IEDE 150309 181102 2
*+S81IEDE1503091811022+*
Citation #:
SAC COUNTY SHERIFF'S OFFICE
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
190AD2890ZACHARIAS CHRISTINA MARIE 2/20/1971YES
W NEthnicity50441-0000HAMPTON IA16 1/2 2ND AVE NE
5' 02"IA 135 LBSNONE FEMALEC NONE
03/09/2015 6:11 PM 2015 WHI HYUNDAI- HYUN
ELANTRA SEDAN
2015 NOIACZF723
US 20
5565$40.00
$14.00
$5.0015SPEEDING 55 OR < (6 THRU 10 OVER)
$60.00
321.285 321.285-B$119.00
81-4
03/09/2015
03/09/2015
8:30 AM04/06/2015
$148.50
SAC CITY - 6717BIEDE, MATT
MARCH, 201509
NOTARYSAC COUNTY SHERIFF'S OFFICE
NOT GUILTY
Driver's LicenseRecommendation
OTHER DISPOSITION
Other
Susp.
Yr.
BAIL CASH DEPOSIT
DATE: Continued to:
Incarceration in
VERDICT
WARRANT ISSUED
Iowa
DISMISSED
TESTIMONY - JUDGE'S NOTES: (Other Orders)
Revo
Mo.
Signature, person giving bail
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
COST $
ABSTRACT OF COURT RECORD
Address
JURY TRIAL
Days:
DOCKET NO.
REASON
CASE NO.
School
CASE NO.
STATE:
Days
Name
FORFEIT BOND
The court Therefore Enters in Following Order This Date
REASON
Phone
PLEA
LICENSE NO.
NOT GUILTY
Citation #:
GUILTY
Signature, person taking bailDate
DATE:
NO JURY TRIAL orPROCEEDING
GUILTY
DATE:
None
Day
COURT NO.
FINED $ SURCHARGE $ Continued to:
S81 IEDE 150309 181102 2
FILED 03/10/2015 08:02AMCLERK DISTRICT COURTSAC COUNTY IOWA
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.
You hereby are given notice that within a reasonable time but no later than the date scheduled for yourinitial appearance a citation/complaint sworn under oath will be filed with the district court clerk of thecounty in which this citation was issued.
Speed
IA Code:
State of Iowa
this
Road Work Zone
Weight
Agency
City
Zone
Court Costs
1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
My signature below is not a plea of guilty, but acknowledges all of the following:
PLAINTIFF
4. I hereby give my unsecured appearance bond in the amount of
ICIS Sec #:
Subscribed and sworn to me by
at
Fed/Adm Code:
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
Law Enforcement Agency -
Violation
DL State
In the Court at
Located in the county and state aforesaid and did then and there commit the following offense:
Fatal Accident
DL Rest.
Dated
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
day of
Zip Code
Form 420001E 1/07
DOB
Local Ord.
Height
require an appearance, report to the above named court on:
Court Appearance Required (805.10)
VS.
Name
DL/State IDViewed?
Race
Sex
The following applies to simple misdemeanors only:
The undersigned states that on or about
Sec #:
Upon a public highway at
CDLReq?
Year
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
DL End.
DL#
Address
IOWA UNIFORM CITATION AND COMPLAINT
I swear that the foregoing complaint is true and correct. , Iowa
ICC# Lic. Plate #/REG
I.D. No.
Reference #:
Signature ofDefendant
City of:
Dispatch /Case #:
20
US DOT#
DL Class
State
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.
First
defendant did unlawfully: Operate Motor Vehicle/Boat
State
Scheduled Violation/Fine
Suffix
Criminal SurchargeSerious P.I.
in
Notary/other
Reason:
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.
Civil Damage Assessment Other
County of:
Officer'sSignature
Total Fine/Costs
HazMat End Req?
Officer'sSignature
Non-scheduled Violation
X
ICIS Ord.
at
Defendant, Last
at
COMPLAINT
Pass EndReq?
Co. Enf. Surcharge
Middle
Notary/otherSignature
Dated
S81 RMAN 150309 212439 3
*+S81RMAN1503092124393+*
Citation #:
SAC COUNTY SHERIFF'S OFFICE
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
Z62517585956ZARZA MALDONADO DULCE P 12/15/1985YES
W HEthnicity60120-0000ELGIN IL1241 PEACHTREE LANE UNIT
5' 03"IL 172 LBS**** FEMALED ****
03/09/2015 9:24 PM 2014 BLK NISSAN -NISS
ALTIMA 4D
2015 NOILE140252
315TH ST AND M043/FOX AVE
5565$40.00
$14.00
$5.0015SPEEDING 55 OR < (6 THRU 10 OVER)
$60.00
321.285 321.285-B$119.00
81-6
03/09/2015
03/09/2015
8:30 AM04/06/2015
$148.50
SAC CITY - 6717HATTERMAN, JOHN
MARCH, 201509
NOTARYSAC COUNTY SHERIFF'S OFFICE
NOT GUILTY
Driver's LicenseRecommendation
OTHER DISPOSITION
Other
Susp.
Yr.
BAIL CASH DEPOSIT
DATE: Continued to:
Incarceration in
VERDICT
WARRANT ISSUED
Iowa
DISMISSED
TESTIMONY - JUDGE'S NOTES: (Other Orders)
Revo
Mo.
Signature, person giving bail
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
COST $
ABSTRACT OF COURT RECORD
Address
JURY TRIAL
Days:
DOCKET NO.
REASON
CASE NO.
School
CASE NO.
STATE:
Days
Name
FORFEIT BOND
The court Therefore Enters in Following Order This Date
REASON
Phone
PLEA
LICENSE NO.
NOT GUILTY
Citation #:
GUILTY
Signature, person taking bailDate
DATE:
NO JURY TRIAL orPROCEEDING
GUILTY
DATE:
None
Day
COURT NO.
FINED $ SURCHARGE $ Continued to:
S81 RMAN 150309 212439 3
FILED 03/10/2015 08:02AMCLERK DISTRICT COURTSAC COUNTY IOWA
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.
You hereby are given notice that within a reasonable time but no later than the date scheduled for yourinitial appearance a citation/complaint sworn under oath will be filed with the district court clerk of thecounty in which this citation was issued.
Speed
IA Code:
State of Iowa
this
Road Work Zone
Weight
Agency
City
Zone
Court Costs
1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
My signature below is not a plea of guilty, but acknowledges all of the following:
PLAINTIFF
4. I hereby give my unsecured appearance bond in the amount of
ICIS Sec #:
Subscribed and sworn to me by
at
Fed/Adm Code:
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
Law Enforcement Agency -
Violation
DL State
In the Court at
Located in the county and state aforesaid and did then and there commit the following offense:
Fatal Accident
DL Rest.
Dated
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
day of
Zip Code
Form 420001E 1/07
DOB
Local Ord.
Height
require an appearance, report to the above named court on:
Court Appearance Required (805.10)
VS.
Name
DL/State IDViewed?
Race
Sex
The following applies to simple misdemeanors only:
The undersigned states that on or about
Sec #:
Upon a public highway at
CDLReq?
Year
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
DL End.
DL#
Address
IOWA UNIFORM CITATION AND COMPLAINT
I swear that the foregoing complaint is true and correct. , Iowa
ICC# Lic. Plate #/REG
I.D. No.
Reference #:
Signature ofDefendant
City of:
Dispatch /Case #:
20
US DOT#
DL Class
State
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.
First
defendant did unlawfully: Operate Motor Vehicle/Boat
State
Scheduled Violation/Fine
Suffix
Criminal SurchargeSerious P.I.
in
Notary/other
Reason:
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.
Civil Damage Assessment Other
County of:
Officer'sSignature
Total Fine/Costs
HazMat End Req?
Officer'sSignature
Non-scheduled Violation
X
ICIS Ord.
at
Defendant, Last
at
COMPLAINT
Pass EndReq?
Co. Enf. Surcharge
Middle
Notary/otherSignature
Dated
S81 URNS 150309 155020 6
*+S81URNS1503091550206+*
Citation #:
SAC COUNTY SHERIFF'S OFFICE
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
040AA6091DUNCAN SARA BETH 6/16/1969YES
W NEthnicity51450CARNARVON IA113 1ST ST CARNARVON
6' 00"IA B FEMALEC NONE
03/09/2015 3:50 PM 2006 MAR TOYOTA -TOYT
TUNDRA PK
2016 NOIAAJP 975
M068/PERKINS AVE AND D042/290TH ST
5560$20.00
$7.00
$5.0015SPEEDING 55 OR < (1 THRU 5 OVER)
$60.00
321.285 321.285-A$92.00
81-7
03/09/2015
03/09/2015
8:30 AM03/30/2015
$108.00
SAC CITY - 6717BURNS, JOEL
MARCH, 201510
NOTARYSAC COUNTY SHERIFF'S OFFICE
NOT GUILTY
Driver's LicenseRecommendation
OTHER DISPOSITION
Other
Susp.
Yr.
BAIL CASH DEPOSIT
DATE: Continued to:
Incarceration in
VERDICT
WARRANT ISSUED
Iowa
DISMISSED
TESTIMONY - JUDGE'S NOTES: (Other Orders)
Revo
Mo.
Signature, person giving bail
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
COST $
ABSTRACT OF COURT RECORD
Address
JURY TRIAL
Days:
DOCKET NO.
REASON
CASE NO.
School
CASE NO.
STATE:
Days
Name
FORFEIT BOND
The court Therefore Enters in Following Order This Date
REASON
Phone
PLEA
LICENSE NO.
NOT GUILTY
Citation #:
GUILTY
Signature, person taking bailDate
DATE:
NO JURY TRIAL orPROCEEDING
GUILTY
DATE:
None
Day
COURT NO.
FINED $ SURCHARGE $ Continued to:
S81 URNS 150309 155020 6
FILED 03/10/2015 08:46AMCLERK DISTRICT COURTSAC COUNTY IOWA
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
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.
You hereby are given notice that within a reasonable time but no later than the date scheduled for yourinitial appearance a citation/complaint sworn under oath will be filed with the district court clerk of thecounty in which this citation was issued.
Speed
IA Code:
State of Iowa
this
Road Work Zone
Weight
Agency
City
Zone
Court Costs
1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
My signature below is not a plea of guilty, but acknowledges all of the following:
PLAINTIFF
4. I hereby give my unsecured appearance bond in the amount of
ICIS Sec #:
Subscribed and sworn to me by
at
Fed/Adm Code:
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
Law Enforcement Agency -
Violation
DL State
In the Court at
Located in the county and state aforesaid and did then and there commit the following offense:
Fatal Accident
DL Rest.
Dated
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
day of
Zip Code
Form 420001E 1/07
DOB
Local Ord.
Height
require an appearance, report to the above named court on:
Court Appearance Required (805.10)
VS.
Name
DL/State IDViewed?
Race
Sex
The following applies to simple misdemeanors only:
The undersigned states that on or about
Sec #:
Upon a public highway at
CDLReq?
Year
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
DL End.
DL#
Address
IOWA UNIFORM CITATION AND COMPLAINT
I swear that the foregoing complaint is true and correct. , Iowa
ICC# Lic. Plate #/REG
I.D. No.
Reference #:
Signature ofDefendant
City of:
Dispatch /Case #:
20
US DOT#
DL Class
State
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.
First
defendant did unlawfully: Operate Motor Vehicle/Boat
State
Scheduled Violation/Fine
Suffix
Criminal SurchargeSerious P.I.
in
Notary/other
Reason:
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.
Civil Damage Assessment Other
County of:
Officer'sSignature
Total Fine/Costs
HazMat End Req?
Officer'sSignature
Non-scheduled Violation
X
ICIS Ord.
at
Defendant, Last
at
COMPLAINT
Pass EndReq?
Co. Enf. Surcharge
Middle
Notary/otherSignature
Dated
T01 T404 150306 140619 4
*+T01T4041503061406194+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
P652160802130PRINCE DANIEL 6/13/1980YES
B NEthnicity34952-7718PORT ST LUCIE FL166 SW FAIRVIEW AVE
5' 06"FL 190 LBSNONE MALEA XPST
03/06/2015 1:40 PM 2007 WHI FREIGHTLINER - F
TT
2016 YES NO NOFLF7899R02565781
US 71/KARR AVE
$50.00
$17.50395.8F1
N/A13DRIVERS LOG NOT CURRENT HAD NOT LIST ANYTHING SINCE MIDNIGHT
3/4$60.00
321.449 321.449-C$127.50
T404
03/06/2015
03/06/2015
8:30 AM03/23/2015
$161.25
EARLY - 2200HANSEN, JEFFREY
MARCH, 201510
OTHERMOTOR VEHICLE ENFORCEMENT
NOT GUILTY
Driver's LicenseRecommendation
OTHER DISPOSITION
Other
Susp.
Yr.
BAIL CASH DEPOSIT
DATE: Continued to:
Incarceration in
VERDICT
WARRANT ISSUED
Iowa
DISMISSED
TESTIMONY - JUDGE'S NOTES: (Other Orders)
Revo
Mo.
Signature, person giving bail
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
COST $
ABSTRACT OF COURT RECORD
Address
JURY TRIAL
Days:
DOCKET NO.
REASON
CASE NO.
School
CASE NO.
STATE:
Days
Name
FORFEIT BOND
The court Therefore Enters in Following Order This Date
REASON
Phone
PLEA
LICENSE NO.
NOT GUILTY
Citation #:
GUILTY
Signature, person taking bailDate
DATE:
NO JURY TRIAL orPROCEEDING
GUILTY
DATE:
None
Day
COURT NO.
FINED $ SURCHARGE $ Continued to:
T01 T404 150306 140619 4
FILED 03/10/2015 04:31PMCLERK DISTRICT COURTSAC COUNTY IOWA
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.
You hereby are given notice that within a reasonable time but no later than the date scheduled for yourinitial appearance a citation/complaint sworn under oath will be filed with the district court clerk of thecounty in which this citation was issued.
Speed
IA Code:
State of Iowa
this
Road Work Zone
Weight
Agency
City
Zone
Court Costs
1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
My signature below is not a plea of guilty, but acknowledges all of the following:
PLAINTIFF
4. I hereby give my unsecured appearance bond in the amount of
ICIS Sec #:
Subscribed and sworn to me by
at
Fed/Adm Code:
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
Law Enforcement Agency -
Violation
DL State
In the Court at
Located in the county and state aforesaid and did then and there commit the following offense:
Fatal Accident
DL Rest.
Dated
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
day of
Zip Code
Form 420001E 1/07
DOB
Local Ord.
Height
require an appearance, report to the above named court on:
Court Appearance Required (805.10)
VS.
Name
DL/State IDViewed?
Race
Sex
The following applies to simple misdemeanors only:
The undersigned states that on or about
Sec #:
Upon a public highway at
CDLReq?
Year
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
DL End.
DL#
Address
IOWA UNIFORM CITATION AND COMPLAINT
I swear that the foregoing complaint is true and correct. , Iowa
ICC# Lic. Plate #/REG
I.D. No.
Reference #:
Signature ofDefendant
City of:
Dispatch /Case #:
20
US DOT#
DL Class
State
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.
First
defendant did unlawfully: Operate Motor Vehicle/Boat
State
Scheduled Violation/Fine
Suffix
Criminal SurchargeSerious P.I.
in
Notary/other
Reason:
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.
Civil Damage Assessment Other
County of:
Officer'sSignature
Total Fine/Costs
HazMat End Req?
Officer'sSignature
Non-scheduled Violation
X
ICIS Ord.
at
Defendant, Last
at
COMPLAINT
Pass EndReq?
Co. Enf. Surcharge
Middle
Notary/otherSignature
Dated
T01 T404 150309 075353 6
*+T01T4041503090753536+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
390AE0600HOLMGREN MADISON LYN 9/8/1995YES
W NEthnicity51566-0000RED OAK IA711 E MAPLE ST
5' 06"IA 200 LBSB FEMALEC NONE
03/09/2015 7:53 AM 2006 SIL CHEVROLET - CHEV
IMP 4D
2015 NOIABFL886
STATE 39/IOWA 39
5565$40.00
$14.00
N/A15SPEED EB HWY 39 CROSSING ESTHER AS 75 IN A 55 ZONE
$60.00
321.285 321.285-B$114.00
T404
03/09/2015
03/09/2015
8:30 AM03/23/2015
$141.00
EARLY - 2200HANSEN, JEFFREY
MARCH, 201510
OTHERMOTOR VEHICLE ENFORCEMENT
NOT GUILTY
Driver's LicenseRecommendation
OTHER DISPOSITION
Other
Susp.
Yr.
BAIL CASH DEPOSIT
DATE: Continued to:
Incarceration in
VERDICT
WARRANT ISSUED
Iowa
DISMISSED
TESTIMONY - JUDGE'S NOTES: (Other Orders)
Revo
Mo.
Signature, person giving bail
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
COST $
ABSTRACT OF COURT RECORD
Address
JURY TRIAL
Days:
DOCKET NO.
REASON
CASE NO.
School
CASE NO.
STATE:
Days
Name
FORFEIT BOND
The court Therefore Enters in Following Order This Date
REASON
Phone
PLEA
LICENSE NO.
NOT GUILTY
Citation #:
GUILTY
Signature, person taking bailDate
DATE:
NO JURY TRIAL orPROCEEDING
GUILTY
DATE:
None
Day
COURT NO.
FINED $ SURCHARGE $ Continued to:
T01 T404 150309 075353 6
FILED 03/10/2015 04:31PMCLERK DISTRICT COURTSAC COUNTY IOWA
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.
You hereby are given notice that within a reasonable time but no later than the date scheduled for yourinitial appearance a citation/complaint sworn under oath will be filed with the district court clerk of thecounty in which this citation was issued.
Speed
IA Code:
State of Iowa
this
Road Work Zone
Weight
Agency
City
Zone
Court Costs
1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
My signature below is not a plea of guilty, but acknowledges all of the following:
PLAINTIFF
4. I hereby give my unsecured appearance bond in the amount of
ICIS Sec #:
Subscribed and sworn to me by
at
Fed/Adm Code:
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
Law Enforcement Agency -
Violation
DL State
In the Court at
Located in the county and state aforesaid and did then and there commit the following offense:
Fatal Accident
DL Rest.
Dated
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
day of
Zip Code
Form 420001E 1/07
DOB
Local Ord.
Height
require an appearance, report to the above named court on:
Court Appearance Required (805.10)
VS.
Name
DL/State IDViewed?
Race
Sex
The following applies to simple misdemeanors only:
The undersigned states that on or about
Sec #:
Upon a public highway at
CDLReq?
Year
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
DL End.
DL#
Address
IOWA UNIFORM CITATION AND COMPLAINT
I swear that the foregoing complaint is true and correct. , Iowa
ICC# Lic. Plate #/REG
I.D. No.
Reference #:
Signature ofDefendant
City of:
Dispatch /Case #:
20
US DOT#
DL Class
State
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.
First
defendant did unlawfully: Operate Motor Vehicle/Boat
State
Scheduled Violation/Fine
Suffix
Criminal SurchargeSerious P.I.
in
Notary/other
Reason:
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.
Civil Damage Assessment Other
County of:
Officer'sSignature
Total Fine/Costs
HazMat End Req?
Officer'sSignature
Non-scheduled Violation
X
ICIS Ord.
at
Defendant, Last
at
COMPLAINT
Pass EndReq?
Co. Enf. Surcharge
Middle
Notary/otherSignature
Dated
T01 T404 150309 142411 8
*+T01T4041503091424118+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
836PP1998HANUSA MARY ANN 5/26/1963YES
W NEthnicity51503-0000COUNCIL BLUFFS IA121 FOX HAVEN DR
6' 00"IA 180 LBSB FEMALEC NONE
03/09/2015 2:24 PM 2005 BLU CADILLAC - CADI
DEV 4D
2015 NOIA192SZF
STATE 39/IOWA 39
5565$40.00
$14.00
N/A15SPEED WB HWY 39 JUST E OF DEAN AS 74 IN A 55 ZONE
$60.00
321.285 321.285-B$114.00
T404
03/09/2015
03/09/2015
8:30 AM03/23/2015
$141.00
EARLY - 2200HANSEN, JEFFREY
MARCH, 201510
OTHERMOTOR VEHICLE ENFORCEMENT
NOT GUILTY
Driver's LicenseRecommendation
OTHER DISPOSITION
Other
Susp.
Yr.
BAIL CASH DEPOSIT
DATE: Continued to:
Incarceration in
VERDICT
WARRANT ISSUED
Iowa
DISMISSED
TESTIMONY - JUDGE'S NOTES: (Other Orders)
Revo
Mo.
Signature, person giving bail
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
COST $
ABSTRACT OF COURT RECORD
Address
JURY TRIAL
Days:
DOCKET NO.
REASON
CASE NO.
School
CASE NO.
STATE:
Days
Name
FORFEIT BOND
The court Therefore Enters in Following Order This Date
REASON
Phone
PLEA
LICENSE NO.
NOT GUILTY
Citation #:
GUILTY
Signature, person taking bailDate
DATE:
NO JURY TRIAL orPROCEEDING
GUILTY
DATE:
None
Day
COURT NO.
FINED $ SURCHARGE $ Continued to:
T01 T404 150309 142411 8
FILED 03/10/2015 04:31PMCLERK DISTRICT COURTSAC COUNTY IOWA
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.
You hereby are given notice that within a reasonable time but no later than the date scheduled for yourinitial appearance a citation/complaint sworn under oath will be filed with the district court clerk of thecounty in which this citation was issued.
Speed
IA Code:
State of Iowa
this
Road Work Zone
Weight
Agency
City
Zone
Court Costs
1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
My signature below is not a plea of guilty, but acknowledges all of the following:
PLAINTIFF
4. I hereby give my unsecured appearance bond in the amount of
ICIS Sec #:
Subscribed and sworn to me by
at
Fed/Adm Code:
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
Law Enforcement Agency -
Violation
DL State
In the Court at
Located in the county and state aforesaid and did then and there commit the following offense:
Fatal Accident
DL Rest.
Dated
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
day of
Zip Code
Form 420001E 1/07
DOB
Local Ord.
Height
require an appearance, report to the above named court on:
Court Appearance Required (805.10)
VS.
Name
DL/State IDViewed?
Race
Sex
The following applies to simple misdemeanors only:
The undersigned states that on or about
Sec #:
Upon a public highway at
CDLReq?
Year
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
DL End.
DL#
Address
IOWA UNIFORM CITATION AND COMPLAINT
I swear that the foregoing complaint is true and correct. , Iowa
ICC# Lic. Plate #/REG
I.D. No.
Reference #:
Signature ofDefendant
City of:
Dispatch /Case #:
20
US DOT#
DL Class
State
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.
First
defendant did unlawfully: Operate Motor Vehicle/Boat
State
Scheduled Violation/Fine
Suffix
Criminal SurchargeSerious P.I.
in
Notary/other
Reason:
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.
Civil Damage Assessment Other
County of:
Officer'sSignature
Total Fine/Costs
HazMat End Req?
Officer'sSignature
Non-scheduled Violation
X
ICIS Ord.
at
Defendant, Last
at
COMPLAINT
Pass EndReq?
Co. Enf. Surcharge
Middle
Notary/otherSignature
Dated
T01 T404 150310 092309 9
*+T01T4041503100923099+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
161BB7854CRAMER RICHARD MANFORD 5/13/1969YES
W NEthnicity50261-0000VAN METER IA502 LAKEVIEW DR
6' 02"IA 325 LBSB MALEC NONE
03/10/2015 9:00 AM 2004 WHI FORD -FORD
F450 TR
2015 NOIABEP93200395305
US 71/KARR AVE
$50.00
$17.50396.17C
N/A13NO ANNUAL INSPECTION ON THE TRUCK
$60.00
321.449 321.449-A$127.50
T404
03/10/2015
03/10/2015
8:00 AM03/23/2015
$161.25
EARLY - 2200HANSEN, JEFFREY
MARCH, 201510
OTHERMOTOR VEHICLE ENFORCEMENT
NOT GUILTY
Driver's LicenseRecommendation
OTHER DISPOSITION
Other
Susp.
Yr.
BAIL CASH DEPOSIT
DATE: Continued to:
Incarceration in
VERDICT
WARRANT ISSUED
Iowa
DISMISSED
TESTIMONY - JUDGE'S NOTES: (Other Orders)
Revo
Mo.
Signature, person giving bail
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
COST $
ABSTRACT OF COURT RECORD
Address
JURY TRIAL
Days:
DOCKET NO.
REASON
CASE NO.
School
CASE NO.
STATE:
Days
Name
FORFEIT BOND
The court Therefore Enters in Following Order This Date
REASON
Phone
PLEA
LICENSE NO.
NOT GUILTY
Citation #:
GUILTY
Signature, person taking bailDate
DATE:
NO JURY TRIAL orPROCEEDING
GUILTY
DATE:
None
Day
COURT NO.
FINED $ SURCHARGE $ Continued to:
T01 T404 150310 092309 9
FILED 03/10/2015 04:32PMCLERK DISTRICT COURTSAC COUNTY IOWA
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.
You hereby are given notice that within a reasonable time but no later than the date scheduled for yourinitial appearance a citation/complaint sworn under oath will be filed with the district court clerk of thecounty in which this citation was issued.
Speed
IA Code:
State of Iowa
this
Road Work Zone
Weight
Agency
City
Zone
Court Costs
1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
My signature below is not a plea of guilty, but acknowledges all of the following:
PLAINTIFF
4. I hereby give my unsecured appearance bond in the amount of
ICIS Sec #:
Subscribed and sworn to me by
at
Fed/Adm Code:
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
Law Enforcement Agency -
Violation
DL State
In the Court at
Located in the county and state aforesaid and did then and there commit the following offense:
Fatal Accident
DL Rest.
Dated
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
day of
Zip Code
Form 420001E 1/07
DOB
Local Ord.
Height
require an appearance, report to the above named court on:
Court Appearance Required (805.10)
VS.
Name
DL/State IDViewed?
Race
Sex
The following applies to simple misdemeanors only:
The undersigned states that on or about
Sec #:
Upon a public highway at
CDLReq?
Year
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
DL End.
DL#
Address
IOWA UNIFORM CITATION AND COMPLAINT
I swear that the foregoing complaint is true and correct. , Iowa
ICC# Lic. Plate #/REG
I.D. No.
Reference #:
Signature ofDefendant
City of:
Dispatch /Case #:
20
US DOT#
DL Class
State
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.
First
defendant did unlawfully: Operate Motor Vehicle/Boat
State
Scheduled Violation/Fine
Suffix
Criminal SurchargeSerious P.I.
in
Notary/other
Reason:
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.
Civil Damage Assessment Other
County of:
Officer'sSignature
Total Fine/Costs
HazMat End Req?
Officer'sSignature
Non-scheduled Violation
X
ICIS Ord.
at
Defendant, Last
at
COMPLAINT
Pass EndReq?
Co. Enf. Surcharge
Middle
Notary/otherSignature
Dated
T01 T404 150310 101920 1
*+T01T4041503101019201+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
01005128PARSONS JOSHUA PAUL 8/25/1987YES
W NEthnicity57522-0000BLUNT SD201 N COMMERCIAL AVE
5' 10"SD 240 LBSNONE MALEA N
03/10/2015 9:45 AM 2000 WHI PETERBILT - PTRB
TT/ST
2015 YES NO NOSDPR1059400255920 334634
US 71/KARR AVE
$50.00
$17.50396.3A1BOS
N/A1320% OF THE BRAKES ON COMB OUT OF ADJUSTMENT
$60.00
321.449 321.449-A$127.50
T404
03/10/2015
03/10/2015
8:30 AM03/23/2015
$161.25
EARLY - 2200HANSEN, JEFFREY
MARCH, 201510
OTHERMOTOR VEHICLE ENFORCEMENT
NOT GUILTY
Driver's LicenseRecommendation
OTHER DISPOSITION
Other
Susp.
Yr.
BAIL CASH DEPOSIT
DATE: Continued to:
Incarceration in
VERDICT
WARRANT ISSUED
Iowa
DISMISSED
TESTIMONY - JUDGE'S NOTES: (Other Orders)
Revo
Mo.
Signature, person giving bail
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
COST $
ABSTRACT OF COURT RECORD
Address
JURY TRIAL
Days:
DOCKET NO.
REASON
CASE NO.
School
CASE NO.
STATE:
Days
Name
FORFEIT BOND
The court Therefore Enters in Following Order This Date
REASON
Phone
PLEA
LICENSE NO.
NOT GUILTY
Citation #:
GUILTY
Signature, person taking bailDate
DATE:
NO JURY TRIAL orPROCEEDING
GUILTY
DATE:
None
Day
COURT NO.
FINED $ SURCHARGE $ Continued to:
T01 T404 150310 101920 1
FILED 03/10/2015 04:32PMCLERK DISTRICT COURTSAC COUNTY IOWA
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.
You hereby are given notice that within a reasonable time but no later than the date scheduled for yourinitial appearance a citation/complaint sworn under oath will be filed with the district court clerk of thecounty in which this citation was issued.
Speed
IA Code:
State of Iowa
this
Road Work Zone
Weight
Agency
City
Zone
Court Costs
1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
My signature below is not a plea of guilty, but acknowledges all of the following:
PLAINTIFF
4. I hereby give my unsecured appearance bond in the amount of
ICIS Sec #:
Subscribed and sworn to me by
at
Fed/Adm Code:
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
Law Enforcement Agency -
Violation
DL State
In the Court at
Located in the county and state aforesaid and did then and there commit the following offense:
Fatal Accident
DL Rest.
Dated
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
day of
Zip Code
Form 420001E 1/07
DOB
Local Ord.
Height
require an appearance, report to the above named court on:
Court Appearance Required (805.10)
VS.
Name
DL/State IDViewed?
Race
Sex
The following applies to simple misdemeanors only:
The undersigned states that on or about
Sec #:
Upon a public highway at
CDLReq?
Year
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
DL End.
DL#
Address
IOWA UNIFORM CITATION AND COMPLAINT
I swear that the foregoing complaint is true and correct. , Iowa
ICC# Lic. Plate #/REG
I.D. No.
Reference #:
Signature ofDefendant
City of:
Dispatch /Case #:
20
US DOT#
DL Class
State
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.
First
defendant did unlawfully: Operate Motor Vehicle/Boat
State
Scheduled Violation/Fine
Suffix
Criminal SurchargeSerious P.I.
in
Notary/other
Reason:
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.
Civil Damage Assessment Other
County of:
Officer'sSignature
Total Fine/Costs
HazMat End Req?
Officer'sSignature
Non-scheduled Violation
X
ICIS Ord.
at
Defendant, Last
at
COMPLAINT
Pass EndReq?
Co. Enf. Surcharge
Middle
Notary/otherSignature
Dated
T01 T404 150310 110616 3
*+T01T4041503101106163+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
089SS9212THOMAS ALLEN MICHAEL 12/30/1977YES
W NEthnicity50316-0000DES MOINES IA1436 THOMPSON AVE
5' 09"IA 175 LBSNONE MALEA NONE
03/10/2015 10:50 AM 2000 WHI KENWORTH - KW
PK
2015 YES NO NOIA826RRC00392305
US 71/KARR AVE
$50.00
$17.50393.100B
N/A13LOOSE BOARDS WITH NAILS AND BOARDS WITH BAD STRAP AND A FEW
ROCKS NOT SECURED$60.00
321.449 321.449-A$127.50
T404
03/10/2015
03/10/2015
8:30 AM03/23/2015
$161.25
EARLY - 2200HANSEN, JEFFREY
MARCH, 201510
OTHERMOTOR VEHICLE ENFORCEMENT
NOT GUILTY
Driver's LicenseRecommendation
OTHER DISPOSITION
Other
Susp.
Yr.
BAIL CASH DEPOSIT
DATE: Continued to:
Incarceration in
VERDICT
WARRANT ISSUED
Iowa
DISMISSED
TESTIMONY - JUDGE'S NOTES: (Other Orders)
Revo
Mo.
Signature, person giving bail
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
COST $
ABSTRACT OF COURT RECORD
Address
JURY TRIAL
Days:
DOCKET NO.
REASON
CASE NO.
School
CASE NO.
STATE:
Days
Name
FORFEIT BOND
The court Therefore Enters in Following Order This Date
REASON
Phone
PLEA
LICENSE NO.
NOT GUILTY
Citation #:
GUILTY
Signature, person taking bailDate
DATE:
NO JURY TRIAL orPROCEEDING
GUILTY
DATE:
None
Day
COURT NO.
FINED $ SURCHARGE $ Continued to:
T01 T404 150310 110616 3
FILED 03/10/2015 04:32PMCLERK DISTRICT COURTSAC COUNTY IOWA
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.
You hereby are given notice that within a reasonable time but no later than the date scheduled for yourinitial appearance a citation/complaint sworn under oath will be filed with the district court clerk of thecounty in which this citation was issued.
Speed
IA Code:
State of Iowa
this
Road Work Zone
Weight
Agency
City
Zone
Court Costs
1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
My signature below is not a plea of guilty, but acknowledges all of the following:
PLAINTIFF
4. I hereby give my unsecured appearance bond in the amount of
ICIS Sec #:
Subscribed and sworn to me by
at
Fed/Adm Code:
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
Law Enforcement Agency -
Violation
DL State
In the Court at
Located in the county and state aforesaid and did then and there commit the following offense:
Fatal Accident
DL Rest.
Dated
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
day of
Zip Code
Form 420001E 1/07
DOB
Local Ord.
Height
require an appearance, report to the above named court on:
Court Appearance Required (805.10)
VS.
Name
DL/State IDViewed?
Race
Sex
The following applies to simple misdemeanors only:
The undersigned states that on or about
Sec #:
Upon a public highway at
CDLReq?
Year
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
DL End.
DL#
Address
IOWA UNIFORM CITATION AND COMPLAINT
I swear that the foregoing complaint is true and correct. , Iowa
ICC# Lic. Plate #/REG
I.D. No.
Reference #:
Signature ofDefendant
City of:
Dispatch /Case #:
20
US DOT#
DL Class
State
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.
First
defendant did unlawfully: Operate Motor Vehicle/Boat
State
Scheduled Violation/Fine
Suffix
Criminal SurchargeSerious P.I.
in
Notary/other
Reason:
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.
Civil Damage Assessment Other
County of:
Officer'sSignature
Total Fine/Costs
HazMat End Req?
Officer'sSignature
Non-scheduled Violation
X
ICIS Ord.
at
Defendant, Last
at
COMPLAINT
Pass EndReq?
Co. Enf. Surcharge
Middle
Notary/otherSignature
Dated
T01 T404 150310 124129 8
*+T01T4041503101241298+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
317ZZ8003ZELLER SCOTT ALLEN 2/3/1967YES
W NEthnicity52329-0000ROWLEY IA1912 320TH ST
5' 07"IA 238 LBSNONE MALEA NONE
03/10/2015 12:15 PM 2003 RED FREIGHTLINER - F
TT/ST
2015 YES NO NOIASD452500562776 275648
US 71/KARR AVE
$50.00
$17.50393.47A
N/A13CRACKS IN BRAKE PAD OF STEER RT SIDE MEAS 2 1/2 IN L AND LITTLE
OVER 1/16 W$60.00
321.449 321.449-A$127.50
T404
03/10/2015
03/10/2015
8:30 AM03/23/2015
$161.25
EARLY - 2200HANSEN, JEFFREY
MARCH, 201510
OTHERMOTOR VEHICLE ENFORCEMENT
NOT GUILTY
Driver's LicenseRecommendation
OTHER DISPOSITION
Other
Susp.
Yr.
BAIL CASH DEPOSIT
DATE: Continued to:
Incarceration in
VERDICT
WARRANT ISSUED
Iowa
DISMISSED
TESTIMONY - JUDGE'S NOTES: (Other Orders)
Revo
Mo.
Signature, person giving bail
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
COST $
ABSTRACT OF COURT RECORD
Address
JURY TRIAL
Days:
DOCKET NO.
REASON
CASE NO.
School
CASE NO.
STATE:
Days
Name
FORFEIT BOND
The court Therefore Enters in Following Order This Date
REASON
Phone
PLEA
LICENSE NO.
NOT GUILTY
Citation #:
GUILTY
Signature, person taking bailDate
DATE:
NO JURY TRIAL orPROCEEDING
GUILTY
DATE:
None
Day
COURT NO.
FINED $ SURCHARGE $ Continued to:
T01 T404 150310 124129 8
FILED 03/10/2015 04:32PMCLERK DISTRICT COURTSAC COUNTY IOWA
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.
You hereby are given notice that within a reasonable time but no later than the date scheduled for yourinitial appearance a citation/complaint sworn under oath will be filed with the district court clerk of thecounty in which this citation was issued.
Speed
IA Code:
State of Iowa
this
Road Work Zone
Weight
Agency
City
Zone
Court Costs
1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
My signature below is not a plea of guilty, but acknowledges all of the following:
PLAINTIFF
4. I hereby give my unsecured appearance bond in the amount of
ICIS Sec #:
Subscribed and sworn to me by
at
Fed/Adm Code:
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
Law Enforcement Agency -
Violation
DL State
In the Court at
Located in the county and state aforesaid and did then and there commit the following offense:
Fatal Accident
DL Rest.
Dated
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
day of
Zip Code
Form 420001E 1/07
DOB
Local Ord.
Height
require an appearance, report to the above named court on:
Court Appearance Required (805.10)
VS.
Name
DL/State IDViewed?
Race
Sex
The following applies to simple misdemeanors only:
The undersigned states that on or about
Sec #:
Upon a public highway at
CDLReq?
Year
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
DL End.
DL#
Address
IOWA UNIFORM CITATION AND COMPLAINT
I swear that the foregoing complaint is true and correct. , Iowa
ICC# Lic. Plate #/REG
I.D. No.
Reference #:
Signature ofDefendant
City of:
Dispatch /Case #:
20
US DOT#
DL Class
State
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.
First
defendant did unlawfully: Operate Motor Vehicle/Boat
State
Scheduled Violation/Fine
Suffix
Criminal SurchargeSerious P.I.
in
Notary/other
Reason:
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.
Civil Damage Assessment Other
County of:
Officer'sSignature
Total Fine/Costs
HazMat End Req?
Officer'sSignature
Non-scheduled Violation
X
ICIS Ord.
at
Defendant, Last
at
COMPLAINT
Pass EndReq?
Co. Enf. Surcharge
Middle
Notary/otherSignature
Dated
T01 T404 150310 124334 9
*+T01T4041503101243349+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
317ZZ8003ZELLER SCOTT ALLEN 2/3/1967YES
W NEthnicity52329-0000ROWLEY IA1912 320TH ST
5' 07"IA 238 LBSNONE MALEA NONE
03/10/2015 12:15 PM 2003 RED FREIGHTLINER - F
TT/ST
2015 YES NO NOIASD452500562776 275648
US 71/KARR AVE
$22.00
$7.70392.2-SLLEWA1
N/A13AX 2-3 TANDEM WEIGHED 35420 ALLOWED 34K OVER 1,420LBS
$60.00
321.463 321.463$89.70
T404
03/10/2015
03/10/2015
8:30 AM03/23/2015
$104.55
EARLY - 2200HANSEN, JEFFREY
MARCH, 201510
OTHERMOTOR VEHICLE ENFORCEMENT
NOT GUILTY
Driver's LicenseRecommendation
OTHER DISPOSITION
Other
Susp.
Yr.
BAIL CASH DEPOSIT
DATE: Continued to:
Incarceration in
VERDICT
WARRANT ISSUED
Iowa
DISMISSED
TESTIMONY - JUDGE'S NOTES: (Other Orders)
Revo
Mo.
Signature, person giving bail
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
COST $
ABSTRACT OF COURT RECORD
Address
JURY TRIAL
Days:
DOCKET NO.
REASON
CASE NO.
School
CASE NO.
STATE:
Days
Name
FORFEIT BOND
The court Therefore Enters in Following Order This Date
REASON
Phone
PLEA
LICENSE NO.
NOT GUILTY
Citation #:
GUILTY
Signature, person taking bailDate
DATE:
NO JURY TRIAL orPROCEEDING
GUILTY
DATE:
None
Day
COURT NO.
FINED $ SURCHARGE $ Continued to:
T01 T404 150310 124334 9
FILED 03/10/2015 04:32PMCLERK DISTRICT COURTSAC COUNTY IOWA
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.
You hereby are given notice that within a reasonable time but no later than the date scheduled for yourinitial appearance a citation/complaint sworn under oath will be filed with the district court clerk of thecounty in which this citation was issued.
Speed
IA Code:
State of Iowa
this
Road Work Zone
Weight
Agency
City
Zone
Court Costs
1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
My signature below is not a plea of guilty, but acknowledges all of the following:
PLAINTIFF
4. I hereby give my unsecured appearance bond in the amount of
ICIS Sec #:
Subscribed and sworn to me by
at
Fed/Adm Code:
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
Law Enforcement Agency -
Violation
DL State
In the Court at
Located in the county and state aforesaid and did then and there commit the following offense:
Fatal Accident
DL Rest.
Dated
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
day of
Zip Code
Form 420001E 1/07
DOB
Local Ord.
Height
require an appearance, report to the above named court on:
Court Appearance Required (805.10)
VS.
Name
DL/State IDViewed?
Race
Sex
The following applies to simple misdemeanors only:
The undersigned states that on or about
Sec #:
Upon a public highway at
CDLReq?
Year
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
DL End.
DL#
Address
IOWA UNIFORM CITATION AND COMPLAINT
I swear that the foregoing complaint is true and correct. , Iowa
ICC# Lic. Plate #/REG
I.D. No.
Reference #:
Signature ofDefendant
City of:
Dispatch /Case #:
20
US DOT#
DL Class
State
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.
First
defendant did unlawfully: Operate Motor Vehicle/Boat
State
Scheduled Violation/Fine
Suffix
Criminal SurchargeSerious P.I.
in
Notary/other
Reason:
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.
Civil Damage Assessment Other
County of:
Officer'sSignature
Total Fine/Costs
HazMat End Req?
Officer'sSignature
Non-scheduled Violation
X
ICIS Ord.
at
Defendant, Last
at
COMPLAINT
Pass EndReq?
Co. Enf. Surcharge
Middle
Notary/otherSignature
Dated
T01 T404 150310 110825 5
*+T01T4041503101108255+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
089SS9212THOMAS ALLEN MICHAEL 12/30/1977YES
W NEthnicity50316-0000DES MOINES IA1436 THOMPSON AVE
5' 09"IA 175 LBSNONE MALEA NONE
03/10/2015 10:50 AM 2000 WHI KENWORTH - KW
PK
2015 YES NO NOIA826RRC00392305
US 71/KARR AVE
$50.00
$17.50395.8F1
N/A13DRIVERS LOG NOT CURRENT STARTED IN DES MOINES TO SPENCER 186.4 M
NO LOG$60.00
321.449 321.449-C$127.50
T404
03/10/2015
03/10/2015
8:30 AM03/23/2015
$161.25
EARLY - 2200HANSEN, JEFFREY
MARCH, 201510
OTHERMOTOR VEHICLE ENFORCEMENT
NOT GUILTY
Driver's LicenseRecommendation
OTHER DISPOSITION
Other
Susp.
Yr.
BAIL CASH DEPOSIT
DATE: Continued to:
Incarceration in
VERDICT
WARRANT ISSUED
Iowa
DISMISSED
TESTIMONY - JUDGE'S NOTES: (Other Orders)
Revo
Mo.
Signature, person giving bail
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
COST $
ABSTRACT OF COURT RECORD
Address
JURY TRIAL
Days:
DOCKET NO.
REASON
CASE NO.
School
CASE NO.
STATE:
Days
Name
FORFEIT BOND
The court Therefore Enters in Following Order This Date
REASON
Phone
PLEA
LICENSE NO.
NOT GUILTY
Citation #:
GUILTY
Signature, person taking bailDate
DATE:
NO JURY TRIAL orPROCEEDING
GUILTY
DATE:
None
Day
COURT NO.
FINED $ SURCHARGE $ Continued to:
T01 T404 150310 110825 5
FILED 03/10/2015 04:32PMCLERK DISTRICT COURTSAC COUNTY IOWA
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.
You hereby are given notice that within a reasonable time but no later than the date scheduled for yourinitial appearance a citation/complaint sworn under oath will be filed with the district court clerk of thecounty in which this citation was issued.
Speed
IA Code:
State of Iowa
this
Road Work Zone
Weight
Agency
City
Zone
Court Costs
1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
My signature below is not a plea of guilty, but acknowledges all of the following:
PLAINTIFF
4. I hereby give my unsecured appearance bond in the amount of
ICIS Sec #:
Subscribed and sworn to me by
at
Fed/Adm Code:
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
Law Enforcement Agency -
Violation
DL State
In the Court at
Located in the county and state aforesaid and did then and there commit the following offense:
Fatal Accident
DL Rest.
Dated
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
day of
Zip Code
Form 420001E 1/07
DOB
Local Ord.
Height
require an appearance, report to the above named court on:
Court Appearance Required (805.10)
VS.
Name
DL/State IDViewed?
Race
Sex
The following applies to simple misdemeanors only:
The undersigned states that on or about
Sec #:
Upon a public highway at
CDLReq?
Year
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
DL End.
DL#
Address
IOWA UNIFORM CITATION AND COMPLAINT
I swear that the foregoing complaint is true and correct. , Iowa
ICC# Lic. Plate #/REG
I.D. No.
Reference #:
Signature ofDefendant
City of:
Dispatch /Case #:
20
US DOT#
DL Class
State
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.
First
defendant did unlawfully: Operate Motor Vehicle/Boat
State
Scheduled Violation/Fine
Suffix
Criminal SurchargeSerious P.I.
in
Notary/other
Reason:
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.
Civil Damage Assessment Other
County of:
Officer'sSignature
Total Fine/Costs
HazMat End Req?
Officer'sSignature
Non-scheduled Violation
X
ICIS Ord.
at
Defendant, Last
at
COMPLAINT
Pass EndReq?
Co. Enf. Surcharge
Middle
Notary/otherSignature
Dated
T01 T424 150310 084221 8
*+T01T4241503100842218+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
K01594551SERRANO NELSON 6/20/1971YES
U UEthnicity66030GARDNER KS248 N EVERGREEN ST
5' 07"KS 170 LBSNONE MALEA T
03/10/2015 8:15 AM 2003 MAR PETERBILT - PTRB
TTST
2015 YES NO NOKS07796401399943 601632
US 71/KARR AVE
$50.00
$17.50395.3A3-PROP
N/A1311 HR VIOL TODAY @ 0700HRS BY 1.25HRS
$60.00
321.449 321.449-C$127.50
T424
03/10/2015
03/10/2015
9:00 AM03/31/2015
$161.25
CHEROKEE - 1272CLAYCAMP, FRED
MARCH, 201510
OTHERMOTOR VEHICLE ENFORCEMENT
NOT GUILTY
Driver's LicenseRecommendation
OTHER DISPOSITION
Other
Susp.
Yr.
BAIL CASH DEPOSIT
DATE: Continued to:
Incarceration in
VERDICT
WARRANT ISSUED
Iowa
DISMISSED
TESTIMONY - JUDGE'S NOTES: (Other Orders)
Revo
Mo.
Signature, person giving bail
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
COST $
ABSTRACT OF COURT RECORD
Address
JURY TRIAL
Days:
DOCKET NO.
REASON
CASE NO.
School
CASE NO.
STATE:
Days
Name
FORFEIT BOND
The court Therefore Enters in Following Order This Date
REASON
Phone
PLEA
LICENSE NO.
NOT GUILTY
Citation #:
GUILTY
Signature, person taking bailDate
DATE:
NO JURY TRIAL orPROCEEDING
GUILTY
DATE:
None
Day
COURT NO.
FINED $ SURCHARGE $ Continued to:
T01 T424 150310 084221 8
FILED 03/10/2015 04:33PMCLERK DISTRICT COURTSAC COUNTY IOWA
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.
You hereby are given notice that within a reasonable time but no later than the date scheduled for yourinitial appearance a citation/complaint sworn under oath will be filed with the district court clerk of thecounty in which this citation was issued.
Speed
IA Code:
State of Iowa
this
Road Work Zone
Weight
Agency
City
Zone
Court Costs
1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
My signature below is not a plea of guilty, but acknowledges all of the following:
PLAINTIFF
4. I hereby give my unsecured appearance bond in the amount of
ICIS Sec #:
Subscribed and sworn to me by
at
Fed/Adm Code:
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
Law Enforcement Agency -
Violation
DL State
In the Court at
Located in the county and state aforesaid and did then and there commit the following offense:
Fatal Accident
DL Rest.
Dated
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
day of
Zip Code
Form 420001E 1/07
DOB
Local Ord.
Height
require an appearance, report to the above named court on:
Court Appearance Required (805.10)
VS.
Name
DL/State IDViewed?
Race
Sex
The following applies to simple misdemeanors only:
The undersigned states that on or about
Sec #:
Upon a public highway at
CDLReq?
Year
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
DL End.
DL#
Address
IOWA UNIFORM CITATION AND COMPLAINT
I swear that the foregoing complaint is true and correct. , Iowa
ICC# Lic. Plate #/REG
I.D. No.
Reference #:
Signature ofDefendant
City of:
Dispatch /Case #:
20
US DOT#
DL Class
State
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.
First
defendant did unlawfully: Operate Motor Vehicle/Boat
State
Scheduled Violation/Fine
Suffix
Criminal SurchargeSerious P.I.
in
Notary/other
Reason:
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.
Civil Damage Assessment Other
County of:
Officer'sSignature
Total Fine/Costs
HazMat End Req?
Officer'sSignature
Non-scheduled Violation
X
ICIS Ord.
at
Defendant, Last
at
COMPLAINT
Pass EndReq?
Co. Enf. Surcharge
Middle
Notary/otherSignature
Dated
T01 T424 150310 101836 0
*+T01T4241503101018360+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
111164843HOFFMAN KENNETH ARTHUR 11/4/1966YES
W NEthnicity37388-0000TULLAHOMA TN432 E LAUDERDALE ST
6' 03"TN 210 LBSNONE MALEA NONE
03/10/2015 9:45 AM 2012 ONG FREIGHTLINER - F
TTST
2015 YES NO NOILP84337301054563 510871
US 71/KARR AVE
$50.00
$17.50395.8F1
N/A13LOG NOT CURRENT LE ON 03-08-15 AMARILLO TX
$60.00
321.449 321.449-C$127.50
T424
03/10/2015
03/10/2015
9:00 AM03/31/2015
$161.25
CHEROKEE - 1272CLAYCAMP, FRED
MARCH, 201510
OTHERMOTOR VEHICLE ENFORCEMENT
NOT GUILTY
Driver's LicenseRecommendation
OTHER DISPOSITION
Other
Susp.
Yr.
BAIL CASH DEPOSIT
DATE: Continued to:
Incarceration in
VERDICT
WARRANT ISSUED
Iowa
DISMISSED
TESTIMONY - JUDGE'S NOTES: (Other Orders)
Revo
Mo.
Signature, person giving bail
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
COST $
ABSTRACT OF COURT RECORD
Address
JURY TRIAL
Days:
DOCKET NO.
REASON
CASE NO.
School
CASE NO.
STATE:
Days
Name
FORFEIT BOND
The court Therefore Enters in Following Order This Date
REASON
Phone
PLEA
LICENSE NO.
NOT GUILTY
Citation #:
GUILTY
Signature, person taking bailDate
DATE:
NO JURY TRIAL orPROCEEDING
GUILTY
DATE:
None
Day
COURT NO.
FINED $ SURCHARGE $ Continued to:
T01 T424 150310 101836 0
FILED 03/10/2015 04:33PMCLERK DISTRICT COURTSAC COUNTY IOWA
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.
You hereby are given notice that within a reasonable time but no later than the date scheduled for yourinitial appearance a citation/complaint sworn under oath will be filed with the district court clerk of thecounty in which this citation was issued.
Speed
IA Code:
State of Iowa
this
Road Work Zone
Weight
Agency
City
Zone
Court Costs
1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
My signature below is not a plea of guilty, but acknowledges all of the following:
PLAINTIFF
4. I hereby give my unsecured appearance bond in the amount of
ICIS Sec #:
Subscribed and sworn to me by
at
Fed/Adm Code:
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
Law Enforcement Agency -
Violation
DL State
In the Court at
Located in the county and state aforesaid and did then and there commit the following offense:
Fatal Accident
DL Rest.
Dated
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
day of
Zip Code
Form 420001E 1/07
DOB
Local Ord.
Height
require an appearance, report to the above named court on:
Court Appearance Required (805.10)
VS.
Name
DL/State IDViewed?
Race
Sex
The following applies to simple misdemeanors only:
The undersigned states that on or about
Sec #:
Upon a public highway at
CDLReq?
Year
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
DL End.
DL#
Address
IOWA UNIFORM CITATION AND COMPLAINT
I swear that the foregoing complaint is true and correct. , Iowa
ICC# Lic. Plate #/REG
I.D. No.
Reference #:
Signature ofDefendant
City of:
Dispatch /Case #:
20
US DOT#
DL Class
State
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.
First
defendant did unlawfully: Operate Motor Vehicle/Boat
State
Scheduled Violation/Fine
Suffix
Criminal SurchargeSerious P.I.
in
Notary/other
Reason:
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.
Civil Damage Assessment Other
County of:
Officer'sSignature
Total Fine/Costs
HazMat End Req?
Officer'sSignature
Non-scheduled Violation
X
ICIS Ord.
at
Defendant, Last
at
COMPLAINT
Pass EndReq?
Co. Enf. Surcharge
Middle
Notary/otherSignature
Dated
T01 T424 150310 130537 2
*+T01T4241503101305372+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
G02120326BAUMFALK RANDY E 10/7/1964YES
W NEthnicity68372-0000HICKMAN NE315 E 7TH ST
5' 09"NE 170 LBSNONE MALEA M
03/10/2015 12:28 PM 2007 BLU KENWORTH - KW
TTST
2015 YES NO NONE11570800159939 144417
US 71/KARR AVE
$50.00
$17.50396.3A1BOS
N/A13BRAKES OUT OF SERVICE >20% CRITERIA
$60.00
321.449 321.449-A$127.50
T424
03/10/2015
03/10/2015
8:30 AM03/31/2015
$161.25
CHEROKEE - 1272CLAYCAMP, FRED
MARCH, 201510
OTHERMOTOR VEHICLE ENFORCEMENT
NOT GUILTY
Driver's LicenseRecommendation
OTHER DISPOSITION
Other
Susp.
Yr.
BAIL CASH DEPOSIT
DATE: Continued to:
Incarceration in
VERDICT
WARRANT ISSUED
Iowa
DISMISSED
TESTIMONY - JUDGE'S NOTES: (Other Orders)
Revo
Mo.
Signature, person giving bail
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
COST $
ABSTRACT OF COURT RECORD
Address
JURY TRIAL
Days:
DOCKET NO.
REASON
CASE NO.
School
CASE NO.
STATE:
Days
Name
FORFEIT BOND
The court Therefore Enters in Following Order This Date
REASON
Phone
PLEA
LICENSE NO.
NOT GUILTY
Citation #:
GUILTY
Signature, person taking bailDate
DATE:
NO JURY TRIAL orPROCEEDING
GUILTY
DATE:
None
Day
COURT NO.
FINED $ SURCHARGE $ Continued to:
T01 T424 150310 130537 2
FILED 03/10/2015 04:33PMCLERK DISTRICT COURTSAC COUNTY IOWA