23 traffic citations issued to out of area residents - april 11, 2014 - april 17, 2014
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
S81 URNS 140411 144237 3
*+S81URNS1404111442373+*
Citation #:
SAC COUNTY SHERIFF'S OFFICE
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
H12289334ORTNER CHRISTOPHER D 12/18/1978YES
W NEthnicity68116-0000OMAHA NE2401 N 176TH ST
6' 00"NE NONE MALEO NONE
04/11/2014 2:42 PM 2009 SIL FORD -FORD
EDGE SUV
2014 NONESGT 308
M068/PERKINS AVE AND 380TH ST
5560$20.00
$7.00
$5.00SPEED (55 ZONE) 1-5 OVER
$60.00
4.5.2/4(1) 4.5.2/4(1)-A$92.00
81-7
04/11/2014
04/11/2014
8:30 AM05/05/2014
$108.00
LAKE VIEW - 4157BURNS, JOEL
APRIL, 201411
NOTARYSAC COUNTY SHERIFF'S OFFICE
Continued to:SURCHARGE $FINED $
COURT NO.
Day
None
DATE:
GUILTYNO JURY TRIAL orPROCEEDING
DATE:
Date Signature, person taking bail
GUILTY
Citation #:
NOT GUILTY
LICENSE NO.
PLEA
Phone
REASON
The court Therefore Enters in Following Order This Date
FORFEIT BOND
Name
Days
STATE:
CASE NO.
School
CASE NO.
REASON
DOCKET NO.
Days:
JURY TRIAL
Address
ABSTRACT OF COURT RECORD
COST $
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
Signature, person giving bail
Mo.
Revo
TESTIMONY - JUDGE'S NOTES: (Other Orders)
DISMISSED
Iowa
WARRANT ISSUED
VERDICT
Incarceration in
Continued to:DATE:
BAIL CASH DEPOSIT
Yr.
Susp.
Other
OTHER DISPOSITION Driver's LicenseRecommendation
NOT GUILTY
S81 URNS 140411 144237 3
E-FILED 2014 APR 11 2:51 PM 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
S81 RITT 140411 150016 7
*+S81RITT1404111500167+*
Citation #:
SAC COUNTY SHERIFF'S OFFICE
SAC CITY - 6717SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
173AC6869CRARY ELISE NIKOLE 8/15/1993YES
W NEthnicity51103-0000SIOUX CITY IA313 S TURNER ST
5' 06"IA NONE FEMALEC NONE
04/11/2014 3:00 PM 2000 BLK HONDA -HOND
CIV 2D
2014 NOIA235XNJ
US 20
6575$40.00
$14.00
$5.0013SPEEDING > 55 (6 THRU 10 OVER)
$60.00
321.285 321.285-G$119.00
81-3
04/11/2014
04/11/2014
8:00 AM04/28/2014
$148.50
SAC CITY - 6717ERRITT, BRIAN
APRIL, 201411
NOTARYSAC COUNTY SHERIFF'S OFFICE
Continued to:SURCHARGE $FINED $
COURT NO.
Day
None
DATE:
GUILTYNO JURY TRIAL orPROCEEDING
DATE:
Date Signature, person taking bail
GUILTY
Citation #:
NOT GUILTY
LICENSE NO.
PLEA
Phone
REASON
The court Therefore Enters in Following Order This Date
FORFEIT BOND
Name
Days
STATE:
CASE NO.
School
CASE NO.
REASON
DOCKET NO.
Days:
JURY TRIAL
Address
ABSTRACT OF COURT RECORD
COST $
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
Signature, person giving bail
Mo.
Revo
TESTIMONY - JUDGE'S NOTES: (Other Orders)
DISMISSED
Iowa
WARRANT ISSUED
VERDICT
Incarceration in
Continued to:DATE:
BAIL CASH DEPOSIT
Yr.
Susp.
Other
OTHER DISPOSITION Driver's LicenseRecommendation
NOT GUILTY
S81 RITT 140411 150016 7
E-FILED 2014 APR 11 3:18 PM SAC - CLERK OF DISTRICT COURT
Dated
Notary/otherSignature
Middle
Co. Enf. Surcharge
Pass EndReq?
COMPLAINT
at
Defendant, Last
at
ICIS Ord.
X
Non-scheduled Violation
Officer'sSignature
HazMat End Req?
Total Fine/Costs
Officer'sSignature
County of:
OtherCivil Damage Assessment
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.
Reason:
Notary/other
in
Serious P.I.Criminal Surcharge
Suffix
Scheduled Violation/Fine
State
defendant did unlawfully: Operate Motor Vehicle/Boat
First
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.
State
DL Class
US DOT#
20
Dispatch /Case #:
City of:
Signature ofDefendant
Reference #:
I.D. No.
Lic. Plate #/REGICC#
, IowaI swear that the foregoing complaint is true and correct.
IOWA UNIFORM CITATION AND COMPLAINT
Address
DL#
DL End.
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
YearCDLReq?
Upon a public highway at
Sec #:
The undersigned states that on or about
The following applies to simple misdemeanors only:
Sex
Race
DL/State IDViewed?Name
VS.
Court Appearance Required (805.10)
require an appearance, report to the above named court on:
Height
Local Ord.
DOB
Form 420001E 1/07
Zip Code
day of
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
Dated
DL Rest.
Fatal Accident
Located in the county and state aforesaid and did then and there commit the following offense:
In the Court at
DL State
Violation
Law Enforcement Agency -
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
Fed/Adm Code:
at
Subscribed and sworn to me by
ICIS Sec #:
4. I hereby give my unsecured appearance bond in the amount of
PLAINTIFF
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.
Court Costs
Zone
City
Agency
Weight
Road Work Zone
this
State of Iowa
IA Code:
Speed
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.
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.
T01 T319 140407 193245 4
*+T01T3191404071932454+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
T790202895416HARVATH CHARLES PAUL 6/22/1957YES
W NEthnicity55416MINNEAPOLIS MN5901 LAUREL AVE APT 129
5' 11"MN 185 LBSNONE MALEA NONE
04/07/2014 7:25 PM 2008 RED KENWORTH - KW
TT-ST
2014 YES NO NOKS13179100315503 197897
44 - JCT HWY 71/20 EARLY
$12.00
$4.20392.2-SLLEWA1
N/A13OVR WGT AXLES 2-3 AT 35240 LEGAL 34000 OVR 1240LBS
$60.00
321.463 321.463$76.20
T319
04/07/2014
04/07/2014
8:30 AM04/28/2014
$84.30
EARLY - 2200LAAKE, PAUL
APRIL, 201411
NOTARYMOTOR 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 T319 140407 193245 4
FILED 04/12/2014 06:32AMCLERK DISTRICT COURTSAC COUNTY IOWA
Dated
Notary/otherSignature
Middle
Co. Enf. Surcharge
Pass EndReq?
COMPLAINT
at
Defendant, Last
at
ICIS Ord.
X
Non-scheduled Violation
Officer'sSignature
HazMat End Req?
Total Fine/Costs
Officer'sSignature
County of:
OtherCivil Damage Assessment
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.
Reason:
Notary/other
in
Serious P.I.Criminal Surcharge
Suffix
Scheduled Violation/Fine
State
defendant did unlawfully: Operate Motor Vehicle/Boat
First
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.
State
DL Class
US DOT#
20
Dispatch /Case #:
City of:
Signature ofDefendant
Reference #:
I.D. No.
Lic. Plate #/REGICC#
, IowaI swear that the foregoing complaint is true and correct.
IOWA UNIFORM CITATION AND COMPLAINT
Address
DL#
DL End.
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
YearCDLReq?
Upon a public highway at
Sec #:
The undersigned states that on or about
The following applies to simple misdemeanors only:
Sex
Race
DL/State IDViewed?Name
VS.
Court Appearance Required (805.10)
require an appearance, report to the above named court on:
Height
Local Ord.
DOB
Form 420001E 1/07
Zip Code
day of
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
Dated
DL Rest.
Fatal Accident
Located in the county and state aforesaid and did then and there commit the following offense:
In the Court at
DL State
Violation
Law Enforcement Agency -
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
Fed/Adm Code:
at
Subscribed and sworn to me by
ICIS Sec #:
4. I hereby give my unsecured appearance bond in the amount of
PLAINTIFF
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.
Court Costs
Zone
City
Agency
Weight
Road Work Zone
this
State of Iowa
IA Code:
Speed
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.
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.
T01 T319 140411 185441 5
*+T01T3191404111854415+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
112537422COFIE HASSAN OMAR 1/1/1986YES
B UEthnicity37013-0000ANTIOCH TN3000 BEACHMIST LN
5' 11"TN NONE MALEA NONE
04/11/2014 6:34 PM 2007 WHI FREIGHTLINER - F
TT-ST
2013 YES NO NOVA70350 PY02347451 803295
44 - JCT HWY 71/20 EARLY
$50.00
$17.50396.17C
N/A13NO PROOF OF CURRENT ANNUAL INSPECTION STICKER SHOWS 2012
$60.00
321.449 321.449-A$127.50
T319
04/11/2014
04/11/2014
8:30 AM04/28/2014
$161.25
EARLY - 2200LAAKE, PAUL
APRIL, 201411
NOTARYMOTOR 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 T319 140411 185441 5
FILED 04/12/2014 06:32AMCLERK DISTRICT COURTSAC COUNTY IOWA
Dated
Notary/otherSignature
Middle
Co. Enf. Surcharge
Pass EndReq?
COMPLAINT
at
Defendant, Last
at
ICIS Ord.
X
Non-scheduled Violation
Officer'sSignature
HazMat End Req?
Total Fine/Costs
Officer'sSignature
County of:
OtherCivil Damage Assessment
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.
Reason:
Notary/other
in
Serious P.I.Criminal Surcharge
Suffix
Scheduled Violation/Fine
State
defendant did unlawfully: Operate Motor Vehicle/Boat
First
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.
State
DL Class
US DOT#
20
Dispatch /Case #:
City of:
Signature ofDefendant
Reference #:
I.D. No.
Lic. Plate #/REGICC#
, IowaI swear that the foregoing complaint is true and correct.
IOWA UNIFORM CITATION AND COMPLAINT
Address
DL#
DL End.
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
YearCDLReq?
Upon a public highway at
Sec #:
The undersigned states that on or about
The following applies to simple misdemeanors only:
Sex
Race
DL/State IDViewed?Name
VS.
Court Appearance Required (805.10)
require an appearance, report to the above named court on:
Height
Local Ord.
DOB
Form 420001E 1/07
Zip Code
day of
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
Dated
DL Rest.
Fatal Accident
Located in the county and state aforesaid and did then and there commit the following offense:
In the Court at
DL State
Violation
Law Enforcement Agency -
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
Fed/Adm Code:
at
Subscribed and sworn to me by
ICIS Sec #:
4. I hereby give my unsecured appearance bond in the amount of
PLAINTIFF
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.
Court Costs
Zone
City
Agency
Weight
Road Work Zone
this
State of Iowa
IA Code:
Speed
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.
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.
T01 T319 140411 191258 7
*+T01T3191404111912587+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
K571129794413FRIEDRICH MICHAEL ALVIN 3/27/1954YES
W NEthnicity55092WYOMING MN18418 VERMILLION ST NE
6' 00"MN 210 LBSB MALEA XNT
04/11/2014 7:06 PM 2013 YEL PETERBILT - PTRB
TT-ST
2014 YES NO YESMNPAL713100164261 144110
44 - JCT HWY 71/20 EARLY
$12.00
$4.20392.2-SLLEWA1
N/A13OVR WGT AXLES 2-3 35300 LEGAL 34000 OVR 1300LBS
$60.00
321.463 321.463$76.20
T319
04/11/2014
04/11/2014
8:30 AM05/05/2014
$84.30
EARLY - 2200LAAKE, PAUL
APRIL, 201411
NOTARYMOTOR 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 T319 140411 191258 7
FILED 04/12/2014 06:32AMCLERK DISTRICT COURTSAC COUNTY IOWA
Dated
Notary/otherSignature
Middle
Co. Enf. Surcharge
Pass EndReq?
COMPLAINT
at
Defendant, Last
at
ICIS Ord.
X
Non-scheduled Violation
Officer'sSignature
HazMat End Req?
Total Fine/Costs
Officer'sSignature
County of:
OtherCivil Damage Assessment
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.
Reason:
Notary/other
in
Serious P.I.Criminal Surcharge
Suffix
Scheduled Violation/Fine
State
defendant did unlawfully: Operate Motor Vehicle/Boat
First
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.
State
DL Class
US DOT#
20
Dispatch /Case #:
City of:
Signature ofDefendant
Reference #:
I.D. No.
Lic. Plate #/REGICC#
, IowaI swear that the foregoing complaint is true and correct.
IOWA UNIFORM CITATION AND COMPLAINT
Address
DL#
DL End.
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
YearCDLReq?
Upon a public highway at
Sec #:
The undersigned states that on or about
The following applies to simple misdemeanors only:
Sex
Race
DL/State IDViewed?Name
VS.
Court Appearance Required (805.10)
require an appearance, report to the above named court on:
Height
Local Ord.
DOB
Form 420001E 1/07
Zip Code
day of
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
Dated
DL Rest.
Fatal Accident
Located in the county and state aforesaid and did then and there commit the following offense:
In the Court at
DL State
Violation
Law Enforcement Agency -
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
Fed/Adm Code:
at
Subscribed and sworn to me by
ICIS Sec #:
4. I hereby give my unsecured appearance bond in the amount of
PLAINTIFF
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.
Court Costs
Zone
City
Agency
Weight
Road Work Zone
this
State of Iowa
IA Code:
Speed
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.
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.
T01 T142 140412 094448 3
*+T01T1421404120944483+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
715YY4616ROLD TRENT ADAM 1/4/1980YES
W NEthnicity51537-0000HARLAN IA3002 12TH ST LOT 73
5' 10"IA 140 LBSNONE MALEA LX
04/12/2014 9:15 AM 2004 MAR FREIGHTLINER - F
TT/ST
2014 YES NO NOIASD182300073777 316447
44 - JCT HWY 71/20 EARLY
$22.00
$7.70392.2-SLLEWA1
N/A13OW ON BRIDGE AXLES 2-5 BY 1,100 LBS (69,100 LBS) WHL BSE 37FT
$60.00
321.463 321.463$89.70
T142
04/12/2014
04/12/2014
8:30 AM04/28/2014
$104.55
EARLY - 2200PEREZ, WILLIAM
APRIL, 201412
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 T142 140412 094448 3
FILED 04/12/2014 06:32PMCLERK DISTRICT COURTSAC COUNTY IOWA
Dated
Notary/otherSignature
Middle
Co. Enf. Surcharge
Pass EndReq?
COMPLAINT
at
Defendant, Last
at
ICIS Ord.
X
Non-scheduled Violation
Officer'sSignature
HazMat End Req?
Total Fine/Costs
Officer'sSignature
County of:
OtherCivil Damage Assessment
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.
Reason:
Notary/other
in
Serious P.I.Criminal Surcharge
Suffix
Scheduled Violation/Fine
State
defendant did unlawfully: Operate Motor Vehicle/Boat
First
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.
State
DL Class
US DOT#
20
Dispatch /Case #:
City of:
Signature ofDefendant
Reference #:
I.D. No.
Lic. Plate #/REGICC#
, IowaI swear that the foregoing complaint is true and correct.
IOWA UNIFORM CITATION AND COMPLAINT
Address
DL#
DL End.
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
YearCDLReq?
Upon a public highway at
Sec #:
The undersigned states that on or about
The following applies to simple misdemeanors only:
Sex
Race
DL/State IDViewed?Name
VS.
Court Appearance Required (805.10)
require an appearance, report to the above named court on:
Height
Local Ord.
DOB
Form 420001E 1/07
Zip Code
day of
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
Dated
DL Rest.
Fatal Accident
Located in the county and state aforesaid and did then and there commit the following offense:
In the Court at
DL State
Violation
Law Enforcement Agency -
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
Fed/Adm Code:
at
Subscribed and sworn to me by
ICIS Sec #:
4. I hereby give my unsecured appearance bond in the amount of
PLAINTIFF
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.
Court Costs
Zone
City
Agency
Weight
Road Work Zone
this
State of Iowa
IA Code:
Speed
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.
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.
T01 T142 140412 094350 2
*+T01T1421404120943502+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
715YY4616ROLD TRENT ADAM 1/4/1980YES
W NEthnicity51537-0000HARLAN IA3002 12TH ST LOT 73
5' 10"IA 140 LBSNONE MALEA LX
04/12/2014 9:15 AM 2004 MAR FREIGHTLINER - F
TT/ST
2014 YES NO NOIASD182300073777 316447
44 - JCT HWY 71/20 EARLY
$22.00
$7.70392.2-SLLEWA1
N/A13OW ON TANDEM AXLES 2 & 3 BY 1,600 LBS (35,600 LBS) WHL BSE 5FT
$60.00
321.463 321.463$89.70
T142
04/12/2014
04/12/2014
8:30 AM04/28/2014
$104.55
EARLY - 2200PEREZ, WILLIAM
APRIL, 201412
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 T142 140412 094350 2
FILED 04/12/2014 06:43PMCLERK DISTRICT COURTSAC COUNTY IOWA
Dated
Notary/otherSignature
Middle
Co. Enf. Surcharge
Pass EndReq?
COMPLAINT
at
Defendant, Last
at
ICIS Ord.
X
Non-scheduled Violation
Officer'sSignature
HazMat End Req?
Total Fine/Costs
Officer'sSignature
County of:
OtherCivil Damage Assessment
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.
Reason:
Notary/other
in
Serious P.I.Criminal Surcharge
Suffix
Scheduled Violation/Fine
State
defendant did unlawfully: Operate Motor Vehicle/Boat
First
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.
State
DL Class
US DOT#
20
Dispatch /Case #:
City of:
Signature ofDefendant
Reference #:
I.D. No.
Lic. Plate #/REGICC#
, IowaI swear that the foregoing complaint is true and correct.
IOWA UNIFORM CITATION AND COMPLAINT
Address
DL#
DL End.
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
YearCDLReq?
Upon a public highway at
Sec #:
The undersigned states that on or about
The following applies to simple misdemeanors only:
Sex
Race
DL/State IDViewed?Name
VS.
Court Appearance Required (805.10)
require an appearance, report to the above named court on:
Height
Local Ord.
DOB
Form 420001E 1/07
Zip Code
day of
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
Dated
DL Rest.
Fatal Accident
Located in the county and state aforesaid and did then and there commit the following offense:
In the Court at
DL State
Violation
Law Enforcement Agency -
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
Fed/Adm Code:
at
Subscribed and sworn to me by
ICIS Sec #:
4. I hereby give my unsecured appearance bond in the amount of
PLAINTIFF
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.
Court Costs
Zone
City
Agency
Weight
Road Work Zone
this
State of Iowa
IA Code:
Speed
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.
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.
T01 T142 140408 125852 6
*+T01T1421404081258526+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
0040044886ROLAND SCOTT A 8/8/1969YES
W NEthnicity46737-0000FREMONT IN15 2ND ST
5' 09"IN 160 LBSNONE MALEA LNT
04/08/2014 12:30 PM 1993 BRZ KENTUCKY - KENT
TT/ST
2014 YES NO NOIN215993900615838 295244
44 - JCT HWY 71/20 EARLY
$50.00
$17.50393.110B
N/A13INSUFF. TIEDOWNS; W/O HEADERBOARD/BLOCKING 4 OF 7 NEEDED
$60.00
321.449 321.449-A$127.50
T142
04/08/2014
04/08/2014
8:30 AM04/28/2014
$161.25
EARLY - 2200PEREZ, WILLIAM
APRIL, 201412
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 T142 140408 125852 6
FILED 04/12/2014 06:53PMCLERK DISTRICT COURTSAC COUNTY IOWA
Dated
Notary/otherSignature
Middle
Co. Enf. Surcharge
Pass EndReq?
COMPLAINT
at
Defendant, Last
at
ICIS Ord.
X
Non-scheduled Violation
Officer'sSignature
HazMat End Req?
Total Fine/Costs
Officer'sSignature
County of:
OtherCivil Damage Assessment
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.
Reason:
Notary/other
in
Serious P.I.Criminal Surcharge
Suffix
Scheduled Violation/Fine
State
defendant did unlawfully: Operate Motor Vehicle/Boat
First
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.
State
DL Class
US DOT#
20
Dispatch /Case #:
City of:
Signature ofDefendant
Reference #:
I.D. No.
Lic. Plate #/REGICC#
, IowaI swear that the foregoing complaint is true and correct.
IOWA UNIFORM CITATION AND COMPLAINT
Address
DL#
DL End.
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
YearCDLReq?
Upon a public highway at
Sec #:
The undersigned states that on or about
The following applies to simple misdemeanors only:
Sex
Race
DL/State IDViewed?Name
VS.
Court Appearance Required (805.10)
require an appearance, report to the above named court on:
Height
Local Ord.
DOB
Form 420001E 1/07
Zip Code
day of
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
Dated
DL Rest.
Fatal Accident
Located in the county and state aforesaid and did then and there commit the following offense:
In the Court at
DL State
Violation
Law Enforcement Agency -
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
Fed/Adm Code:
at
Subscribed and sworn to me by
ICIS Sec #:
4. I hereby give my unsecured appearance bond in the amount of
PLAINTIFF
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.
Court Costs
Zone
City
Agency
Weight
Road Work Zone
this
State of Iowa
IA Code:
Speed
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.
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.
T01 T424 140412 081641 5
*+T01T4241404120816415+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
534WW5038MEIER MICHAEL MERLE 10/2/1950YES
W NEthnicity50529-0000DAKOTA CITY IA705 2ND AVE N
5' 09"IA 230 LBSNONE MALEC L
04/12/2014 8:16 AM 1988 RED GENERALMOTORS -
TRST
2015 NOIABGL337
STATE 110/DEAN AVE
$20.00
$7.00
N/A13GROSS WEIGHT IN EXCESS OF REG WT BY 1300#
$60.00
321.466 321.466$87.00
T424
04/12/2014
04/12/2014
8:30 AM04/21/2014
$100.50
CHEROKEE - 1272CLAYCAMP, FRED
APRIL, 201412
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 140412 081641 5
FILED 04/13/2014 06:34PMCLERK DISTRICT COURTSAC COUNTY IOWA
Dated
Notary/otherSignature
Middle
Co. Enf. Surcharge
Pass EndReq?
COMPLAINT
at
Defendant, Last
at
ICIS Ord.
X
Non-scheduled Violation
Officer'sSignature
HazMat End Req?
Total Fine/Costs
Officer'sSignature
County of:
OtherCivil Damage Assessment
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.
Reason:
Notary/other
in
Serious P.I.Criminal Surcharge
Suffix
Scheduled Violation/Fine
State
defendant did unlawfully: Operate Motor Vehicle/Boat
First
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.
State
DL Class
US DOT#
20
Dispatch /Case #:
City of:
Signature ofDefendant
Reference #:
I.D. No.
Lic. Plate #/REGICC#
, IowaI swear that the foregoing complaint is true and correct.
IOWA UNIFORM CITATION AND COMPLAINT
Address
DL#
DL End.
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
YearCDLReq?
Upon a public highway at
Sec #:
The undersigned states that on or about
The following applies to simple misdemeanors only:
Sex
Race
DL/State IDViewed?Name
VS.
Court Appearance Required (805.10)
require an appearance, report to the above named court on:
Height
Local Ord.
DOB
Form 420001E 1/07
Zip Code
day of
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
Dated
DL Rest.
Fatal Accident
Located in the county and state aforesaid and did then and there commit the following offense:
In the Court at
DL State
Violation
Law Enforcement Agency -
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
Fed/Adm Code:
at
Subscribed and sworn to me by
ICIS Sec #:
4. I hereby give my unsecured appearance bond in the amount of
PLAINTIFF
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.
Court Costs
Zone
City
Agency
Weight
Road Work Zone
this
State of Iowa
IA Code:
Speed
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.
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.
T01 T424 140412 084539 6
*+T01T4241404120845396+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
534WW5038MEIER MICHAEL MERLE 10/2/1950YES
W NEthnicity50529-0000DAKOTA CITY IA705 2ND AVE N
5' 09"IA 230 LBSNONE MALEC L
04/12/2014 8:16 AM 1988 RED GENERALMOTORS -
TRST
2015 NOIABGL337
STATE 110/DEAN AVE
$100.00
$35.00
N/A13DRIVING OR TOWING UNSAFE VEHICLE
$60.00
321.381 321.381$195.00
T424
04/12/2014
04/12/2014
8:30 AM04/21/2014
$262.50
CHEROKEE - 1272CLAYCAMP, FRED
APRIL, 201412
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 140412 084539 6
FILED 04/13/2014 06:34PMCLERK DISTRICT COURTSAC COUNTY IOWA
Dated
Notary/otherSignature
Middle
Co. Enf. Surcharge
Pass EndReq?
COMPLAINT
at
Defendant, Last
at
ICIS Ord.
X
Non-scheduled Violation
Officer'sSignature
HazMat End Req?
Total Fine/Costs
Officer'sSignature
County of:
OtherCivil Damage Assessment
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.
Reason:
Notary/other
in
Serious P.I.Criminal Surcharge
Suffix
Scheduled Violation/Fine
State
defendant did unlawfully: Operate Motor Vehicle/Boat
First
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.
State
DL Class
US DOT#
20
Dispatch /Case #:
City of:
Signature ofDefendant
Reference #:
I.D. No.
Lic. Plate #/REGICC#
, IowaI swear that the foregoing complaint is true and correct.
IOWA UNIFORM CITATION AND COMPLAINT
Address
DL#
DL End.
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
YearCDLReq?
Upon a public highway at
Sec #:
The undersigned states that on or about
The following applies to simple misdemeanors only:
Sex
Race
DL/State IDViewed?Name
VS.
Court Appearance Required (805.10)
require an appearance, report to the above named court on:
Height
Local Ord.
DOB
Form 420001E 1/07
Zip Code
day of
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
Dated
DL Rest.
Fatal Accident
Located in the county and state aforesaid and did then and there commit the following offense:
In the Court at
DL State
Violation
Law Enforcement Agency -
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
Fed/Adm Code:
at
Subscribed and sworn to me by
ICIS Sec #:
4. I hereby give my unsecured appearance bond in the amount of
PLAINTIFF
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.
Court Costs
Zone
City
Agency
Weight
Road Work Zone
this
State of Iowa
IA Code:
Speed
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.
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.
T01 T424 140412 115831 1
*+T01T4241404121158311+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
G22002434MUSIL DAVID JON 6/25/1962YES
W NEthnicity68465-0000WILBER NE1663 COUNTY RD 1500
6' 04"NE 290 LBSB MALEA X
04/12/2014 11:15 AM 2008 ONG PETERBILT - PTRB
TTST
2014 YES NO NONE17772401849421 669913
44 - JCT HWY 71/20 EARLY
$240.00
$84.00392.2-SLLEWA2
N/A13OVERWEIGHT AXLE 2-6 BY 3800# MEASURES 42'4" LEGAL @ 74,000#
$60.00
321.463 321.463$384.00
T424
04/12/2014
04/12/2014
8:30 AM04/21/2014
$546.00
CHEROKEE - 1272CLAYCAMP, FRED
APRIL, 201412
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 140412 115831 1
FILED 04/13/2014 06:35PMCLERK DISTRICT COURTSAC COUNTY IOWA
Dated
Notary/otherSignature
Middle
Co. Enf. Surcharge
Pass EndReq?
COMPLAINT
at
Defendant, Last
at
ICIS Ord.
X
Non-scheduled Violation
Officer'sSignature
HazMat End Req?
Total Fine/Costs
Officer'sSignature
County of:
OtherCivil Damage Assessment
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.
Reason:
Notary/other
in
Serious P.I.Criminal Surcharge
Suffix
Scheduled Violation/Fine
State
defendant did unlawfully: Operate Motor Vehicle/Boat
First
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.
State
DL Class
US DOT#
20
Dispatch /Case #:
City of:
Signature ofDefendant
Reference #:
I.D. No.
Lic. Plate #/REGICC#
, IowaI swear that the foregoing complaint is true and correct.
IOWA UNIFORM CITATION AND COMPLAINT
Address
DL#
DL End.
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
YearCDLReq?
Upon a public highway at
Sec #:
The undersigned states that on or about
The following applies to simple misdemeanors only:
Sex
Race
DL/State IDViewed?Name
VS.
Court Appearance Required (805.10)
require an appearance, report to the above named court on:
Height
Local Ord.
DOB
Form 420001E 1/07
Zip Code
day of
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
Dated
DL Rest.
Fatal Accident
Located in the county and state aforesaid and did then and there commit the following offense:
In the Court at
DL State
Violation
Law Enforcement Agency -
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
Fed/Adm Code:
at
Subscribed and sworn to me by
ICIS Sec #:
4. I hereby give my unsecured appearance bond in the amount of
PLAINTIFF
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.
Court Costs
Zone
City
Agency
Weight
Road Work Zone
this
State of Iowa
IA Code:
Speed
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.
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.
T01 T424 140412 120325 2
*+T01T4241404121203252+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
G22002434MUSIL DAVID JON 6/25/1962YES
W NEthnicity68465-0000WILBER NE1663 COUNTY RD 1500
6' 04"NE 290 LBSB MALEA X
04/12/2014 11:15 AM 2008 ONG PETERBILT - PTRB
TTST
2014 YES NO NONE17772401849421 669913
44 - JCT HWY 71/20 EARLY
$22.00
$7.70392.2-SLLEWA1
N/A13OVERWEIGHT AXLE 3-4 BY 1680#
$60.00
321.463 321.463$89.70
T424
04/12/2014
04/12/2014
8:30 AM04/21/2014
$104.55
CHEROKEE - 1272CLAYCAMP, FRED
APRIL, 201412
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 140412 120325 2
FILED 04/13/2014 06:37PMCLERK DISTRICT COURTSAC COUNTY IOWA
Dated
Notary/otherSignature
Middle
Co. Enf. Surcharge
Pass EndReq?
COMPLAINT
at
Defendant, Last
at
ICIS Ord.
X
Non-scheduled Violation
Officer'sSignature
HazMat End Req?
Total Fine/Costs
Officer'sSignature
County of:
OtherCivil Damage Assessment
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.
Reason:
Notary/other
in
Serious P.I.Criminal Surcharge
Suffix
Scheduled Violation/Fine
State
defendant did unlawfully: Operate Motor Vehicle/Boat
First
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.
State
DL Class
US DOT#
20
Dispatch /Case #:
City of:
Signature ofDefendant
Reference #:
I.D. No.
Lic. Plate #/REGICC#
, IowaI swear that the foregoing complaint is true and correct.
IOWA UNIFORM CITATION AND COMPLAINT
Address
DL#
DL End.
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
YearCDLReq?
Upon a public highway at
Sec #:
The undersigned states that on or about
The following applies to simple misdemeanors only:
Sex
Race
DL/State IDViewed?Name
VS.
Court Appearance Required (805.10)
require an appearance, report to the above named court on:
Height
Local Ord.
DOB
Form 420001E 1/07
Zip Code
day of
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
Dated
DL Rest.
Fatal Accident
Located in the county and state aforesaid and did then and there commit the following offense:
In the Court at
DL State
Violation
Law Enforcement Agency -
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
Fed/Adm Code:
at
Subscribed and sworn to me by
ICIS Sec #:
4. I hereby give my unsecured appearance bond in the amount of
PLAINTIFF
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.
Court Costs
Zone
City
Agency
Weight
Road Work Zone
this
State of Iowa
IA Code:
Speed
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.
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.
T01 T424 140412 100712 7
*+T01T4241404121007127+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
K02680294DAVIED THOMAS JOSEPH 8/25/1962YES
W NEthnicity66780WALNUT KS256 S 20TH STREET
5' 06"KS 170 LBSNONE MALEA X
04/12/2014 9:30 AM 2005 WHI KENWORTH - KW
TTST
2014 YES NO NOKS13404900255141 181029
44 - JCT HWY 71/20 EARLY
$240.00
$84.00392.2-SLLEWA2
N/A13OVERWEIGHT AXLE 2-5 BY 3700# MEASURES 34'11"
$60.00
321.463 321.463$384.00
T424
04/12/2014
04/12/2014
8:30 AM04/21/2014
$546.00
CHEROKEE - 1272CLAYCAMP, FRED
APRIL, 201412
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 140412 100712 7
FILED 04/13/2014 06:37PMCLERK DISTRICT COURTSAC COUNTY IOWA
Dated
Notary/otherSignature
Middle
Co. Enf. Surcharge
Pass EndReq?
COMPLAINT
at
Defendant, Last
at
ICIS Ord.
X
Non-scheduled Violation
Officer'sSignature
HazMat End Req?
Total Fine/Costs
Officer'sSignature
County of:
OtherCivil Damage Assessment
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.
Reason:
Notary/other
in
Serious P.I.Criminal Surcharge
Suffix
Scheduled Violation/Fine
State
defendant did unlawfully: Operate Motor Vehicle/Boat
First
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.
State
DL Class
US DOT#
20
Dispatch /Case #:
City of:
Signature ofDefendant
Reference #:
I.D. No.
Lic. Plate #/REGICC#
, IowaI swear that the foregoing complaint is true and correct.
IOWA UNIFORM CITATION AND COMPLAINT
Address
DL#
DL End.
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
YearCDLReq?
Upon a public highway at
Sec #:
The undersigned states that on or about
The following applies to simple misdemeanors only:
Sex
Race
DL/State IDViewed?Name
VS.
Court Appearance Required (805.10)
require an appearance, report to the above named court on:
Height
Local Ord.
DOB
Form 420001E 1/07
Zip Code
day of
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
Dated
DL Rest.
Fatal Accident
Located in the county and state aforesaid and did then and there commit the following offense:
In the Court at
DL State
Violation
Law Enforcement Agency -
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
Fed/Adm Code:
at
Subscribed and sworn to me by
ICIS Sec #:
4. I hereby give my unsecured appearance bond in the amount of
PLAINTIFF
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.
Court Costs
Zone
City
Agency
Weight
Road Work Zone
this
State of Iowa
IA Code:
Speed
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.
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.
T01 T424 140412 101009 8
*+T01T4241404121010098+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
K02680294DAVIED THOMAS JOSEPH 8/25/1962YES
W NEthnicity66780WALNUT KS256 S 20TH STREET
5' 06"KS 170 LBSNONE MALEA X
04/12/2014 9:30 AM 2005 WHI KENWORTH - KW
TTST
2014 YES NO NOKS13404900255141 181029
44 - JCT HWY 71/20 EARLY
$155.00
$54.25392.2-SLLEWA1
N/A13OVERWEIGHT AXLE 2-3 BY 2180#
$60.00
321.463 321.463$269.25
T424
04/12/2014
04/12/2014
8:30 AM04/21/2014
$373.88
CHEROKEE - 1272CLAYCAMP, FRED
APRIL, 201412
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 140412 101009 8
FILED 04/13/2014 06:38PMCLERK 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 140412 130512 6
*+S81URNS1404121305126+*
Citation #:
SAC COUNTY SHERIFF'S OFFICE
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
293AE4385DE LA PAZ REIDEL 11/11/1976YES
W HEthnicity51442-0000DENISON IA302 N MAIN ST
5' 08"IA N MALEA P
04/12/2014 1:05 PM 2011 RED CHEVROLET - CHEV
CAM 2D
2014 NOIA309XWI
M043/FOX AVE AND 300TH ST
5565$40.00
$14.00
$5.00SPEED (55 ZONE) 6-10 OVER
$60.00
4.5.2/4(1) 4.5.2/4(1)-B$119.00
81-7
04/12/2014
04/12/2014
8:30 AM05/12/2014
$148.50
ODEBOLT - 5655BURNS, JOEL
APRIL, 201412
NOTARYSAC COUNTY SHERIFF'S OFFICE
Continued to:SURCHARGE $FINED $
COURT NO.
Day
None
DATE:
GUILTYNO JURY TRIAL orPROCEEDING
DATE:
Date Signature, person taking bail
GUILTY
Citation #:
NOT GUILTY
LICENSE NO.
PLEA
Phone
REASON
The court Therefore Enters in Following Order This Date
FORFEIT BOND
Name
Days
STATE:
CASE NO.
School
CASE NO.
REASON
DOCKET NO.
Days:
JURY TRIAL
Address
ABSTRACT OF COURT RECORD
COST $
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
Signature, person giving bail
Mo.
Revo
TESTIMONY - JUDGE'S NOTES: (Other Orders)
DISMISSED
Iowa
WARRANT ISSUED
VERDICT
Incarceration in
Continued to:DATE:
BAIL CASH DEPOSIT
Yr.
Susp.
Other
OTHER DISPOSITION Driver's LicenseRecommendation
NOT GUILTY
S81 URNS 140412 130512 6
E-FILED 2014 APR 14 8:34 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
S81 URNS 140412 124146 5
*+S81URNS1404121241465+*
Citation #:
SAC COUNTY SHERIFF'S OFFICE
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
388AE7697SAUCEDA MANUELA 11/20/1967YES
W NEthnicity51201-0000SHELDON IA309 8TH AVE
5' 07"IA NONE FEMALEC NONE
04/12/2014 12:41 PM 2008 RED NISSAN -NISS
XTR SW
2014 NOIA407XBL
US 20/220TH ST AND IRA AVE
5565$40.00
$14.00
$5.00SPEED (55 ZONE) 6-10 OVER
$60.00
4.5.2/4(1) 4.5.2/4(1)-B$119.00
81-7
04/12/2014
04/12/2014
8:30 AM05/12/2014
$148.50
EARLY - 2200BURNS, JOEL
APRIL, 201412
NOTARYSAC COUNTY SHERIFF'S OFFICE
Continued to:SURCHARGE $FINED $
COURT NO.
Day
None
DATE:
GUILTYNO JURY TRIAL orPROCEEDING
DATE:
Date Signature, person taking bail
GUILTY
Citation #:
NOT GUILTY
LICENSE NO.
PLEA
Phone
REASON
The court Therefore Enters in Following Order This Date
FORFEIT BOND
Name
Days
STATE:
CASE NO.
School
CASE NO.
REASON
DOCKET NO.
Days:
JURY TRIAL
Address
ABSTRACT OF COURT RECORD
COST $
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
Signature, person giving bail
Mo.
Revo
TESTIMONY - JUDGE'S NOTES: (Other Orders)
DISMISSED
Iowa
WARRANT ISSUED
VERDICT
Incarceration in
Continued to:DATE:
BAIL CASH DEPOSIT
Yr.
Susp.
Other
OTHER DISPOSITION Driver's LicenseRecommendation
NOT GUILTY
S81 URNS 140412 124146 5
E-FILED 2014 APR 14 8:35 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
S81 LURE 140414 085856 9
*+S81LURE1404140858569+*
Citation #:
SAC COUNTY SHERIFF'S OFFICE
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
519AG2111MEDRANO HERNAND EDVIN ALEJANDRO 1/20/1989YES
W HEthnicity51103-0000SIOUX CITY IA1510 W 6TH ST
5' 03"IA B MALEC NONE
04/14/2014 8:58 AM 2000 RED NISSAN -NISS
SUV SUV
2013 NOIA304ZIQ
US 20
$50.00
$17.50
$5.0013OPERATION OF MOTOR VEHICLE WITH EXPIRED LICENSE
$60.00
321.174A 321.174A$132.50
81-1
04/14/2014
04/14/2014
8:30 AM05/12/2014
$168.75
SAC CITY - 6717MCCLURE, KEN
APRIL, 201414
NOTARYSAC COUNTY SHERIFF'S OFFICE
Continued to:SURCHARGE $FINED $
COURT NO.
Day
None
DATE:
GUILTYNO JURY TRIAL orPROCEEDING
DATE:
Date Signature, person taking bail
GUILTY
Citation #:
NOT GUILTY
LICENSE NO.
PLEA
Phone
REASON
The court Therefore Enters in Following Order This Date
FORFEIT BOND
Name
Days
STATE:
CASE NO.
School
CASE NO.
REASON
DOCKET NO.
Days:
JURY TRIAL
Address
ABSTRACT OF COURT RECORD
COST $
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
Signature, person giving bail
Mo.
Revo
TESTIMONY - JUDGE'S NOTES: (Other Orders)
DISMISSED
Iowa
WARRANT ISSUED
VERDICT
Incarceration in
Continued to:DATE:
BAIL CASH DEPOSIT
Yr.
Susp.
Other
OTHER DISPOSITION Driver's LicenseRecommendation
NOT GUILTY
S81 LURE 140414 085856 9
E-FILED 2014 APR 14 10:14 AM SAC - CLERK OF DISTRICT COURT
Dated
Notary/otherSignature
Middle
Co. Enf. Surcharge
Pass EndReq?
COMPLAINT
at
Defendant, Last
at
ICIS Ord.
X
Non-scheduled Violation
Officer'sSignature
HazMat End Req?
Total Fine/Costs
Officer'sSignature
County of:
OtherCivil Damage Assessment
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.
Reason:
Notary/other
in
Serious P.I.Criminal Surcharge
Suffix
Scheduled Violation/Fine
State
defendant did unlawfully: Operate Motor Vehicle/Boat
First
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.
State
DL Class
US DOT#
20
Dispatch /Case #:
City of:
Signature ofDefendant
Reference #:
I.D. No.
Lic. Plate #/REGICC#
, IowaI swear that the foregoing complaint is true and correct.
IOWA UNIFORM CITATION AND COMPLAINT
Address
DL#
DL End.
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
YearCDLReq?
Upon a public highway at
Sec #:
The undersigned states that on or about
The following applies to simple misdemeanors only:
Sex
Race
DL/State IDViewed?Name
VS.
Court Appearance Required (805.10)
require an appearance, report to the above named court on:
Height
Local Ord.
DOB
Form 420001E 1/07
Zip Code
day of
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
Dated
DL Rest.
Fatal Accident
Located in the county and state aforesaid and did then and there commit the following offense:
In the Court at
DL State
Violation
Law Enforcement Agency -
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
Fed/Adm Code:
at
Subscribed and sworn to me by
ICIS Sec #:
4. I hereby give my unsecured appearance bond in the amount of
PLAINTIFF
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.
Court Costs
Zone
City
Agency
Weight
Road Work Zone
this
State of Iowa
IA Code:
Speed
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.
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.
P04 5SAC 140415 085812 0
*+P045SAC1404150858120+*
Citation #:
IOWA STATE PATROL - DIST 04
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
015BB5099WARE LINDA DIANA 12/20/1960YES
W NEthnicity51443-0000GLIDDEN IA221 IDAHO ST
5' 06"IA B FEMALEC L
04/15/2014 8:58 AM 2006 GRY CHEVROLET - CHEV
SW
2014 NOIAAXG514
WB HWY 175 AND MM 126
5560$20.00
$7.00
N/A13SPEEDING 55 OR < (1 THRU 5 OVER)
$60.00
321.285 321.285-A$87.00
235
04/15/2014
04/15/2014
8:30 AM05/19/2014
$100.50
ONAWA - 5700SACKETT, J
APRIL, 201415
OTHERIOWA STATE PATROL - DIST 04
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:
P04 5SAC 140415 085812 0
FILED 04/15/2014 09:13PMCLERK 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 140415 181132 6
*+S81IEDE1404151811326+*
Citation #:
SAC COUNTY SHERIFF'S OFFICE
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
K01751159BALTZELL RONALD LEON 8/3/1959YES
W NEthnicity67401-0000SALINA KS1310 E NORTH STREET
6' 00"KS 240 LBSB MALEA TN
04/15/2014 6:11 PM 2005 BLU PONTIAC -PONT
MONT MO
2013 NONE17L991
VOSS AVE AND D036/255TH ST
5565$40.00
$14.00
$5.00SPEED (55 ZONE) 6-10 OVER
$60.00
4.5.2/4(1) 4.5.2/4(1)-B$119.00
81-4
04/15/2014
04/15/2014
8:30 AM05/05/2014
$148.50
SAC CITY - 6717BIEDE, MATT
APRIL, 201415
NOTARYSAC COUNTY SHERIFF'S OFFICE
Continued to:SURCHARGE $FINED $
COURT NO.
Day
None
DATE:
GUILTYNO JURY TRIAL orPROCEEDING
DATE:
Date Signature, person taking bail
GUILTY
Citation #:
NOT GUILTY
LICENSE NO.
PLEA
Phone
REASON
The court Therefore Enters in Following Order This Date
FORFEIT BOND
Name
Days
STATE:
CASE NO.
School
CASE NO.
REASON
DOCKET NO.
Days:
JURY TRIAL
Address
ABSTRACT OF COURT RECORD
COST $
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
Signature, person giving bail
Mo.
Revo
TESTIMONY - JUDGE'S NOTES: (Other Orders)
DISMISSED
Iowa
WARRANT ISSUED
VERDICT
Incarceration in
Continued to:DATE:
BAIL CASH DEPOSIT
Yr.
Susp.
Other
OTHER DISPOSITION Driver's LicenseRecommendation
NOT GUILTY
S81 IEDE 140415 181132 6
E-FILED 2014 APR 16 8:17 AM SAC - CLERK OF DISTRICT COURT
Dated
Notary/otherSignature
Middle
Co. Enf. Surcharge
Pass EndReq?
COMPLAINT
at
Defendant, Last
at
ICIS Ord.
X
Non-scheduled Violation
Officer'sSignature
HazMat End Req?
Total Fine/Costs
Officer'sSignature
County of:
OtherCivil Damage Assessment
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.
Reason:
Notary/other
in
Serious P.I.Criminal Surcharge
Suffix
Scheduled Violation/Fine
State
defendant did unlawfully: Operate Motor Vehicle/Boat
First
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.
State
DL Class
US DOT#
20
Dispatch /Case #:
City of:
Signature ofDefendant
Reference #:
I.D. No.
Lic. Plate #/REGICC#
, IowaI swear that the foregoing complaint is true and correct.
IOWA UNIFORM CITATION AND COMPLAINT
Address
DL#
DL End.
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
YearCDLReq?
Upon a public highway at
Sec #:
The undersigned states that on or about
The following applies to simple misdemeanors only:
Sex
Race
DL/State IDViewed?Name
VS.
Court Appearance Required (805.10)
require an appearance, report to the above named court on:
Height
Local Ord.
DOB
Form 420001E 1/07
Zip Code
day of
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
Dated
DL Rest.
Fatal Accident
Located in the county and state aforesaid and did then and there commit the following offense:
In the Court at
DL State
Violation
Law Enforcement Agency -
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
Fed/Adm Code:
at
Subscribed and sworn to me by
ICIS Sec #:
4. I hereby give my unsecured appearance bond in the amount of
PLAINTIFF
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.
Court Costs
Zone
City
Agency
Weight
Road Work Zone
this
State of Iowa
IA Code:
Speed
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.
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.
P04 8MEA 140415 162429 5
*+P048MEA1404151624295+*
Citation #:
IOWA STATE PATROL - DIST 04
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
K43078081312KHLOTH SOM 11/2/1981YES
A Ethnicity60435-0000JOLIET IL1215 DEVONSHIRE DR
5' 09"IL 160 LBS**** MALED ****
04/15/2014 4:24 PM 2011 GRY ACURA -ACUR
RDX SW
2015 NOIA937YYR
US 20
6575$40.00
$14.00
N/A13SPEEDING > 55 (R FATT WB NS 81)
$60.00
321.285 321.285-G$114.00
068
04/15/2014
04/15/2014
8:30 AM05/12/2014
$141.00
DENISON - 1920MEADOWS, B
APRIL, 201416
OTHERIOWA STATE PATROL - DIST 04
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:
P04 8MEA 140415 162429 5
FILED 04/16/2014 03:18PMCLERK 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 140416 114323 8
*+S81URNS1404161143238+*
Citation #:
SAC COUNTY SHERIFF'S OFFICE
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
G01329656RYAN JAMES P 10/20/1958YES
W NEthnicity68114-0000OMAHA NE763 N 73RD ST
5' 09"NE B MALEO NONE
04/16/2014 11:43 AM 2013 GRY FORD -FORD
FUSION 4D
2014 NONETHX187
STATE 39/IOWA 39 AND DEAN AVE AND 3
5565$40.00
$14.00
$5.00SPEED (55 ZONE) 6-10 OVER
$60.00
4.5.2/4(1) 4.5.2/4(1)-B$119.00
81-7
04/16/2014
04/16/2014
8:30 AM05/12/2014
$148.50
ODEBOLT - 5655BURNS, JOEL
APRIL, 201416
NOTARYSAC COUNTY SHERIFF'S OFFICE
Continued to:SURCHARGE $FINED $
COURT NO.
Day
None
DATE:
GUILTYNO JURY TRIAL orPROCEEDING
DATE:
Date Signature, person taking bail
GUILTY
Citation #:
NOT GUILTY
LICENSE NO.
PLEA
Phone
REASON
The court Therefore Enters in Following Order This Date
FORFEIT BOND
Name
Days
STATE:
CASE NO.
School
CASE NO.
REASON
DOCKET NO.
Days:
JURY TRIAL
Address
ABSTRACT OF COURT RECORD
COST $
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
Signature, person giving bail
Mo.
Revo
TESTIMONY - JUDGE'S NOTES: (Other Orders)
DISMISSED
Iowa
WARRANT ISSUED
VERDICT
Incarceration in
Continued to:DATE:
BAIL CASH DEPOSIT
Yr.
Susp.
Other
OTHER DISPOSITION Driver's LicenseRecommendation
NOT GUILTY
S81 URNS 140416 114323 8
E-FILED 2014 APR 16 12:15 PM 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
S81 URNS 140416 135143 9
*+S81URNS1404161351439+*
Citation #:
SAC COUNTY SHERIFF'S OFFICE
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
S35329073164STIENTJES GREGORY J 6/9/1973YES
W NEthnicity60564NAPERVILLE IL2955 BETH LN
6' 00"IL 170 LBSB MALED NONE
04/16/2014 1:51 PM 2008 SIL HONDA -HOND
ACCORD 4D
2012 NOILX207962
M065/ROLF AVE AND US 20
$50.00
$17.50
$5.0013OPERATION W/O REGISTRATION
$60.00
321.98 321.98$132.50
81-7
04/16/2014
04/16/2014
8:30 AM05/12/2014
$168.75
SAC CITY - 6717BURNS, JOEL
APRIL, 201416
NOTARYSAC COUNTY SHERIFF'S OFFICE
Continued to:SURCHARGE $FINED $
COURT NO.
Day
None
DATE:
GUILTYNO JURY TRIAL orPROCEEDING
DATE:
Date Signature, person taking bail
GUILTY
Citation #:
NOT GUILTY
LICENSE NO.
PLEA
Phone
REASON
The court Therefore Enters in Following Order This Date
FORFEIT BOND
Name
Days
STATE:
CASE NO.
School
CASE NO.
REASON
DOCKET NO.
Days:
JURY TRIAL
Address
ABSTRACT OF COURT RECORD
COST $
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
Signature, person giving bail
Mo.
Revo
TESTIMONY - JUDGE'S NOTES: (Other Orders)
DISMISSED
Iowa
WARRANT ISSUED
VERDICT
Incarceration in
Continued to:DATE:
BAIL CASH DEPOSIT
Yr.
Susp.
Other
OTHER DISPOSITION Driver's LicenseRecommendation
NOT GUILTY
S81 URNS 140416 135143 9
E-FILED 2014 APR 17 8:32 AM SAC - CLERK OF DISTRICT COURT