Scheduled and unscheduled violations filed on February 23, 2015.pdf

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  • 8/9/2019 Scheduled and unscheduled violations filed on February 23, 2015.pdf

    1/23

  • 8/9/2019 Scheduled and unscheduled violations filed on February 23, 2015.pdf

    2/23

    chargedinthiscitation,thecourtisauthorizedtoenteraconvictionandrenderjudgmentagainstmefortheamountofmyappearancebondinsatisfactionofthepenaltyandsurchargepluscourtcost.

    You hereby are given notice that within a reasonable time but no later than the date scheduled for your

    initial appearance a citation/complaint sworn under oath will be filed with the district court clerk of the

    county in which this citation was issued.

    Speed

    IACode:

    State of Iowa

    this

    Road Work Zone

    Weight

     Agency

    City

    Zone

    Court Costs

    1.Iherebyswearandaffirmthattheinformationprovidedbymeonthiscitationistrueunderpenaltyofprovidingfalseinformation.

    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 

    ICISSec#:

    Subscribed and sworn to me by

    at

    Fed/AdmCode:

    NOTICE:ProvidingfalseidentificationinformationisaviolationofSection719.1Aof theCodeofIowaandispunishableasasimplemisdemeanor.

    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

    Form420001E1/07

    DOB

    Local Ord.

    Height

    require an appearance, report to the above named court on:

    Court Appearance Required (805.10)

    VS.

    Name

    DL/StateIDViewed?

    Race

    Sex

    The following applies to simple misdemeanors only:

    The undersigned states that on or about

    Sec #:

    Upon a public highway at

    CDLReq?

    Year 

    dollarsandentermywrittenappearance.IagreethatifIfailtoappearinpersonorbycounseltodefendagainsttheoffense

    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#:

    Signatureof Defendant

    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

    HazMatEndReq?

    Officer'sSignature

    Non-scheduled Violation

    X

    ICISOrd.

    at

    Defendant, Last

    at

    COMPLAINT

    PassEndReq?

    Co. Enf. Surcharge

    Middle

    Notary/other Signature

    Dated

    T 1 T4 4 15 218 165823 9

    *+T01T4041502181658239+*

    Citation #:

    MOTOR VEHICLE ENFORCEMENT

    SAC - 81

    SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583

    R176207009CHAPMAN JESSE EVERETT 8/13/1982YES

    NEthnicity64012-0000BELTON MO19126 S RANCH ROAD

    5' 10"MO 155 LBSNONE MALEA NONE

    02/18/2015 4:40 PM 2011 HI DODGE - TR/ST

    YES NO NOMO30A3YX00712079

    US 71/KARR AVE

    $50.00

    $17.50393.48A

    N/A13INOP ELEC BRAKES ON THE TRAILER ATTEMPTED 3 TIMES

    $60.00

    321.449 321.449-A$127.50

    T404

    02/18/2015

    02/18/2015

    8:30 AM03/09/2015

    $161.25

    SAC CITY - 6717HANSEN, JEFFREY

    FEBRUARY, 201523

    OTHER MOTOR 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 or PROCEEDING

    GUILTY

    DATE:

    None

    Day

    COURT NO.

    FINED $ SURCHARGE $ Continued to:

    T 1 T4 4 15 218 165823 9

    FILED 02/23/2015 04:30AM

    CLERK DISTRICT COURT

    SAC COUNTY IOWA

  • 8/9/2019 Scheduled and unscheduled violations filed on February 23, 2015.pdf

    3/23

    chargedinthiscitation,thecourtisauthorizedtoenteraconvictionandrenderjudgmentagainstmefortheamountofmyappearancebondinsatisfactionofthepenaltyandsurchargepluscourtcost.

    You hereby are given notice that within a reasonable time but no later than the date scheduled for your

    initial appearance a citation/complaint sworn under oath will be filed with the district court clerk of the

    county in which this citation was issued.

    Speed

    IACode:

    State of Iowa

    this

    Road Work Zone

    Weight

     Agency

    City

    Zone

    Court Costs

    1.Iherebyswearandaffirmthattheinformationprovidedbymeonthiscitationistrueunderpenaltyofprovidingfalseinformation.

    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 

    ICISSec#:

    Subscribed and sworn to me by

    at

    Fed/AdmCode:

    NOTICE:ProvidingfalseidentificationinformationisaviolationofSection719.1Aof theCodeofIowaandispunishableasasimplemisdemeanor.

    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

    Form420001E1/07

    DOB

    Local Ord.

    Height

    require an appearance, report to the above named court on:

    Court Appearance Required (805.10)

    VS.

    Name

    DL/StateIDViewed?

    Race

    Sex

    The following applies to simple misdemeanors only:

    The undersigned states that on or about

    Sec #:

    Upon a public highway at

    CDLReq?

    Year 

    dollarsandentermywrittenappearance.IagreethatifIfailtoappearinpersonorbycounseltodefendagainsttheoffense

    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#:

    Signatureof Defendant

    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

    HazMatEndReq?

    Officer'sSignature

    Non-scheduled Violation

    X

    ICISOrd.

    at

    Defendant, Last

    at

    COMPLAINT

    PassEndReq?

    Co. Enf. Surcharge

    Middle

    Notary/other Signature

    Dated

    T 1 T4 4 15 218 1746 9 1

    *+T01T4041502181746091+*

    Citation #:

    MOTOR VEHICLE ENFORCEMENT

    SAC - 81

    SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583

    G02120476ELLINGSON MATTHEW L 2/28/1964YES

    NEthnicity68339-0000DENTON NE7135 ST MARYS ST

    6' 00"NE 225 LBSNONE MALEA N

    02/18/2015 5:35 PM 2014 HI MACK - TT/ST

    2015 YES NO NONE18319600073195

    US 71/KARR AVE

    $50.00

    $17.50395.8E

    N/A13DRIVER HAD TWO SEPERATE 2/18 DAYS ONE STARTING 0130HRS AO 0900HRS

    $60.00

    321.449 321.449-C$127.50

    T404

    02/18/2015

    02/18/2015

    8:30 AM03/09/2015

    $161.25

    SAC CITY - 6717HANSEN, JEFFREY

    FEBRUARY, 201523

    OTHER MOTOR 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 or PROCEEDING

    GUILTY

    DATE:

    None

    Day

    COURT NO.

    FINED $ SURCHARGE $ Continued to:

    T 1 T4 4 15 218 1746 9 1

    FILED 02/23/2015 04:30AM

    CLERK DISTRICT COURT

    SAC COUNTY IOWA

  • 8/9/2019 Scheduled and unscheduled violations filed on February 23, 2015.pdf

    4/23

    chargedinthiscitation,thecourtisauthorizedtoenteraconvictionandrenderjudgmentagainstmefortheamountofmyappearancebondinsatisfactionofthepenaltyandsurchargepluscourtcost.

    You hereby are given notice that within a reasonable time but no later than the date scheduled for your

    initial appearance a citation/complaint sworn under oath will be filed with the district court clerk of the

    county in which this citation was issued.

    Speed

    IACode:

    State of Iowa

    this

    Road Work Zone

    Weight

     Agency

    City

    Zone

    Court Costs

    1.Iherebyswearandaffirmthattheinformationprovidedbymeonthiscitationistrueunderpenaltyofprovidingfalseinformation.

    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 

    ICISSec#:

    Subscribed and sworn to me by

    at

    Fed/AdmCode:

    NOTICE:ProvidingfalseidentificationinformationisaviolationofSection719.1Aof theCodeofIowaandispunishableasasimplemisdemeanor.

    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

    Form420001E1/07

    DOB

    Local Ord.

    Height

    require an appearance, report to the above named court on:

    Court Appearance Required (805.10)

    VS.

    Name

    DL/StateIDViewed?

    Race

    Sex

    The following applies to simple misdemeanors only:

    The undersigned states that on or about

    Sec #:

    Upon a public highway at

    CDLReq?

    Year 

    dollarsandentermywrittenappearance.IagreethatifIfailtoappearinpersonorbycounseltodefendagainsttheoffense

    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#:

    Signatureof Defendant

    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

    HazMatEndReq?

    Officer'sSignature

    Non-scheduled Violation

    X

    ICISOrd.

    at

    Defendant, Last

    at

    COMPLAINT

    PassEndReq?

    Co. Enf. Surcharge

    Middle

    Notary/other Signature

    Dated

    T 1 T4 4 15 219 1 2539 4

    *+T01T4041502191025394+*

    Citation #:

    MOTOR VEHICLE ENFORCEMENT

    SAC - 81

    SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583

    357AE0610YANT ELIJAH BLUE 2/8/1992YES

    NEthnicity52722-0000BETTENDORF IA2929 HAWTHORNE DR APT A

    6' 00"IA 220 LBSB MALEA NONE

    02/19/2015 10:15 AM 2015 HI FREIGHT

     

    TT/ST

    2015 YES NO NOIN218643400264184 133655

    US 71/KARR AVE

    5565$40.00

    $14.00392.2-SLLS3

    N/A15EB HWY 20 CROSSING M35 AS 68 IN A 55 ZONE

    $60.00

    321.285 321.285-B$114.00

    T404

    02/19/2015

    02/19/2015

    8:30 AM03/09/2015

    $141.00

    SAC CITY - 6717HANSEN, JEFFREY

    FEBRUARY, 201523

    OTHER MOTOR 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 or PROCEEDING

    GUILTY

    DATE:

    None

    Day

    COURT NO.

    FINED $ SURCHARGE $ Continued to:

    T 1 T4 4 15 219 1 2539 4

    FILED 02/23/2015 04:30AM

    CLERK DISTRICT COURT

    SAC COUNTY IOWA

  • 8/9/2019 Scheduled and unscheduled violations filed on February 23, 2015.pdf

    5/23

    chargedinthiscitation,thecourtisauthorizedtoenteraconvictionandrenderjudgmentagainstmefortheamountofmyappearancebondinsatisfactionofthepenaltyandsurchargepluscourtcost.

    You hereby are given notice that within a reasonable time but no later than the date scheduled for your

    initial appearance a citation/complaint sworn under oath will be filed with the district court clerk of the

    county in which this citation was issued.

    Speed

    IACode:

    State of Iowa

    this

    Road Work Zone

    Weight

     Agency

    City

    Zone

    Court Costs

    1.Iherebyswearandaffirmthattheinformationprovidedbymeonthiscitationistrueunderpenaltyofprovidingfalseinformation.

    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 

    ICISSec#:

    Subscribed and sworn to me by

    at

    Fed/AdmCode:

    NOTICE:ProvidingfalseidentificationinformationisaviolationofSection719.1Aof theCodeofIowaandispunishableasasimplemisdemeanor.

    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

    Form420001E1/07

    DOB

    Local Ord.

    Height

    require an appearance, report to the above named court on:

    Court Appearance Required (805.10)

    VS.

    Name

    DL/StateIDViewed?

    Race

    Sex

    The following applies to simple misdemeanors only:

    The undersigned states that on or about

    Sec #:

    Upon a public highway at

    CDLReq?

    Year 

    dollarsandentermywrittenappearance.IagreethatifIfailtoappearinpersonorbycounseltodefendagainsttheoffense

    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#:

    Signatureof Defendant

    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

    HazMatEndReq?

    Officer'sSignature

    Non-scheduled Violation

    X

    ICISOrd.

    at

    Defendant, Last

    at

    COMPLAINT

    PassEndReq?

    Co. Enf. Surcharge

    Middle

    Notary/other Signature

    Dated

    T 1 T4 4 15 219 1 3858 6

    *+T01T4041502191038586+*

    Citation #:

    MOTOR VEHICLE ENFORCEMENT

    SAC - 81

    SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583

    357AE0610YANT ELIJAH BLUE 2/8/1992YES

    NEthnicity52722-0000BETTENDORF IA2929 HAWTHORNE DR APT A

    6' 00"IA 220 LBSB MALEA NONE

    02/19/2015 10:15 AM 2015 HI FREIGHT

     

    TT/ST

    2015 YES NO NOIN218643400264184 133655

    US 71/KARR AVE

    $20.00

    $7.00392.2RG

    N/A13NO REG PAPER FOR THE TRUCK 

    $60.00

    321.32 321.32$87.00

    T404

    02/19/2015

    02/19/2015

    8:30 AM03/09/2015

    $100.50

    SAC CITY - 6717HANSEN, JEFFREY

    FEBRUARY, 201523

    OTHER MOTOR 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 or PROCEEDING

    GUILTY

    DATE:

    None

    Day

    COURT NO.

    FINED $ SURCHARGE $ Continued to:

    T 1 T4 4 15 219 1 3858 6

    FILED 02/23/2015 04:30AM

    CLERK DISTRICT COURT

    SAC COUNTY IOWA

  • 8/9/2019 Scheduled and unscheduled violations filed on February 23, 2015.pdf

    6/23

    chargedinthiscitation,thecourtisauthorizedtoenteraconvictionandrenderjudgmentagainstmefortheamountofmyappearancebondinsatisfactionofthepenaltyandsurchargepluscourtcost.

    You hereby are given notice that within a reasonable time but no later than the date scheduled for your

    initial appearance a citation/complaint sworn under oath will be filed with the district court clerk of the

    county in which this citation was issued.

    Speed

    IACode:

    State of Iowa

    this

    Road Work Zone

    Weight

     Agency

    City

    Zone

    Court Costs

    1.Iherebyswearandaffirmthattheinformationprovidedbymeonthiscitationistrueunderpenaltyofprovidingfalseinformation.

    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 

    ICISSec#:

    Subscribed and sworn to me by

    at

    Fed/AdmCode:

    NOTICE:ProvidingfalseidentificationinformationisaviolationofSection719.1Aof theCodeofIowaandispunishableasasimplemisdemeanor.

    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

    Form420001E1/07

    DOB

    Local Ord.

    Height

    require an appearance, report to the above named court on:

    Court Appearance Required (805.10)

    VS.

    Name

    DL/StateIDViewed?

    Race

    Sex

    The following applies to simple misdemeanors only:

    The undersigned states that on or about

    Sec #:

    Upon a public highway at

    CDLReq?

    Year 

    dollarsandentermywrittenappearance.IagreethatifIfailtoappearinpersonorbycounseltodefendagainsttheoffense

    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#:

    Signatureof Defendant

    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

    HazMatEndReq?

    Officer'sSignature

    Non-scheduled Violation

    X

    ICISOrd.

    at

    Defendant, Last

    at

    COMPLAINT

    PassEndReq?

    Co. Enf. Surcharge

    Middle

    Notary/other Signature

    Dated

    T 1 T4 4 15 222 2 634

    *+T01T4041502222006340+*

    Citation #:

    MOTOR VEHICLE ENFORCEMENT

    SAC - 81

    SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583

    327JJ0787FARLEY MELISSA KAY 10/12/1973YES

    NEthnicity51103-0000SIOUX CITY IA717 NOLTZE DR APT 20

    5' 03"IA 115 LBSB FEMALEC NONE

    02/22/2015 8:06 PM 2003 SIL VOLKSW

     

    PASSAT PS

    2015 NOOTDEALER 

    US 20/220TH ST

    5565$40.00

    $14.00

    N/A15B HWY 20 CROSS ESTHER AVE AS 76 IN A 55 ZONE

    $60.00

    321.285 321.285-B$114.00

    T404

    02/22/2015

    02/22/2015

    8:30 AM03/09/2015

    $141.00

    SAC CITY - 6717HANSEN, JEFFREY

    FEBRUARY, 201523

    OTHER MOTOR 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 or PROCEEDING

    GUILTY

    DATE:

    None

    Day

    COURT NO.

    FINED $ SURCHARGE $ Continued to:

    T 1 T4 4 15 222 2 634

    FILED 02/23/2015 04:30AM

    CLERK DISTRICT COURT

    SAC COUNTY IOWA

  • 8/9/2019 Scheduled and unscheduled violations filed on February 23, 2015.pdf

    7/23

    chargedinthiscitation,thecourtisauthorizedtoenteraconvictionandrenderjudgmentagainstmefortheamountofmyappearancebondinsatisfactionofthepenaltyandsurchargepluscourtcost.

    You hereby are given notice that within a reasonable time but no later than the date scheduled for your

    initial appearance a citation/complaint sworn under oath will be filed with the district court clerk of the

    county in which this citation was issued.

    Speed

    IACode:

    State of Iowa

    this

    Road Work Zone

    Weight

     Agency

    City

    Zone

    Court Costs

    1.Iherebyswearandaffirmthattheinformationprovidedbymeonthiscitationistrueunderpenaltyofprovidingfalseinformation.

    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 

    ICISSec#:

    Subscribed and sworn to me by

    at

    Fed/AdmCode:

    NOTICE:ProvidingfalseidentificationinformationisaviolationofSection719.1Aof theCodeofIowaandispunishableasasimplemisdemeanor.

    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

    Form420001E1/07

    DOB

    Local Ord.

    Height

    require an appearance, report to the above named court on:

    Court Appearance Required (805.10)

    VS.

    Name

    DL/StateIDViewed?

    Race

    Sex

    The following applies to simple misdemeanors only:

    The undersigned states that on or about

    Sec #:

    Upon a public highway at

    CDLReq?

    Year 

    dollarsandentermywrittenappearance.IagreethatifIfailtoappearinpersonorbycounseltodefendagainsttheoffense

    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#:

    Signatureof Defendant

    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

    HazMatEndReq?

    Officer'sSignature

    Non-scheduled Violation

    X

    ICISOrd.

    at

    Defendant, Last

    at

    COMPLAINT

    PassEndReq?

    Co. Enf. Surcharge

    Middle

    Notary/other Signature

    Dated

    T 1 T4 4 15 222 2 5 4 1

    *+T01T4041502222050041+*

    Citation #:

    MOTOR VEHICLE ENFORCEMENT

    SAC - 81

    SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583

    15810884TINOCO ZUNIGA JUAN J 11/21/1981YES

    HEthnicity78596-0000ESLACO TX2701 DARIO ST

    5' 08"TX 217 LBSNONE MALEA NT

    02/22/2015 8:32 PM 2013 HI PETERBIL

     

    TT/ST

    2015 YES NO NOTNA1035HY00959806 409758

    US 71/KARR AVE

    5565$40.00

    $14.00392.2-SLLS3

    N/A15SPEED NB HWY 71 CROSS 280TH AS 68 IN A 55 ZONE

    $60.00

    321.285 321.285-B$114.00

    T404

    02/22/2015

    02/22/2015

    8:30 AM03/09/2015

    $141.00

    SAC CITY - 6717HANSEN, JEFFREY

    FEBRUARY, 201523

    OTHER MOTOR 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 or PROCEEDING

    GUILTY

    DATE:

    None

    Day

    COURT NO.

    FINED $ SURCHARGE $ Continued to:

    T 1 T4 4 15 222 2 5 4 1

    FILED 02/23/2015 04:30AM

    CLERK DISTRICT COURT

    SAC COUNTY IOWA

  • 8/9/2019 Scheduled and unscheduled violations filed on February 23, 2015.pdf

    8/23

    chargedinthiscitation,thecourtisauthorizedtoenteraconvictionandrenderjudgmentagainstmefortheamountofmyappearancebondinsatisfactionofthepenaltyandsurchargepluscourtcost.

    You hereby are given notice that within a reasonable time but no later than the date scheduled for your

    initial appearance a citation/complaint sworn under oath will be filed with the district court clerk of the

    county in which this citation was issued.

    Speed

    IACode:

    State of Iowa

    this

    Road Work Zone

    Weight

     Agency

    City

    Zone

    Court Costs

    1.Iherebyswearandaffirmthattheinformationprovidedbymeonthiscitationistrueunderpenaltyofprovidingfalseinformation.

    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 

    ICISSec#:

    Subscribed and sworn to me by

    at

    Fed/AdmCode:

    NOTICE:ProvidingfalseidentificationinformationisaviolationofSection719.1Aof theCodeofIowaandispunishableasasimplemisdemeanor.

    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

    Form420001E1/07

    DOB

    Local Ord.

    Height

    require an appearance, report to the above named court on:

    Court Appearance Required (805.10)

    VS.

    Name

    DL/StateIDViewed?

    Race

    Sex

    The following applies to simple misdemeanors only:

    The undersigned states that on or about

    Sec #:

    Upon a public highway at

    CDLReq?

    Year 

    dollarsandentermywrittenappearance.IagreethatifIfailtoappearinpersonorbycounseltodefendagainsttheoffense

    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#:

    Signatureof Defendant

    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

    HazMatEndReq?

    Officer'sSignature

    Non-scheduled Violation

    X

    ICISOrd.

    at

    Defendant, Last

    at

    COMPLAINT

    PassEndReq?

    Co. Enf. Surcharge

    Middle

    Notary/other Signature

    Dated

    T 1 T4 4 15 222 2 5 46 2

    *+T01T4041502222050462+*

    Citation #:

    MOTOR VEHICLE ENFORCEMENT

    SAC - 81

    SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583

    15810884TINOCO ZUNIGA JUAN J 11/21/1981YES

    HEthnicity78596-0000ESLACO TX2701 DARIO ST

    5' 08"TX 217 LBSNONE MALEA NT

    02/22/2015 8:32 PM 2013 HI PETERBIL

     

    TT/ST

    2015 YES NO NOTNA1035HY00959806 409758

    US 71/KARR AVE

    $50.00$17.50

    395.3A3-PROPN/A

    1311HR VIO 2/22 @1930HRS BEGAN DRIVING AT 0800HRS$60.00

    321.449 321.449-C$127.50

    T404

    02/22/2015

    02/22/2015

    8:30 AM03/09/2015

    $161.25

    SAC CITY - 6717HANSEN, JEFFREY

    FEBRUARY, 201523

    OTHER MOTOR 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 or PROCEEDING

    GUILTY

    DATE:

    None

    Day

    COURT NO.

    FINED $ SURCHARGE $ Continued to:

    T 1 T4 4 15 222 2 5 46 2

    FILED 02/23/2015 04:30AM

    CLERK DISTRICT COURT

    SAC COUNTY IOWA

  • 8/9/2019 Scheduled and unscheduled violations filed on February 23, 2015.pdf

    9/23

    chargedinthiscitation,thecourtisauthorizedtoenteraconvictionandrenderjudgmentagainstmefortheamountofmyappearancebondinsatisfactionofthepenaltyandsurchargepluscourtcost.

    You hereby are given notice that within a reasonable time but no later than the date scheduled for your

    initial appearance a citation/complaint sworn under oath will be filed with the district court clerk of the

    county in which this citation was issued.

    Speed

    IACode:

    State of Iowa

    this

    Road Work Zone

    Weight

     Agency

    City

    Zone

    Court Costs

    1.Iherebyswearandaffirmthattheinformationprovidedbymeonthiscitationistrueunderpenaltyofprovidingfalseinformation.

    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 

    ICISSec#:

    Subscribed and sworn to me by

    at

    Fed/AdmCode:

    NOTICE:ProvidingfalseidentificationinformationisaviolationofSection719.1Aof theCodeofIowaandispunishableasasimplemisdemeanor.

    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

    Form420001E1/07

    DOB

    Local Ord.

    Height

    require an appearance, report to the above named court on:

    Court Appearance Required (805.10)

    VS.

    Name

    DL/StateIDViewed?

    Race

    Sex

    The following applies to simple misdemeanors only:

    The undersigned states that on or about

    Sec #:

    Upon a public highway at

    CDLReq?

    Year 

    dollarsandentermywrittenappearance.IagreethatifIfailtoappearinpersonorbycounseltodefendagainsttheoffense

    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#:

    Signatureof Defendant

    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

    HazMatEndReq?

    Officer'sSignature

    Non-scheduled Violation

    X

    ICISOrd.

    at

    Defendant, Last

    at

    COMPLAINT

    PassEndReq?

    Co. Enf. Surcharge

    Middle

    Notary/other Signature

    Dated

    T 1 T4 4 15 222 215119 5

    *+T01T4041502222151195+*

    Citation #:

    MOTOR VEHICLE ENFORCEMENT

    SAC - 81

    SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583

    H13233606ORTMANN DERYK A 6/15/1992YES

    NEthnicity68516-0000LINCOLN NE2801 TIERRA DR APT 211

    5' 11"NE 265 LBSNONE MALEA NONE

    02/22/2015 9:35 PM 2005 GRY PETERBIL

     

    TT/ST

    2015 YES NO NOOTNONE02522326 878721

    US 71/KARR AVE

    $50.00

    $17.50395.8F1

    N/A13DRIVERS LOG NOT CURRENT SEE COMMENTS BELOW

    $60.00

    321.449 321.449-C$127.50

    T404

    02/22/2015

    02/22/2015

    8:30 AM03/09/2015

    $161.25

    SAC CITY - 6717HANSEN, JEFFREY

    FEBRUARY, 201523

    OTHER MOTOR 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 or PROCEEDING

    GUILTY

    DATE:

    None

    Day

    COURT NO.

    FINED $ SURCHARGE $ Continued to:

    T 1 T4 4 15 222 215119 5

    FILED 02/23/2015 04:30AM

    CLERK DISTRICT COURT

    SAC COUNTY IOWA

  • 8/9/2019 Scheduled and unscheduled violations filed on February 23, 2015.pdf

    10/23

    chargedinthiscitation,thecourtisauthorizedtoenteraconvictionandrenderjudgmentagainstmefortheamountofmyappearancebondinsatisfactionofthepenaltyandsurchargepluscourtcost.

    You hereby are given notice that within a reasonable time but no later than the date scheduled for your

    initial appearance a citation/complaint sworn under oath will be filed with the district court clerk of the

    county in which this citation was issued.

    Speed

    IACode:

    State of Iowa

    this

    Road Work Zone

    Weight

     Agency

    City

    Zone

    Court Costs

    1.Iherebyswearandaffirmthattheinformationprovidedbymeonthiscitationistrueunderpenaltyofprovidingfalseinformation.

    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 

    ICISSec#:

    Subscribed and sworn to me by

    at

    Fed/AdmCode:

    NOTICE:ProvidingfalseidentificationinformationisaviolationofSection719.1Aof theCodeofIowaandispunishableasasimplemisdemeanor.

    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

    Form420001E1/07

    DOB

    Local Ord.

    Height

    require an appearance, report to the above named court on:

    Court Appearance Required (805.10)

    VS.

    Name

    DL/StateIDViewed?

    Race

    Sex

    The following applies to simple misdemeanors only:

    The undersigned states that on or about

    Sec #:

    Upon a public highway at

    CDLReq?

    Year 

    dollarsandentermywrittenappearance.IagreethatifIfailtoappearinpersonorbycounseltodefendagainsttheoffense

    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#:

    Signatureof Defendant

    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

    HazMatEndReq?

    Officer'sSignature

    Non-scheduled Violation

    X

    ICISOrd.

    at

    Defendant, Last

    at

    COMPLAINT

    PassEndReq?

    Co. Enf. Surcharge

    Middle

    Notary/other Signature

    Dated

    T 1 T4 4 15 222 223 31 7

    *+T01T4041502222230317+*

    Citation #:

    MOTOR VEHICLE ENFORCEMENT

    SAC - 81

    SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583

    10674418ORTEGA RAUL III III 12/11/1974YES

    HEthnicity78415CORPUS CHRISTI TX2385 CR 47

    5' 11"TX 205 LBSNONE MALEC NONE

    02/22/2015 10:30 PM 1998 GRY RAM TR  

    2014 NOIACTA086

    STATE 175/330TH ST

    5565$40.00

    $14.00

    N/A15B HWY 175 JUST E OF M43 AS 69 IN A 55 ZONE

    $60.00

    321.285 321.285-B$114.00

    T404

    02/22/2015

    02/22/2015

    8:30 AM03/09/2015

    $141.00

    SAC CITY - 6717HANSEN, JEFFREY

    FEBRUARY, 201523

    OTHER MOTOR 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 or PROCEEDING

    GUILTY

    DATE:

    None

    Day

    COURT NO.

    FINED $ SURCHARGE $ Continued to:

    T 1 T4 4 15 222 223 31 7

    FILED 02/23/2015 04:30AM

    CLERK DISTRICT COURT

    SAC COUNTY IOWA

  • 8/9/2019 Scheduled and unscheduled violations filed on February 23, 2015.pdf

    11/23

    chargedinthiscitation,thecourtisauthorizedtoenteraconvictionandrenderjudgmentagainstmefortheamountofmyappearancebondinsatisfactionofthepenaltyandsurchargepluscourtcost.

    You hereby are given notice that within a reasonable time but no later than the date scheduled for your

    initial appearance a citation/complaint sworn under oath will be filed with the district court clerk of the

    county in which this citation was issued.

    Speed

    IACode:

    State of Iowa

    this

    Road Work Zone

    Weight

     Agency

    City

    Zone

    Court Costs

    1.Iherebyswearandaffirmthattheinformationprovidedbymeonthiscitationistrueunderpenaltyofprovidingfalseinformation.

    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 

    ICISSec#:

    Subscribed and sworn to me by

    at

    Fed/AdmCode:

    NOTICE:ProvidingfalseidentificationinformationisaviolationofSection719.1Aof theCodeofIowaandispunishableasasimplemisdemeanor.

    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

    Form420001E1/07

    DOB

    Local Ord.

    Height

    require an appearance, report to the above named court on:

    Court Appearance Required (805.10)

    VS.

    Name

    DL/StateIDViewed?

    Race

    Sex

    The following applies to simple misdemeanors only:

    The undersigned states that on or about

    Sec #:

    Upon a public highway at

    CDLReq?

    Year 

    dollarsandentermywrittenappearance.IagreethatifIfailtoappearinpersonorbycounseltodefendagainsttheoffense

    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#:

    Signatureof Defendant

    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

    HazMatEndReq?

    Officer'sSignature

    Non-scheduled Violation

    X

    ICISOrd.

    at

    Defendant, Last

    at

    COMPLAINT

    PassEndReq?

    Co. Enf. Surcharge

    Middle

    Notary/other Signature

    Dated

    S81 BACK 15 22 2215 9

    Citation #:

    SAC COUNTY SHERIFF'S OFFICE

    SAC - 81

    SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583

    792YY4087DE WEERD JEFFREY ALAN 4/15/1972YES

    NEthnicity51250-0000SIOUX CENTER IA3951 GOLDFINCH AVE

    6' 01"IA B MALEC L

    02/20/2015 10:15 PM 2005 BLU FORD - FRE VN

    2014 NOIAAUV262

    US 205565$40.00

    $14.00

    $5.0015SPEEDING 55 OR < (6 THRU 10 OVER)

    $60.00

    321.285 321.285-B$119.00

    81-5

    02/20/2015

    02/20/2015

    8:30 AM03/23/2015

    $148.50

    SAC CITY - 6717CUDABACK, TORY

    FEBRUARY, 201520

    NOTARYSAC COUNTY SHERIFF'S OFFICE

    NOT GUILTY

    Driver's LicenseRecommendation

    OTHER DISPOSITION

    Other 

    Susp.

    Yr.

    BAIL CASH DEPOSIT

    DATE: Continued to:

    Incarceration in

    VERDICT

    WARRANT ISSUED

    Iowa

    DISMISSED

    TESTIMONY - JUDGE'S NOTES: (Other Orders)

    Revo

    Mo.

    Signature, person giving bail

    TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:

    COST $

    ABSTRACT OF COURT RECORD

    Address

    JURY TRIAL

    Days:

    DOCKET NO.

    REASON

    CASE NO.

    School

    CASE NO.

    STATE:

    Days

    Name

    FORFEIT BOND

    The court Therefore Enters in Following Order This Date

    REASON

    Phone

    PLEA

    LICENSE NO.

    NOT GUILTY

    Citation :

    GUILTY

    Signature, person taking bailDate

    DATE:

    NO JURY TRIAL or 

    PROCEEDING

    GUILTY

    DATE:

    None

    Day

    COURT NO.

    FINED $ SURCHARGE $ Continued to:

    S81 BACK 15 22 2215 9 6

    FILED 02/23/2015 08:22AM

    CLERK DISTRICT COURT

    SAC COUNTY IOWA

  • 8/9/2019 Scheduled and unscheduled violations filed on February 23, 2015.pdf

    12/23

    chargedinthiscitation,thecourtisauthorizedtoenteraconvictionandrenderjudgmentagainstmefortheamountofmyappearancebondinsatisfactionofthepenaltyandsurchargepluscourtcost.

    You hereby are given notice that within a reasonable time but no later than the date scheduled for your

    initial appearance a citation/complaint sworn under oath will be filed with the district court clerk of the

    county in which this citation was issued.

    Speed

    IACode:

    State of Iowa

    this

    Road Work Zone

    Weight

     Agency

    City

    Zone

    Court Costs

    1.Iherebyswearandaffirmthattheinformationprovidedbymeonthiscitationistrueunderpenaltyofprovidingfalseinformation.

    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 

    ICISSec#:

    Subscribed and sworn to me by

    at

    Fed/AdmCode:

    NOTICE:ProvidingfalseidentificationinformationisaviolationofSection719.1Aof theCodeofIowaandispunishableasasimplemisdemeanor.

    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

    Form420001E1/07

    DOB

    Local Ord.

    Height

    require an appearance, report to the above named court on:

    Court Appearance Required (805.10)

    VS.

    Name

    DL/StateIDViewed?

    Race

    Sex

    The following applies to simple misdemeanors only:

    The undersigned states that on or about

    Sec #:

    Upon a public highway at

    CDLReq?

    Year 

    dollarsandentermywrittenappearance.IagreethatifIfailtoappearinpersonorbycounseltodefendagainsttheoffense

    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#:

    Signatureof Defendant

    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

    HazMatEndReq?

    Officer'sSignature

    Non-scheduled Violation

    X

    ICISOrd.

    at

    Defendant, Last

    at

    COMPLAINT

    PassEndReq?

    Co. Enf. Surcharge

    Middle

    Notary/other Signature

    Dated

    S81 BACK 15 221 347 2

    Citation #:

    SAC COUNTY SHERIFF'S OFFICE

    SAC - 81

    SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583

    145CC5013OLERICH DANIEL SCOTT 4/23/1961YES

    NEthnicity51450-0000LAKE VIEW IA3051 ROLF AVE

    6' 02"IA B MALEA TX

    02/21/2015 3:47 AM 2003 BLK CHEVROL

     

    SLV PK  

    2014 NOIA755WNJ

    M054/ROLF AVE$30.00

    $10.50

    $5.0015FAILURE TO DIM

    $60.00

    321.415 321.415$105.50

    81-5

    02/21/2015

    02/21/2015

    8:30 AM03/23/2015

    $128.25

    SAC CITY - 6717CUDABACK, TORY

    FEBRUARY, 201521

    NOTARYSAC COUNTY SHERIFF'S OFFICE

    NOT GUILTY

    Driver's LicenseRecommendation

    OTHER DISPOSITION

    Other 

    Susp.

    Yr.

    BAIL CASH DEPOSIT

    DATE: Continued to:

    Incarceration in

    VERDICT

    WARRANT ISSUED

    Iowa

    DISMISSED

    TESTIMONY - JUDGE'S NOTES: (Other Orders)

    Revo

    Mo.

    Signature, person giving bail

    TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:

    COST $

    ABSTRACT OF COURT RECORD

    Address

    JURY TRIAL

    Days:

    DOCKET NO.

    REASON

    CASE NO.

    School

    CASE NO.

    STATE:

    Days

    Name

    FORFEIT BOND

    The court Therefore Enters in Following Order This Date

    REASON

    Phone

    PLEA

    LICENSE NO.

    NOT GUILTY

    Citation :

    GUILTY

    Signature, person taking bailDate

    DATE:

    NO JURY TRIAL or 

    PROCEEDING

    GUILTY

    DATE:

    None

    Day

    COURT NO.

    FINED $ SURCHARGE $ Continued to:

    S81 BACK 15 221 347 2 7

    FILED 02/23/2015 08:22AM

    CLERK DISTRICT COURT

    SAC COUNTY IOWA

  • 8/9/2019 Scheduled and unscheduled violations filed on February 23, 2015.pdf

    13/23

    chargedinthiscitation,thecourtisauthorizedtoenteraconvictionandrenderjudgmentagainstmefortheamountofmyappearancebondinsatisfactionofthepenaltyandsurchargepluscourtcost.

    You hereby are given notice that within a reasonable time but no later than the date scheduled for your

    initial appearance a citation/complaint sworn under oath will be filed with the district court clerk of the

    county in which this citation was issued.

    Speed

    IACode:

    State of Iowa

    this

    Road Work Zone

    Weight

     Agency

    City

    Zone

    Court Costs

    1.Iherebyswearandaffirmthattheinformationprovidedbymeonthiscitationistrueunderpenaltyofprovidingfalseinformation.

    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 

    ICISSec#:

    Subscribed and sworn to me by

    at

    Fed/AdmCode:

    NOTICE:ProvidingfalseidentificationinformationisaviolationofSection719.1Aof theCodeofIowaandispunishableasasimplemisdemeanor.

    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

    Form420001E1/07

    DOB

    Local Ord.

    Height

    require an appearance, report to the above named court on:

    Court Appearance Required (805.10)

    VS.

    Name

    DL/StateIDViewed?

    Race

    Sex

    The following applies to simple misdemeanors only:

    The undersigned states that on or about

    Sec #:

    Upon a public highway at

    CDLReq?

    Year 

    dollarsandentermywrittenappearance.IagreethatifIfailtoappearinpersonorbycounseltodefendagainsttheoffense

    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#:

    Signatureof Defendant

    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

    HazMatEndReq?

    Officer'sSignature

    Non-scheduled Violation

    X

    ICISOrd.

    at

    Defendant, Last

    at

    COMPLAINT

    PassEndReq?

    Co. Enf. Surcharge

    Middle

    Notary/other Signature

    Dated

    S81 BACK 15 221 34912

    Citation #:

    SAC COUNTY SHERIFF'S OFFICE

    SAC - 81

    SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583

    145CC5013OLERICH DANIEL SCOTT 4/23/1961YES

    NEthnicity51450-0000LAKE VIEW IA3051 ROLF AVE

    6' 02"IA B MALEA TX

    02/21/2015 3:47 AM 2003 BLK CHEVROL

     

    SLV PK  

    2014 NOIA755WNJ

    M054/ROLF AVE$250.00

    $87.50

    $5.0015VIOLATION - FINANCIAL LIABILITY COVERAGE

    $60.00

    321.20B 321.20B-A$402.50

    81-5

    02/21/2015

    02/21/2015

    8:30 AM03/23/2015

    $573.75

    SAC CITY - 6717CUDABACK, TORY

    FEBRUARY, 201521

    NOTARYSAC COUNTY SHERIFF'S OFFICE

    NOT GUILTY

    Driver's LicenseRecommendation

    OTHER DISPOSITION

    Other 

    Susp.

    Yr.

    BAIL CASH DEPOSIT

    DATE: Continued to:

    Incarceration in

    VERDICT

    WARRANT ISSUED

    Iowa

    DISMISSED

    TESTIMONY - JUDGE'S NOTES: (Other Orders)

    Revo

    Mo.

    Signature, person giving bail

    TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:

    COST $

    ABSTRACT OF COURT RECORD

    Address

    JURY TRIAL

    Days:

    DOCKET NO.

    REASON

    CASE NO.

    School

    CASE NO.

    STATE:

    Days

    Name

    FORFEIT BOND

    The court Therefore Enters in Following Order This Date

    REASON

    Phone

    PLEA

    LICENSE NO.

    NOT GUILTY

    Citation :

    GUILTY

    Signature, person taking bailDate

    DATE:

    NO JURY TRIAL or 

    PROCEEDING

    GUILTY

    DATE:

    None

    Day

    COURT NO.

    FINED $ SURCHARGE $ Continued to:

    S81 BACK 15 221 34912 8

    FILED 02/23/2015 08:22AM

    CLERK DISTRICT COURT

    SAC COUNTY IOWA

  • 8/9/2019 Scheduled and unscheduled violations filed on February 23, 2015.pdf

    14/23

    chargedinthiscitation,thecourtisauthorizedtoenteraconvictionandrenderjudgmentagainstmefortheamountofmyappearancebondinsatisfactionofthepenaltyandsurchargepluscourtcost.

    You hereby are given notice that within a reasonable time but no later than the date scheduled for your

    initial appearance a citation/complaint sworn under oath will be filed with the district court clerk of the

    county in which this citation was issued.

    Speed

    IACode:

    State of Iowa

    this

    Road Work Zone

    Weight

     Agency

    City

    Zone

    Court Costs

    1.Iherebyswearandaffirmthattheinformationprovidedbymeonthiscitationistrueunderpenaltyofprovidingfalseinformation.

    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 

    ICISSec#:

    Subscribed and sworn to me by

    at

    Fed/AdmCode:

    NOTICE:ProvidingfalseidentificationinformationisaviolationofSection719.1Aof theCodeofIowaandispunishableasasimplemisdemeanor.

    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

    Form420001E1/07

    DOB

    Local Ord.

    Height

    require an appearance, report to the above named court on:

    Court Appearance Required (805.10)

    VS.

    Name

    DL/StateIDViewed?

    Race

    Sex

    The following applies to simple misdemeanors only:

    The undersigned states that on or about

    Sec #:

    Upon a public highway at

    CDLReq?

    Year 

    dollarsandentermywrittenappearance.IagreethatifIfailtoappearinpersonorbycounseltodefendagainsttheoffense

    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#:

    Signatureof Defendant

    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

    HazMatEndReq?

    Officer'sSignature

    Non-scheduled Violation

    X

    ICISOrd.

    at

    Defendant, Last

    at

    COMPLAINT

    PassEndReq?

    Co. Enf. Surcharge

    Middle

    Notary/other Signature

    Dated

    S81 BACK 15 221 22252

    Citation #:

    SAC COUNTY SHERIFF'S OFFICE

    SAC - 81

    SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583

    853AK8422LEHMAN PAIGE DIANE 4/27/1992YES

    NEthnicity51401-0000CARROLL IA130 PEEBLE LN APT 3

    5' 07"IA NONE FEMALEC NONE

    02/21/2015 10:25 PM 2007 SIL HYUNDAI

     

    ELN 4D

    2015 NOIACLS632

    US 71/KARR AVE5565$40.00

    $14.00

    $5.0015SPEEDING 55 OR < (6 THRU 10 OVER)

    $60.00

    321.285 321.285-B$119.00

    81-5

    02/21/2015

    02/21/2015

    8:30 AM03/23/2015

    $148.50

    SAC CITY - 6717CUDABACK, TORY

    FEBRUARY, 201522

    NOTARYSAC COUNTY SHERIFF'S OFFICE

    NOT GUILTY

    Driver's LicenseRecommendation

    OTHER DISPOSITION

    Other 

    Susp.

    Yr.

    BAIL CASH DEPOSIT

    DATE: Continued to:

    Incarceration in

    VERDICT

    WARRANT ISSUED

    Iowa

    DISMISSED

    TESTIMONY - JUDGE'S NOTES: (Other Orders)

    Revo

    Mo.

    Signature, person giving bail

    TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:

    COST $

    ABSTRACT OF COURT RECORD

    Address

    JURY TRIAL

    Days:

    DOCKET NO.

    REASON

    CASE NO.

    School

    CASE NO.

    STATE:

    Days

    Name

    FORFEIT BOND

    The court Therefore Enters in Following Order This Date

    REASON

    Phone

    PLEA

    LICENSE NO.

    NOT GUILTY

    Citation :

    GUILTY

    Signature, person taking bailDate

    DATE:

    NO JURY TRIAL or 

    PROCEEDING

    GUILTY

    DATE:

    None

    Day

    COURT NO.

    FINED $ SURCHARGE $ Continued to:

    S81 BACK 15 221 22252 9

    FILED 02/23/2015 08:22AM

    CLERK DISTRICT COURT

    SAC COUNTY IOWA

  • 8/9/2019 Scheduled and unscheduled violations filed on February 23, 2015.pdf

    15/23

    chargedinthiscitation,thecourtisauthorizedtoenteraconvictionandrenderjudgmentagainstmefortheamountofmyappearancebondinsatisfactionofthepenaltyandsurchargepluscourtcost.

    You hereby are given notice that within a reasonable time but no later than the date scheduled for your

    initial appearance a citation/complaint sworn under oath will be filed with the district court clerk of the

    county in which this citation was issued.

    Speed

    IACode:

    State of Iowa

    this

    Road Work Zone

    Weight

     Agency

    City

    Zone

    Court Costs

    1.Iherebyswearandaffirmthattheinformationprovidedbymeonthiscitationistrueunderpenaltyofprovidingfalseinformation.

    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 

    ICISSec#:

    Subscribed and sworn to me by

    at

    Fed/AdmCode:

    NOTICE:ProvidingfalseidentificationinformationisaviolationofSection719.1Aof theCodeofIowaandispunishableasasimplemisdemeanor.

    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

    Form420001E1/07

    DOB

    Local Ord.

    Height

    require an appearance, report to the above named court on:

    Court Appearance Required (805.10)

    VS.

    Name

    DL/StateIDViewed?

    Race

    Sex

    The following applies to simple misdemeanors only:

    The undersigned states that on or about

    Sec #:

    Upon a public highway at

    CDLReq?

    Year 

    dollarsandentermywrittenappearance.IagreethatifIfailtoappearinpersonorbycounseltodefendagainsttheoffense

    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#:

    Signatureof Defendant

    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

    HazMatEndReq?

    Officer'sSignature

    Non-scheduled Violation

    X

    ICISOrd.

    at

    Defendant, Last

    at

    COMPLAINT

    PassEndReq?

    Co. Enf. Surcharge

    Middle

    Notary/other Signature

    Dated

    S81 BACK 15 221 234141

    Citation #:

    SAC COUNTY SHERIFF'S OFFICE

    SAC - 81

    SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583

    673AJ9818HOWE BENJAMIN REISE 7/22/1997YES

    NEthnicity50501-0000FORT DODGE IA1424 1/2 7TH AVE S

    5' 05"IA 2 MALEC NONE

    02/21/2015 11:41 PM 2000 TAN BUICK - LESABRE 4D

    2015 NOIACKR142

    US 71/330TH ST$200.00

    $70.00

    $5.0015FAILURE TO HAVE VALID LICENSE/PERMIT WHILE OPER. MOTOR VEH.

    $60.00

    321.174 321.174(1)$335.00

    81-5

    02/21/2015

    02/21/2015

    8:30 AM03/23/2015

    $472.50

    SAC CITY - 6717CUDABACK, TORY

    FEBRUARY, 201521

    NOTARYSAC COUNTY SHERIFF'S OFFICE

    NOT GUILTY

    Driver's LicenseRecommendation

    OTHER DISPOSITION

    Other 

    Susp.

    Yr.

    BAIL CASH DEPOSIT

    DATE: Continued to:

    Incarceration in

    VERDICT

    WARRANT ISSUED

    Iowa

    DISMISSED

    TESTIMONY - JUDGE'S NOTES: (Other Orders)

    Revo

    Mo.

    Signature, person giving bail

    TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:

    COST $

    ABSTRACT OF COURT RECORD

    Address

    JURY TRIAL

    Days:

    DOCKET NO.

    REASON

    CASE NO.

    School

    CASE NO.

    STATE:

    Days

    Name

    FORFEIT BOND

    The court Therefore Enters in Following Order This Date

    REASON

    Phone

    PLEA

    LICENSE NO.

    NOT GUILTY

    Citation :

    GUILTY

    Signature, person taking bailDate

    DATE:

    NO JURY TRIAL or 

    PROCEEDING

    GUILTY

    DATE:

    None

    Day

    COURT NO.

    FINED $ SURCHARGE $ Continued to:

    S81 BACK 15 221 234141

    FILED 02/23/2015 08:22AM

    CLERK DISTRICT COURT

    SAC COUNTY IOWA

  • 8/9/2019 Scheduled and unscheduled violations filed on February 23, 2015.pdf

    16/23

    chargedinthiscitation,thecourtisauthorizedtoenteraconvictionandrenderjudgmentagainstmefortheamountofmyappearancebondinsatisfactionofthepenaltyandsurchargepluscourtcost.

    You hereby are given notice that within a reasonable time but no later than the date scheduled for your

    initial appearance a citation/complaint sworn under oath will be filed with the district court clerk of the

    county in which this citation was issued.

    Speed

    IACode:

    State of Iowa

    this

    Road Work Zone

    Weight

     Agency

    City

    Zone

    Court Costs

    1.Iherebyswearandaffirmthattheinformationprovidedbymeonthiscitationistrueunderpenaltyofprovidingfalseinformation.

    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 

    ICISSec#:

    Subscribed and sworn to me by

    at

    Fed/AdmCode:

    NOTICE:ProvidingfalseidentificationinformationisaviolationofSection719.1Aof theCodeofIowaandispunishableasasimplemisdemeanor.

    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

    Form420001E1/07

    DOB

    Local Ord.

    Height

    require an appearance, report to the above named court on:

    Court Appearance Required (805.10)

    VS.

    Name

    DL/StateIDViewed?

    Race

    Sex

    The following applies to simple misdemeanors only:

    The undersigned states that on or about

    Sec #:

    Upon a public highway at

    CDLReq?

    Year 

    dollarsandentermywrittenappearance.IagreethatifIfailtoappearinpersonorbycounseltodefendagainsttheoffense

    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#:

    Signatureof Defendant

    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

    HazMatEndReq?

    Officer'sSignature

    Non-scheduled Violation

    X

    ICISOrd.

    at

    Defendant, Last

    at

    COMPLAINT

    PassEndReq?

    Co. Enf. Surcharge

    Middle

    Notary/other Signature

    Dated

    S81 EYER 15 22 23415

    Citation #:

    SAC COUNTY SHERIFF'S OFFICE

    SAC - 81

    SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583

    221AD5156JOHNSON MANDI ANN 6/27/1994YES

    NEthnicity51450-0000LAKE VIEW IA203 MAIN ST

    5' 08"IA B FEMALEC NONE

    02/20/2015 11:41 PM 2000 RED CHEVROL

     

    CAV 4D

    2015 NOIA810ZEQ

    US 71/KARR AVE5565$40.00

    $14.00

    $5.0015SPEEDING 55 OR < (6 THRU 10 OVER) RADAR (69)

    $60.00

    321.285 321.285-B$119.00

    81-9

    02/20/2015

    02/20/2015

    8:30 AM03/23/2015

    $148.50

    SAC CITY - 6717MEYER, JONATHON

    FEBRUARY, 201520

    OTHER SAC COUNTY SHERIFF'S OFFICE

    NOT GUILTY

    Driver's LicenseRecommendation

    OTHER DISPOSITION

    Other 

    Susp.

    Yr.

    BAIL CASH DEPOSIT

    DATE: Continued to:

    Incarceration in

    VERDICT

    WARRANT ISSUED

    Iowa

    DISMISSED

    TESTIMONY - JUDGE'S NOTES: (Other Orders)

    Revo

    Mo.

    Signature, person giving bail

    TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:

    COST $

    ABSTRACT OF COURT RECORD

    Address

    JURY TRIAL

    Days:

    DOCKET NO.

    REASON

    CASE NO.

    School

    CASE NO.

    STATE:

    Days

    Name

    FORFEIT BOND

    The court Therefore Enters in Following Order This Date

    REASON

    Phone

    PLEA

    LICENSE NO.

    NOT GUILTY

    Citation :

    GUILTY

    Signature, person taking bailDate

    DATE:

    NO JURY TRIAL or 

    PROCEEDING

    GUILTY

    DATE:

    None

    Day

    COURT NO.

    FINED $ SURCHARGE $ Continued to:

    S81 EYER 15 22 23415 8

    FILED 02/23/2015 08:22AM

    CLERK DISTRICT COURT

    SAC COUNTY IOWA

  • 8/9/2019 Scheduled and unscheduled violations filed on February 23, 2015.pdf

    17/23

    it tion  :

    P05

      5MAI  15022

    Form 420001E 1/07

    PL AI NT I FF :

    ICounty

     of.

      Sac -

     81

    ^ : S t a t e o f l o w a

    In

     the Court at

      S A C  C O U N T Y  C O U R T H O U S E 100 N W   S T A T E  S T R E E T S U I T E

     12

    VS.

    Name

    IOWA UNIFORM CITATION A N D C O M P L A I N T

    Law  Enforcement  Agency -  IOWA STATE PATROL - DIST 05

    i City of

    R e f e r e n c e #:

    City

      S A C  C I T Y

    State  IA

    Z ip 50583

    K I M E L I L Y

    K A T H E R I N E

    4 9 0 A F 8 S 9 8

    Defendant. Last

    Address

      4 1 2 S 1 2 T H S T

    DL  State  IA

    First

    Middle Suffix

    C ity S A C C I T Y

    .  Dale of Birth

    08/21/1996

    State IA

    DL  Class  C

    DL

     E nd . N O N E

    DL   Res. B

    Zip Code 50583 -0000

    Height

    Race

      W

    Ethnicity

      N

    The undersigned states

     that

     on or about

    U S DOT# ICC#

    02 / 23 / 2015

      at .'

      7:24 A M defendant did unlawfully Operate Motor Vehicle/Boat 200 4 G R N

    5 ' 0 6

    r

      ui'u -

    F O R T )

    Weight

    T A U

    Sex

      F E M A L E

    4 0

    Lie. P lat e # /REG 341 ZN X

    S ' ^ e  J A _ Year » » » _  C D L

    ?

      N p _  * »

    ?

    E n d  _

    Upon

     a public highway at M 54 1-1/2 S O D1 5 N B O V L K 6 7 Located in the county and state aforesaid and did then and there commit the folli

    Scheduled

     Violation/Fine $20 .00 ' i-Court Appearance Requ ired (805.10)

     

    |

     Road

     Work Zone

      j \

     N on-scheduled Violation

    Criminal Surcharge $7.0 0

      Reason.

      ; l SeriousP .I. Fatal Accident CivilDam age Assessment Other

    N / A

      :

      *

    ;

    V io la ti on S P E E D I N G

     55

     O R

      l i re g iven no t i ce ma t

     witnin

     a reasonaDie t ime but  no la re r man t ne aa t e scneau iea ro r y ou r inma i appea rance

     of

     t he coun t y in wh ich t h is c i t a tion was i s sue d .

    ature below

     Is not a

     plea

     of

     guilty,

      but

     acknowledges

     all of

     the following:

    1.1 hereby swear and af f i rm

     that

      the in f o rma t ion p rov ided by m e o n th is c i tat ion is true  unde r pena l t y ol p rov id ing f a lse in f o rma t ion .

    2 . 1 p r o m i s e to a p p e a r in sa id cou r t at sa id t ime and p la ce . I u n d e r s t a n d that  a person who wi l l fu l ly fa i ls to  appea r in cou r t as spec i f ie d by t his c i ta t ion may be sub jec t to  arrest

    n d / o r l o s s of d r iv ing p r i v i leg es .

    .  If a cou r t appea ra nce is no t requ i red , I may en t e r a p lea of g u i lt y p r io r to t he de s ig na t ed app ea ran ce da t e by de l ive ry in pe rso n , or by agent , or by ma i l to t he cou r t spec i f ied by

    lies to simple misdemeanors only:

    s e c u r e d a p p e a r a n c e b o n d i n th e a m o u n t

     of

      $100 .50 do l la rs and en t e r written a p p e a r a n c e .

      I

     a g r e e that

     if

     I fail to a p p e a r i n p e r s o n or by c o u n s e l

     to

    de f end ag a ins t t he o f f ense cha rg ed

     in

     th is c i tat ion, the court is autho rized

     to

     en t e r

     a

     conv ic t ion and ren de r judg men t ag a ins t me f o r t he amoun t

     of

     m y a p p e a r a n c e b o n d in

    sat is fact ion of I he pena l t y and su r cha rg e p lus cou r t cos t .

    Dated

     

    v o u r 6 c

    l

    u

     

    e  t n e

      a s s i s t a n c e of auxi l iary a id s or s e r v i c e s to pa r t i c ipa te in cou r t beca use

     of a

    disabi l i t y , immed iate ly ca l l the A D A dis t r ic t coordina tor in the county which the c i tat ion wa s

    02/23/2015 j

    S S U

    6 d , or f y o u / r e h e a r in g i m p a i r e d , ca l l R e l a y lo w a T T Y at  1 - 8 0 0 - 7 3 5 - 2 9 4 2 . ,

    P 5HAI 15 223 72423

     2

    I t fpmpiatnr sworn unaer oatn

     

    n ie a   wn n tne

    Defendant

    Signature

    IF

      P L E A D I N G  GUILTY  D E T A C H

      A N D

     REMIT  WITH  P A Y M E N T

    P A Y  ONLINE

      A T

     V V W W . I O W A C O U R T S . G O V

    P05   5MAI 150223 72423

      2

    HECKS PAYABLE T O:  CLERK

     OF COURT

      P A Y M E N T  T O ^ ' S A C  C O U N T Y C O U R T H O U S E  1 00 N W  S T A T E  S T R E E T S U I T E

    IS SU IN G L A W E N F O R c l l B E N T   A G E NCY  Iowa State Patrol  Dist 05  *~

    C i t a t i o n

     #: f

    f E

      12 ) (

      C i t y

    S A C

      C I T Y

    St a t e

      IA Zip

     50583

    R e t e r e n c e

     #:

    Name

      K n

     

    I E

    L I L Y

    K A T H E R I N E

    DL#  490AF8598

    Dat e of Bir th 08/21/1996

    Defendant. L ast

    A d d r e s s

      41 2

     s

     1 2 T H S T

    D L  S t a t e  IA

    First Middle Suffix

    C i ty S A C C I T Y

    D L   C l a s s  C

    D L

      E n d .

      N O N E

    State  IA  Z ip Co de 50583- 0000 R

    a c e

      W Ethnic i ty  N

    D L   R e s . B  He ig h t  5' 0 6 ' W e i g h t S e x

      F

    T h e u n d e r s i g n e d s t a t e s

     that

      on or abou t 02 / 23 / 2015

      a

    t  07 :24 de f endan t d id un lawf u ll y : Ope ra t e M o t o r V eh ic le / B oa t

      2 0 0 4

      r n c n

      T A U

    4 D

    U S

      D O T #

    I C C # L ie .  P l a te # / R E G 3 4 1 Z N X

    State  IA  Y e a r 2015

    Upon

     a public

     highway

     at  M 54 1-1/2 SO D15

     NB OV

     LK67

    i ol at io n S P E E D I N G

     55

     O R

     

  • 8/9/2019 Scheduled and unscheduled violations filed on February 23, 2015.pdf

    18/23

    chargedinthiscitation,thecourtisauthorizedtoenteraconvictionandrenderjudgmentagainstmefortheamountofmyappearancebondinsatisfactionofthepenaltyandsurchargepluscourtcost.

    You hereby are given notice that within a reasonable time but no later than the date scheduled for your

    initial appearance a citation/complaint sworn under oath will be filed with the district court clerk of the

    county in which this citation was issued.

    Speed

    IACode:

    State of Iowa

    this

    Road Work Zone

    Weight

     Agency

    City

    Zone

    Court Costs

    1.Iherebyswearandaffirmthattheinformationprovidedbymeonthiscitationistrueunderpenaltyofprovidingfalseinformation.

    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 

    ICISSec#:

    Subscribed and sworn to me by

    at

    Fed/AdmCode:

    NOTICE:ProvidingfalseidentificationinformationisaviolationofSection719.1Aof theCodeofIowaandispunishableasasimplemisdemeanor.

    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

    Form420001E1/07

    DOB

    Local Ord.

    Height

    require an appearance, report to the above named court on:

    Court Appearance Required (805.10)

    VS.

    Name

    DL/StateIDViewed?

    Race

    Sex

    The following applies to simple misdemeanors only:

    The undersigned states that on or about

    Sec #:

    Upon a public highway at

    CDLReq?

    Year 

    dollarsandentermywrittenappearance.IagreethatifIfailtoappearinpersonorbycounseltodefendagainsttheoffense

    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#:

    Signatureof Defendant

    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 pr