scheduled and unscheduled violations filed on february 12, 2015

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  • 7/26/2019 Scheduled and Unscheduled Violations Filed on February 12, 2015

    1/16

  • 7/26/2019 Scheduled and Unscheduled Violations Filed on February 12, 2015

    2/16

    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:ProvidingfalseidentificationinformationisaviolationofSection719.1AoftheCodeofIowaandispunishableasasimplemisdemeanor.

    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#:

    SignatureofDefendant

    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/otherSignature

    Dated

    P 5 2LUK 15 2 7 154 59 7

    *+P052LUK1502071540597+*

    Citation #:

    IOWA STATE PATROL - DIST 05

    SAC - 81

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

    787AK9034PETERS LEESA ANN 3/17/1966YES

    NEthnicity51445-0000IDA GROVE IA1108 W. 5TH ST #4

    5' 03"IA B FEMALEC NONE

    02/07/2015 3:40 PM 1900 GRY GENERAL

    ENVOY MV

    2014 NOMOAE5S6A

    B HWY 175 E OF M-35 (69)

    $50.00

    $17.50

    N/A15OPERATION W/O REGISTRATION

    $60.00

    321.98 321.98$127.50

    492

    02/07/2015

    02/07/2015

    9:00 AM03/05/2015

    $161.25

    DENISON - 1920LUKE, C

    FEBRUARY, 201511

    OTHERIOWA STATE PATROL - DIST 05

    NOT GUILTY

    Driver's LicenseRecommendation

    OTHER DISPOSITION

    Other

    Susp.

    Yr.

    BAIL CASH DEPOSIT

    DATE: Continued to:

    Incarceration in

    VERDICT

    WARRANT ISSUED

    Iowa

    DISMISSED

    TESTIMONY - JUDGE'S NOTES: (Other Orders)

    Revo

    Mo.

    Signature, person giving bail

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

    COST $

    ABSTRACT OF COURT RECORD

    Address

    JURY TRIAL

    Days:

    DOCKET NO.

    REASON

    CASE NO.

    School

    CASE NO.

    STATE:

    Days

    Name

    FORFEIT BOND

    The court Therefore Enters in Following Order This Date

    REASON

    Phone

    PLEA

    LICENSE NO.

    NOT GUILTY

    Citation :

    GUILTY

    Signature, person taking bailDate

    DATE:

    NO JURY TRIAL orPROCEEDING

    GUILTY

    DATE:

    None

    Day

    COURT NO.

    FINED $ SURCHARGE $ Continued to:

    P 5 2LUK 15 2 7 154 59 7

    FILED 02/12/2015 07:04AM

    CLERK DISTRICT COURT

    SAC COUNTY IOWA

  • 7/26/2019 Scheduled and Unscheduled Violations Filed on February 12, 2015

    3/16

    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:ProvidingfalseidentificationinformationisaviolationofSection719.1AoftheCodeofIowaandispunishableasasimplemisdemeanor.

    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#:

    SignatureofDefendant

    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/otherSignature

    Dated

    P 5 2LUK 15 211 165854

    *+P052LUK1502111658540+*

    Citation #:

    IOWA STATE PATROL - DIST 05

    SAC - 81

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

    K035111005LAUX RICHARD ANTHONY JR 1/5/1962YES

    NEthnicity63011BALLWIN MO238 TIMBER MEADOW DR

    6' 00"MO 175 LBSB MALEF NONE

    02/11/2015 4:58 PM 2014 GRY LINCOLN

    NAVIGATOR MV

    2015 NOVAMG8293

    SB M-43 N OF ODEBOLT (68)

    5560$20.00

    $7.00

    N/A15SPEEDING 55 OR < (1 THRU 5 OVER)

    $60.00

    321.285 321.285-A$87.00

    492

    02/11/2015

    02/11/2015

    9:00 AM03/09/2015

    $100.50

    DENISON - 1920LUKE, C

    FEBRUARY, 201511

    OTHERIOWA STATE PATROL - DIST 05

    NOT GUILTY

    Driver's LicenseRecommendation

    OTHER DISPOSITION

    Other

    Susp.

    Yr.

    BAIL CASH DEPOSIT

    DATE: Continued to:

    Incarceration in

    VERDICT

    WARRANT ISSUED

    Iowa

    DISMISSED

    TESTIMONY - JUDGE'S NOTES: (Other Orders)

    Revo

    Mo.

    Signature, person giving bail

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

    COST $

    ABSTRACT OF COURT RECORD

    Address

    JURY TRIAL

    Days:

    DOCKET NO.

    REASON

    CASE NO.

    School

    CASE NO.

    STATE:

    Days

    Name

    FORFEIT BOND

    The court Therefore Enters in Following Order This Date

    REASON

    Phone

    PLEA

    LICENSE NO.

    NOT GUILTY

    Citation :

    GUILTY

    Signature, person taking bailDate

    DATE:

    NO JURY TRIAL orPROCEEDING

    GUILTY

    DATE:

    None

    Day

    COURT NO.

    FINED $ SURCHARGE $ Continued to:

    P 5 2LUK 15 211 165854

    FILED 02/12/2015 07:04AM

    CLERK DISTRICT COURT

    SAC COUNTY IOWA

  • 7/26/2019 Scheduled and Unscheduled Violations Filed on February 12, 2015

    4/16

    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:ProvidingfalseidentificationinformationisaviolationofSection719.1AoftheCodeofIowaandispunishableasasimplemisdemeanor.

    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#:

    SignatureofDefendant

    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/otherSignature

    Dated

    P 5 2LUK 15 211 17 914 1

    *+P052LUK1502111709141+*

    Citation #:

    IOWA STATE PATROL - DIST 05

    SAC - 81

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

    205AD2883SIEBRECHT ROGER GAYLE 6/7/1941YES

    NEthnicity51458-0000ODEBOLT IA408 LAWNDALE ST

    6' 00"IA B MALEC L

    02/11/2015 5:09 PM 2015 HI GENERAL

    YUKON MV

    NOIAIN TRANSIT

    SB M-43 N OF ODEBOLT (71)

    5565$40.00

    $14.00

    N/A15SPEEDING 55 OR < (6 THRU 10 OVER)

    $60.00

    321.285 321.285-B$114.00

    492

    02/11/2015

    02/11/2015

    9:00 AM03/09/2015

    $141.00

    DENISON - 1920LUKE, C

    FEBRUARY, 201511

    OTHERIOWA STATE PATROL - DIST 05

    NOT GUILTY

    Driver's LicenseRecommendation

    OTHER DISPOSITION

    Other

    Susp.

    Yr.

    BAIL CASH DEPOSIT

    DATE: Continued to:

    Incarceration in

    VERDICT

    WARRANT ISSUED

    Iowa

    DISMISSED

    TESTIMONY - JUDGE'S NOTES: (Other Orders)

    Revo

    Mo.

    Signature, person giving bail

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

    COST $

    ABSTRACT OF COURT RECORD

    Address

    JURY TRIAL

    Days:

    DOCKET NO.

    REASON

    CASE NO.

    School

    CASE NO.

    STATE:

    Days

    Name

    FORFEIT BOND

    The court Therefore Enters in Following Order This Date

    REASON

    Phone

    PLEA

    LICENSE NO.

    NOT GUILTY

    Citation :

    GUILTY

    Signature, person taking bailDate

    DATE:

    NO JURY TRIAL orPROCEEDING

    GUILTY

    DATE:

    None

    Day

    COURT NO.

    FINED $ SURCHARGE $ Continued to:

    P 5 2LUK 15 211 17 914 1

    FILED 02/12/2015 07:04AM

    CLERK DISTRICT COURT

    SAC COUNTY IOWA

  • 7/26/2019 Scheduled and Unscheduled Violations Filed on February 12, 2015

    5/16

    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:ProvidingfalseidentificationinformationisaviolationofSection719.1AoftheCodeofIowaandispunishableasasimplemisdemeanor.

    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#:

    SignatureofDefendant

    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/otherSignature

    Dated

    S81 EYER 15 211 181 28

    Citation #:

    SAC COUNTY SHERIFF'S OFFICE

    SAC - 81

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

    546YY7051KENNEY JACOB DANIEL 9/1/1987YES

    NEthnicity50266-0000EST DES MOINES IA210 S PRAIRIE VIEW DR

    6' 03"IA HIJ MALEC NONE

    02/11/2015 6:10 PM 2006 GRY FORD - F15 PK

    2015 NOIABYP748

    US 20/220TH ST5565$40.00

    $14.00

    $5.0015SPEEDING 55 OR < (6 THRU 10 OVER) RADAR (78)

    $60.00

    321.285 321.285-B$119.00

    81-9

    02/11/2015

    02/11/2015

    8:30 AM03/09/2015

    $148.50

    SAC CITY - 6717MEYER, JONATHON

    FEBRUARY, 201511

    OTHERSAC 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 15 211 181 28 4

    FILED 02/12/2015 07:55AM

    CLERK DISTRICT COURT

    SAC COUNTY IOWA

  • 7/26/2019 Scheduled and Unscheduled Violations Filed on February 12, 2015

    6/16

    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:ProvidingfalseidentificationinformationisaviolationofSection719.1AoftheCodeofIowaandispunishableasasimplemisdemeanor.

    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#:

    SignatureofDefendant

    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/otherSignature

    Dated

    T 1 T319 15 211 1 35 1

    *+T01T3191502111035010+*

    Citation #:

    MOTOR VEHICLE ENFORCEMENT

    SAC - 81

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

    677YY2502LANSINK DEREK LEE 2/22/1988YES

    NEthnicity51458-0000ODEBOLT IA1795 270TH ST

    6' 04"IA NONE MALEA NONE

    02/11/2015 10:10 AM 1999 RED KENWOR

    TT-ST

    2014 YES NO NOIASE272601868328

    US 71/KARR AVE

    $50.00

    $17.50393.95A

    N/A13DISCHARGED FIRE EXTINGUISHER GUAGE SHOWING NEEDS RECHARGED

    $60.00

    321.449 321.449-A$127.50

    T319

    02/11/2015

    02/11/2015

    8:30 AM03/02/2015

    $161.25

    EARLY - 2200LAAKE, PAUL

    FEBRUARY, 201512

    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:

    T 1 T319 15 211 1 35 1

    FILED 02/12/2015 02:30PM

    CLERK DISTRICT COURT

    SAC COUNTY IOWA

  • 7/26/2019 Scheduled and Unscheduled Violations Filed on February 12, 2015

    7/16

    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:ProvidingfalseidentificationinformationisaviolationofSection719.1AoftheCodeofIowaandispunishableasasimplemisdemeanor.

    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#:

    SignatureofDefendant

    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/otherSignature

    Dated

    T 1 T319 15 211 1 41 8 1

    *+T01T3191502111041081+*

    Citation #:

    MOTOR VEHICLE ENFORCEMENT

    SAC - 81

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

    677YY2502LANSINK DEREK LEE 2/22/1988YES

    NEthnicity51458-0000ODEBOLT IA1795 270TH ST

    6' 04"IA NONE MALEA NONE

    02/11/2015 10:10 AM 1999 RED KENWOR

    TT-ST

    2014 YES NO NOIASE272601868328

    US 71/KARR AVE

    $20.00

    $7.00392.2RG

    N/A13FAIL TO CARRY CURRENT TRUCK REGISTRATION

    $60.00

    321.32 321.32$87.00

    T319

    02/11/2015

    02/11/2015

    8:30 AM03/02/2015

    $100.50

    EARLY - 2200LAAKE, PAUL

    FEBRUARY, 201512

    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:

    T 1 T319 15 211 1 41 8 1

    FILED 02/12/2015 02:30PM

    CLERK DISTRICT COURT

    SAC COUNTY IOWA

  • 7/26/2019 Scheduled and Unscheduled Violations Filed on February 12, 2015

    8/16

    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:ProvidingfalseidentificationinformationisaviolationofSection719.1AoftheCodeofIowaandispunishableasasimplemisdemeanor.

    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#:

    SignatureofDefendant

    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/otherSignature

    Dated

    T 1 T319 15 212 91632 4

    *+T01T3191502120916324+*

    Citation #:

    MOTOR VEHICLE ENFORCEMENT

    SAC - 81

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

    E755001085917PASTIAN DOUGLAS JAMES 12/18/1972YES

    NEthnicity56316BROOTEN MN630 HATTON ST

    6' 00"MN 240 LBSNONE MALEA L

    02/12/2015 9:06 AM 1999 HI FORD - F250 TR-ST

    2015 YES NO NOMN620KXB01469687

    US 71/KARR AVE

    $50.00

    $17.50393.95A

    N/A13NO FIRE EXTINGUISHER

    $60.00

    321.449 321.449-A$127.50

    T319

    02/12/2015

    02/12/2015

    8:30 AM03/09/2015

    $161.25

    EARLY - 2200LAAKE, PAUL

    FEBRUARY, 201512

    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:

    T 1 T319 15 212 91632 4

    FILED 02/12/2015 02:30PM

    CLERK DISTRICT COURT

    SAC COUNTY IOWA

  • 7/26/2019 Scheduled and Unscheduled Violations Filed on February 12, 2015

    9/16

    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:ProvidingfalseidentificationinformationisaviolationofSection719.1AoftheCodeofIowaandispunishableasasimplemisdemeanor.

    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#:

    SignatureofDefendant

    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/otherSignature

    Dated

    T 1 T319 15 212 928 2 5

    *+T01T3191502120928025+*

    Citation #:

    MOTOR VEHICLE ENFORCEMENT

    SAC - 81

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

    E755001085917PASTIAN DOUGLAS JAMES 12/18/1972YES

    NEthnicity56316BROOTEN MN630 HATTON ST

    6' 00"MN 240 LBSNONE MALEA L

    02/12/2015 9:06 AM 1999 HI FORD - F250 TR-ST

    2015 YES NO NOMN620KXB01469687

    US 71/KARR AVE

    $50.00

    $17.50393.43

    N/A13INOP BREAKAWAY DEVICE

    $60.00

    321.449 321.449-A$127.50

    T319

    02/12/2015

    02/12/2015

    8:30 AM03/09/2015

    $161.25

    EARLY - 2200LAAKE, PAUL

    FEBRUARY, 201512

    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:

    T 1 T319 15 212 928 2 5

    FILED 02/12/2015 02:30PM

    CLERK DISTRICT COURT

    SAC COUNTY IOWA

  • 7/26/2019 Scheduled and Unscheduled Violations Filed on February 12, 2015

    10/16

    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:ProvidingfalseidentificationinformationisaviolationofSection719.1AoftheCodeofIowaandispunishableasasimplemisdemeanor.

    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#:

    SignatureofDefendant

    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/otherSignature

    Dated

    T 1 T319 15 212 1 2317 8

    *+T01T3191502121023178+*

    Citation #:

    MOTOR VEHICLE ENFORCEMENT

    SAC - 81

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

    B7888428GREWAL SUKHRAJ SINGH 10/22/1980YES

    U NEthnicity93313-0000BAKERSFIELD CA3811 CROSSWIND WAY

    5' 00"CA 235 LBSNONE MALEAM1 NONE

    02/12/2015 10:07 AM 2009 BLU FREIGHT

    TT-ST

    2015 YES NO NOCAP1427601382787 527123

    US 71/KARR AVE

    $50.00

    $17.50396.17C

    N/A13NO PROOF OF CURRENT ANNUAL INSP, STICKER FROM 2013

    $60.00

    321.449 321.449-A$127.50

    T319

    02/12/2015

    02/12/2015

    8:30 AM03/09/2015

    $161.25

    EARLY - 2200LAAKE, PAUL

    FEBRUARY, 201512

    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:

    T 1 T319 15 212 1 2317 8

    FILED 02/12/2015 02:30PM

    CLERK DISTRICT COURT

    SAC COUNTY IOWA

  • 7/26/2019 Scheduled and Unscheduled Violations Filed on February 12, 2015

    11/16

    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:ProvidingfalseidentificationinformationisaviolationofSection719.1AoftheCodeofIowaandispunishableasasimplemisdemeanor.

    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#:

    SignatureofDefendant

    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/otherSignature

    Dated

    T 1 T424 15 21 1 4952 5

    *+T01T4241502101049525+*

    Citation #:

    MOTOR VEHICLE ENFORCEMENT

    SAC - 81

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

    538YY9310PETERS PAUL EDWARD 4/21/1972YES

    NEthnicity51006-0000BATTLE CREEK IA500 4TH ST

    6' 04"IA 265 LBSB MALEA N

    02/10/2015 10:30 AM 2008 RED FREIGHT

    TTST

    2016 YES NO NOIASG581500992917 420785

    M043/90TH AVE

    5565$40.00

    $14.00392.2-SLLS2

    N/A15SPEEDING FMODR 65 IN 55 ZONE NB(70)

    $60.00

    321.285 321.285-B$114.00

    T424

    02/10/2015

    02/10/2015

    8:30 AM03/02/2015

    $141.00

    CHEROKEE - 1272CLAYCAMP, FRED

    FEBRUARY, 201510

    OTHERMOTOR VEHICLE ENFORCEMENT

    NOT GUILTY

    Driver's LicenseRecommendation

    OTHER DISPOSITION

    Other

    Susp.

    Yr.

    BAIL CASH DEPOSIT

    DATE: Continued to:

    Incarceration in

    VERDICT

    WARRANT ISSUED

    Iowa

    DISMISSED

    TESTIMONY - JUDGE'S NOTES: (Other Orders)

    Revo

    Mo.

    Signature, person giving bail

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

    COST $

    ABSTRACT OF COURT RECORD

    Address

    JURY TRIAL

    Days:

    DOCKET NO.

    REASON

    CASE NO.

    School

    CASE NO.

    STATE:

    Days

    Name

    FORFEIT BOND

    The court Therefore Enters in Following Order This Date

    REASON

    Phone

    PLEA

    LICENSE NO.

    NOT GUILTY

    Citation :

    GUILTY

    Signature, person taking bailDate

    DATE:

    NO JURY TRIAL orPROCEEDING

    GUILTY

    DATE:

    None

    Day

    COURT NO.

    FINED $ SURCHARGE $ Continued to:

    T 1 T424 15 21 1 4952 5

    FILED 02/12/2015 03:31PM

    CLERK DISTRICT COURT

    SAC COUNTY IOWA

  • 7/26/2019 Scheduled and Unscheduled Violations Filed on February 12, 2015

    12/16

    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:ProvidingfalseidentificationinformationisaviolationofSection719.1AoftheCodeofIowaandispunishableasasimplemisdemeanor.

    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#:

    SignatureofDefendant

    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/otherSignature

    Dated

    T 1 T424 15 21 165247 7

    *+T01T4241502101652477+*

    Citation #:

    MOTOR VEHICLE ENFORCEMENT

    SAC - 81

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

    UF725747SOURS DAVID EDWARD 10/18/1995YES

    NEthnicity44883TIFFIN OH4094 E COUNTY ROAD 16

    6' 00"OH 210 LBSNONE MALED NONE

    02/10/2015 4:15 PM 2011 RED FORD - TRST

    2016 YES NO NOMIPARKSCO

    US 71/KARR AVE

    $50.00

    $17.50395.8A

    N/A13NO DRIVERS RECORD OF DUTY STATUS

    $60.00

    321.449 321.449-C$127.50

    T424

    02/10/2015

    02/10/2015

    8:30 AM03/02/2015

    $161.25

    CHEROKEE - 1272CLAYCAMP, FRED

    FEBRUARY, 201510

    OTHERMOTOR VEHICLE ENFORCEMENT

    NOT GUILTY

    Driver's LicenseRecommendation

    OTHER DISPOSITION

    Other

    Susp.

    Yr.

    BAIL CASH DEPOSIT

    DATE: Continued to:

    Incarceration in

    VERDICT

    WARRANT ISSUED

    Iowa

    DISMISSED

    TESTIMONY - JUDGE'S NOTES: (Other Orders)

    Revo

    Mo.

    Signature, person giving bail

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

    COST $

    ABSTRACT OF COURT RECORD

    Address

    JURY TRIAL

    Days:

    DOCKET NO.

    REASON

    CASE NO.

    School

    CASE NO.

    STATE:

    Days

    Name

    FORFEIT BOND

    The court Therefore Enters in Following Order This Date

    REASON

    Phone

    PLEA

    LICENSE NO.

    NOT GUILTY

    Citation :

    GUILTY

    Signature, person taking bailDate

    DATE:

    NO JURY TRIAL orPROCEEDING

    GUILTY

    DATE:

    None

    Day

    COURT NO.

    FINED $ SURCHARGE $ Continued to:

    T 1 T424 15 21 165247 7

    FILED 02/12/2015 03:31PM

    CLERK DISTRICT COURT

    SAC COUNTY IOWA

  • 7/26/2019 Scheduled and Unscheduled Violations Filed on February 12, 2015

    13/16

    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:ProvidingfalseidentificationinformationisaviolationofSection719.1AoftheCodeofIowaandispunishableasasimplemisdemeanor.

    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#:

    SignatureofDefendant

    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/otherSignature

    Dated

    T 1 T424 15 21 171 58 9

    *+T01T4241502101710589+*

    Citation #:

    MOTOR VEHICLE ENFORCEMENT

    SAC - 81

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

    UF725747SOURS DAVID EDWARD 10/18/1995YES

    NEthnicity44883TIFFIN OH4094 E COUNTY ROAD 16

    6' 00"OH 210 LBSNONE MALED NONE

    02/10/2015 4:15 PM 2011 RED FORD - TRST

    2016 YES NO NOMIPARKSCO

    US 71/KARR AVE

    $50.00

    $17.50390.21A

    N/A13NO USDOT MARKINGS WHEN ONE REQUIRED

    $60.00

    321.449 321.449-A$127.50

    T424

    02/10/2015

    02/10/2015

    8:30 AM03/02/2015

    $161.25

    CHEROKEE - 1272CLAYCAMP, FRED

    FEBRUARY, 201510

    OTHERMOTOR VEHICLE ENFORCEMENT

    NOT GUILTY

    Driver's LicenseRecommendation

    OTHER DISPOSITION

    Other

    Susp.

    Yr.

    BAIL CASH DEPOSIT

    DATE: Continued to:

    Incarceration in

    VERDICT

    WARRANT ISSUED

    Iowa

    DISMISSED

    TESTIMONY - JUDGE'S NOTES: (Other Orders)

    Revo

    Mo.

    Signature, person giving bail

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

    COST $

    ABSTRACT OF COURT RECORD

    Address

    JURY TRIAL

    Days:

    DOCKET NO.

    REASON

    CASE NO.

    School

    CASE NO.

    STATE:

    Days

    Name

    FORFEIT BOND

    The court Therefore Enters in Following Order This Date

    REASON

    Phone

    PLEA

    LICENSE NO.

    NOT GUILTY

    Citation :

    GUILTY

    Signature, person taking bailDate

    DATE:

    NO JURY TRIAL orPROCEEDING

    GUILTY

    DATE:

    None

    Day

    COURT NO.

    FINED $ SURCHARGE $ Continued to:

    T 1 T424 15 21 171 58 9

    FILED 02/12/2015 03:31PM

    CLERK DISTRICT COURT

    SAC COUNTY IOWA

  • 7/26/2019 Scheduled and Unscheduled Violations Filed on February 12, 2015

    14/16

    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:ProvidingfalseidentificationinformationisaviolationofSection719.1AoftheCodeofIowaandispunishableasasimplemisdemeanor.

    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#:

    SignatureofDefendant

    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/otherSignature

    Dated

    T 1 T424 15 21 171138

    *+T01T4241502101711380+*

    Citation #:

    MOTOR VEHICLE ENFORCEMENT

    SAC - 81

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

    UF725747SOURS DAVID EDWARD 10/18/1995YES

    NEthnicity44883TIFFIN OH4094 E COUNTY ROAD 16

    6' 00"OH 210 LBSNONE MALED NONE

    02/10/2015 4:15 PM 2011 RED FORD - TRST

    2016 YES NO NOMIPARKSCO

    US 71/KARR AVE

    $50.00

    $17.50393.95A

    N/A13NO FIRE EXTINGUISHER

    $60.00

    321.449 321.449-A$127.50

    T424

    02/10/2015

    02/10/2015

    8:30 AM03/02/2015

    $161.25

    CHEROKEE - 1272CLAYCAMP, FRED

    FEBRUARY, 201510

    OTHERMOTOR VEHICLE ENFORCEMENT

    NOT GUILTY

    Driver's LicenseRecommendation

    OTHER DISPOSITION

    Other

    Susp.

    Yr.

    BAIL CASH DEPOSIT

    DATE: Continued to:

    Incarceration in

    VERDICT

    WARRANT ISSUED

    Iowa

    DISMISSED

    TESTIMONY - JUDGE'S NOTES: (Other Orders)

    Revo

    Mo.

    Signature, person giving bail

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

    COST $

    ABSTRACT OF COURT RECORD

    Address

    JURY TRIAL

    Days:

    DOCKET NO.

    REASON

    CASE NO.

    School

    CASE NO.

    STATE:

    Days

    Name

    FORFEIT BOND

    The court Therefore Enters in Following Order This Date

    REASON

    Phone

    PLEA

    LICENSE NO.

    NOT GUILTY

    Citation :

    GUILTY

    Signature, person taking bailDate

    DATE:

    NO JURY TRIAL orPROCEEDING

    GUILTY

    DATE:

    None

    Day

    COURT NO.

    FINED $ SURCHARGE $ Continued to:

    T 1 T424 15 21 171138

    FILED 02/12/2015 03:31PM

    CLERK DISTRICT COURT

    SAC COUNTY IOWA

  • 7/26/2019 Scheduled and Unscheduled Violations Filed on February 12, 2015

    15/16

    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:ProvidingfalseidentificationinformationisaviolationofSection719.1AoftheCodeofIowaandispunishableasasimplemisdemeanor.

    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#:

    SignatureofDefendant

    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/otherSignature

    Dated

    P 5 5BRE 15 212 84756 6

    *+P055BRE1502120847566+*

    Citation #:

    IOWA STATE PATROL - DIST 05

    SAC - 81

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

    683YY5875ROOSE RAASCH MELISSA ANN 6/20/1972YES

    NEthnicity51458-0000ODEBOLT IA1817 290TH ST

    5' 04"IA NONE FEMALEC L

    02/12/2015 8:47 AM 2015 HI SUBARU - FORESTER SUV

    2015 NOIAD-2533

    M043/GARD AVE N D15 NB LV DL STAT 71

    5570$80.00

    $28.00

    N/A15SPEEDING 55 OR < (11 THRU 15 OVER)

    $60.00

    321.285 321.285-C$168.00

    025

    02/12/2015

    02/12/2015

    9:30 AM03/16/2015

    $222.00

    ALTA - 0125BRECHWALD, T

    FEBRUARY, 201512

    NOTARYIOWA STATE PATROL - DIST 05

    NOT GUILTY

    Driver's LicenseRecommendation

    OTHER DISPOSITION

    Other

    Susp.

    Yr.

    BAIL CASH DEPOSIT

    DATE: Continued to:

    Incarceration in

    VERDICT

    WARRANT ISSUED

    Iowa

    DISMISSED

    TESTIMONY - JUDGE'S NOTES: (Other Orders)

    Revo

    Mo.

    Signature, person giving bail

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

    COST $

    ABSTRACT OF COURT RECORD

    Address

    JURY TRIAL

    Days:

    DOCKET NO.

    REASON

    CASE NO.

    School

    CASE NO.

    STATE:

    Days

    Name

    FORFEIT BOND

    The court Therefore Enters in Following Order This Date

    REASON

    Phone

    PLEA

    LICENSE NO.

    NOT GUILTY

    Citation :

    GUILTY

    Signature, person taking bailDate

    DATE:

    NO JURY TRIAL orPROCEEDING

    GUILTY

    DATE:

    None

    Day

    COURT NO.

    FINED $ SURCHARGE $ Continued to:

    P 5 5BRE 15 212 84756 6

    FILED 02/12/2015 04:31PM

    CLERK DISTRICT COURT

    SAC COUNTY IOWA

  • 7/26/2019 Scheduled and Unscheduled Violations Filed on February 12, 2015

    16/16

    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:ProvidingfalseidentificationinformationisaviolationofSection719.1AoftheCodeofIowaandispunishableasasimplemisdemeanor.

    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#:

    SignatureofDefendant

    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/otherSignature

    Dated

    T 1 T324 15 212 113539 7

    *+T01T3241502121135397+*

    Citation #:

    MOTOR VEHICLE ENFORCEMENT

    SAC - 81

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

    S88818795MORARI IVAN 1/23/1988YES

    NEthnicity02664-1955S YARMOUTH MA91 REGIONAL AVE

    5' 08"MA 180 LBSNONE MALEA NONE

    02/12/2015 11:20 AM 1999 HI VOLVO - TT

    2015 YES NO NOILP78809102131939 742532

    US 71/KARR AVE

    $50.00

    $17.50395.8F1

    N/A13LOGBOOK NOT CURRENT. NO ENTRIES SINCE 1800HRS 2/11/15

    $60.00

    321.449 321.449-C$127.50

    T324

    02/12/2015

    02/12/2015

    8:30 AM03/02/2015

    $161.25

    EARLY - 2200DAGIT, JOSHUA

    FEBRUARY, 201512

    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:

    T 1 T324 15 212 113539 7

    FILED 02/12/2015 04:31PM

    CLERK DISTRICT COURT

    SAC COUNTY IOWA