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COMPLAINT

Form 420001E 1/07 PLAINTIFF State of Iowa In the Court at VS. Name

Dispatch / Case #:

Citation #: IOWA UNIFORM CITATION AND COMPLAINT


Law Enforcement Agency MOTOR VEHICLE ENFORCEMENT City of:

T01 T324 131024 094337 7


SAC CITY IA 50583
DL/State ID Viewed? YES Zip Code Height Race W 50585-0000 6' 02" Weight 215 LBS DOB 5/9/1985 Ethnicity N Sex MALE

Reference #:
County of: SAC - 81

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 ADAM


First DL Class

HUEBNER
Defendant, Last

TODD
Middle City Suffix

DL#

801ZZ6976
State IA DL Rest. NONE

Address 5025 HIGHWAY 71 DL State IA The undersigned states that on or about US DOT# ICC#

SIOUX RAPIDS
DL End. L

10/24/2013

at 9:00 AM

defendant did unlawfully: Operate Motor Vehicle/Boat State

2006 BLK

Lic. Plate #/REG 5613EV

Upon a public highway at 44 - JCT HWY 71/20 EARLY Scheduled Violation/Fine Criminal Surcharge Co. Enf. Surcharge Court Costs Total Fine/Costs

CDL YES HazMat End Req? NO Req? Req? Located in the county and state aforesaid and did then and there commit the following offense:

IA

Year 2013

PETERBIL T - PTRB Pass End NO

DS

$22.00 $7.70 N/A $60.00 $89.70

Court Appearance Required (805.10) Reason: Serious P.I. Fatal Accident

Road Work Zone Civil Damage Assessment

Non-scheduled Violation Other

Speed

in

Zone

Fed/Adm Code: 392.2-SLLEWA1 IA Code: 20 13

Violation AXLE 2-3 O/W 1,980#'S. 35,980#'S Sec #: 321.463 ICIS Sec #: 321.463 I.D. No. T324 Local Ord. ICIS Ord.

Officer's Signature

Dated 10/24/2013

NOTICE: Providing false identification information is a violation of Section 719.1A of the Code of Iowa and is punishable as a simple misdemeanor.
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.

Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not require an appearance, report to the above named court on: 11/18/2013 at 9:30 AM
My signature below is not a plea of guilty, but acknowledges all of the following: 1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.

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. 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. The following applies to simple misdemeanors only:

$104.55 4. I hereby give my unsecured appearance bond in the amount of dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty and surcharge plus court cost.

*+T01T3241310240943377+*
Dated
Signature of Defendant

X
Subscribed and sworn to me by this

10/24/2013

I swear that the foregoing complaint is true and correct.

25

day of

DAGIT, JOSHUA OCTOBER, 2013


Notary/other Signature

at

HUMBOLDT - 3595
Notary/other

, Iowa

Officer's Signature

Agency

MOTOR VEHICLE ENFORCEMENT

NOTARY

ABSTRACT OF COURT RECORD


COURT NO. DOCKET NO. LICENSE NO. FORFEIT BOND BAIL CASH DEPOSIT PLEA GUILTY NOT GUILTY VERDICT GUILTY NOT GUILTY DISMISSED CASE NO. CASE NO. STATE: Iowa Other

Citation #:

T01 T324 131024 094337 7


FILED 10/25/2013 06:37PM CLERK DISTRICT COURT SAC COUNTY IOWA

TESTIMONY - JUDGE'S NOTES: (Other Orders)

JURY TRIAL

NO JURY TRIAL or PROCEEDING

Date

Signature, person giving bail

Signature, person taking bail

OTHER DISPOSITION The court Therefore Enters in Following Order This Date
Mo. Day Yr.

Driver's License Recommendation DATE: DATE: DATE:

None

School

Susp.

Revo

Days

Continued to: Continued to: WARRANT ISSUED

REASON REASON

FINED $ Incarceration in

SURCHARGE $

COST $ Days:

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

COMPLAINT
Form 420001E 1/07 PLAINTIFF State of Iowa In the Court at VS. Name

Dispatch / Case #:

Citation #: IOWA UNIFORM CITATION AND COMPLAINT


Law Enforcement Agency MOTOR VEHICLE ENFORCEMENT City of:

T01 T324 131024 095345 8


SAC CITY IA 50583
DL/State ID Viewed? YES Zip Code Height Race W 50585-0000 6' 02" Weight 215 LBS DOB 5/9/1985 Ethnicity N Sex MALE

Reference #:
County of: SAC - 81

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 ADAM


First DL Class

HUEBNER
Defendant, Last

TODD
Middle City Suffix

DL#

801ZZ6976
State IA DL Rest. NONE

Address 5025 HIGHWAY 71 DL State IA The undersigned states that on or about US DOT# ICC#

SIOUX RAPIDS
DL End. L

10/24/2013

at 9:00 AM

defendant did unlawfully: Operate Motor Vehicle/Boat State

2006 BLK

Lic. Plate #/REG 5613EV

Upon a public highway at 44 - JCT HWY 71/20 EARLY Scheduled Violation/Fine Criminal Surcharge Co. Enf. Surcharge Court Costs Total Fine/Costs

CDL YES HazMat End Req? NO Req? Req? Located in the county and state aforesaid and did then and there commit the following offense:

IA

Year 2013

PETERBIL T - PTRB Pass End NO

DS

$50.00 $17.50 N/A $60.00 $127.50

Court Appearance Required (805.10) Reason: Serious P.I. Fatal Accident

Road Work Zone Civil Damage Assessment

Non-scheduled Violation Other

Speed

in

Zone

Fed/Adm Code: 393.43A IA Code: 20 13

Violation DEFECTIVE TRACTOR PROTECTION VALVLE Sec #: 321.449 ICIS Sec #: 321.449-A I.D. No. T324 Local Ord. ICIS Ord.

Officer's Signature

Dated 10/24/2013

NOTICE: Providing false identification information is a violation of Section 719.1A of the Code of Iowa and is punishable as a simple misdemeanor.
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.

Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not require an appearance, report to the above named court on: 11/18/2013 at 9:30 AM
My signature below is not a plea of guilty, but acknowledges all of the following: 1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.

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. 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. The following applies to simple misdemeanors only:

$161.25 4. I hereby give my unsecured appearance bond in the amount of dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty and surcharge plus court cost.

*+T01T3241310240953458+*
Dated
Signature of Defendant

X
Subscribed and sworn to me by this

10/24/2013

I swear that the foregoing complaint is true and correct.

25

day of

DAGIT, JOSHUA OCTOBER, 2013


Notary/other Signature

at

HUMBOLDT - 3595
Notary/other

, Iowa

Officer's Signature

Agency

MOTOR VEHICLE ENFORCEMENT

NOTARY

ABSTRACT OF COURT RECORD


COURT NO. DOCKET NO. LICENSE NO. FORFEIT BOND BAIL CASH DEPOSIT PLEA GUILTY NOT GUILTY VERDICT GUILTY NOT GUILTY DISMISSED CASE NO. CASE NO. STATE: Iowa Other

Citation #:

T01 T324 131024 095345 8


FILED 10/25/2013 06:37PM CLERK DISTRICT COURT SAC COUNTY IOWA

TESTIMONY - JUDGE'S NOTES: (Other Orders)

JURY TRIAL

NO JURY TRIAL or PROCEEDING

Date

Signature, person giving bail

Signature, person taking bail

OTHER DISPOSITION The court Therefore Enters in Following Order This Date
Mo. Day Yr.

Driver's License Recommendation DATE: DATE: DATE:

None

School

Susp.

Revo

Days

Continued to: Continued to: WARRANT ISSUED

REASON REASON

FINED $ Incarceration in

SURCHARGE $

COST $ Days:

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

COMPLAINT
Form 420001E 1/07 PLAINTIFF State of Iowa In the Court at VS. Name

Dispatch / Case #:

Citation #: IOWA UNIFORM CITATION AND COMPLAINT


Law Enforcement Agency MOTOR VEHICLE ENFORCEMENT City of:

T01 T324 131024 095618 9


SAC CITY IA 50583
DL/State ID Viewed? YES Zip Code Height Race W 50585-0000 6' 02" Weight 215 LBS DOB 5/9/1985 Ethnicity N Sex MALE

Reference #:
County of: SAC - 81

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 ADAM


First DL Class

HUEBNER
Defendant, Last

TODD
Middle City Suffix

DL#

801ZZ6976
State IA DL Rest. NONE

Address 5025 HIGHWAY 71 DL State IA The undersigned states that on or about US DOT# ICC#

SIOUX RAPIDS
DL End. L

10/24/2013

at 9:00 AM

defendant did unlawfully: Operate Motor Vehicle/Boat State

2006 BLK

Lic. Plate #/REG 5613EV

Upon a public highway at 44 - JCT HWY 71/20 EARLY Scheduled Violation/Fine Criminal Surcharge Co. Enf. Surcharge Court Costs Total Fine/Costs

CDL YES HazMat End Req? NO Req? Req? Located in the county and state aforesaid and did then and there commit the following offense:

IA

Year 2013

PETERBIL T - PTRB Pass End NO

DS

$50.00 $17.50 N/A $60.00 $127.50

Court Appearance Required (805.10) Reason: Serious P.I. Fatal Accident

Road Work Zone Civil Damage Assessment

Non-scheduled Violation Other

Speed

in

Zone

Fed/Adm Code: 391.41A-F IA Code: 20 13 ICIS Ord.

Violation OPERATING PROPERTY-CARRYING VEHICLE WITHOUT POSSESSING VALID

MEDICAL CERTIFICATE Sec #: 321.449 ICIS Sec #: 321.449-B


I.D. No. T324

Local Ord.

Officer's Signature

Dated 10/24/2013

NOTICE: Providing false identification information is a violation of Section 719.1A of the Code of Iowa and is punishable as a simple misdemeanor.
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.

Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not require an appearance, report to the above named court on: 11/18/2013 at 9:30 AM
My signature below is not a plea of guilty, but acknowledges all of the following: 1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.

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. 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. The following applies to simple misdemeanors only:

$161.25 4. I hereby give my unsecured appearance bond in the amount of dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty and surcharge plus court cost.

*+T01T3241310240956189+*
Dated
Signature of Defendant

X
Subscribed and sworn to me by this

10/24/2013

I swear that the foregoing complaint is true and correct.

25

day of

DAGIT, JOSHUA OCTOBER, 2013


Notary/other Signature

at

HUMBOLDT - 3595
Notary/other

, Iowa

Officer's Signature

Agency

MOTOR VEHICLE ENFORCEMENT

NOTARY

ABSTRACT OF COURT RECORD


COURT NO. DOCKET NO. LICENSE NO. FORFEIT BOND BAIL CASH DEPOSIT PLEA GUILTY NOT GUILTY VERDICT GUILTY NOT GUILTY DISMISSED CASE NO. CASE NO. STATE: Iowa Other

Citation #:

T01 T324 131024 095618 9


FILED 10/25/2013 06:46PM CLERK DISTRICT COURT SAC COUNTY IOWA

TESTIMONY - JUDGE'S NOTES: (Other Orders)

JURY TRIAL

NO JURY TRIAL or PROCEEDING

Date

Signature, person giving bail

Signature, person taking bail

OTHER DISPOSITION The court Therefore Enters in Following Order This Date
Mo. Day Yr.

Driver's License Recommendation DATE: DATE: DATE:

None

School

Susp.

Revo

Days

Continued to: Continued to: WARRANT ISSUED

REASON REASON

FINED $ Incarceration in

SURCHARGE $

COST $ Days:

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

COMPLAINT
Form 420001E 1/07 PLAINTIFF State of Iowa In the Court at VS. Name

Dispatch / Case #:

Citation #: IOWA UNIFORM CITATION AND COMPLAINT


Law Enforcement Agency MOTOR VEHICLE ENFORCEMENT City of:

T01 T324 131024 121308 4


SAC CITY IA 50583
DL/State ID Viewed? YES Zip Code Height DOB 6/15/1940 Ethnicity N Sex MALE

Reference #:
County of: SAC - 81

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 DALE


First DL Class

CREPEAU
Defendant, Last

JOSEPH
Middle City Suffix

DL#

E575001761817
State MN DL Rest. B

Address 18548 460TH ST DL State MN The undersigned states that on or about US DOT# 00395754 ICC#

CLEARBROOK
DL End. NONE

56634 5' 11" FORD FORD Pass End

Race W Weight 214 LBS

10/24/2013

at 11:50 AM

defendant did unlawfully: Operate Motor Vehicle/Boat State MN Year 2013

1997 RED

TR

Lic. Plate #/REG YAC6299

Upon a public highway at 44 - JCT HWY 71/20 EARLY Scheduled Violation/Fine Criminal Surcharge Co. Enf. Surcharge Court Costs Total Fine/Costs

CDL NO HazMat End Req? Req? Req? Located in the county and state aforesaid and did then and there commit the following offense: Road Work Zone Civil Damage Assessment Non-scheduled Violation Other Speed in Zone

$50.00 $17.50 N/A $60.00 $127.50

Court Appearance Required (805.10) Reason: Serious P.I. Fatal Accident

Fed/Adm Code: 393.43D IA Code: 20 13

Violation INOPERALE AUTOMATIC TRAILER BRAKE Sec #: 321.449 ICIS Sec #: 321.449-A I.D. No. T324 Local Ord. ICIS Ord.

Officer's Signature

Dated 10/24/2013

NOTICE: Providing false identification information is a violation of Section 719.1A of the Code of Iowa and is punishable as a simple misdemeanor.
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.

Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not require an appearance, report to the above named court on: 11/18/2013 at 9:30 AM
My signature below is not a plea of guilty, but acknowledges all of the following: 1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.

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. 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. The following applies to simple misdemeanors only:

$161.25 4. I hereby give my unsecured appearance bond in the amount of dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty and surcharge plus court cost.

*+T01T3241310241213084+*
Dated
Signature of Defendant

X
Subscribed and sworn to me by this

10/24/2013

I swear that the foregoing complaint is true and correct.

25

day of

DAGIT, JOSHUA OCTOBER, 2013


Notary/other Signature

at

HUMBOLDT - 3595
Notary/other

, Iowa

Officer's Signature

Agency

MOTOR VEHICLE ENFORCEMENT

NOTARY

ABSTRACT OF COURT RECORD


COURT NO. DOCKET NO. LICENSE NO. FORFEIT BOND BAIL CASH DEPOSIT PLEA GUILTY NOT GUILTY VERDICT GUILTY NOT GUILTY DISMISSED CASE NO. CASE NO. STATE: Iowa Other

Citation #:

T01 T324 131024 121308 4


FILED 10/25/2013 06:48PM CLERK DISTRICT COURT SAC COUNTY IOWA

TESTIMONY - JUDGE'S NOTES: (Other Orders)

JURY TRIAL

NO JURY TRIAL or PROCEEDING

Date

Signature, person giving bail

Signature, person taking bail

OTHER DISPOSITION The court Therefore Enters in Following Order This Date
Mo. Day Yr.

Driver's License Recommendation DATE: DATE: DATE:

None

School

Susp.

Revo

Days

Continued to: Continued to: WARRANT ISSUED

REASON REASON

FINED $ Incarceration in

SURCHARGE $

COST $ Days:

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

COMPLAINT
Form 420001E 1/07 PLAINTIFF State of Iowa In the Court at VS. Name

Dispatch / Case #:

Citation #: IOWA UNIFORM CITATION AND COMPLAINT


Law Enforcement Agency MOTOR VEHICLE ENFORCEMENT City of:

T01 T324 131024 121308 4


SAC CITY IA 50583
DL/State ID Viewed? YES Zip Code Height DOB 6/15/1940 Ethnicity N Sex MALE

Reference #:
County of: SAC - 81

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 DALE


First DL Class

CREPEAU
Defendant, Last

JOSEPH
Middle City Suffix

DL#

E575001761817
State MN DL Rest. B

Address 18548 460TH ST DL State MN The undersigned states that on or about US DOT# 00395754 ICC#

CLEARBROOK
DL End. NONE

56634 5' 11" FORD FORD Pass End

Race W Weight 214 LBS

10/24/2013

at 11:50 AM

defendant did unlawfully: Operate Motor Vehicle/Boat State MN Year 2013

1997 RED

TR

Lic. Plate #/REG YAC6299

Upon a public highway at 44 - JCT HWY 71/20 EARLY Scheduled Violation/Fine Criminal Surcharge Co. Enf. Surcharge Court Costs Total Fine/Costs

CDL NO HazMat End Req? Req? Req? Located in the county and state aforesaid and did then and there commit the following offense: Road Work Zone Civil Damage Assessment Non-scheduled Violation Other Speed in Zone

$50.00 $17.50 N/A $60.00 $127.50

Court Appearance Required (805.10) Reason: Serious P.I. Fatal Accident

Fed/Adm Code: 393.43D IA Code: 20 13

Violation INOPERALE AUTOMATIC TRAILER BRAKE Sec #: 321.449 ICIS Sec #: 321.449-A I.D. No. T324 Local Ord. ICIS Ord.

Officer's Signature

Dated 10/24/2013

NOTICE: Providing false identification information is a violation of Section 719.1A of the Code of Iowa and is punishable as a simple misdemeanor.
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.

Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not require an appearance, report to the above named court on: 11/18/2013 at 9:30 AM
My signature below is not a plea of guilty, but acknowledges all of the following: 1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.

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. 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. The following applies to simple misdemeanors only:

$161.25 4. I hereby give my unsecured appearance bond in the amount of dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty and surcharge plus court cost.

*+T01T3241310241213084+*
Dated
Signature of Defendant

X
Subscribed and sworn to me by this

10/24/2013

I swear that the foregoing complaint is true and correct.

25

day of

DAGIT, JOSHUA OCTOBER, 2013


Notary/other Signature

at

HUMBOLDT - 3595
Notary/other

, Iowa

Officer's Signature

Agency

MOTOR VEHICLE ENFORCEMENT

NOTARY

ABSTRACT OF COURT RECORD


COURT NO. DOCKET NO. LICENSE NO. FORFEIT BOND BAIL CASH DEPOSIT PLEA GUILTY NOT GUILTY VERDICT GUILTY NOT GUILTY DISMISSED CASE NO. CASE NO. STATE: Iowa Other

Citation #:

T01 T324 131024 121308 4


FILED 10/25/2013 06:48PM CLERK DISTRICT COURT SAC COUNTY IOWA

TESTIMONY - JUDGE'S NOTES: (Other Orders)

JURY TRIAL

NO JURY TRIAL or PROCEEDING

Date

Signature, person giving bail

Signature, person taking bail

OTHER DISPOSITION The court Therefore Enters in Following Order This Date
Mo. Day Yr.

Driver's License Recommendation DATE: DATE: DATE:

None

School

Susp.

Revo

Days

Continued to: Continued to: WARRANT ISSUED

REASON REASON

FINED $ Incarceration in

SURCHARGE $

COST $ Days:

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

IF PLEADING GUILTY DETACH AND REMIT WITH PAYMENT OR PAY ONLINE AT WWW.IOWACOURTS.GOV

CHECKS PAYABLE TO: CLERK OF COURT


ISSUING LAW ENFORCEMENT AGENCY
Name
I > O N I ; t

C i t a t i o n

# :

T01 T142
C i t

131024 124223 3
S t a t e

SUBMIT PAYMENT TO: SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 1 2
Motor Vehicle Enforcement

SAC CITY

'

IA

Z i

P 50583

Reference tt: Date of Birth 11/23/1940

JOSEPH
First

FRANCIS
City DL Class _A 10/24/2013 at

JR Suffix MILFORD

DL# 6 5 3 W W 0 0 7 4

Defendant. Last Address 806 28TH S T R E E T #17 DL State IA

State IA DL Res. N O N E

Zip C o d e 51351 Height 5' 08' Pass End Weight

Race W 165

Ethnicity

DL End. N O N E

Sex M A L E TR

The undersigned states that on or about U S DOT# 00839083 |CC# 373675

12:25
34011 ~

defendant did unlawfully: Operate Motor Vehicle/Boat State Wl Year DL YES

1994 F O R D
N O H a z M a t E n d R e q ?

Lie. Plate # / R E G

NO

Upon a public highway at Violation FAILURE Scheduled Fine Bond Amount

44 - J C T H W Y 71/20 E A R L Y CONTROL

Located in the county and state aforesaid and did then and there commit the following offense: ICIS Sec
M

TO OBEY TRAFFIC SI00.00 $262.50 [

DEVICE (OPEN SCALE SI Sec# 321.256 $35.00 C o . Enf. Surcharge

321.256

LocalOrd

ICISOrd.

Criminal Surcharge | Road Work Zone |

N/A

Court Costs
in

$60.00

Total Fine/Costs $195.00


IA Code: 20 13

[Court Appearance Required (805.10)

Court Date: 11/18/2013 Speed

Zone Fed/Adm Code: 392.2C

is
K.I

[ APPEARANCE PLEA OF GUILTY


I, the undersigned, do hereby enter my appearance on the complaint of the offense charged on this citation. I have been informed of my right to a trial, that my signature to this plea of guilty will have the same effect as a judgment of court and this record will be sent to the Department of Transportation of this state (or of the state of my residence). I do hereby P L E A D GUILTY to said offense as charged and agree to the penalty prescribed for my offense. Amount to pay: $195.00 IF Y O U A R E R E Q U I R E D T O P O S T B A I L T O O B T A I N R E L E A S E A. If you desire to enter a plea of guilty, the officer may release you from custody upon observing you mail the citation, admission of guilt and minimum fine, surcharge, with court costs to a traffic violations office in an envelope furnished by the officer B. If you choose to plead N O T GUILTY, the officer may release you from custody by observing you mail the citation, and one and one half times the minimum fine, surcharge, with court costs, or in lieu of one and one half times the fine and costs a guaranteed arrest bond certificate together with signing the following statement:

I agree that either (1) I wil^appeai^ursuanlt to this citation or (2) if I do not so appear, the amount deposited as bail will be forfeited." Signature of Defendant

Officer:

PEREZ, W I L L I A M

I.D. NO. T142

~ fir

\....UIVIt"'LAII'I1

IOWA UNIFORM CITATION AND COMPLAINT

SAC CITY D State


~CitYOf of Iowa

POLICE

DEPT

E-FILED 2013 OCT 28 3:58 AM SAC - CLERK OF DISTRICT COURT

I,sI County Of: __ s_A_c


SAC CITY

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Defendant, Last \

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Middle

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--'\.=----=oOt V \
DL Rest. Race

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DLiState .!..Viewed? Yes~ Sex ,Ht.

H/N IUD

==-Wr.--~

The undersigned states that on or about defendant did unlawfully: Operate Motor Vehicle/Boat (describe) CDL Req? YesD Reg# NeAl

10 /
Mo.

?/ I 3
Yr.

at

',l.., C

~M

q'" l:>o~~f. ~(c,,/,%~r\A.t"p't;)


NO&( \ --;, HazMat End. Req?YesD US DOT # No~ _ Year

Pass. End. Req? YesD

A:r~~v8'State -2~
DNavigation Violation/Fine

Upon a public highway at ~raffiC D'ched.

_C)L.Z)~D~:8"""--,)c=l>_~=--"""----,U,--,--,o~1,,,---,,b~.s,,----,S==----~,-----D Snowmobile/ATV ~/() D Fish-Game D D


Road Work Zone Non-scheduled Violation

Located in the county and state aforesaid and did then and there commit the following offense: D Parks D Tobacco

Criminal Surcharge Co. Enf. Surcharge Court Costs Total Fine/Costs Violation Speed

I tj

o
ent

Fatal Accident

D Other
I~ode

.~~~ff'\~;=-----'=--\;--'--"""-"--=-'--~==---\C~4:;T----20 Fed/Adm. C~ Local

_-=~
)M? /

DATA CODE

ord.----\,~~..;SL~'-'G>""""--l.-/-/_cL~I~~L-

Dated

~~y

J~
at

4o~cer'SSignature

~~oV
AM D PM

Court Date: If you mus;: appear in court or if you chlose appearance, report to the above named court on

to appear to answer to a charge which does not require an

(( / ';{d ~

---=-?'-}~J-=O_--::XJ

NOTICE: Providing false information aggravated misdemeanor.

is a violation of Section 719.3 of the Code of Iowa and is punishable as an

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 the citation was issued.

My signature below is not a plea of guilty, but acknowledges all of the following:
1 I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information. 2. I promise to appear in said court at said time and place, or I will comply with the provision on the top of the reverse side of the citation. The following applies to simple misdemeanors only: 3. I hereby give my unsecured appearance bond in the amount of dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty a rcharge plus court costs.

J L1J

0~

l~ ,..,

~~~~~~~~~~~~~W------

ABSTRACT OF C(WRT I~ECOR[)


COL RT ~O
DOC KCT '\() ! I( I-:\.S[ '\0

E-FILED 2013 OCT 28 3:58 AM SAC - CLERK OF DISTRICT COURT CASIc~O.


CASE ~O.
STAT I' ,_, JOWA

OTHER
FORFl-JT BO~D

8\JL CASII DFPOSIT PI.E.A


VE;ROI(T

RY TRIAL

\.0 JURY TRIAL


or PRO( EfDl'\G

JGULlY 1',OT C,UJ L TY

o (,lILTY
;\OT GULTY C Dl5MI5S!:'D
LJ

Ulll!::R DISPOSlTlO\.
lhc Court

Therefore Enters In Following Order Fhis Date CRIMhAL SlRClIARGl' S_ S COSTS ::;

('OU\TY [,\FORCEMF~r SURCIIAIU;[

None

Days

Dn vers I iccnsc
!{C.COIllJll,,;minli()j1
.b!

[),\T\;;.. DATI:

(9!1rjDI,Lc'.;1 I\)' . Continued to.


C""

RF;\SO~L
REASON Orders)

Tlty.u"",~__

lY_;}K~_riIl~SVIiD
n /)(,ES

lLSTI\.cl()~Y

~on.s- (Other

I swear that the I,)rgoing SlgI:Zre Sllb'':~d

citation is true' and correct.

L
and s~;rn:~ before
'"'\- "\ 11K

\,)(;:c...~b_._
,..')~~(...~~
day ,d'

bv

OCA_I-::j,--\ ;1 /
" -~ ,/ :,..-" ~"''''''''

Iowa this ~

D c......A.

Cc.....r\" ~'"
20

\.

r1 t\
__:;'''''''''" .. _ /

"-;.,'" r'iJ
("'.(..._;t:( ~

C..2.),l;,rY'Otl'ic'!

'

TO TIll. COt Rf: I'he l(dl()\\lflg are wunesses who can rextimony relating to the tact-. (If this alleged violation. Pkasc' subpoena pn,sc'cliting witness:

Phone

COMPLAINT
IOWA UNIFORM CITATION AND COMPLAINT

SAC

CITY

POLICE

DEPT _

E-FILED 2013 OCT 28 3:59 AM SAC - CLERK OF DISTRICT COURT

D State of Iowa County of:_-'-S_A_C"-1Jj Cilyof SAC CITY

P'I

No.. ----=8::....:1=--_

[N~ 0006685[

SAC CO. COURTHOUSE In the Court at _-=1:..::0:..::::0-'N..:..:.c..:..W'-'-.-"S'-'-T-'-..:A'--'-T-'=E'--"S"--'Tc..:... -",S,-,-T-,=,E,---. ""12""------",S.oA",,C--,,C,,-,-1 T-'--Y-4-JI"-,A,---,5",-,O",.,5,,-,S,,,,3,---

~~~e~~~~~~r_J~e~~_~~S~ ~~~S~YY'~~~~~ __ \~.------~~------L

Address City DL#

Defend!2

& \ (g
End.

~~

"\.eJ

f~

Middle
state:J

---,S=-=:-\~=-~_""-==-,~~=C,,----,--i =..l."""""\--T't:"S Z.ZI 0 I 5' -'--= "'-

I\--

Zip

State _-==--'DL/State ID Viewed? Yes~ EthntLH/N/U

=-, 5n-11 ~
_
NoD ~-DAM

DL Class DOB

LDL I

.. _ DL Rest~ Race ~
W/B/I/A/U

d lip'

Sex~
I

HI -WIat

The undersigned states that on or about defendant did unlawfully: Operate Motor VehiclelBoat (describe) CDL R:?:?esD Reg# NolJ'4

-"':">.,/

Pas~d.

H~ 3KJ

State
'f..J::...

:..> Pr
1./0
I

II: ![S ~M Mo. Day Yr. _ r ,;;2 <2??"1 C ~ ,1../. \ V o..;l ~ 161(( -v ~l Req? YesD Noi.l} HazMat End. Req?YesD No~
I

ID

t.Jl

1:3

Year

I~

US DOT # ~----

Upon a public highway at __ JTraffic 'sched_ DNavigation ViolationlFine

=-_~A'___'-"S"'__'-I-J<--..:cA..L.:v=_'e..~
D Fish-Game D D D Parks

_
D Tobacco

L~ated in the county and state aforesaid and did then and there commit the following offense: D SnowmobilelATV

Criminal Surcharge Co. Enf. Surcharge Court Costs

'l

Road Work Zone Non-scheduled Violalion


Court Appearance Reason: Required (805.10)

D Fatal Accident

sessrnent D Other
_________ ::--=-_ 20 __

DATACODE

FedlAdm. Code

LocalOrd.

(0 ~~

01CS)

IA Code

Dated

'PI ~;

I ':'

oLr's

Signalure .

~~~ei V
~AM DPM

Court Date: If you must" appear in court or if you ch ose to appear to answer to a charge which does not require an appearance, report to the above named court on

1101

:~I?at S:30

NOTICE: Providing false information aggravated misdemeanor.

is a violation of Section 719.3 of the Code of Iowa and is punishable as an

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 the citation was issued.

My signature below is not a plea of guilty, but acknowledges all of the following:
1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information. 2. I promise to appear in said court at said time and place, or I will comply with the provision on the top of the reverse side of The followmg applies to simple misdemeanors only: ....", 3. I hereby give my unsecured appearance bond in the amount of . dollars and enter my written appearance. I agree that if 1fail to appear in person or by counsel to defend against the offense charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the

the citation.

~'

.,.

penalty and surcharge plus court SIS.,

*,-AsM

Ct. ~

C6vs~~!!'ltf!ndant

ABSTRACTOF conrI'
(OUIU '\0

RECORO

E-FILED 2013 CASL NOOCT 28 3:59 AM SAC - CLERK OF DISTRICT COURT


CASE NO, SlATE
10\VA

DOC!<ET '\{}
L lC!:l\SL NO

()IHEH FORFEIT BO,\D BAIL CASH DEPOSrT


PLLA

\i!'1l12ICT

JURY TRIAL :\0 JURYfRIAL or PROCTEDIN(" 0111[:R DISPOSITION I'hc CourtThereforeEnters FINtD
COUNTY

(JUJUY
NOr GUlL [V

n CiUIETY
'JN01 GULTY DISMISSED

""""",,,,,,,,,, In Followinz Order This Dale


\10, Day Yr

""""""",',""""""",','" CRliVllNAL
EN FORCr[vlENf

SURCHARGI

5;

St 'R(TIAR(iE S """"""""""""""""""',',' COSTS

None Drivers L,le,'Il,,'


J::,eC:().lnll),~nllil~,iQ 1,1"'""'"'"""""""", RFASON

,~~~~
]ESTJ\10:\Y

__ ,,,,,,~_,JSJ2[};LQ:\

J('DCH,S :\OTLS: (Other Orders)

Ddk

I <wear that S1

.:: ;lure "','

the iI)rgu,lllg

citarion is uu,: and

<'(In-CeL

20 \3>

TO rut. COURT the facts otthis

I'he
v1(11;;II(1I1,

gl\e are '''''n!'",,,, who Pkasc' subpoena nWSc'Cllfill,;!

kstill'l(lll

10

witness:

rilic

PhOI1C

1
3,

5,

COMPLAINT
Form 420001E 1/07 PLAINTIFF State of Iowa In the Court at VS. Name

Dispatch / Case #:

Citation #: E-FILED 2013 OCT 28 8:42 AM SAC - CLERK OF DISTRICT COURT131027 S81 UWER IOWA UNIFORM CITATION AND COMPLAINT
Law Enforcement Agency SAC COUNTY SHERIFF'S OFFICE City of:

131705 5

Reference #:
County of: SAC - 81

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 LUAL


First DL Class

SAC CITY
DL#

IA

50583
DL/State ID Viewed? YES DOB 6/9/1987 Ethnicity N Sex MALE

AKOL
Defendant, Last

G
Middle City Suffix

H13192473
State NE DL Rest. NONE Zip Code Height

Address 2817 DUDLEY ST APT B DL State NE The undersigned states that on or about US DOT# ICC#

LINCOLN
DL End. NONE

Race B 68503-0000 6' 00" Weight

10/27/2013

at 1:17 PM

defendant did unlawfully: Operate Motor Vehicle/Boat State

2004 MAR

Lic. Plate #/REG

Upon a public highway at 315TH ST AND M043/FOX AVE Scheduled Violation/Fine Criminal Surcharge Co. Enf. Surcharge Court Costs Total Fine/Costs

CDL NO HazMat End Req? Req? Req? Located in the county and state aforesaid and did then and there commit the following offense:

NO Year

CHEVROL MONTE CARLO PASS ET -End CHEV Pass

$90.00 $31.50 $5.00 $60.00 $186.50

Court Appearance Required (805.10) Reason: Serious P.I. Fatal Accident

Road Work Zone Civil Damage Assessment

Non-scheduled Violation Other

Speed

75

in

55

Zone

Fed/Adm Code: IA Code: 20 13

Violation SPEEDING 55 OR < (16 THRU 20) Sec #: 321.285 ICIS Sec #: 321.285-D I.D. No. 81-2 Local Ord. ICIS Ord.

Officer's Signature

Dated 10/27/2013

NOTICE: Providing false identification information is a violation of Section 719.1A of the Code of Iowa and is punishable as a simple misdemeanor.
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.

Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not require an appearance, report to the above named court on: 11/18/2013 at 8:30 AM
My signature below is not a plea of guilty, but acknowledges all of the following: 1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.

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. 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. The following applies to simple misdemeanors only:

$249.75 4. I hereby give my unsecured appearance bond in the amount of dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty and surcharge plus court cost.

*+S81UWER1310271317055+*
Dated
Signature of Defendant

X
Subscribed and sworn to me by this

10/27/2013

I swear that the foregoing complaint is true and correct.

27

day of

BROUWER, SCOTT OCTOBER, 2013


Notary/other Signature

at

ODEBOLT - 5655
Notary/other

, Iowa

Officer's Signature

Agency

SAC COUNTY SHERIFF'S OFFICE

NOTARY

ABSTRACT OF COURT RECORD


COURT NO. DOCKET NO. LICENSE NO. FORFEIT BOND BAIL CASH DEPOSIT PLEA GUILTY NOT GUILTY VERDICT GUILTY NOT GUILTY DISMISSED CASE NO. CASE NO. STATE: Iowa Other

Citation #:

S81 UWER 131027 131705 5

TESTIMONY - JUDGE'S NOTES: (Other Orders)

JURY TRIAL

NO JURY TRIAL or PROCEEDING

Date

Signature, person giving bail

Signature, person taking bail

OTHER DISPOSITION The court Therefore Enters in Following Order This Date
Mo. Day Yr.

Driver's License Recommendation DATE: DATE: DATE:

None

School

Susp.

Revo

Days

Continued to: Continued to: WARRANT ISSUED

REASON REASON

FINED $ Incarceration in

SURCHARGE $

COST $ Days:

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

COMPLAINT
Form 420001E 1/07 PLAINTIFF State of Iowa In the Court at VS. Name

Dispatch / Case #:

Citation #: E-FILED 2013 OCT 28 8:43 AM SAC - CLERK OF DISTRICT COURT131026 S81 BACK IOWA UNIFORM CITATION AND COMPLAINT
Law Enforcement Agency SAC COUNTY SHERIFF'S OFFICE City of:

181321 6

Reference #:
County of: SAC - 81

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 JEFFREY


First DL Class

SAC CITY
DL#

IA

50583
DL/State ID Viewed? YES DOB 1/13/1965 Ethnicity N Sex MALE

CHRISTENSEN
Defendant, Last

SCOTT
Middle City Suffix

485AF9251
State IA DL Rest. B Zip Code Height

Address 811 BURR OAKS DR UNIT 30 DL State IA The undersigned states that on or about US DOT# ICC#

WEST DES MOINES


DL End. NONE

Race W 50266-0000 6' 00" Weight

10/26/2013

at 6:13 PM

defendant did unlawfully: Operate Motor Vehicle/Boat State

2011 GRY

Lic. Plate #/REG 391XGC

Upon a public highway at STATE 196/UNION AVE Scheduled Violation/Fine Criminal Surcharge Co. Enf. Surcharge Court Costs Total Fine/Costs

CDL NO HazMat End Req? Req? Req? Located in the county and state aforesaid and did then and there commit the following offense:

IA

Year 2013

JEEP JEEP Pass End

GCH

SW

$40.00 $14.00 $5.00 $60.00 $119.00

Court Appearance Required (805.10) Reason: Serious P.I. Fatal Accident

Road Work Zone Civil Damage Assessment

Non-scheduled Violation Other

Speed

65

in

55

Zone

Fed/Adm Code: IA Code: 20 13

Violation SPEEDING 55 OR < (6 THRU 10 OVER) Sec #: 321.285 ICIS Sec #: 321.285-B I.D. No. 81-5 Local Ord. ICIS Ord.

Officer's Signature

Dated 10/26/2013

NOTICE: Providing false identification information is a violation of Section 719.1A of the Code of Iowa and is punishable as a simple misdemeanor.
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.

Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not require an appearance, report to the above named court on: 11/18/2013 at 8:30 AM
My signature below is not a plea of guilty, but acknowledges all of the following: 1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.

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. 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. The following applies to simple misdemeanors only:

$148.50 4. I hereby give my unsecured appearance bond in the amount of dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty and surcharge plus court cost.

*+S81BACK1310261813216+*
Dated
Signature of Defendant

X
Subscribed and sworn to me by this

10/26/2013

I swear that the foregoing complaint is true and correct.

26

day of

CUDABACK, TORY OCTOBER, 2013


Notary/other Signature

at

SAC CITY - 6717


Notary/other

, Iowa

Officer's Signature

Agency

SAC COUNTY SHERIFF'S OFFICE

NOTARY

ABSTRACT OF COURT RECORD


COURT NO. DOCKET NO. LICENSE NO. FORFEIT BOND BAIL CASH DEPOSIT PLEA GUILTY NOT GUILTY VERDICT GUILTY NOT GUILTY DISMISSED CASE NO. CASE NO. STATE: Iowa Other

Citation #:

S81 BACK 131026 181321 6

TESTIMONY - JUDGE'S NOTES: (Other Orders)

JURY TRIAL

NO JURY TRIAL or PROCEEDING

Date

Signature, person giving bail

Signature, person taking bail

OTHER DISPOSITION The court Therefore Enters in Following Order This Date
Mo. Day Yr.

Driver's License Recommendation DATE: DATE: DATE:

None

School

Susp.

Revo

Days

Continued to: Continued to: WARRANT ISSUED

REASON REASON

FINED $ Incarceration in

SURCHARGE $

COST $ Days:

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

COMPLAINT
Form 420001E 1/07 PLAINTIFF State of Iowa In the Court at VS. Name

Dispatch / Case #:

Citation #: IOWA UNIFORM CITATION AND COMPLAINT


Law Enforcement Agency MOTOR VEHICLE ENFORCEMENT City of:

T01 T424 131028 123023 2


SAC CITY IA 50583
DL/State ID Viewed? YES Zip Code Height DOB 3/25/1947 Ethnicity N Sex MALE

Reference #:
County of: SAC - 81

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 ROBERT


First DL Class

RAMSEL
Defendant, Last

ELDEN
Middle City Suffix

DL#

G39003716
State NE DL Rest. NONE

Address 225 W 2ND ST, BOX 243 DL State NE The undersigned states that on or about US DOT# 00041539 ICC# 269395

ORCHARD
DL End. N

68764 5' 10" FORD FORD Pass End

Race W Weight 200 LBS

10/28/2013

at 12:00 PM

defendant did unlawfully: Operate Motor Vehicle/Boat State

2003 WHI

TRST

Lic. Plate #/REG 26685

Upon a public highway at 44 - JCT HWY 71/20 EARLY Scheduled Violation/Fine Criminal Surcharge Co. Enf. Surcharge Court Costs Total Fine/Costs

CDL NO HazMat End Req? Req? Req? Located in the county and state aforesaid and did then and there commit the following offense:

NE Year 2013

$50.00 $17.50 N/A $60.00 $127.50

Court Appearance Required (805.10) Reason: Serious P.I. Fatal Accident

Road Work Zone Civil Damage Assessment

Non-scheduled Violation Other

Speed

in

Zone

Fed/Adm Code: 393.60D IA Code: 20 13 ICIS Ord.

Violation WINDOW TINT EXCEEDS ALLOWABLE LIGHT TRANSMISSION @ 18%

(NEEDS 70%) Sec #: 321.449

ICIS Sec #: 321.449-A I.D. No. T424

Local Ord.

Officer's Signature

Dated 10/28/2013

NOTICE: Providing false identification information is a violation of Section 719.1A of the Code of Iowa and is punishable as a simple misdemeanor.
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.

Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not require an appearance, report to the above named court on: 11/18/2013 at 8:30 AM
My signature below is not a plea of guilty, but acknowledges all of the following: 1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.

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. 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. The following applies to simple misdemeanors only:

$161.25 4. I hereby give my unsecured appearance bond in the amount of dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty and surcharge plus court cost.

*+T01T4241310281230232+*
Dated
Signature of Defendant

X
Subscribed and sworn to me by this

10/28/2013

I swear that the foregoing complaint is true and correct.

28

day of

CLAYCAMP, FRED OCTOBER, 2013


Notary/other Signature

at

EARLY - 2200
Notary/other

, Iowa

Officer's Signature

Agency

MOTOR VEHICLE ENFORCEMENT

OTHER

ABSTRACT OF COURT RECORD


COURT NO. DOCKET NO. LICENSE NO. FORFEIT BOND BAIL CASH DEPOSIT PLEA GUILTY NOT GUILTY VERDICT GUILTY NOT GUILTY DISMISSED CASE NO. CASE NO. STATE: Iowa Other

Citation #:

T01 T424 131028 123023 2


FILED 10/28/2013 06:41PM CLERK DISTRICT COURT SAC COUNTY IOWA

TESTIMONY - JUDGE'S NOTES: (Other Orders)

JURY TRIAL

NO JURY TRIAL or PROCEEDING

Date

Signature, person giving bail

Signature, person taking bail

OTHER DISPOSITION The court Therefore Enters in Following Order This Date
Mo. Day Yr.

Driver's License Recommendation DATE: DATE: DATE:

None

School

Susp.

Revo

Days

Continued to: Continued to: WARRANT ISSUED

REASON REASON

FINED $ Incarceration in

SURCHARGE $

COST $ Days:

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

COMPLAINT
Form 420001E 1/07 PLAINTIFF State of Iowa In the Court at VS. Name

Dispatch / Case #:

Citation #: IOWA UNIFORM CITATION AND COMPLAINT


Law Enforcement Agency MOTOR VEHICLE ENFORCEMENT City of:

T01 T424 131028 125212 4


SAC CITY IA 50583
DL/State ID Viewed? YES Zip Code Height DOB 3/25/1947 Ethnicity N Sex MALE

Reference #:
County of: SAC - 81

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 ROBERT


First DL Class

RAMSEL
Defendant, Last

ELDEN
Middle City Suffix

DL#

G39003716
State NE DL Rest. NONE

Address 225 W 2ND ST, BOX 243 DL State NE The undersigned states that on or about US DOT# 00041539 ICC# 269395

ORCHARD
DL End. N

68764 5' 10" FORD FORD Pass End

Race W Weight 200 LBS

10/28/2013

at 12:00 PM

defendant did unlawfully: Operate Motor Vehicle/Boat State

2003 WHI

TRST

Lic. Plate #/REG 26685

Upon a public highway at 44 - JCT HWY 71/20 EARLY Scheduled Violation/Fine Criminal Surcharge Co. Enf. Surcharge Court Costs Total Fine/Costs

CDL NO HazMat End Req? Req? Req? Located in the county and state aforesaid and did then and there commit the following offense:

NE Year 2013

$50.00 $17.50 N/A $60.00 $127.50

Court Appearance Required (805.10) Reason: Serious P.I. Fatal Accident

Road Work Zone Civil Damage Assessment

Non-scheduled Violation Other

Speed

in

Zone

Fed/Adm Code: 393.95F IA Code: 20 13

Violation NO WARNING DEVICES Sec #: 321.449 ICIS Sec #: 321.449-A I.D. No. T424 Local Ord. ICIS Ord.

Officer's Signature

Dated 10/28/2013

NOTICE: Providing false identification information is a violation of Section 719.1A of the Code of Iowa and is punishable as a simple misdemeanor.
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.

Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not require an appearance, report to the above named court on: 11/18/2013 at 8:30 AM
My signature below is not a plea of guilty, but acknowledges all of the following: 1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.

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. 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. The following applies to simple misdemeanors only:

$161.25 4. I hereby give my unsecured appearance bond in the amount of dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty and surcharge plus court cost.

*+T01T4241310281252124+*
Dated
Signature of Defendant

X
Subscribed and sworn to me by this

10/28/2013

I swear that the foregoing complaint is true and correct.

28

day of

CLAYCAMP, FRED OCTOBER, 2013


Notary/other Signature

at

EARLY - 2200
Notary/other

, Iowa

Officer's Signature

Agency

MOTOR VEHICLE ENFORCEMENT

OTHER

ABSTRACT OF COURT RECORD


COURT NO. DOCKET NO. LICENSE NO. FORFEIT BOND BAIL CASH DEPOSIT PLEA GUILTY NOT GUILTY VERDICT GUILTY NOT GUILTY DISMISSED CASE NO. CASE NO. STATE: Iowa Other

Citation #:

T01 T424 131028 125212 4


FILED 10/28/2013 06:45PM CLERK DISTRICT COURT SAC COUNTY IOWA

TESTIMONY - JUDGE'S NOTES: (Other Orders)

JURY TRIAL

NO JURY TRIAL or PROCEEDING

Date

Signature, person giving bail

Signature, person taking bail

OTHER DISPOSITION The court Therefore Enters in Following Order This Date
Mo. Day Yr.

Driver's License Recommendation DATE: DATE: DATE:

None

School

Susp.

Revo

Days

Continued to: Continued to: WARRANT ISSUED

REASON REASON

FINED $ Incarceration in

SURCHARGE $

COST $ Days:

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

COMPLAINT
Form 420001E 1/07 PLAINTIFF State of Iowa In the Court at VS. Name

Dispatch / Case #:

Citation #: E-FILED 2013 OCT 29 8:06 AM SAC - CLERK OF DISTRICT COURT131028 S81 IEDE IOWA UNIFORM CITATION AND COMPLAINT
Law Enforcement Agency SAC COUNTY SHERIFF'S OFFICE City of:

193301 9

Reference #:
County of: SAC - 81

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 DENNIS


First DL Class

SAC CITY
DL#

IA

50583
DL/State ID Viewed? YES DOB 10/21/1958 Ethnicity N Sex MALE

KNISLEY
Defendant, Last

LEE
Middle City Suffix

515YY5709
State IA DL Rest. NONE Zip Code Height

Address 2452 280TH ST DL State IA The undersigned states that on or about US DOT# ICC#

ROCKWELL CITY
DL End. NONE

Race W 50579-0000 5' 08" Weight 175 LBS

10/28/2013

at 7:32 PM

defendant did unlawfully: Operate Motor Vehicle/Boat State

2014 RED

Lic. Plate #/REG BMU020

Upon a public highway at YANKEE AVE AND D036/255TH ST Scheduled Violation/Fine Criminal Surcharge Co. Enf. Surcharge Court Costs Total Fine/Costs

CDL NO HazMat End Req? Req? Req? Located in the county and state aforesaid and did then and there commit the following offense:

IA

Year 2013

CHEVROL SLV ET -End CHEV Pass

PK

$40.00 $14.00 $5.00 $60.00 $119.00

Court Appearance Required (805.10) Reason: Serious P.I. Fatal Accident

Road Work Zone Civil Damage Assessment

Non-scheduled Violation Other

Speed

45

in

35

Zone

Fed/Adm Code: IA Code: 20

Violation SPEED (55 ZONE) 6-10 OVER Sec #: ICIS Sec #: I.D. No. 81-4 Local Ord. 4.5.2/4(1)

ICIS Ord. 4.5.2/4(1)-B

Officer's Signature

Dated 10/28/2013

NOTICE: Providing false identification information is a violation of Section 719.1A of the Code of Iowa and is punishable as a simple misdemeanor.
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.

Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not require an appearance, report to the above named court on: 11/18/2013 at 8:30 AM
My signature below is not a plea of guilty, but acknowledges all of the following: 1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.

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. 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. The following applies to simple misdemeanors only:

$148.50 4. I hereby give my unsecured appearance bond in the amount of dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty and surcharge plus court cost.

*+S81IEDE1310281933019+*
Dated
Signature of Defendant

X
Subscribed and sworn to me by this

10/28/2013

I swear that the foregoing complaint is true and correct.

28

day of

BIEDE, MATT OCTOBER, 2013


Notary/other Signature

at

SAC CITY - 6717


Notary/other

, Iowa

Officer's Signature

Agency

SAC COUNTY SHERIFF'S OFFICE

NOTARY

ABSTRACT OF COURT RECORD


COURT NO. DOCKET NO. LICENSE NO. FORFEIT BOND BAIL CASH DEPOSIT PLEA GUILTY NOT GUILTY VERDICT GUILTY NOT GUILTY DISMISSED CASE NO. CASE NO. STATE: Iowa Other

Citation #:

S81 IEDE 131028 193301 9

TESTIMONY - JUDGE'S NOTES: (Other Orders)

JURY TRIAL

NO JURY TRIAL or PROCEEDING

Date

Signature, person giving bail

Signature, person taking bail

OTHER DISPOSITION The court Therefore Enters in Following Order This Date
Mo. Day Yr.

Driver's License Recommendation DATE: DATE: DATE:

None

School

Susp.

Revo

Days

Continued to: Continued to: WARRANT ISSUED

REASON REASON

FINED $ Incarceration in

SURCHARGE $

COST $ Days:

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

COMPLAINT
Form 420001E 1/07 PLAINTIFF State of Iowa In the Court at VS. Name

Dispatch / Case #:

Citation #: E-FILED 2013 OCT 29 9:48 AM SAC - CLERK OF DISTRICT COURT131029 S81 URNS IOWA UNIFORM CITATION AND COMPLAINT
Law Enforcement Agency SAC COUNTY SHERIFF'S OFFICE City of:

073255 8

Reference #:
County of: SAC - 81

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 KEN


First DL Class

SAC CITY
DL#

IA

50583
DL/State ID Viewed? YES DOB 9/12/1974 Ethnicity N Sex MALE

ASAY
Defendant, Last

BRETT
Middle City Suffix

640AH3323
State IA DL Rest. B Zip Code Height

Address 1705 SAMSON AVE DL State IA The undersigned states that on or about US DOT# ICC#

FORT DODGE
DL End. L

Race W 50501-0000 6' 02" Weight

10/29/2013

at 7:32 AM

defendant did unlawfully: Operate Motor Vehicle/Boat State

2011 GRY

Lic. Plate #/REG BMN879

Upon a public highway at 380TH ST AND STATE 39/FOX AVE Scheduled Violation/Fine Criminal Surcharge Co. Enf. Surcharge Court Costs Total Fine/Costs

CDL NO HazMat End Req? Req? Req? Located in the county and state aforesaid and did then and there commit the following offense:

IA

Year 2014

HYUNDAI SON - HYUN Pass End

4D

$40.00 $14.00 $5.00 $60.00 $119.00

Court Appearance Required (805.10) Reason: Serious P.I. Fatal Accident

Road Work Zone Civil Damage Assessment

Non-scheduled Violation Other

Speed

65

in

55

Zone

Fed/Adm Code: IA Code: 20

Violation SPEED (55 ZONE) 6-10 OVER Sec #: ICIS Sec #: I.D. No. 81-7 Local Ord. 4.5.2/4(1)

ICIS Ord. 4.5.2/4(1)-B

Officer's Signature

Dated 10/29/2013

NOTICE: Providing false identification information is a violation of Section 719.1A of the Code of Iowa and is punishable as a simple misdemeanor.
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.

Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not require an appearance, report to the above named court on: 11/18/2013 at 8:30 AM
My signature below is not a plea of guilty, but acknowledges all of the following: 1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.

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. 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. The following applies to simple misdemeanors only:

$148.50 4. I hereby give my unsecured appearance bond in the amount of dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty and surcharge plus court cost.

*+S81URNS1310290732558+*
Dated
Signature of Defendant

X
Subscribed and sworn to me by this

10/29/2013

I swear that the foregoing complaint is true and correct.

29

day of

BURNS, JOEL OCTOBER, 2013


Notary/other Signature

at

ODEBOLT - 5655
Notary/other

, Iowa

Officer's Signature

Agency

SAC COUNTY SHERIFF'S OFFICE

NOTARY

ABSTRACT OF COURT RECORD


COURT NO. DOCKET NO. LICENSE NO. FORFEIT BOND BAIL CASH DEPOSIT PLEA GUILTY NOT GUILTY VERDICT GUILTY NOT GUILTY DISMISSED CASE NO. CASE NO. STATE: Iowa Other

Citation #:

S81 URNS 131029 073255 8

TESTIMONY - JUDGE'S NOTES: (Other Orders)

JURY TRIAL

NO JURY TRIAL or PROCEEDING

Date

Signature, person giving bail

Signature, person taking bail

OTHER DISPOSITION The court Therefore Enters in Following Order This Date
Mo. Day Yr.

Driver's License Recommendation DATE: DATE: DATE:

None

School

Susp.

Revo

Days

Continued to: Continued to: WARRANT ISSUED

REASON REASON

FINED $ Incarceration in

SURCHARGE $

COST $ Days:

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

COMPLAINT
Form 420001E 1/07 PLAINTIFF State of Iowa In the Court at VS. Name

Dispatch / Case #:

Citation #: IOWA UNIFORM CITATION AND COMPLAINT


Law Enforcement Agency IOWA STATE PATROL - DIST 04 City of:

P04 2LUK 131024 092540 7


SAC CITY IA 50583
DL/State ID Viewed? YES Zip Code Height Race W 85705-2385 6' 00" Weight 184 LBS DOB 5/11/1935 Ethnicity N Sex MALE

Reference #:
County of: SAC - 81

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 JAMES


First DL Class

FRESHWATERS
Defendant, Last

G
Middle City Suffix

DL#

D06120611
State AZ DL Rest. NONE

Address 4550 N FLOWING WELLS RD DL State AZ The undersigned states that on or about US DOT# ICC#

TUCSON
DL End. NONE

10/24/2013

at 9:25 AM

defendant did unlawfully: Operate Motor Vehicle/Boat State

2012 RED

Lic. Plate #/REG BJL513

Upon a public highway at WB HWY 20 E OF M-31 (69) Scheduled Violation/Fine Criminal Surcharge Co. Enf. Surcharge Court Costs Total Fine/Costs

CDL NO HazMat End Req? Req? Req? Located in the county and state aforesaid and did then and there commit the following offense:

IA

Year 2014

CHRYSLE TOWN & COUNTRY MV R - CHRY Pass End

$40.00 $14.00 N/A $60.00 $114.00

Court Appearance Required (805.10) Reason: Serious P.I. Fatal Accident

Road Work Zone Civil Damage Assessment

Non-scheduled Violation Other

Speed

65

in

55

Zone

Fed/Adm Code: IA Code: 20 13

Violation SPEEDING 55 OR < (6 THRU 10 OVER) Sec #: 321.285 ICIS Sec #: 321.285-B I.D. No. 492 Local Ord. ICIS Ord.

Officer's Signature

Dated 10/24/2013

NOTICE: Providing false identification information is a violation of Section 719.1A of the Code of Iowa and is punishable as a simple misdemeanor.
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.

Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not require an appearance, report to the above named court on: 11/25/2013 at 9:00 AM
My signature below is not a plea of guilty, but acknowledges all of the following: 1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.

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. 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. The following applies to simple misdemeanors only:

$141.00 4. I hereby give my unsecured appearance bond in the amount of dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty and surcharge plus court cost.

*+P042LUK1310240925407+*
Dated
Signature of Defendant

X
Subscribed and sworn to me by this

10/24/2013

I swear that the foregoing complaint is true and correct.

24

day of

LUKE, C OCTOBER, 2013


Notary/other Signature

at

IDA GROVE - 3650


Notary/other

, Iowa

Officer's Signature

Agency

IOWA STATE PATROL - DIST 04

TROOPER

ABSTRACT OF COURT RECORD


COURT NO. DOCKET NO. LICENSE NO. FORFEIT BOND BAIL CASH DEPOSIT PLEA GUILTY NOT GUILTY VERDICT GUILTY NOT GUILTY DISMISSED CASE NO. CASE NO. STATE: Iowa Other

Citation #:

P04 2LUK 131024 092540 7


FILED 10/30/2013 03:22AM CLERK DISTRICT COURT SAC COUNTY IOWA

TESTIMONY - JUDGE'S NOTES: (Other Orders)

JURY TRIAL

NO JURY TRIAL or PROCEEDING

Date

Signature, person giving bail

Signature, person taking bail

OTHER DISPOSITION The court Therefore Enters in Following Order This Date
Mo. Day Yr.

Driver's License Recommendation DATE: DATE: DATE:

None

School

Susp.

Revo

Days

Continued to: Continued to: WARRANT ISSUED

REASON REASON

FINED $ Incarceration in

SURCHARGE $

COST $ Days:

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

COMPLAINT
Form 420001E 1/07 PLAINTIFF State of Iowa In the Court at VS. Name

Dispatch / Case #:

Citation #: IOWA UNIFORM CITATION AND COMPLAINT


Law Enforcement Agency IOWA STATE PATROL - DIST 04 City of:

P04 2LUK 131024 095148 8


SAC CITY IA 50583
DL/State ID Viewed? YES Zip Code Height DOB 12/14/1957 Ethnicity N Sex MALE

Reference #:
County of: SAC - 81

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 GEORGE


First DL Class Middle City Suffix DL#

BRINK
Defendant, Last

B74322780571214
State ON DL Rest. X

Address 68 HILLCREST AVE DL State ON The undersigned states that on or about US DOT# ICC#

CHATHAM
DL End. NONE

N7M4E-7
Weight

Race W

10/24/2013

at 9:51 AM

defendant did unlawfully: Operate Motor Vehicle/Boat State

2006 BLU

Lic. Plate #/REG BNSV411

Upon a public highway at HOPE AVE HWY 20 WB (69) Scheduled Violation/Fine Criminal Surcharge Co. Enf. Surcharge Court Costs Total Fine/Costs

CDL NO HazMat End Req? Req? Req? Located in the county and state aforesaid and did then and there commit the following offense:

ON Year 2013

PONTIAC - VIBE PONT Pass End

4D

$40.00 $14.00 N/A $60.00 $114.00

Court Appearance Required (805.10) Reason: Serious P.I. Fatal Accident

Road Work Zone Civil Damage Assessment

Non-scheduled Violation Other

Speed

65

in

55

Zone

Fed/Adm Code: IA Code: 20 13

Violation SPEEDING 55 OR < (6 THRU 10 OVER) Sec #: 321.285 ICIS Sec #: 321.285-B I.D. No. 492 Local Ord. ICIS Ord.

Officer's Signature

Dated 10/24/2013

NOTICE: Providing false identification information is a violation of Section 719.1A of the Code of Iowa and is punishable as a simple misdemeanor.
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.

Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not require an appearance, report to the above named court on: 11/25/2013 at 9:00 AM
My signature below is not a plea of guilty, but acknowledges all of the following: 1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.

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. 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. The following applies to simple misdemeanors only:

$141.00 4. I hereby give my unsecured appearance bond in the amount of dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty and surcharge plus court cost.

*+P042LUK1310240951488+*
Dated
Signature of Defendant

X
Subscribed and sworn to me by this

10/24/2013

I swear that the foregoing complaint is true and correct.

24

day of

LUKE, C OCTOBER, 2013


Notary/other Signature

at

IDA GROVE - 3650


Notary/other

, Iowa

Officer's Signature

Agency

IOWA STATE PATROL - DIST 04

TROOPER

ABSTRACT OF COURT RECORD


COURT NO. DOCKET NO. LICENSE NO. FORFEIT BOND BAIL CASH DEPOSIT PLEA GUILTY NOT GUILTY VERDICT GUILTY NOT GUILTY DISMISSED CASE NO. CASE NO. STATE: Iowa Other

Citation #:

P04 2LUK 131024 095148 8


FILED 10/30/2013 04:15AM CLERK DISTRICT COURT SAC COUNTY IOWA

TESTIMONY - JUDGE'S NOTES: (Other Orders)

JURY TRIAL

NO JURY TRIAL or PROCEEDING

Date

Signature, person giving bail

Signature, person taking bail

OTHER DISPOSITION The court Therefore Enters in Following Order This Date
Mo. Day Yr.

Driver's License Recommendation DATE: DATE: DATE:

None

School

Susp.

Revo

Days

Continued to: Continued to: WARRANT ISSUED

REASON REASON

FINED $ Incarceration in

SURCHARGE $

COST $ Days:

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

COMPLAINT
Form 420001E 1/07 PLAINTIFF State of Iowa In the Court at VS. Name

Dispatch / Case #:

Citation #: E-FILED 2013 OCT 30 8:06 AM SAC - CLERK OF DISTRICT COURT131029 S81 URNS IOWA UNIFORM CITATION AND COMPLAINT
Law Enforcement Agency SAC COUNTY SHERIFF'S OFFICE City of:

162209 9

Reference #:
County of: SAC - 81

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 DANIEL


First DL Class

SAC CITY
DL#

IA

50583
DL/State ID Viewed? YES DOB 12/26/1955 Ethnicity N Sex MALE

LEE
Defendant, Last

GORDON
Middle City Suffix

991ZZ6406
State IA DL Rest. NONE Zip Code Height

Address 1405 260TH ST DL State IA The undersigned states that on or about US DOT# ICC#

SALIX
DL End. L

Race W 51052-0000 5' 11" Weight

10/29/2013

at 4:22 PM

defendant did unlawfully: Operate Motor Vehicle/Boat State Year

2013 WHI

Lic. Plate #/REG

Upon a public highway at US 20/NW RAMP AND US 20 AND US 20/S Scheduled Violation/Fine Criminal Surcharge Co. Enf. Surcharge Court Costs Total Fine/Costs

CDL NO HazMat End Req? Req? Req? Located in the county and state aforesaid and did then and there commit the following offense: Road Work Zone Civil Damage Assessment Non-scheduled Violation Other Speed

CHEVROL 3500 SILVERADO PK ET -End CHEV Pass

$20.00 $7.00 $5.00 $60.00 $92.00

Court Appearance Required (805.10) Reason: Serious P.I. Fatal Accident

70

in

65

Zone

Fed/Adm Code: IA Code: 20 13

Violation SPEEDING > 55 (1 THRU 5 OVER) Sec #: 321.285 ICIS Sec #: 321.285-F I.D. No. 81-7 Local Ord. ICIS Ord.

Officer's Signature

Dated 10/29/2013

NOTICE: Providing false identification information is a violation of Section 719.1A of the Code of Iowa and is punishable as a simple misdemeanor.
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.

Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not require an appearance, report to the above named court on: 11/18/2013 at 8:30 AM
My signature below is not a plea of guilty, but acknowledges all of the following: 1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.

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. 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. The following applies to simple misdemeanors only:

$108.00 4. I hereby give my unsecured appearance bond in the amount of dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty and surcharge plus court cost.

*+S81URNS1310291622099+*
Dated
Signature of Defendant

X
Subscribed and sworn to me by this

10/29/2013

I swear that the foregoing complaint is true and correct.

29

day of

BURNS, JOEL OCTOBER, 2013


Notary/other Signature

at

EARLY - 2200
Notary/other

, Iowa

Officer's Signature

Agency

SAC COUNTY SHERIFF'S OFFICE

NOTARY

ABSTRACT OF COURT RECORD


COURT NO. DOCKET NO. LICENSE NO. FORFEIT BOND BAIL CASH DEPOSIT PLEA GUILTY NOT GUILTY VERDICT GUILTY NOT GUILTY DISMISSED CASE NO. CASE NO. STATE: Iowa Other

Citation #:

S81 URNS 131029 162209 9

TESTIMONY - JUDGE'S NOTES: (Other Orders)

JURY TRIAL

NO JURY TRIAL or PROCEEDING

Date

Signature, person giving bail

Signature, person taking bail

OTHER DISPOSITION The court Therefore Enters in Following Order This Date
Mo. Day Yr.

Driver's License Recommendation DATE: DATE: DATE:

None

School

Susp.

Revo

Days

Continued to: Continued to: WARRANT ISSUED

REASON REASON

FINED $ Incarceration in

SURCHARGE $

COST $ Days:

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

COMPLAINT
Form 420001E 1/07 PLAINTIFF State of Iowa In the Court at VS. Name

Dispatch / Case #:

Citation #: IOWA UNIFORM CITATION AND COMPLAINT


Law Enforcement Agency IOWA STATE PATROL - DIST 04 City of:

P04 8MEA 131028 094030 5


SAC CITY IA 50583
DL/State ID Viewed? NO Zip Code Height DOB 12/7/1991 Ethnicity Sex FEMALE

Reference #:
County of: SAC - 81

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 MAISIE


First DL Class

CURTIS
Defendant, Last

CEARA
Middle City Suffix

DL#

952CC6624
State IA DL Rest. NONE

Address 610 CASS ST APT 3 DL State IA The undersigned states that on or about US DOT# ICC#

SIDNEY
DL End. NONE

51652 5' 04"

Race W Weight 190 LBS

10/28/2013

at 9:38 AM

defendant did unlawfully: Operate Motor Vehicle/Boat State

2004 GRY

Lic. Plate #/REG AFW315

Upon a public highway at EAST OF M-35 ON STATE 39/IOWA 39 Scheduled Violation/Fine Criminal Surcharge Co. Enf. Surcharge Court Costs Total Fine/Costs

CDL NO HazMat End Req? Req? Req? Located in the county and state aforesaid and did then and there commit the following offense:

IA

Year 2014

SATURN - ION SATR Pass End

4-DR

$80.00 $28.00 N/A $60.00 $168.00

Court Appearance Required (805.10) Reason: Serious P.I. Fatal Accident

Road Work Zone Civil Damage Assessment

Non-scheduled Violation Other

Speed

69

in

55

Zone

Fed/Adm Code: IA Code: 20 13

Violation SPEEDING 55 OR < (ST R FATT WB NS 74) Sec #: 321.285 ICIS Sec #: 321.285-C I.D. No. 068 Local Ord. ICIS Ord.

Officer's Signature

Dated 10/28/2013

NOTICE: Providing false identification information is a violation of Section 719.1A of the Code of Iowa and is punishable as a simple misdemeanor.
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.

Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not require an appearance, report to the above named court on: 11/25/2013 at 8:30 AM
My signature below is not a plea of guilty, but acknowledges all of the following: 1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.

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. 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. The following applies to simple misdemeanors only:

$222.00 4. I hereby give my unsecured appearance bond in the amount of dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty and surcharge plus court cost.

*+P048MEA1310280940305+*
Dated
Signature of Defendant

X
Subscribed and sworn to me by this

10/28/2013

I swear that the foregoing complaint is true and correct.

29

day of

MEADOWS, B OCTOBER, 2013


Notary/other Signature

at

DENISON - 1920
Notary/other

, Iowa

Officer's Signature

Agency

IOWA STATE PATROL - DIST 04

NOTARY

ABSTRACT OF COURT RECORD


COURT NO. DOCKET NO. LICENSE NO. FORFEIT BOND BAIL CASH DEPOSIT PLEA GUILTY NOT GUILTY VERDICT GUILTY NOT GUILTY DISMISSED CASE NO. CASE NO. STATE: Iowa Other

Citation #:

P04 8MEA 131028 094030 5


FILED 10/30/2013 01:49PM CLERK DISTRICT COURT SAC COUNTY IOWA

TESTIMONY - JUDGE'S NOTES: (Other Orders)

JURY TRIAL

NO JURY TRIAL or PROCEEDING

Date

Signature, person giving bail

Signature, person taking bail

OTHER DISPOSITION The court Therefore Enters in Following Order This Date
Mo. Day Yr.

Driver's License Recommendation DATE: DATE: DATE:

None

School

Susp.

Revo

Days

Continued to: Continued to: WARRANT ISSUED

REASON REASON

FINED $ Incarceration in

SURCHARGE $

COST $ Days:

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

COMPLAINT
Form 420001E 1/07 PLAINTIFF State of Iowa In the Court at VS. Name

Dispatch / Case #:

Citation #: IOWA UNIFORM CITATION AND COMPLAINT


Law Enforcement Agency IOWA STATE PATROL - DIST 04 City of:

P04 8MEA 131028 094653 6


SAC CITY IA 50583
DL/State ID Viewed? NO Zip Code Height DOB 12/7/1991 Ethnicity Sex FEMALE

Reference #:
County of: SAC - 81

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 MAISIE


First DL Class

CURTIS
Defendant, Last

CEARA
Middle City Suffix

DL#

952CC6624
State IA DL Rest. NONE

Address 610 CASS ST APT 3 DL State IA The undersigned states that on or about US DOT# ICC#

SIDNEY
DL End. NONE

51652 5' 04"

Race W Weight 190 LBS

10/28/2013

at 9:38 AM

defendant did unlawfully: Operate Motor Vehicle/Boat State

2004 GRY

Lic. Plate #/REG AFW315

Upon a public highway at EAST OF M-35 ON STATE 39/IOWA 39 Scheduled Violation/Fine Criminal Surcharge Co. Enf. Surcharge Court Costs Total Fine/Costs

CDL NO HazMat End Req? Req? Req? Located in the county and state aforesaid and did then and there commit the following offense:

IA

Year 2014

SATURN - ION SATR Pass End

4-DR

Court Appearance Required (805.10) Reason: Serious P.I. Fatal Accident

Road Work Zone Civil Damage Assessment

Non-scheduled Violation Other

Speed Fed/Adm Code:

in

Zone

N/A

Violation OPERATING VEH WHILE LIC SUSP (SR) Sec #: 321A.32 ICIS Sec #: 321A.32(1) I.D. No. 068 Local Ord. ICIS Ord.

IA Code: 20 13

Officer's Signature

Dated 10/28/2013

NOTICE: Providing false identification information is a violation of Section 719.1A of the Code of Iowa and is punishable as a simple misdemeanor.
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.

Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not require an appearance, report to the above named court on: 11/25/2013 at 8:30 AM
My signature below is not a plea of guilty, but acknowledges all of the following: 1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.

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. 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. The following applies to simple misdemeanors only:

$566.25 4. I hereby give my unsecured appearance bond in the amount of dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty and surcharge plus court cost.

*+P048MEA1310280946536+*
Dated
Signature of Defendant

X
Subscribed and sworn to me by this

10/28/2013

I swear that the foregoing complaint is true and correct.

29

day of

MEADOWS, B OCTOBER, 2013


Notary/other Signature

at

DENISON - 1920
Notary/other

, Iowa

Officer's Signature

Agency

IOWA STATE PATROL - DIST 04

NOTARY

ABSTRACT OF COURT RECORD


COURT NO. DOCKET NO. LICENSE NO. FORFEIT BOND BAIL CASH DEPOSIT PLEA GUILTY NOT GUILTY VERDICT GUILTY NOT GUILTY DISMISSED CASE NO. CASE NO. STATE: Iowa Other

Citation #:

P04 8MEA 131028 094653 6


FILED 10/30/2013 02:10PM CLERK DISTRICT COURT SAC COUNTY IOWA

TESTIMONY - JUDGE'S NOTES: (Other Orders)

JURY TRIAL

NO JURY TRIAL or PROCEEDING

Date

Signature, person giving bail

Signature, person taking bail

OTHER DISPOSITION The court Therefore Enters in Following Order This Date
Mo. Day Yr.

Driver's License Recommendation DATE: DATE: DATE:

None

School

Susp.

Revo

Days

Continued to: Continued to: WARRANT ISSUED

REASON REASON

FINED $ Incarceration in

SURCHARGE $

COST $ Days:

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

COMPLAINT
Form 420001E 1/07 PLAINTIFF State of Iowa In the Court at VS. Name

Dispatch / Case #:

Citation #: IOWA UNIFORM CITATION AND COMPLAINT


Law Enforcement Agency IOWA STATE PATROL - DIST 04 City of:

P04 8MEA 131028 083452 4


SAC CITY IA 50583
DL/State ID Viewed? YES State TX Zip Code Height Race W 77302-0000 6' 04" Weight DOB 2/11/1991 Ethnicity Sex MALE

Reference #:
County of: SAC - 81

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 TRAVIS


First DL Class

BOLFING
Defendant, Last

DANIEL
Middle City Suffix

DL#

24944664
DL Rest. NONE

Address 516 STEPHEN F AUSTIN DR DL State TX The undersigned states that on or about US DOT# ICC#

CONROE
DL End. NONE

10/28/2013

at 8:34 AM

defendant did unlawfully: Operate Motor Vehicle/Boat State

2014 BLK

Lic. Plate #/REG THT219

Upon a public highway at EAST OF M-35 ONSTATE 39/IOWA 39 Scheduled Violation/Fine Criminal Surcharge Co. Enf. Surcharge Court Costs Total Fine/Costs

CDL NO HazMat End Req? Req? Req? Located in the county and state aforesaid and did then and there commit the following offense:

NE Year 2014

FORD FORD Pass End

ESCAPE

SPT UTIL

$40.00 $14.00 N/A $60.00 $114.00

Court Appearance Required (805.10) Reason: Serious P.I. Fatal Accident

Road Work Zone Civil Damage Assessment

Non-scheduled Violation Other

Speed

65

in

55

Zone

Fed/Adm Code: IA Code: 20 13

Violation SPEEDING 55 OR < ST R FATT WB NS 76) Sec #: 321.285 ICIS Sec #: 321.285-B I.D. No. 068 Local Ord. ICIS Ord.

Officer's Signature

Dated 10/28/2013

NOTICE: Providing false identification information is a violation of Section 719.1A of the Code of Iowa and is punishable as a simple misdemeanor.
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.

Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not require an appearance, report to the above named court on: 11/25/2013 at 8:30 AM
My signature below is not a plea of guilty, but acknowledges all of the following: 1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.

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. 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. The following applies to simple misdemeanors only:

$141.00 4. I hereby give my unsecured appearance bond in the amount of dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty and surcharge plus court cost.

*+P048MEA1310280834524+*
Dated
Signature of Defendant

X
Subscribed and sworn to me by this

10/28/2013

I swear that the foregoing complaint is true and correct.

29

day of

MEADOWS, B OCTOBER, 2013


Notary/other Signature

at

DENISON - 1920
Notary/other

, Iowa

Officer's Signature

Agency

IOWA STATE PATROL - DIST 04

NOTARY

ABSTRACT OF COURT RECORD


COURT NO. DOCKET NO. LICENSE NO. FORFEIT BOND BAIL CASH DEPOSIT PLEA GUILTY NOT GUILTY VERDICT GUILTY NOT GUILTY DISMISSED CASE NO. CASE NO. STATE: Iowa Other

Citation #:

P04 8MEA 131028 083452 4


FILED 10/30/2013 03:46PM CLERK DISTRICT COURT SAC COUNTY IOWA

TESTIMONY - JUDGE'S NOTES: (Other Orders)

JURY TRIAL

NO JURY TRIAL or PROCEEDING

Date

Signature, person giving bail

Signature, person taking bail

OTHER DISPOSITION The court Therefore Enters in Following Order This Date
Mo. Day Yr.

Driver's License Recommendation DATE: DATE: DATE:

None

School

Susp.

Revo

Days

Continued to: Continued to: WARRANT ISSUED

REASON REASON

FINED $ Incarceration in

SURCHARGE $

COST $ Days:

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

COMPLAINT
Form 420001E 1/07 PLAINTIFF State of Iowa In the Court at VS. Name

Dispatch / Case #:

Citation #: IOWA UNIFORM CITATION AND COMPLAINT


Law Enforcement Agency MOTOR VEHICLE ENFORCEMENT City of:

T01 T142 131024 134141 5


SAC CITY IA 50583
DL/State ID Viewed? YES Zip Code Height Race W 51006-0000 5' 08" Weight 185 LBS DOB 7/31/1984 Ethnicity N Sex MALE

Reference #:
County of: SAC - 81

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 BENJAMIN


First DL Class

EASON
Defendant, Last

JAY
Middle City Suffix

DL#

677XX1308
State IA DL Rest. NONE

Address 800 S CENTER ST DL State IA The undersigned states that on or about US DOT# ICC#

BATTLE CREEK
DL End. L

10/24/2013

at 1:30 PM

defendant did unlawfully: Operate Motor Vehicle/Boat State

1997 RED

Lic. Plate #/REG 022TCD

Upon a public highway at 44 - JCT HWY 71/20 EARLY Scheduled Violation/Fine Criminal Surcharge Co. Enf. Surcharge Court Costs Total Fine/Costs

CDL YES NO HazMat End Req? NO Req? Req? Located in the county and state aforesaid and did then and there commit the following offense:

IA

Year 2013

FORD FORD Pass End

CB

$50.00 $17.50 N/A $60.00 $127.50

Court Appearance Required (805.10) Reason: Serious P.I. Fatal Accident

Road Work Zone Civil Damage Assessment

Non-scheduled Violation Other

Speed

in

Zone

Fed/Adm Code: 396.17C IA Code: 20 13 ICIS Ord.

Violation EXPIRED ANNUAL INSPECTION EXP DATE 08/01/12 Sec #: 321.449 ICIS Sec #: 321.449-A I.D. No. T142 Local Ord.

Officer's Signature

Dated 10/24/2013

NOTICE: Providing false identification information is a violation of Section 719.1A of the Code of Iowa and is punishable as a simple misdemeanor.
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.

Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not require an appearance, report to the above named court on: 11/18/2013 at 8:30 AM
My signature below is not a plea of guilty, but acknowledges all of the following: 1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.

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. 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. The following applies to simple misdemeanors only:

$161.25 4. I hereby give my unsecured appearance bond in the amount of dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty and surcharge plus court cost.

*+T01T1421310241341415+*
Dated
Signature of Defendant

X
Subscribed and sworn to me by this

10/24/2013

I swear that the foregoing complaint is true and correct.

30

day of

PEREZ, WILLIAM OCTOBER, 2013


Notary/other Signature

at

FORT DODGE - 2690


Notary/other

, Iowa

Officer's Signature

Agency

MOTOR VEHICLE ENFORCEMENT

OTHER

ABSTRACT OF COURT RECORD


COURT NO. DOCKET NO. LICENSE NO. FORFEIT BOND BAIL CASH DEPOSIT PLEA GUILTY NOT GUILTY VERDICT GUILTY NOT GUILTY DISMISSED CASE NO. CASE NO. STATE: Iowa Other

Citation #:

T01 T142 131024 134141 5


FILED 10/30/2013 06:32PM CLERK DISTRICT COURT SAC COUNTY IOWA

TESTIMONY - JUDGE'S NOTES: (Other Orders)

JURY TRIAL

NO JURY TRIAL or PROCEEDING

Date

Signature, person giving bail

Signature, person taking bail

OTHER DISPOSITION The court Therefore Enters in Following Order This Date
Mo. Day Yr.

Driver's License Recommendation DATE: DATE: DATE:

None

School

Susp.

Revo

Days

Continued to: Continued to: WARRANT ISSUED

REASON REASON

FINED $ Incarceration in

SURCHARGE $

COST $ Days:

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

COMPLAINT
Form 420001E 1/07 PLAINTIFF State of Iowa In the Court at VS. Name

Dispatch / Case #:

Citation #: IOWA UNIFORM CITATION AND COMPLAINT


Law Enforcement Agency MOTOR VEHICLE ENFORCEMENT City of:

T01 T142 131024 163812 7


SAC CITY IA 50583
DL/State ID Viewed? YES Zip Code Height DOB 2/17/1952 Ethnicity N Sex MALE

Reference #:
County of: SAC - 81

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SLOBODAN


First DL Class Middle City Suffix DL#

BOKUN
Defendant, Last

022380765
State CO DL Rest. B

Address 13880 ALBROOK DRIVE # 13 DL State CO The undersigned states that on or about US DOT# 01937002 ICC# 691165

DENVER
DL End. H

80239 6' 02" KEN

Race W Weight 190 LBS

10/24/2013

at 3:30 PM

defendant did unlawfully: Operate Motor Vehicle/Boat State

2007 RED

TT/ST

Lic. Plate #/REG 958-UKO

Upon a public highway at 44 - JCT HWY 71/20 EARLY Scheduled Violation/Fine Criminal Surcharge Co. Enf. Surcharge Court Costs Total Fine/Costs

CDL YES Pass End NO HazMat End Req? NO Req? Req? Located in the county and state aforesaid and did then and there commit the following offense:

CO Year 2013

$50.00 $17.50 N/A $60.00 $127.50

Court Appearance Required (805.10) Reason: Serious P.I. Fatal Accident

Road Work Zone Civil Damage Assessment

Non-scheduled Violation Other

Speed

in

Zone

Fed/Adm Code: 393.75C IA Code: 20 13 ICIS Ord.

Violation TIRE TREAD LESS THAN 1/32IN @ THREE SEPERATE LOCATIONS AX 3 PASS.

SIDE INNER Sec #: 321.449

ICIS Sec #: 321.449-A I.D. No. T142

Local Ord.

Officer's Signature

Dated 10/24/2013

NOTICE: Providing false identification information is a violation of Section 719.1A of the Code of Iowa and is punishable as a simple misdemeanor.
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.

Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not require an appearance, report to the above named court on: 11/18/2013 at 8:30 AM
My signature below is not a plea of guilty, but acknowledges all of the following: 1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.

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. 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. The following applies to simple misdemeanors only:

$161.25 4. I hereby give my unsecured appearance bond in the amount of dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty and surcharge plus court cost.

*+T01T1421310241638127+*
Dated
Signature of Defendant

X
Subscribed and sworn to me by this

10/24/2013

I swear that the foregoing complaint is true and correct.

30

day of

PEREZ, WILLIAM OCTOBER, 2013


Notary/other Signature

at

FORT DODGE - 2690


Notary/other

, Iowa

Officer's Signature

Agency

MOTOR VEHICLE ENFORCEMENT

OTHER

ABSTRACT OF COURT RECORD


COURT NO. DOCKET NO. LICENSE NO. FORFEIT BOND BAIL CASH DEPOSIT PLEA GUILTY NOT GUILTY VERDICT GUILTY NOT GUILTY DISMISSED CASE NO. CASE NO. STATE: Iowa Other

Citation #:

T01 T142 131024 163812 7


FILED 10/30/2013 06:32PM CLERK DISTRICT COURT SAC COUNTY IOWA

TESTIMONY - JUDGE'S NOTES: (Other Orders)

JURY TRIAL

NO JURY TRIAL or PROCEEDING

Date

Signature, person giving bail

Signature, person taking bail

OTHER DISPOSITION The court Therefore Enters in Following Order This Date
Mo. Day Yr.

Driver's License Recommendation DATE: DATE: DATE:

None

School

Susp.

Revo

Days

Continued to: Continued to: WARRANT ISSUED

REASON REASON

FINED $ Incarceration in

SURCHARGE $

COST $ Days:

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

COMPLAINT
Form 420001E 1/07 PLAINTIFF State of Iowa In the Court at VS. Name

Dispatch / Case #:

Citation #: IOWA UNIFORM CITATION AND COMPLAINT


Law Enforcement Agency MOTOR VEHICLE ENFORCEMENT City of:

T01 T142 131024 164954 8


SAC CITY IA 50583
DL/State ID Viewed? YES Zip Code Height DOB 2/17/1952 Ethnicity N Sex MALE

Reference #:
County of: SAC - 81

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SLOBODAN


First DL Class Middle City Suffix DL#

BOKUN
Defendant, Last

022380765
State CO DL Rest. B

Address 13880 ALBROOK DRIVE # 13 DL State CO The undersigned states that on or about US DOT# 01937002 ICC# 691165

DENVER
DL End. H

80239 6' 02" KEN

Race W Weight 190 LBS

10/24/2013

at 3:30 PM

defendant did unlawfully: Operate Motor Vehicle/Boat State

2007 RED

TT/ST

Lic. Plate #/REG 958-UKO

Upon a public highway at 44 - JCT HWY 71/20 EARLY Scheduled Violation/Fine Criminal Surcharge Co. Enf. Surcharge Court Costs Total Fine/Costs

CDL YES Pass End NO HazMat End Req? NO Req? Req? Located in the county and state aforesaid and did then and there commit the following offense:

CO Year 2013

$50.00 $17.50 N/A $60.00 $127.50

Court Appearance Required (805.10) Reason: Serious P.I. Fatal Accident

Road Work Zone Civil Damage Assessment

Non-scheduled Violation Other

Speed

in

Zone

Fed/Adm Code: 393.45 IA Code: 20 13 ICIS Ord.

Violation BRAKE HOSE DAMAGED EXTENDING THROUGH OTTER REINFORCEMENT

PLY Sec #: 321.449

ICIS Sec #: 321.449-A I.D. No. T142

Local Ord.

Officer's Signature

Dated 10/24/2013

NOTICE: Providing false identification information is a violation of Section 719.1A of the Code of Iowa and is punishable as a simple misdemeanor.
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.

Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not require an appearance, report to the above named court on: 11/18/2013 at 8:30 AM
My signature below is not a plea of guilty, but acknowledges all of the following: 1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.

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. 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. The following applies to simple misdemeanors only:

$161.25 4. I hereby give my unsecured appearance bond in the amount of dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty and surcharge plus court cost.

*+T01T1421310241649548+*
Dated
Signature of Defendant

X
Subscribed and sworn to me by this

10/24/2013

I swear that the foregoing complaint is true and correct.

30

day of

PEREZ, WILLIAM OCTOBER, 2013


Notary/other Signature

at

FORT DODGE - 2690


Notary/other

, Iowa

Officer's Signature

Agency

MOTOR VEHICLE ENFORCEMENT

OTHER

ABSTRACT OF COURT RECORD


COURT NO. DOCKET NO. LICENSE NO. FORFEIT BOND BAIL CASH DEPOSIT PLEA GUILTY NOT GUILTY VERDICT GUILTY NOT GUILTY DISMISSED CASE NO. CASE NO. STATE: Iowa Other

Citation #:

T01 T142 131024 164954 8


FILED 10/30/2013 06:33PM CLERK DISTRICT COURT SAC COUNTY IOWA

TESTIMONY - JUDGE'S NOTES: (Other Orders)

JURY TRIAL

NO JURY TRIAL or PROCEEDING

Date

Signature, person giving bail

Signature, person taking bail

OTHER DISPOSITION The court Therefore Enters in Following Order This Date
Mo. Day Yr.

Driver's License Recommendation DATE: DATE: DATE:

None

School

Susp.

Revo

Days

Continued to: Continued to: WARRANT ISSUED

REASON REASON

FINED $ Incarceration in

SURCHARGE $

COST $ Days:

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

COMPLAINT
Form 420001E 1/07 PLAINTIFF State of Iowa In the Court at VS. Name

Dispatch / Case #:

Citation #: IOWA UNIFORM CITATION AND COMPLAINT


Law Enforcement Agency MOTOR VEHICLE ENFORCEMENT City of:

T01 T142 131024 165907 9


SAC CITY IA 50583
DL/State ID Viewed? YES Zip Code Height DOB 2/17/1952 Ethnicity N Sex MALE

Reference #:
County of: SAC - 81

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SLOBODAN


First DL Class Middle City Suffix DL#

BOKUN
Defendant, Last

022380765
State CO DL Rest. B

Address 13880 ALBROOK DRIVE # 13 DL State CO The undersigned states that on or about US DOT# 01937002 ICC# 691165

DENVER
DL End. H

80239 6' 02" KEN

Race W Weight 190 LBS

10/24/2013

at 3:30 PM

defendant did unlawfully: Operate Motor Vehicle/Boat State

2007 RED

TT/ST

Lic. Plate #/REG 958-UKO

Upon a public highway at 44 - JCT HWY 71/20 EARLY Scheduled Violation/Fine Criminal Surcharge Co. Enf. Surcharge Court Costs Total Fine/Costs

CDL YES Pass End NO HazMat End Req? NO Req? Req? Located in the county and state aforesaid and did then and there commit the following offense:

CO Year 2013

$50.00 $17.50 N/A $60.00 $127.50

Court Appearance Required (805.10) Reason: Serious P.I. Fatal Accident

Road Work Zone Civil Damage Assessment

Non-scheduled Violation Other

Speed

in

Zone

Fed/Adm Code: 393.48A IA Code: 20 13 ICIS Ord.

Violation BRAKE CHAMBERS LOOSE AXLE #2 RIGHT SIDE/ AXLE #3 LEFT SIDE Sec #: 321.449 ICIS Sec #: 321.449-A I.D. No. T142 Local Ord.

Officer's Signature

Dated 10/24/2013

NOTICE: Providing false identification information is a violation of Section 719.1A of the Code of Iowa and is punishable as a simple misdemeanor.
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.

Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not require an appearance, report to the above named court on: 11/18/2013 at 8:30 AM
My signature below is not a plea of guilty, but acknowledges all of the following: 1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.

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. 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. The following applies to simple misdemeanors only:

$161.25 4. I hereby give my unsecured appearance bond in the amount of dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty and surcharge plus court cost.

*+T01T1421310241659079+*
Dated
Signature of Defendant

X
Subscribed and sworn to me by this

10/24/2013

I swear that the foregoing complaint is true and correct.

30

day of

PEREZ, WILLIAM OCTOBER, 2013


Notary/other Signature

at

FORT DODGE - 2690


Notary/other

, Iowa

Officer's Signature

Agency

MOTOR VEHICLE ENFORCEMENT

OTHER

ABSTRACT OF COURT RECORD


COURT NO. DOCKET NO. LICENSE NO. FORFEIT BOND BAIL CASH DEPOSIT PLEA GUILTY NOT GUILTY VERDICT GUILTY NOT GUILTY DISMISSED CASE NO. CASE NO. STATE: Iowa Other

Citation #:

T01 T142 131024 165907 9


FILED 10/30/2013 06:33PM CLERK DISTRICT COURT SAC COUNTY IOWA

TESTIMONY - JUDGE'S NOTES: (Other Orders)

JURY TRIAL

NO JURY TRIAL or PROCEEDING

Date

Signature, person giving bail

Signature, person taking bail

OTHER DISPOSITION The court Therefore Enters in Following Order This Date
Mo. Day Yr.

Driver's License Recommendation DATE: DATE: DATE:

None

School

Susp.

Revo

Days

Continued to: Continued to: WARRANT ISSUED

REASON REASON

FINED $ Incarceration in

SURCHARGE $

COST $ Days:

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

COMPLAINT
Form 420001E 1/07 PLAINTIFF State of Iowa In the Court at VS. Name

Dispatch / Case #:

Citation #: IOWA UNIFORM CITATION AND COMPLAINT


Law Enforcement Agency MOTOR VEHICLE ENFORCEMENT City of:

T01 T142 131024 170136 0


SAC CITY IA 50583
DL/State ID Viewed? YES Zip Code Height DOB 2/17/1952 Ethnicity N Sex MALE

Reference #:
County of: SAC - 81

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SLOBODAN


First DL Class Middle City Suffix DL#

BOKUN
Defendant, Last

022380765
State CO DL Rest. B

Address 13880 ALBROOK DRIVE # 13 DL State CO The undersigned states that on or about US DOT# 01937002 ICC# 691165

DENVER
DL End. H

80239 6' 02" KEN

Race W Weight 190 LBS

10/24/2013

at 3:30 PM

defendant did unlawfully: Operate Motor Vehicle/Boat State

2007 RED

TT/ST

Lic. Plate #/REG 958-UKO

Upon a public highway at 44 - JCT HWY 71/20 EARLY Scheduled Violation/Fine Criminal Surcharge Co. Enf. Surcharge Court Costs Total Fine/Costs

CDL YES Pass End NO HazMat End Req? NO Req? Req? Located in the county and state aforesaid and did then and there commit the following offense:

CO Year 2013

$50.00 $17.50 N/A $60.00 $127.50

Court Appearance Required (805.10) Reason: Serious P.I. Fatal Accident

Road Work Zone Civil Damage Assessment

Non-scheduled Violation Other

Speed

in

Zone

Fed/Adm Code: 396.3A1 IA Code: 20 13 ICIS Ord.

Violation INOPERATIVE BRAKES AXLE #2 RIGHT SIDE/ AXLE #3 LEFT SIDE & AXLE 5

RIGHT SIDE Sec #: 321.449

ICIS Sec #: 321.449-A I.D. No. T142

Local Ord.

Officer's Signature

Dated 10/24/2013

NOTICE: Providing false identification information is a violation of Section 719.1A of the Code of Iowa and is punishable as a simple misdemeanor.
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.

Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not require an appearance, report to the above named court on: 11/18/2013 at 8:30 AM
My signature below is not a plea of guilty, but acknowledges all of the following: 1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.

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. 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. The following applies to simple misdemeanors only:

$161.25 4. I hereby give my unsecured appearance bond in the amount of dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty and surcharge plus court cost.

*+T01T1421310241701360+*
Dated
Signature of Defendant

X
Subscribed and sworn to me by this

10/24/2013

I swear that the foregoing complaint is true and correct.

30

day of

PEREZ, WILLIAM OCTOBER, 2013


Notary/other Signature

at

FORT DODGE - 2690


Notary/other

, Iowa

Officer's Signature

Agency

MOTOR VEHICLE ENFORCEMENT

OTHER

ABSTRACT OF COURT RECORD


COURT NO. DOCKET NO. LICENSE NO. FORFEIT BOND BAIL CASH DEPOSIT PLEA GUILTY NOT GUILTY VERDICT GUILTY NOT GUILTY DISMISSED CASE NO. CASE NO. STATE: Iowa Other

Citation #:

T01 T142 131024 170136 0


FILED 10/30/2013 06:46PM CLERK DISTRICT COURT SAC COUNTY IOWA

TESTIMONY - JUDGE'S NOTES: (Other Orders)

JURY TRIAL

NO JURY TRIAL or PROCEEDING

Date

Signature, person giving bail

Signature, person taking bail

OTHER DISPOSITION The court Therefore Enters in Following Order This Date
Mo. Day Yr.

Driver's License Recommendation DATE: DATE: DATE:

None

School

Susp.

Revo

Days

Continued to: Continued to: WARRANT ISSUED

REASON REASON

FINED $ Incarceration in

SURCHARGE $

COST $ Days:

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

COMPLAINT
Form 420001E 1/07 PLAINTIFF State of Iowa In the Court at VS. Name

Dispatch / Case #:

Citation #: IOWA UNIFORM CITATION AND COMPLAINT


Law Enforcement Agency IOWA STATE PATROL - DIST 06 City of:

P06 5MAI 131025 145502 4


SAC CITY IA 50583
DL/State ID Viewed? YES Zip Code Height Race W 51201-0000 5' 00" Weight DOB 3/10/1950 Ethnicity N Sex FEMALE

Reference #:
County of: SAC - 81

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 LINDA


First DL Class

PING
Defendant, Last

LEE
Middle City Suffix

DL#

711AA7847
State IA DL Rest. B

Address 801 6TH AVE DL State IA The undersigned states that on or about US DOT# ICC#

SHELDON
DL End. NONE

10/25/2013

at 2:55 PM

defendant did unlawfully: Operate Motor Vehicle/Boat State

2011 RED

KIA - KIA SOR

SW

Lic. Plate #/REG 858CAU

Upon a public highway at 71 1/4 NO D36 OLD 20 NB Scheduled Violation/Fine Criminal Surcharge Co. Enf. Surcharge Court Costs Total Fine/Costs

CDL NO Pass End HazMat End Req? Req? Req? Located in the county and state aforesaid and did then and there commit the following offense:

IA

Year 2011

$100.00 $35.00 N/A $60.00 $195.00

Court Appearance Required (805.10) Reason: Serious P.I. Fatal Accident

Road Work Zone Civil Damage Assessment

Non-scheduled Violation Other

Speed Fed/Adm Code:

in

Zone

Violation (3)PASSING CONTRARY TO HIGHWAY SIGN/MARKING Sec #: 321.304 ICIS Sec #: 321.304(3) I.D. No. 215 Local Ord. ICIS Ord.

IA Code: 20 13

Officer's Signature

Dated 10/25/2013

NOTICE: Providing false identification information is a violation of Section 719.1A of the Code of Iowa and is punishable as a simple misdemeanor.
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.

Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not require an appearance, report to the above named court on: 11/25/2013 at 8:30 AM
My signature below is not a plea of guilty, but acknowledges all of the following: 1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.

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. 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. The following applies to simple misdemeanors only:

$262.50 4. I hereby give my unsecured appearance bond in the amount of dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty and surcharge plus court cost.

*+P065MAI1310251455024+*
Dated
Signature of Defendant

X
Subscribed and sworn to me by this

10/25/2013

I swear that the foregoing complaint is true and correct.

25

day of

MAIER, D OCTOBER, 2013


Notary/other Signature

at

SAC CITY - 6717


Notary/other

, Iowa

Officer's Signature

Agency

IOWA STATE PATROL - DIST 06

TROOPER

ABSTRACT OF COURT RECORD


COURT NO. DOCKET NO. LICENSE NO. FORFEIT BOND BAIL CASH DEPOSIT PLEA GUILTY NOT GUILTY VERDICT GUILTY NOT GUILTY DISMISSED CASE NO. CASE NO. STATE: Iowa Other

Citation #:

P06 5MAI 131025 145502 4


FILED 10/31/2013 08:44AM CLERK DISTRICT COURT SAC COUNTY IOWA

TESTIMONY - JUDGE'S NOTES: (Other Orders)

JURY TRIAL

NO JURY TRIAL or PROCEEDING

Date

Signature, person giving bail

Signature, person taking bail

OTHER DISPOSITION The court Therefore Enters in Following Order This Date
Mo. Day Yr.

Driver's License Recommendation DATE: DATE: DATE:

None

School

Susp.

Revo

Days

Continued to: Continued to: WARRANT ISSUED

REASON REASON

FINED $ Incarceration in

SURCHARGE $

COST $ Days:

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

COMPLAINT
Form 420001E 1/07 PLAINTIFF State of Iowa In the Court at VS. Name

Dispatch / Case #:

Citation #: IOWA UNIFORM CITATION AND COMPLAINT


Law Enforcement Agency IOWA STATE PATROL - DIST 06 City of:

P06 5MAI 131025 141143 3


SAC CITY IA 50583
DL/State ID Viewed? YES Zip Code Height Race W 52404-0000 5' 09" Weight DOB 5/28/1973 Ethnicity N Sex FEMALE

Reference #:
County of: SAC - 81

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 LISA


First DL Class

LOEFFLER
Defendant, Last

ANN
Middle City Suffix

DL#

237CC9406
State IA DL Rest. NONE

Address 6409 GRANT CT SW DL State IA The undersigned states that on or about US DOT# ICC#

CEDAR RAPIDS
DL End. NONE

10/25/2013

at 2:11 PM

defendant did unlawfully: Operate Motor Vehicle/Boat State

2009 WHI

Lic. Plate #/REG 528JDZ

Upon a public highway at 71 1/2 NO D15 N LK67 Scheduled Violation/Fine Criminal Surcharge Co. Enf. Surcharge Court Costs Total Fine/Costs

CDL NO HazMat End Req? Req? Req? Located in the county and state aforesaid and did then and there commit the following offense:

IA

Year 2013

CHEVROL TRV ET -End CHEV Pass

SW

$20.00 $7.00 N/A $60.00 $87.00

Court Appearance Required (805.10) Reason: Serious P.I. Fatal Accident

Road Work Zone Civil Damage Assessment

Non-scheduled Violation Other

Speed

60

in

55

Zone

Fed/Adm Code: IA Code: 20 13

Violation SPEEDING 55 OR < (1 THRU 5 OVER) Sec #: 321.285 ICIS Sec #: 321.285-A I.D. No. 215 Local Ord. ICIS Ord.

Officer's Signature

Dated 10/25/2013

NOTICE: Providing false identification information is a violation of Section 719.1A of the Code of Iowa and is punishable as a simple misdemeanor.
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.

Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not require an appearance, report to the above named court on: 11/18/2013 at 8:30 AM
My signature below is not a plea of guilty, but acknowledges all of the following: 1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.

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. 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. The following applies to simple misdemeanors only:

$100.50 4. I hereby give my unsecured appearance bond in the amount of dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty and surcharge plus court cost.

*+P065MAI1310251411433+*
Dated
Signature of Defendant

X
Subscribed and sworn to me by this

10/25/2013

I swear that the foregoing complaint is true and correct.

25

day of

MAIER, D OCTOBER, 2013


Notary/other Signature

at

SAC CITY - 6717


Notary/other

, Iowa

Officer's Signature

Agency

IOWA STATE PATROL - DIST 06

TROOPER

ABSTRACT OF COURT RECORD


COURT NO. DOCKET NO. LICENSE NO. FORFEIT BOND BAIL CASH DEPOSIT PLEA GUILTY NOT GUILTY VERDICT GUILTY NOT GUILTY DISMISSED CASE NO. CASE NO. STATE: Iowa Other

Citation #:

P06 5MAI 131025 141143 3


FILED 10/31/2013 08:48AM CLERK DISTRICT COURT SAC COUNTY IOWA

TESTIMONY - JUDGE'S NOTES: (Other Orders)

JURY TRIAL

NO JURY TRIAL or PROCEEDING

Date

Signature, person giving bail

Signature, person taking bail

OTHER DISPOSITION The court Therefore Enters in Following Order This Date
Mo. Day Yr.

Driver's License Recommendation DATE: DATE: DATE:

None

School

Susp.

Revo

Days

Continued to: Continued to: WARRANT ISSUED

REASON REASON

FINED $ Incarceration in

SURCHARGE $

COST $ Days:

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

COMPLAINT
Form 420001E 1/07 PLAINTIFF State of Iowa In the Court at VS. Name

Dispatch / Case #:

Citation #: E-FILED 2013 NOV 01 8:05 AM SAC - CLERK OF DISTRICT COURT131031 S81 KINE IOWA UNIFORM CITATION AND COMPLAINT
Law Enforcement Agency SAC COUNTY SHERIFF'S OFFICE City of:

173528 7

Reference #:
County of: SAC - 81

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 OSAMA


First DL Class Middle City Suffix DL#

SAC CITY

IA

50583
DL/State ID Viewed? YES DOB 1/27/1965 Ethnicity N Sex MALE

AAFLAQ
Defendant, Last

A14264065027
State IL DL Rest. NONE Zip Code Height

Address 420 DEER LAKE DL State IL The undersigned states that on or about US DOT# ICC#

CARBONDALE
DL End. NONE

DM

62901 5' 07" HONDA HOND Pass End

Race W Weight 155 LBS

10/31/2013

at 5:35 PM

defendant did unlawfully: Operate Motor Vehicle/Boat State

SIL

ODYSSEY

VAN

Lic. Plate #/REG HALA3

Upon a public highway at US 71/KARR AVE Scheduled Violation/Fine Criminal Surcharge Co. Enf. Surcharge Court Costs Total Fine/Costs

CDL NO HazMat End Req? Req? Req? Located in the county and state aforesaid and did then and there commit the following offense:

IL

Year 2013

$40.00 $14.00 $5.00 $60.00 $119.00

Court Appearance Required (805.10) Reason: Serious P.I. Fatal Accident

Road Work Zone Civil Damage Assessment

Non-scheduled Violation Other

Speed

65

in

55

Zone

Fed/Adm Code: IA Code: 20 13

Violation SPEEDING 55 OR < (6 THRU 10 OVER) Sec #: 321.285 ICIS Sec #: 321.285-B I.D. No. 81-8 Local Ord. ICIS Ord.

Officer's Signature

Dated 10/31/2013

NOTICE: Providing false identification information is a violation of Section 719.1A of the Code of Iowa and is punishable as a simple misdemeanor.
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.

Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not require an appearance, report to the above named court on: 11/25/2013 at 8:30 AM
My signature below is not a plea of guilty, but acknowledges all of the following: 1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.

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. 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. The following applies to simple misdemeanors only:

$148.50 4. I hereby give my unsecured appearance bond in the amount of dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty and surcharge plus court cost.

*+S81KINE1310311735287+*
Dated
Signature of Defendant

X
Subscribed and sworn to me by this

10/31/2013

I swear that the foregoing complaint is true and correct.

31

day of

ERSKINE, KRISTAN OCTOBER, 2013


Notary/other Signature

at

SAC CITY - 6717


Notary/other

, Iowa

Officer's Signature

Agency

SAC COUNTY SHERIFF'S OFFICE

NOTARY

ABSTRACT OF COURT RECORD


COURT NO. DOCKET NO. LICENSE NO. FORFEIT BOND BAIL CASH DEPOSIT PLEA GUILTY NOT GUILTY VERDICT GUILTY NOT GUILTY DISMISSED CASE NO. CASE NO. STATE: Iowa Other

Citation #:

S81 KINE 131031 173528 7

TESTIMONY - JUDGE'S NOTES: (Other Orders)

JURY TRIAL

NO JURY TRIAL or PROCEEDING

Date

Signature, person giving bail

Signature, person taking bail

OTHER DISPOSITION The court Therefore Enters in Following Order This Date
Mo. Day Yr.

Driver's License Recommendation DATE: DATE: DATE:

None

School

Susp.

Revo

Days

Continued to: Continued to: WARRANT ISSUED

REASON REASON

FINED $ Incarceration in

SURCHARGE $

COST $ Days:

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

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