Dated

Notary/other
Signature
Middle
Co. Enf. Surcharge
PassEnd
Req?
COMPLAINT
at
Defendant, Last
at
ICISOrd.
X
Non-scheduled Violation
Officer's
Signature
HazMatEndReq?
Total Fine/Costs
Officer's
Signature
County of:
Other Civil Damage Assessment
3. If a court appearance is not required, I may enter a plea of guilty prior to the designated appearance date by delivery in person, or by agent, or by mail to the court specified by this citation.
Reason:
Notary/other
in
Serious P.I.
Criminal Surcharge
Suffix
Scheduled Violation/Fine
State
defendant did unlawfully: Operate Motor Vehicle/Boat
First
2. I promise to appear in said court at said time and place. I understand that a person who willfully fails to appear in court as specified by this citation may be subject to arrest and/or loss of driving privileges.
State
DL Class
US DOT#
20
Dispatch/
Case#:
City of:
Signatureof
Defendant
Reference#:
I.D. No.
Lic. Plate #/REG ICC#
, Iowa I swear that the foregoing complaint is true and correct.
IOWA UNIFORM CITATION AND COMPLAINT
Address
DL#
DL End.
dollarsandentermywrittenappearance.IagreethatifIfailtoappearinpersonorbycounseltodefendagainsttheoffense
Year
CDL
Req?
Upon a public highway at
Sec #:
The undersigned states that on or about
The following applies to simple misdemeanors only:
Sex
Race
DL/StateID
Viewed?
Name
VS.
Court Appearance Required (805.10)
require an appearance, report to the above named court on:
Height
Local Ord.
DOB
Form420001E1/07
Zip Code
day of
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
Dated
DL Rest.
Fatal Accident
Located in the county and state aforesaid and did then and there commit the following offense:
In the Court at
DL State
Violation
Law Enforcement Agency -
NOTICE:ProvidingfalseidentificationinformationisaviolationofSection719.1Aof
theCodeofIowaandispunishableasasimplemisdemeanor.
Fed/AdmCode:
at
Subscribed and sworn to me by
ICISSec#:
4. I hereby give my unsecured appearance bond in the amount of
PLAINTIFF
My signature below is not a plea of guilty, but acknowledges all of the following:
1.Iherebyswearandaffirmthattheinformationprovidedbymeonthiscitationistrueunderpenaltyofprovidingfalseinformation.
Court Costs
Zone
City
Agency
Weight
Road Work Zone
this
State of Iowa
IACode:
Speed
Youherebyaregivennoticethatwithinareasonabletimebutnolaterthanthedatescheduledforyour
initialappearanceacitation/complaintswornunderoathwillbefiledwiththedistrictcourtclerkofthe
countyinwhichthiscitationwasissued.
chargedinthiscitation,thecourtisauthorizedtoenteraconvictionandrenderjudgmentagainstmefortheamountofmyappearancebondinsatisfactionofthepenaltyandsurchargepluscourtcost.
P06 5BRE 140422 180210 0
*+P065BRE1404221802100+*
Citation #:
IOWA STATE PATROL - DIST 06
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
230CC4190 DOAN VY NGOC K 5/3/1990 YES
A N
Ethnicity
50588-0000 STORM LAKE IA
101 ONEIDA ST
5' 00" IA NONE FEMALE C NONE
04/22/2014 6:02 PM 2011 WHI TOYOTA -
TOYT
HGH SW
2014 NO IA 930XZL
M043/GARD AVE S D15 NB LV DL SD 79
55 75 $90.00
$31.50
N/A
13
SPEEDING 55 OR < (16 THRU 20)
$60.00
321.285 321.285-D
$181.50
025
04/22/2014
04/22/2014
9:30 AM 05/27/2014
$242.25
ALTA - 0125 BRECHWALD, T
APRIL, 2014
22
NOTARY IOWA STATE PATROL - DIST 06
NOT GUILTY
Driver's License
Recommendation
OTHER DISPOSITION
Other
Susp.
Yr.
BAIL CASH DEPOSIT
DATE: Continued to:
Incarceration in
VERDICT
WARRANT ISSUED
Iowa
DISMISSED
TESTIMONY - JUDGE'S NOTES: (Other Orders)
Revo
Mo.
Signature, person giving bail
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
COST $
ABSTRACT OF COURT RECORD
Address
JURY TRIAL
Days:
DOCKET NO.
REASON
CASE NO.
School
CASE NO.
STATE:
Days
Name
FORFEIT BOND
The court Therefore Enters in Following Order This Date
REASON
Phone
PLEA
LICENSE NO.
NOT GUILTY
Citation#:
GUILTY
Signature, person taking bail Date
DATE:
NO JURY TRIAL or
PROCEEDING
GUILTY
DATE:
None
Day
COURT NO.
FINED $ SURCHARGE $
Continued to:
P06 5BRE 140422 180210 0
FILED 04/23/2014 07:25AM
CLERK DISTRICT COURT
SAC COUNTY IOWA
Dated
Notary/other
Signature
Middle
Co. Enf. Surcharge
PassEnd
Req?
COMPLAINT
at
Defendant, Last
at
ICISOrd.
X
Non-scheduled Violation
Officer's
Signature
HazMatEndReq?
Total Fine/Costs
Officer's
Signature
County of:
Other Civil Damage Assessment
3. If a court appearance is not required, I may enter a plea of guilty prior to the designated appearance date by delivery in person, or by agent, or by mail to the court specified by this citation.
Reason:
Notary/other
in
Serious P.I.
Criminal Surcharge
Suffix
Scheduled Violation/Fine
State
defendant did unlawfully: Operate Motor Vehicle/Boat
First
2. I promise to appear in said court at said time and place. I understand that a person who willfully fails to appear in court as specified by this citation may be subject to arrest and/or loss of driving privileges.
State
DL Class
US DOT#
20
Dispatch/
Case#:
City of:
Signatureof
Defendant
Reference#:
I.D. No.
Lic. Plate #/REG ICC#
, Iowa I swear that the foregoing complaint is true and correct.
IOWA UNIFORM CITATION AND COMPLAINT
Address
DL#
DL End.
dollarsandentermywrittenappearance.IagreethatifIfailtoappearinpersonorbycounseltodefendagainsttheoffense
Year
CDL
Req?
Upon a public highway at
Sec #:
The undersigned states that on or about
The following applies to simple misdemeanors only:
Sex
Race
DL/StateID
Viewed?
Name
VS.
Court Appearance Required (805.10)
require an appearance, report to the above named court on:
Height
Local Ord.
DOB
Form420001E1/07
Zip Code
day of
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
Dated
DL Rest.
Fatal Accident
Located in the county and state aforesaid and did then and there commit the following offense:
In the Court at
DL State
Violation
Law Enforcement Agency -
NOTICE:ProvidingfalseidentificationinformationisaviolationofSection719.1Aof
theCodeofIowaandispunishableasasimplemisdemeanor.
Fed/AdmCode:
at
Subscribed and sworn to me by
ICISSec#:
4. I hereby give my unsecured appearance bond in the amount of
PLAINTIFF
My signature below is not a plea of guilty, but acknowledges all of the following:
1.Iherebyswearandaffirmthattheinformationprovidedbymeonthiscitationistrueunderpenaltyofprovidingfalseinformation.
Court Costs
Zone
City
Agency
Weight
Road Work Zone
this
State of Iowa
IACode:
Speed
Youherebyaregivennoticethatwithinareasonabletimebutnolaterthanthedatescheduledforyour
initialappearanceacitation/complaintswornunderoathwillbefiledwiththedistrictcourtclerkofthe
countyinwhichthiscitationwasissued.
chargedinthiscitation,thecourtisauthorizedtoenteraconvictionandrenderjudgmentagainstmefortheamountofmyappearancebondinsatisfactionofthepenaltyandsurchargepluscourtcost.
P06 5BRE 140422 172922 7
*+P065BRE1404221729227+*
Citation #:
IOWA STATE PATROL - DIST 06
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
649LL7789 BRENNY BRIAN RAYMOND 10/3/1977 YES
W N
Ethnicity
51401-0000 CARROLL IA
1302 SIMON AVE
5' 10" IA B MALE C NONE
04/22/2014 5:25 PM 2011 BLK CHEVROL
ET - CHEV
SLV PK
2014 NO IA 362YLW
D015/190TH ST E M43 EB LV DL 83
$20.00
$7.00
N/A
13
FAIL TO CARRY REGISTRATION CARD (TRAILER IA 4840DQ)
$60.00
321.32 321.32
$87.00
025
04/22/2014
04/22/2014
9:30 AM 05/27/2014
$100.50
ALTA - 0125 BRECHWALD, T
APRIL, 2014
22
NOTARY IOWA STATE PATROL - DIST 06
NOT GUILTY
Driver's License
Recommendation
OTHER DISPOSITION
Other
Susp.
Yr.
BAIL CASH DEPOSIT
DATE: Continued to:
Incarceration in
VERDICT
WARRANT ISSUED
Iowa
DISMISSED
TESTIMONY - JUDGE'S NOTES: (Other Orders)
Revo
Mo.
Signature, person giving bail
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
COST $
ABSTRACT OF COURT RECORD
Address
JURY TRIAL
Days:
DOCKET NO.
REASON
CASE NO.
School
CASE NO.
STATE:
Days
Name
FORFEIT BOND
The court Therefore Enters in Following Order This Date
REASON
Phone
PLEA
LICENSE NO.
NOT GUILTY
Citation#:
GUILTY
Signature, person taking bail Date
DATE:
NO JURY TRIAL or
PROCEEDING
GUILTY
DATE:
None
Day
COURT NO.
FINED $ SURCHARGE $
Continued to:
P06 5BRE 140422 172922 7
FILED 04/23/2014 07:34AM
CLERK DISTRICT COURT
SAC COUNTY IOWA
Dated
Notary/other
Signature
Middle
Co. Enf. Surcharge
PassEnd
Req?
COMPLAINT
at
Defendant, Last
at
ICISOrd.
X
Non-scheduled Violation
Officer's
Signature
HazMatEndReq?
Total Fine/Costs
Officer's
Signature
County of:
Other Civil Damage Assessment
3. If a court appearance is not required, I may enter a plea of guilty prior to the designated appearance date by delivery in person, or by agent, or by mail to the court specified by this citation.
Reason:
Notary/other
in
Serious P.I.
Criminal Surcharge
Suffix
Scheduled Violation/Fine
State
defendant did unlawfully: Operate Motor Vehicle/Boat
First
2. I promise to appear in said court at said time and place. I understand that a person who willfully fails to appear in court as specified by this citation may be subject to arrest and/or loss of driving privileges.
State
DL Class
US DOT#
20
Dispatch/
Case#:
City of:
Signatureof
Defendant
Reference#:
I.D. No.
Lic. Plate #/REG ICC#
, Iowa I swear that the foregoing complaint is true and correct.
IOWA UNIFORM CITATION AND COMPLAINT
Address
DL#
DL End.
dollarsandentermywrittenappearance.IagreethatifIfailtoappearinpersonorbycounseltodefendagainsttheoffense
Year
CDL
Req?
Upon a public highway at
Sec #:
The undersigned states that on or about
The following applies to simple misdemeanors only:
Sex
Race
DL/StateID
Viewed?
Name
VS.
Court Appearance Required (805.10)
require an appearance, report to the above named court on:
Height
Local Ord.
DOB
Form420001E1/07
Zip Code
day of
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
Dated
DL Rest.
Fatal Accident
Located in the county and state aforesaid and did then and there commit the following offense:
In the Court at
DL State
Violation
Law Enforcement Agency -
NOTICE:ProvidingfalseidentificationinformationisaviolationofSection719.1Aof
theCodeofIowaandispunishableasasimplemisdemeanor.
Fed/AdmCode:
at
Subscribed and sworn to me by
ICISSec#:
4. I hereby give my unsecured appearance bond in the amount of
PLAINTIFF
My signature below is not a plea of guilty, but acknowledges all of the following:
1.Iherebyswearandaffirmthattheinformationprovidedbymeonthiscitationistrueunderpenaltyofprovidingfalseinformation.
Court Costs
Zone
City
Agency
Weight
Road Work Zone
this
State of Iowa
IACode:
Speed
Youherebyaregivennoticethatwithinareasonabletimebutnolaterthanthedatescheduledforyour
initialappearanceacitation/complaintswornunderoathwillbefiledwiththedistrictcourtclerkofthe
countyinwhichthiscitationwasissued.
chargedinthiscitation,thecourtisauthorizedtoenteraconvictionandrenderjudgmentagainstmefortheamountofmyappearancebondinsatisfactionofthepenaltyandsurchargepluscourtcost.
P06 5BRE 140422 172548 6
*+P065BRE1404221725486+*
Citation #:
IOWA STATE PATROL - DIST 06
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
649LL7789 BRENNY BRIAN RAYMOND 10/3/1977 YES
W N
Ethnicity
51401-0000 CARROLL IA
1302 SIMON AVE
5' 10" IA B MALE C NONE
04/22/2014 5:25 PM 2011 BLK CHEVROL
ET - CHEV
SLV PK
2014 NO IA 362YLW
D015/190TH ST E M43 EB LV DL 83
55 79 $120.00
$42.00
N/A
13
SPEEDING 55 OR < (20 MPH OVER + $5.00 EA. MILE)
$60.00
321.285 321.285-E
$222.00
025
04/22/2014
04/22/2014
9:30 AM 05/27/2014
$303.00
ALTA - 0125 BRECHWALD, T
APRIL, 2014
22
NOTARY IOWA STATE PATROL - DIST 06
NOT GUILTY
Driver's License
Recommendation
OTHER DISPOSITION
Other
Susp.
Yr.
BAIL CASH DEPOSIT
DATE: Continued to:
Incarceration in
VERDICT
WARRANT ISSUED
Iowa
DISMISSED
TESTIMONY - JUDGE'S NOTES: (Other Orders)
Revo
Mo.
Signature, person giving bail
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
COST $
ABSTRACT OF COURT RECORD
Address
JURY TRIAL
Days:
DOCKET NO.
REASON
CASE NO.
School
CASE NO.
STATE:
Days
Name
FORFEIT BOND
The court Therefore Enters in Following Order This Date
REASON
Phone
PLEA
LICENSE NO.
NOT GUILTY
Citation#:
GUILTY
Signature, person taking bail Date
DATE:
NO JURY TRIAL or
PROCEEDING
GUILTY
DATE:
None
Day
COURT NO.
FINED $ SURCHARGE $
Continued to:
P06 5BRE 140422 172548 6
FILED 04/23/2014 08:24AM
CLERK DISTRICT COURT
SAC COUNTY IOWA
E-FILED 2014 APR 23 10:40 PM SAC - CLERK OF DISTRICT COURT
chargedinthiscitation,thecourtisauthorizedtoenteraconvictionandrenderjudgmentagainstmefortheamountofmyappearancebondinsatisfactionofthepenaltyandsurchargepluscourtcost.
Youherebyaregivennoticethatwithinareasonabletimebutnolaterthanthedatescheduledforyour
initialappearanceacitation/complaintswornunderoathwillbefiledwiththedistrictcourtclerkofthe
countyinwhichthiscitationwasissued.
Speed
IACode:
State of Iowa
this
Road Work Zone
Weight
Agency
City
Zone
Court Costs
1.Iherebyswearandaffirmthattheinformationprovidedbymeonthiscitationistrueunderpenaltyofprovidingfalseinformation.
My signature below is not a plea of guilty, but acknowledges all of the following:
PLAINTIFF
4. I hereby give my unsecured appearance bond in the amount of
ICISSec#:
Subscribed and sworn to me by
at
Fed/AdmCode:
NOTICE:ProvidingfalseidentificationinformationisaviolationofSection719.1Aof
theCodeofIowaandispunishableasasimplemisdemeanor.
Law Enforcement Agency -
Violation
DL State
In the Court at
Located in the county and state aforesaid and did then and there commit the following offense:
Fatal Accident
DL Rest.
Dated
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
day of
Zip Code
Form420001E1/07
DOB
Local Ord.
Height
require an appearance, report to the above named court on:
Court Appearance Required (805.10)
VS.
Name
DL/StateID
Viewed?
Race
Sex
The following applies to simple misdemeanors only:
The undersigned states that on or about
Sec #:
Upon a public highway at
CDL
Req?
Year
dollarsandentermywrittenappearance.IagreethatifIfailtoappearinpersonorbycounseltodefendagainsttheoffense
DL End.
DL#
Address
IOWA UNIFORM CITATION AND COMPLAINT
I swear that the foregoing complaint is true and correct. , Iowa
ICC# Lic. Plate #/REG
I.D. No.
Reference#:
Signatureof
Defendant
City of:
Dispatch/
Case#:
20
US DOT#
DL Class
State
2. I promise to appear in said court at said time and place. I understand that a person who willfully fails to appear in court as specified by this citation may be subject to arrest and/or loss of driving privileges.
First
defendant did unlawfully: Operate Motor Vehicle/Boat
State
Scheduled Violation/Fine
Suffix
Criminal Surcharge
Serious P.I.
in
Notary/other
Reason:
3. If a court appearance is not required, I may enter a plea of guilty prior to the designated appearance date by delivery in person, or by agent, or by mail to the court specified by this citation.
Civil Damage Assessment Other
County of:
Officer's
Signature
Total Fine/Costs
HazMatEndReq?
Officer's
Signature
Non-scheduled Violation
X
ICISOrd.
at
Defendant, Last
at
COMPLAINT
PassEnd
Req?
Co. Enf. Surcharge
Middle
Notary/other
Signature
Dated
S81 BACK 140420 192322 0
*+S81BACK1404201923220+*
Citation #:
SAC COUNTY SHERIFF'S OFFICE
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
015AA2266 JENSEN ERIC PETER 5/20/1966 YES
W N
Ethnicity
51401-0000 CARROLL IA
2406 FOREST ST
6' 02" IA NONE MALE C NONE
04/20/2014 7:23 PM 2010 BLK FORD -
FORD
EPD SW
2014 NO IA AHT752
US 71/370TH ST
55 70 $80.00
$28.00
$5.00
13
SPEEDING 55 OR < (11 THRU 15 OVER)
$60.00
321.285 321.285-C
$173.00
81-5
04/20/2014
04/20/2014
8:30 AM 05/19/2014
$229.50
SAC CITY - 6717 CUDABACK, TORY
APRIL, 2014
20
NOTARY SAC COUNTY SHERIFF'S OFFICE
Continued to:
SURCHARGE $ FINED $
COURT NO.
Day
None
DATE:
GUILTY
NO JURY TRIAL or
PROCEEDING
DATE:
Date Signature, person taking bail
GUILTY
Citation#:
NOT GUILTY
LICENSE NO.
PLEA
Phone
REASON
The court Therefore Enters in Following Order This Date
FORFEIT BOND
Name
Days
STATE:
CASE NO.
School
CASE NO.
REASON
DOCKET NO.
Days:
JURY TRIAL
Address
ABSTRACT OF COURT RECORD
COST $
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
Signature, person giving bail
Mo.
Revo
TESTIMONY - JUDGE'S NOTES: (Other Orders)
DISMISSED
Iowa
WARRANT ISSUED
VERDICT
Incarceration in
Continued to: DATE:
BAIL CASH DEPOSIT
Yr.
Susp.
Other
OTHER DISPOSITION
Driver's License
Recommendation
NOT GUILTY
S81 BACK 140420 192322 0
E-FILED 2014 APR 24 8:06 AM SAC - CLERK OF DISTRICT COURT
chargedinthiscitation,thecourtisauthorizedtoenteraconvictionandrenderjudgmentagainstmefortheamountofmyappearancebondinsatisfactionofthepenaltyandsurchargepluscourtcost.
Youherebyaregivennoticethatwithinareasonabletimebutnolaterthanthedatescheduledforyour
initialappearanceacitation/complaintswornunderoathwillbefiledwiththedistrictcourtclerkofthe
countyinwhichthiscitationwasissued.
Speed
IACode:
State of Iowa
this
Road Work Zone
Weight
Agency
City
Zone
Court Costs
1.Iherebyswearandaffirmthattheinformationprovidedbymeonthiscitationistrueunderpenaltyofprovidingfalseinformation.
My signature below is not a plea of guilty, but acknowledges all of the following:
PLAINTIFF
4. I hereby give my unsecured appearance bond in the amount of
ICISSec#:
Subscribed and sworn to me by
at
Fed/AdmCode:
NOTICE:ProvidingfalseidentificationinformationisaviolationofSection719.1Aof
theCodeofIowaandispunishableasasimplemisdemeanor.
Law Enforcement Agency -
Violation
DL State
In the Court at
Located in the county and state aforesaid and did then and there commit the following offense:
Fatal Accident
DL Rest.
Dated
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
day of
Zip Code
Form420001E1/07
DOB
Local Ord.
Height
require an appearance, report to the above named court on:
Court Appearance Required (805.10)
VS.
Name
DL/StateID
Viewed?
Race
Sex
The following applies to simple misdemeanors only:
The undersigned states that on or about
Sec #:
Upon a public highway at
CDL
Req?
Year
dollarsandentermywrittenappearance.IagreethatifIfailtoappearinpersonorbycounseltodefendagainsttheoffense
DL End.
DL#
Address
IOWA UNIFORM CITATION AND COMPLAINT
I swear that the foregoing complaint is true and correct. , Iowa
ICC# Lic. Plate #/REG
I.D. No.
Reference#:
Signatureof
Defendant
City of:
Dispatch/
Case#:
20
US DOT#
DL Class
State
2. I promise to appear in said court at said time and place. I understand that a person who willfully fails to appear in court as specified by this citation may be subject to arrest and/or loss of driving privileges.
First
defendant did unlawfully: Operate Motor Vehicle/Boat
State
Scheduled Violation/Fine
Suffix
Criminal Surcharge
Serious P.I.
in
Notary/other
Reason:
3. If a court appearance is not required, I may enter a plea of guilty prior to the designated appearance date by delivery in person, or by agent, or by mail to the court specified by this citation.
Civil Damage Assessment Other
County of:
Officer's
Signature
Total Fine/Costs
HazMatEndReq?
Officer's
Signature
Non-scheduled Violation
X
ICISOrd.
at
Defendant, Last
at
COMPLAINT
PassEnd
Req?
Co. Enf. Surcharge
Middle
Notary/other
Signature
Dated
S81 URNS 140425 104644 3
*+S81URNS1404251046443+*
Citation #:
SAC COUNTY SHERIFF'S OFFICE
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
188AD4198 PRICE KRISTEN LACHELLE 4/11/1991 YES
B N
Ethnicity
50588-0000 STORM LAKE IA
204 W 8TH ST
5' 04" IA NONE FEMALE C NONE
04/25/2014 10:46 AM 2009 GRY TOYOTA -
TOYT
CORROLA 4D
2014 NO IA 559TTW
US 20 AND 230TH ST
65 75 $40.00
$14.00
$5.00
13
SPEEDING > 55 (6 THRU 10 OVER)
$60.00
321.285 321.285-G
$119.00
81-7
04/25/2014
04/25/2014
8:30 AM 05/19/2014
$148.50
SAC CITY - 6717 BURNS, JOEL
APRIL, 2014
25
NOTARY SAC COUNTY SHERIFF'S OFFICE
Continued to:
SURCHARGE $ FINED $
COURT NO.
Day
None
DATE:
GUILTY
NO JURY TRIAL or
PROCEEDING
DATE:
Date Signature, person taking bail
GUILTY
Citation#:
NOT GUILTY
LICENSE NO.
PLEA
Phone
REASON
The court Therefore Enters in Following Order This Date
FORFEIT BOND
Name
Days
STATE:
CASE NO.
School
CASE NO.
REASON
DOCKET NO.
Days:
JURY TRIAL
Address
ABSTRACT OF COURT RECORD
COST $
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
Signature, person giving bail
Mo.
Revo
TESTIMONY - JUDGE'S NOTES: (Other Orders)
DISMISSED
Iowa
WARRANT ISSUED
VERDICT
Incarceration in
Continued to: DATE:
BAIL CASH DEPOSIT
Yr.
Susp.
Other
OTHER DISPOSITION
Driver's License
Recommendation
NOT GUILTY
S81 URNS 140425 104644 3
E-FILED 2014 APR 25 12:16 PM SAC - CLERK OF DISTRICT COURT
E-FILED 2014 APR 28 2:45 PM SAC - CLERK OF DISTRICT COURT
E-FILED 2014 APR 28 2:45 PM SAC - CLERK OF DISTRICT COURT
Dated
Notary/other
Signature
Middle
Co. Enf. Surcharge
PassEnd
Req?
COMPLAINT
at
Defendant, Last
at
ICISOrd.
X
Non-scheduled Violation
Officer's
Signature
HazMatEndReq?
Total Fine/Costs
Officer's
Signature
County of:
Other Civil Damage Assessment
3. If a court appearance is not required, I may enter a plea of guilty prior to the designated appearance date by delivery in person, or by agent, or by mail to the court specified by this citation.
Reason:
Notary/other
in
Serious P.I.
Criminal Surcharge
Suffix
Scheduled Violation/Fine
State
defendant did unlawfully: Operate Motor Vehicle/Boat
First
2. I promise to appear in said court at said time and place. I understand that a person who willfully fails to appear in court as specified by this citation may be subject to arrest and/or loss of driving privileges.
State
DL Class
US DOT#
20
Dispatch/
Case#:
City of:
Signatureof
Defendant
Reference#:
I.D. No.
Lic. Plate #/REG ICC#
, Iowa I swear that the foregoing complaint is true and correct.
IOWA UNIFORM CITATION AND COMPLAINT
Address
DL#
DL End.
dollarsandentermywrittenappearance.IagreethatifIfailtoappearinpersonorbycounseltodefendagainsttheoffense
Year
CDL
Req?
Upon a public highway at
Sec #:
The undersigned states that on or about
The following applies to simple misdemeanors only:
Sex
Race
DL/StateID
Viewed?
Name
VS.
Court Appearance Required (805.10)
require an appearance, report to the above named court on:
Height
Local Ord.
DOB
Form420001E1/07
Zip Code
day of
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
Dated
DL Rest.
Fatal Accident
Located in the county and state aforesaid and did then and there commit the following offense:
In the Court at
DL State
Violation
Law Enforcement Agency -
NOTICE:ProvidingfalseidentificationinformationisaviolationofSection719.1Aof
theCodeofIowaandispunishableasasimplemisdemeanor.
Fed/AdmCode:
at
Subscribed and sworn to me by
ICISSec#:
4. I hereby give my unsecured appearance bond in the amount of
PLAINTIFF
My signature below is not a plea of guilty, but acknowledges all of the following:
1.Iherebyswearandaffirmthattheinformationprovidedbymeonthiscitationistrueunderpenaltyofprovidingfalseinformation.
Court Costs
Zone
City
Agency
Weight
Road Work Zone
this
State of Iowa
IACode:
Speed
Youherebyaregivennoticethatwithinareasonabletimebutnolaterthanthedatescheduledforyour
initialappearanceacitation/complaintswornunderoathwillbefiledwiththedistrictcourtclerkofthe
countyinwhichthiscitationwasissued.
chargedinthiscitation,thecourtisauthorizedtoenteraconvictionandrenderjudgmentagainstmefortheamountofmyappearancebondinsatisfactionofthepenaltyandsurchargepluscourtcost.
P06 5MAI 140429 202352 3
*+P065MAI1404292023523+*
Citation #:
IOWA STATE PATROL - DIST 06
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
601AH1067 SMIT KAYLYNN KRISTINE MCK 6/26/1997 YES
W N
Ethnicity
51025-0000 HOLSTEIN IA
1236 GERMAN AVE
5' 07" IA Y FEMALE C NONE
04/29/2014 8:23 PM 2003 SIL CHEVROL
ET - CHEV
TBZ SW
2014 NO IA 672XZL
110 / D15 NB LK74 NB 110
55 70 $80.00
$28.00
N/A
13
SPEEDING 55 OR < (11 THRU 15 OVER)
$60.00
321.285 321.285-C
$168.00
215
04/29/2014
04/29/2014
8:30 AM 05/19/2014
$222.00
STORM LAKE - 7422 MAIER, D
APRIL, 2014
29
TROOPER IOWA STATE PATROL - DIST 06
NOT GUILTY
Driver's License
Recommendation
OTHER DISPOSITION
Other
Susp.
Yr.
BAIL CASH DEPOSIT
DATE: Continued to:
Incarceration in
VERDICT
WARRANT ISSUED
Iowa
DISMISSED
TESTIMONY - JUDGE'S NOTES: (Other Orders)
Revo
Mo.
Signature, person giving bail
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
COST $
ABSTRACT OF COURT RECORD
Address
JURY TRIAL
Days:
DOCKET NO.
REASON
CASE NO.
School
CASE NO.
STATE:
Days
Name
FORFEIT BOND
The court Therefore Enters in Following Order This Date
REASON
Phone
PLEA
LICENSE NO.
NOT GUILTY
Citation#:
GUILTY
Signature, person taking bail Date
DATE:
NO JURY TRIAL or
PROCEEDING
GUILTY
DATE:
None
Day
COURT NO.
FINED $ SURCHARGE $
Continued to:
P06 5MAI 140429 202352 3
FILED 04/30/2014 06:54AM
CLERK DISTRICT COURT
SAC COUNTY IOWA
Dated
Notary/other
Signature
Middle
Co. Enf. Surcharge
PassEnd
Req?
COMPLAINT
at
Defendant, Last
at
ICISOrd.
X
Non-scheduled Violation
Officer's
Signature
HazMatEndReq?
Total Fine/Costs
Officer's
Signature
County of:
Other Civil Damage Assessment
3. If a court appearance is not required, I may enter a plea of guilty prior to the designated appearance date by delivery in person, or by agent, or by mail to the court specified by this citation.
Reason:
Notary/other
in
Serious P.I.
Criminal Surcharge
Suffix
Scheduled Violation/Fine
State
defendant did unlawfully: Operate Motor Vehicle/Boat
First
2. I promise to appear in said court at said time and place. I understand that a person who willfully fails to appear in court as specified by this citation may be subject to arrest and/or loss of driving privileges.
State
DL Class
US DOT#
20
Dispatch/
Case#:
City of:
Signatureof
Defendant
Reference#:
I.D. No.
Lic. Plate #/REG ICC#
, Iowa I swear that the foregoing complaint is true and correct.
IOWA UNIFORM CITATION AND COMPLAINT
Address
DL#
DL End.
dollarsandentermywrittenappearance.IagreethatifIfailtoappearinpersonorbycounseltodefendagainsttheoffense
Year
CDL
Req?
Upon a public highway at
Sec #:
The undersigned states that on or about
The following applies to simple misdemeanors only:
Sex
Race
DL/StateID
Viewed?
Name
VS.
Court Appearance Required (805.10)
require an appearance, report to the above named court on:
Height
Local Ord.
DOB
Form420001E1/07
Zip Code
day of
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
Dated
DL Rest.
Fatal Accident
Located in the county and state aforesaid and did then and there commit the following offense:
In the Court at
DL State
Violation
Law Enforcement Agency -
NOTICE:ProvidingfalseidentificationinformationisaviolationofSection719.1Aof
theCodeofIowaandispunishableasasimplemisdemeanor.
Fed/AdmCode:
at
Subscribed and sworn to me by
ICISSec#:
4. I hereby give my unsecured appearance bond in the amount of
PLAINTIFF
My signature below is not a plea of guilty, but acknowledges all of the following:
1.Iherebyswearandaffirmthattheinformationprovidedbymeonthiscitationistrueunderpenaltyofprovidingfalseinformation.
Court Costs
Zone
City
Agency
Weight
Road Work Zone
this
State of Iowa
IACode:
Speed
Youherebyaregivennoticethatwithinareasonabletimebutnolaterthanthedatescheduledforyour
initialappearanceacitation/complaintswornunderoathwillbefiledwiththedistrictcourtclerkofthe
countyinwhichthiscitationwasissued.
chargedinthiscitation,thecourtisauthorizedtoenteraconvictionandrenderjudgmentagainstmefortheamountofmyappearancebondinsatisfactionofthepenaltyandsurchargepluscourtcost.
P04 8MEA 140429 110119 6
*+P048MEA1404291101196+*
Citation #:
IOWA STATE PATROL - DIST 04
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
515YY5261 KEISER BRENT ALAN 10/27/1962 YES
W
Ethnicity
50579-0000 ROCKWELL CITY IA
912 RICHMOND ST
5' 09" IA 155 LBS NONE MALE A L
04/29/2014 11:01 AM 2013 WHI CHEVROL
ET - CHEV
SLV PK
2014 NO IA APK784
EAST OF WADSLEY AVE ON D036/255TH S
55 64 $40.00
$14.00
N/A
13
SPEEDING 55 OR < (R RATT SW WB NS 69)
$60.00
321.285 321.285-B
$114.00
068
04/29/2014
04/29/2014
8:30 AM 06/02/2014
$141.00
DENISON - 1920 MEADOWS, B
APRIL, 2014
30
OTHER IOWA STATE PATROL - DIST 04
NOT GUILTY
Driver's License
Recommendation
OTHER DISPOSITION
Other
Susp.
Yr.
BAIL CASH DEPOSIT
DATE: Continued to:
Incarceration in
VERDICT
WARRANT ISSUED
Iowa
DISMISSED
TESTIMONY - JUDGE'S NOTES: (Other Orders)
Revo
Mo.
Signature, person giving bail
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
COST $
ABSTRACT OF COURT RECORD
Address
JURY TRIAL
Days:
DOCKET NO.
REASON
CASE NO.
School
CASE NO.
STATE:
Days
Name
FORFEIT BOND
The court Therefore Enters in Following Order This Date
REASON
Phone
PLEA
LICENSE NO.
NOT GUILTY
Citation#:
GUILTY
Signature, person taking bail Date
DATE:
NO JURY TRIAL or
PROCEEDING
GUILTY
DATE:
None
Day
COURT NO.
FINED $ SURCHARGE $
Continued to:
P04 8MEA 140429 110119 6
FILED 04/30/2014 10:53AM
CLERK DISTRICT COURT
SAC COUNTY IOWA
Dated
Notary/other
Signature
Middle
Co. Enf. Surcharge
PassEnd
Req?
COMPLAINT
at
Defendant, Last
at
ICISOrd.
X
Non-scheduled Violation
Officer's
Signature
HazMatEndReq?
Total Fine/Costs
Officer's
Signature
County of:
Other Civil Damage Assessment
3. If a court appearance is not required, I may enter a plea of guilty prior to the designated appearance date by delivery in person, or by agent, or by mail to the court specified by this citation.
Reason:
Notary/other
in
Serious P.I.
Criminal Surcharge
Suffix
Scheduled Violation/Fine
State
defendant did unlawfully: Operate Motor Vehicle/Boat
First
2. I promise to appear in said court at said time and place. I understand that a person who willfully fails to appear in court as specified by this citation may be subject to arrest and/or loss of driving privileges.
State
DL Class
US DOT#
20
Dispatch/
Case#:
City of:
Signatureof
Defendant
Reference#:
I.D. No.
Lic. Plate #/REG ICC#
, Iowa I swear that the foregoing complaint is true and correct.
IOWA UNIFORM CITATION AND COMPLAINT
Address
DL#
DL End.
dollarsandentermywrittenappearance.IagreethatifIfailtoappearinpersonorbycounseltodefendagainsttheoffense
Year
CDL
Req?
Upon a public highway at
Sec #:
The undersigned states that on or about
The following applies to simple misdemeanors only:
Sex
Race
DL/StateID
Viewed?
Name
VS.
Court Appearance Required (805.10)
require an appearance, report to the above named court on:
Height
Local Ord.
DOB
Form420001E1/07
Zip Code
day of
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
Dated
DL Rest.
Fatal Accident
Located in the county and state aforesaid and did then and there commit the following offense:
In the Court at
DL State
Violation
Law Enforcement Agency -
NOTICE:ProvidingfalseidentificationinformationisaviolationofSection719.1Aof
theCodeofIowaandispunishableasasimplemisdemeanor.
Fed/AdmCode:
at
Subscribed and sworn to me by
ICISSec#:
4. I hereby give my unsecured appearance bond in the amount of
PLAINTIFF
My signature below is not a plea of guilty, but acknowledges all of the following:
1.Iherebyswearandaffirmthattheinformationprovidedbymeonthiscitationistrueunderpenaltyofprovidingfalseinformation.
Court Costs
Zone
City
Agency
Weight
Road Work Zone
this
State of Iowa
IACode:
Speed
Youherebyaregivennoticethatwithinareasonabletimebutnolaterthanthedatescheduledforyour
initialappearanceacitation/complaintswornunderoathwillbefiledwiththedistrictcourtclerkofthe
countyinwhichthiscitationwasissued.
chargedinthiscitation,thecourtisauthorizedtoenteraconvictionandrenderjudgmentagainstmefortheamountofmyappearancebondinsatisfactionofthepenaltyandsurchargepluscourtcost.
P06 5BRE 140502 113043 6
*+P065BRE1405021130436+*
Citation #:
IOWA STATE PATROL - DIST 06
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
034AA6993 LO HAK 4/26/1956 YES
A N
Ethnicity
50588-0000 STORM LAKE IA
1624 ROSE LN
5' 06" IA NONE MALE C NONE
05/02/2014 11:30 AM 2004 RED MERCEDE
S - MERZ
M35 SW
2014 NO IA 764WQB
M043/GARD AVE AND D015/190TH ST SB
$100.00
$35.00
N/A
13
FAIL TO OBEY STOP SIGN AND YIELD RIGHT OF WAY
$60.00
321.322 321.322(1)
$195.00
025
05/02/2014
05/02/2014
9:30 AM 06/09/2014
$262.50
ALTA - 0125 BRECHWALD, T
MAY, 2014
02
NOTARY IOWA STATE PATROL - DIST 06
NOT GUILTY
Driver's License
Recommendation
OTHER DISPOSITION
Other
Susp.
Yr.
BAIL CASH DEPOSIT
DATE: Continued to:
Incarceration in
VERDICT
WARRANT ISSUED
Iowa
DISMISSED
TESTIMONY - JUDGE'S NOTES: (Other Orders)
Revo
Mo.
Signature, person giving bail
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
COST $
ABSTRACT OF COURT RECORD
Address
JURY TRIAL
Days:
DOCKET NO.
REASON
CASE NO.
School
CASE NO.
STATE:
Days
Name
FORFEIT BOND
The court Therefore Enters in Following Order This Date
REASON
Phone
PLEA
LICENSE NO.
NOT GUILTY
Citation#:
GUILTY
Signature, person taking bail Date
DATE:
NO JURY TRIAL or
PROCEEDING
GUILTY
DATE:
None
Day
COURT NO.
FINED $ SURCHARGE $
Continued to:
P06 5BRE 140502 113043 6
FILED 05/02/2014 05:34PM
CLERK DISTRICT COURT
SAC COUNTY IOWA
Dated
Notary/other
Signature
Middle
Co. Enf. Surcharge
PassEnd
Req?
COMPLAINT
at
Defendant, Last
at
ICISOrd.
X
Non-scheduled Violation
Officer's
Signature
HazMatEndReq?
Total Fine/Costs
Officer's
Signature
County of:
Other Civil Damage Assessment
3. If a court appearance is not required, I may enter a plea of guilty prior to the designated appearance date by delivery in person, or by agent, or by mail to the court specified by this citation.
Reason:
Notary/other
in
Serious P.I.
Criminal Surcharge
Suffix
Scheduled Violation/Fine
State
defendant did unlawfully: Operate Motor Vehicle/Boat
First
2. I promise to appear in said court at said time and place. I understand that a person who willfully fails to appear in court as specified by this citation may be subject to arrest and/or loss of driving privileges.
State
DL Class
US DOT#
20
Dispatch/
Case#:
City of:
Signatureof
Defendant
Reference#:
I.D. No.
Lic. Plate #/REG ICC#
, Iowa I swear that the foregoing complaint is true and correct.
IOWA UNIFORM CITATION AND COMPLAINT
Address
DL#
DL End.
dollarsandentermywrittenappearance.IagreethatifIfailtoappearinpersonorbycounseltodefendagainsttheoffense
Year
CDL
Req?
Upon a public highway at
Sec #:
The undersigned states that on or about
The following applies to simple misdemeanors only:
Sex
Race
DL/StateID
Viewed?
Name
VS.
Court Appearance Required (805.10)
require an appearance, report to the above named court on:
Height
Local Ord.
DOB
Form420001E1/07
Zip Code
day of
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
Dated
DL Rest.
Fatal Accident
Located in the county and state aforesaid and did then and there commit the following offense:
In the Court at
DL State
Violation
Law Enforcement Agency -
NOTICE:ProvidingfalseidentificationinformationisaviolationofSection719.1Aof
theCodeofIowaandispunishableasasimplemisdemeanor.
Fed/AdmCode:
at
Subscribed and sworn to me by
ICISSec#:
4. I hereby give my unsecured appearance bond in the amount of
PLAINTIFF
My signature below is not a plea of guilty, but acknowledges all of the following:
1.Iherebyswearandaffirmthattheinformationprovidedbymeonthiscitationistrueunderpenaltyofprovidingfalseinformation.
Court Costs
Zone
City
Agency
Weight
Road Work Zone
this
State of Iowa
IACode:
Speed
Youherebyaregivennoticethatwithinareasonabletimebutnolaterthanthedatescheduledforyour
initialappearanceacitation/complaintswornunderoathwillbefiledwiththedistrictcourtclerkofthe
countyinwhichthiscitationwasissued.
chargedinthiscitation,thecourtisauthorizedtoenteraconvictionandrenderjudgmentagainstmefortheamountofmyappearancebondinsatisfactionofthepenaltyandsurchargepluscourtcost.
T01 T324 140429 161358 5
*+T01T3241404291613585+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
707YY0304 TIEFENTHALER ANDREW STEVEN 2/17/1984 YES
W N
Ethnicity
51025-0000 HOLSTEIN IA
213 HANOVER ST
6' 04" IA 300 LBS B MALE A LN
04/29/2014 4:00 PM 2010 RED PETERBIL
T - PTRB
TT
2014 YES NO NO IA VA6355 01211351 745870
44 - JCT HWY 71/20 EARLY
$155.00
$54.25
392.2-SLLEWA2
N/A
13
AXLE 2-7 O/W 3,260#'S, 85,260#'S
$60.00
321.463 321.463
$269.25
T324
04/29/2014
04/29/2014
8:30 AM 05/19/2014
$373.88
EARLY - 2200 DAGIT, JOSHUA
MAY, 2014
02
OTHER MOTOR VEHICLE ENFORCEMENT
NOT GUILTY
Driver's License
Recommendation
OTHER DISPOSITION
Other
Susp.
Yr.
BAIL CASH DEPOSIT
DATE: Continued to:
Incarceration in
VERDICT
WARRANT ISSUED
Iowa
DISMISSED
TESTIMONY - JUDGE'S NOTES: (Other Orders)
Revo
Mo.
Signature, person giving bail
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
COST $
ABSTRACT OF COURT RECORD
Address
JURY TRIAL
Days:
DOCKET NO.
REASON
CASE NO.
School
CASE NO.
STATE:
Days
Name
FORFEIT BOND
The court Therefore Enters in Following Order This Date
REASON
Phone
PLEA
LICENSE NO.
NOT GUILTY
Citation#:
GUILTY
Signature, person taking bail Date
DATE:
NO JURY TRIAL or
PROCEEDING
GUILTY
DATE:
None
Day
COURT NO.
FINED $ SURCHARGE $
Continued to:
T01 T324 140429 161358 5
FILED 05/03/2014 06:43AM
CLERK DISTRICT COURT
SAC COUNTY IOWA
chargedinthiscitation,thecourtisauthorizedtoenteraconvictionandrenderjudgmentagainstmefortheamountofmyappearancebondinsatisfactionofthepenaltyandsurchargepluscourtcost.
Youherebyaregivennoticethatwithinareasonabletimebutnolaterthanthedatescheduledforyour
initialappearanceacitation/complaintswornunderoathwillbefiledwiththedistrictcourtclerkofthe
countyinwhichthiscitationwasissued.
Speed
IACode:
State of Iowa
this
Road Work Zone
Weight
Agency
City
Zone
Court Costs
1.Iherebyswearandaffirmthattheinformationprovidedbymeonthiscitationistrueunderpenaltyofprovidingfalseinformation.
My signature below is not a plea of guilty, but acknowledges all of the following:
PLAINTIFF
4. I hereby give my unsecured appearance bond in the amount of
ICISSec#:
Subscribed and sworn to me by
at
Fed/AdmCode:
NOTICE:ProvidingfalseidentificationinformationisaviolationofSection719.1Aof
theCodeofIowaandispunishableasasimplemisdemeanor.
Law Enforcement Agency -
Violation
DL State
In the Court at
Located in the county and state aforesaid and did then and there commit the following offense:
Fatal Accident
DL Rest.
Dated
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
day of
Zip Code
Form420001E1/07
DOB
Local Ord.
Height
require an appearance, report to the above named court on:
Court Appearance Required (805.10)
VS.
Name
DL/StateID
Viewed?
Race
Sex
The following applies to simple misdemeanors only:
The undersigned states that on or about
Sec #:
Upon a public highway at
CDL
Req?
Year
dollarsandentermywrittenappearance.IagreethatifIfailtoappearinpersonorbycounseltodefendagainsttheoffense
DL End.
DL#
Address
IOWA UNIFORM CITATION AND COMPLAINT
I swear that the foregoing complaint is true and correct. , Iowa
ICC# Lic. Plate #/REG
I.D. No.
Reference#:
Signatureof
Defendant
City of:
Dispatch/
Case#:
20
US DOT#
DL Class
State
2. I promise to appear in said court at said time and place. I understand that a person who willfully fails to appear in court as specified by this citation may be subject to arrest and/or loss of driving privileges.
First
defendant did unlawfully: Operate Motor Vehicle/Boat
State
Scheduled Violation/Fine
Suffix
Criminal Surcharge
Serious P.I.
in
Notary/other
Reason:
3. If a court appearance is not required, I may enter a plea of guilty prior to the designated appearance date by delivery in person, or by agent, or by mail to the court specified by this citation.
Civil Damage Assessment Other
County of:
Officer's
Signature
Total Fine/Costs
HazMatEndReq?
Officer's
Signature
Non-scheduled Violation
X
ICISOrd.
at
Defendant, Last
at
COMPLAINT
PassEnd
Req?
Co. Enf. Surcharge
Middle
Notary/other
Signature
Dated
S81 IEDE 140503 223241 7
*+S81IEDE1405032232417+*
Citation #:
SAC COUNTY SHERIFF'S OFFICE
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
184AD1719 GALVIN JAKE PATRICK 11/17/1993 YES
W N
Ethnicity
51025-0000 HOLSTEIN IA
1990 GERMAN AVE
5' 11" IA 200 LBS NONE MALE A N
05/03/2014 10:32 PM 2008 RED FORD -
FORD
F35 PK
2014 NO IA 101REH
HANSON BLVD AND 2ND ST
$250.00
$87.50
$5.00
13
VIOLATION - FINANCIAL LIABILITY COVERAGE
$60.00
321.20B 321.20B-A
$402.50
81-4
05/03/2014
05/03/2014
8:30 AM 06/02/2014
$573.75
SAC CITY - 6717 BIEDE, MATT
MAY, 2014
03
NOTARY SAC COUNTY SHERIFF'S OFFICE
Continued to:
SURCHARGE $ FINED $
COURT NO.
Day
None
DATE:
GUILTY
NO JURY TRIAL or
PROCEEDING
DATE:
Date Signature, person taking bail
GUILTY
Citation#:
NOT GUILTY
LICENSE NO.
PLEA
Phone
REASON
The court Therefore Enters in Following Order This Date
FORFEIT BOND
Name
Days
STATE:
CASE NO.
School
CASE NO.
REASON
DOCKET NO.
Days:
JURY TRIAL
Address
ABSTRACT OF COURT RECORD
COST $
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
Signature, person giving bail
Mo.
Revo
TESTIMONY - JUDGE'S NOTES: (Other Orders)
DISMISSED
Iowa
WARRANT ISSUED
VERDICT
Incarceration in
Continued to: DATE:
BAIL CASH DEPOSIT
Yr.
Susp.
Other
OTHER DISPOSITION
Driver's License
Recommendation
NOT GUILTY
S81 IEDE 140503 223241 7
E-FILED 2014 MAY 05 8:23 AM SAC - CLERK OF DISTRICT COURT
chargedinthiscitation,thecourtisauthorizedtoenteraconvictionandrenderjudgmentagainstmefortheamountofmyappearancebondinsatisfactionofthepenaltyandsurchargepluscourtcost.
Youherebyaregivennoticethatwithinareasonabletimebutnolaterthanthedatescheduledforyour
initialappearanceacitation/complaintswornunderoathwillbefiledwiththedistrictcourtclerkofthe
countyinwhichthiscitationwasissued.
Speed
IACode:
State of Iowa
this
Road Work Zone
Weight
Agency
City
Zone
Court Costs
1.Iherebyswearandaffirmthattheinformationprovidedbymeonthiscitationistrueunderpenaltyofprovidingfalseinformation.
My signature below is not a plea of guilty, but acknowledges all of the following:
PLAINTIFF
4. I hereby give my unsecured appearance bond in the amount of
ICISSec#:
Subscribed and sworn to me by
at
Fed/AdmCode:
NOTICE:ProvidingfalseidentificationinformationisaviolationofSection719.1Aof
theCodeofIowaandispunishableasasimplemisdemeanor.
Law Enforcement Agency -
Violation
DL State
In the Court at
Located in the county and state aforesaid and did then and there commit the following offense:
Fatal Accident
DL Rest.
Dated
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
day of
Zip Code
Form420001E1/07
DOB
Local Ord.
Height
require an appearance, report to the above named court on:
Court Appearance Required (805.10)
VS.
Name
DL/StateID
Viewed?
Race
Sex
The following applies to simple misdemeanors only:
The undersigned states that on or about
Sec #:
Upon a public highway at
CDL
Req?
Year
dollarsandentermywrittenappearance.IagreethatifIfailtoappearinpersonorbycounseltodefendagainsttheoffense
DL End.
DL#
Address
IOWA UNIFORM CITATION AND COMPLAINT
I swear that the foregoing complaint is true and correct. , Iowa
ICC# Lic. Plate #/REG
I.D. No.
Reference#:
Signatureof
Defendant
City of:
Dispatch/
Case#:
20
US DOT#
DL Class
State
2. I promise to appear in said court at said time and place. I understand that a person who willfully fails to appear in court as specified by this citation may be subject to arrest and/or loss of driving privileges.
First
defendant did unlawfully: Operate Motor Vehicle/Boat
State
Scheduled Violation/Fine
Suffix
Criminal Surcharge
Serious P.I.
in
Notary/other
Reason:
3. If a court appearance is not required, I may enter a plea of guilty prior to the designated appearance date by delivery in person, or by agent, or by mail to the court specified by this citation.
Civil Damage Assessment Other
County of:
Officer's
Signature
Total Fine/Costs
HazMatEndReq?
Officer's
Signature
Non-scheduled Violation
X
ICISOrd.
at
Defendant, Last
at
COMPLAINT
PassEnd
Req?
Co. Enf. Surcharge
Middle
Notary/other
Signature
Dated
S81 KINE 140505 172739 4
*+S81KINE1405051727394+*
Citation #:
SAC COUNTY SHERIFF'S OFFICE
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
015AA1149 MUEGGENBERG ARLENE BERNADINE 3/12/1945 YES
W N
Ethnicity
51436-0000 BREDA IA
12435 FALCON AVE
5' 07" IA B FEMALE C NONE
05/05/2014 5:27 PM 2011 RED CHEVROL
ET - CHEV
EQX SW
2015 NO IA ACV980
STATE 196/UNION AVE
55 60 $20.00
$7.00
$5.00
13
SPEEDING 55 OR < (1 THRU 5 OVER)
$60.00
321.285 321.285-A
$92.00
81-8
05/05/2014
05/05/2014
8:30 AM 06/02/2014
$108.00
SAC CITY - 6717 ERSKINE, KRISTAN
MAY, 2014
05
NOTARY SAC COUNTY SHERIFF'S OFFICE
Continued to:
SURCHARGE $ FINED $
COURT NO.
Day
None
DATE:
GUILTY
NO JURY TRIAL or
PROCEEDING
DATE:
Date Signature, person taking bail
GUILTY
Citation#:
NOT GUILTY
LICENSE NO.
PLEA
Phone
REASON
The court Therefore Enters in Following Order This Date
FORFEIT BOND
Name
Days
STATE:
CASE NO.
School
CASE NO.
REASON
DOCKET NO.
Days:
JURY TRIAL
Address
ABSTRACT OF COURT RECORD
COST $
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
Signature, person giving bail
Mo.
Revo
TESTIMONY - JUDGE'S NOTES: (Other Orders)
DISMISSED
Iowa
WARRANT ISSUED
VERDICT
Incarceration in
Continued to: DATE:
BAIL CASH DEPOSIT
Yr.
Susp.
Other
OTHER DISPOSITION
Driver's License
Recommendation
NOT GUILTY
S81 KINE 140505 172739 4
E-FILED 2014 MAY 06 8:13 AM SAC - CLERK OF DISTRICT COURT
Dated
Notary/other
Signature
Middle
Co. Enf. Surcharge
PassEnd
Req?
COMPLAINT
at
Defendant, Last
at
ICISOrd.
X
Non-scheduled Violation
Officer's
Signature
HazMatEndReq?
Total Fine/Costs
Officer's
Signature
County of:
Other Civil Damage Assessment
3. If a court appearance is not required, I may enter a plea of guilty prior to the designated appearance date by delivery in person, or by agent, or by mail to the court specified by this citation.
Reason:
Notary/other
in
Serious P.I.
Criminal Surcharge
Suffix
Scheduled Violation/Fine
State
defendant did unlawfully: Operate Motor Vehicle/Boat
First
2. I promise to appear in said court at said time and place. I understand that a person who willfully fails to appear in court as specified by this citation may be subject to arrest and/or loss of driving privileges.
State
DL Class
US DOT#
20
Dispatch/
Case#:
City of:
Signatureof
Defendant
Reference#:
I.D. No.
Lic. Plate #/REG ICC#
, Iowa I swear that the foregoing complaint is true and correct.
IOWA UNIFORM CITATION AND COMPLAINT
Address
DL#
DL End.
dollarsandentermywrittenappearance.IagreethatifIfailtoappearinpersonorbycounseltodefendagainsttheoffense
Year
CDL
Req?
Upon a public highway at
Sec #:
The undersigned states that on or about
The following applies to simple misdemeanors only:
Sex
Race
DL/StateID
Viewed?
Name
VS.
Court Appearance Required (805.10)
require an appearance, report to the above named court on:
Height
Local Ord.
DOB
Form420001E1/07
Zip Code
day of
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
Dated
DL Rest.
Fatal Accident
Located in the county and state aforesaid and did then and there commit the following offense:
In the Court at
DL State
Violation
Law Enforcement Agency -
NOTICE:ProvidingfalseidentificationinformationisaviolationofSection719.1Aof
theCodeofIowaandispunishableasasimplemisdemeanor.
Fed/AdmCode:
at
Subscribed and sworn to me by
ICISSec#:
4. I hereby give my unsecured appearance bond in the amount of
PLAINTIFF
My signature below is not a plea of guilty, but acknowledges all of the following:
1.Iherebyswearandaffirmthattheinformationprovidedbymeonthiscitationistrueunderpenaltyofprovidingfalseinformation.
Court Costs
Zone
City
Agency
Weight
Road Work Zone
this
State of Iowa
IACode:
Speed
Youherebyaregivennoticethatwithinareasonabletimebutnolaterthanthedatescheduledforyour
initialappearanceacitation/complaintswornunderoathwillbefiledwiththedistrictcourtclerkofthe
countyinwhichthiscitationwasissued.
chargedinthiscitation,thecourtisauthorizedtoenteraconvictionandrenderjudgmentagainstmefortheamountofmyappearancebondinsatisfactionofthepenaltyandsurchargepluscourtcost.
P06 5MAI 140507 072115 4
*+P065MAI1405070721154+*
Citation #:
IOWA STATE PATROL - DIST 06
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
811ZZ0386 WILLER ANGELA CAROL 1/6/1983 YES
W N
Ethnicity
50588-0000 STORM LAKE IA
5936 HIGHWAY 71
5' 06" IA NONE FEMALE C NONE
05/07/2014 7:21 AM 2012 WHI CHEVROL
ET - CHEV
CTV SW
2015 NO IA WILLSO1
D015 1-1/2 WEST 71 WB OV LK68
55 65 $40.00
$14.00
N/A
13
SPEEDING 55 OR < (6 THRU 10 OVER)
$60.00
321.285 321.285-B
$114.00
215
05/07/2014
05/07/2014
8:30 AM 06/09/2014
$141.00
STORM LAKE - 7422 MAIER, D
MAY, 2014
07
TROOPER IOWA STATE PATROL - DIST 06
NOT GUILTY
Driver's License
Recommendation
OTHER DISPOSITION
Other
Susp.
Yr.
BAIL CASH DEPOSIT
DATE: Continued to:
Incarceration in
VERDICT
WARRANT ISSUED
Iowa
DISMISSED
TESTIMONY - JUDGE'S NOTES: (Other Orders)
Revo
Mo.
Signature, person giving bail
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
COST $
ABSTRACT OF COURT RECORD
Address
JURY TRIAL
Days:
DOCKET NO.
REASON
CASE NO.
School
CASE NO.
STATE:
Days
Name
FORFEIT BOND
The court Therefore Enters in Following Order This Date
REASON
Phone
PLEA
LICENSE NO.
NOT GUILTY
Citation#:
GUILTY
Signature, person taking bail Date
DATE:
NO JURY TRIAL or
PROCEEDING
GUILTY
DATE:
None
Day
COURT NO.
FINED $ SURCHARGE $
Continued to:
P06 5MAI 140507 072115 4
FILED 05/07/2014 11:54AM
CLERK DISTRICT COURT
SAC COUNTY IOWA
Dated
Notary/other
Signature
Middle
Co. Enf. Surcharge
PassEnd
Req?
COMPLAINT
at
Defendant, Last
at
ICISOrd.
X
Non-scheduled Violation
Officer's
Signature
HazMatEndReq?
Total Fine/Costs
Officer's
Signature
County of:
Other Civil Damage Assessment
3. If a court appearance is not required, I may enter a plea of guilty prior to the designated appearance date by delivery in person, or by agent, or by mail to the court specified by this citation.
Reason:
Notary/other
in
Serious P.I.
Criminal Surcharge
Suffix
Scheduled Violation/Fine
State
defendant did unlawfully: Operate Motor Vehicle/Boat
First
2. I promise to appear in said court at said time and place. I understand that a person who willfully fails to appear in court as specified by this citation may be subject to arrest and/or loss of driving privileges.
State
DL Class
US DOT#
20
Dispatch/
Case#:
City of:
Signatureof
Defendant
Reference#:
I.D. No.
Lic. Plate #/REG ICC#
, Iowa I swear that the foregoing complaint is true and correct.
IOWA UNIFORM CITATION AND COMPLAINT
Address
DL#
DL End.
dollarsandentermywrittenappearance.IagreethatifIfailtoappearinpersonorbycounseltodefendagainsttheoffense
Year
CDL
Req?
Upon a public highway at
Sec #:
The undersigned states that on or about
The following applies to simple misdemeanors only:
Sex
Race
DL/StateID
Viewed?
Name
VS.
Court Appearance Required (805.10)
require an appearance, report to the above named court on:
Height
Local Ord.
DOB
Form420001E1/07
Zip Code
day of
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
Dated
DL Rest.
Fatal Accident
Located in the county and state aforesaid and did then and there commit the following offense:
In the Court at
DL State
Violation
Law Enforcement Agency -
NOTICE:ProvidingfalseidentificationinformationisaviolationofSection719.1Aof
theCodeofIowaandispunishableasasimplemisdemeanor.
Fed/AdmCode:
at
Subscribed and sworn to me by
ICISSec#:
4. I hereby give my unsecured appearance bond in the amount of
PLAINTIFF
My signature below is not a plea of guilty, but acknowledges all of the following:
1.Iherebyswearandaffirmthattheinformationprovidedbymeonthiscitationistrueunderpenaltyofprovidingfalseinformation.
Court Costs
Zone
City
Agency
Weight
Road Work Zone
this
State of Iowa
IACode:
Speed
Youherebyaregivennoticethatwithinareasonabletimebutnolaterthanthedatescheduledforyour
initialappearanceacitation/complaintswornunderoathwillbefiledwiththedistrictcourtclerkofthe
countyinwhichthiscitationwasissued.
chargedinthiscitation,thecourtisauthorizedtoenteraconvictionandrenderjudgmentagainstmefortheamountofmyappearancebondinsatisfactionofthepenaltyandsurchargepluscourtcost.
T01 T319 140505 145454 5
*+T01T3191405051454545+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
706YY9438 SMITH MATTHEW J 12/23/1984 NO
W N
Ethnicity
50588 STORM LAKE IA
215 IRVING ST
6' 00" IA 205 LBS NONE MALE A NONE
05/05/2014 2:36 PM 1997 WHI MACK -
MACK
TT-ST
2014 YES NO NO IA 960ZXQ
44 - JCT HWY 71/20 EARLY
$50.00
$17.50
396.3A1BOS
N/A
13
BRAKES OUT OF ADJUSTMENT 2 OF 6 BRAKES OUT OF ADJUSTMENT
$60.00
321.449 321.449-A
$127.50
T319
05/05/2014
05/05/2014
8:30 AM 06/02/2014
$161.25
EARLY - 2200 LAAKE, PAUL
MAY, 2014
06
OTHER MOTOR VEHICLE ENFORCEMENT
NOT GUILTY
Driver's License
Recommendation
OTHER DISPOSITION
Other
Susp.
Yr.
BAIL CASH DEPOSIT
DATE: Continued to:
Incarceration in
VERDICT
WARRANT ISSUED
Iowa
DISMISSED
TESTIMONY - JUDGE'S NOTES: (Other Orders)
Revo
Mo.
Signature, person giving bail
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
COST $
ABSTRACT OF COURT RECORD
Address
JURY TRIAL
Days:
DOCKET NO.
REASON
CASE NO.
School
CASE NO.
STATE:
Days
Name
FORFEIT BOND
The court Therefore Enters in Following Order This Date
REASON
Phone
PLEA
LICENSE NO.
NOT GUILTY
Citation#:
GUILTY
Signature, person taking bail Date
DATE:
NO JURY TRIAL or
PROCEEDING
GUILTY
DATE:
None
Day
COURT NO.
FINED $ SURCHARGE $
Continued to:
T01 T319 140505 145454 5
FILED 05/07/2014 07:00PM
CLERK DISTRICT COURT
SAC COUNTY IOWA
Dated
Notary/other
Signature
Middle
Co. Enf. Surcharge
PassEnd
Req?
COMPLAINT
at
Defendant, Last
at
ICISOrd.
X
Non-scheduled Violation
Officer's
Signature
HazMatEndReq?
Total Fine/Costs
Officer's
Signature
County of:
Other Civil Damage Assessment
3. If a court appearance is not required, I may enter a plea of guilty prior to the designated appearance date by delivery in person, or by agent, or by mail to the court specified by this citation.
Reason:
Notary/other
in
Serious P.I.
Criminal Surcharge
Suffix
Scheduled Violation/Fine
State
defendant did unlawfully: Operate Motor Vehicle/Boat
First
2. I promise to appear in said court at said time and place. I understand that a person who willfully fails to appear in court as specified by this citation may be subject to arrest and/or loss of driving privileges.
State
DL Class
US DOT#
20
Dispatch/
Case#:
City of:
Signatureof
Defendant
Reference#:
I.D. No.
Lic. Plate #/REG ICC#
, Iowa I swear that the foregoing complaint is true and correct.
IOWA UNIFORM CITATION AND COMPLAINT
Address
DL#
DL End.
dollarsandentermywrittenappearance.IagreethatifIfailtoappearinpersonorbycounseltodefendagainsttheoffense
Year
CDL
Req?
Upon a public highway at
Sec #:
The undersigned states that on or about
The following applies to simple misdemeanors only:
Sex
Race
DL/StateID
Viewed?
Name
VS.
Court Appearance Required (805.10)
require an appearance, report to the above named court on:
Height
Local Ord.
DOB
Form420001E1/07
Zip Code
day of
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
Dated
DL Rest.
Fatal Accident
Located in the county and state aforesaid and did then and there commit the following offense:
In the Court at
DL State
Violation
Law Enforcement Agency -
NOTICE:ProvidingfalseidentificationinformationisaviolationofSection719.1Aof
theCodeofIowaandispunishableasasimplemisdemeanor.
Fed/AdmCode:
at
Subscribed and sworn to me by
ICISSec#:
4. I hereby give my unsecured appearance bond in the amount of
PLAINTIFF
My signature below is not a plea of guilty, but acknowledges all of the following:
1.Iherebyswearandaffirmthattheinformationprovidedbymeonthiscitationistrueunderpenaltyofprovidingfalseinformation.
Court Costs
Zone
City
Agency
Weight
Road Work Zone
this
State of Iowa
IACode:
Speed
Youherebyaregivennoticethatwithinareasonabletimebutnolaterthanthedatescheduledforyour
initialappearanceacitation/complaintswornunderoathwillbefiledwiththedistrictcourtclerkofthe
countyinwhichthiscitationwasissued.
chargedinthiscitation,thecourtisauthorizedtoenteraconvictionandrenderjudgmentagainstmefortheamountofmyappearancebondinsatisfactionofthepenaltyandsurchargepluscourtcost.
T01 T142 140501 112909 8
*+T01T1421405011129098+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
706XX8016 CONOVER ERIC WAYNE 7/29/1986 YES
W N
Ethnicity
51025-0000 HOLSTEIN IA
118 S ALTONA ST
6' 00" IA 150 LBS NONE MALE A LN
05/01/2014 10:55 AM 2009 GRY PETERBIL
T - PTRB
TT/ST
2014 YES NO NO IA VA1753 02131872 787829
SB M43
$155.00
$54.25
392.2-SLLEWA1
N/A
13
OW ON TANDEM AXLES 5 & 6 BY 2,160 LBS (36,160 LBS) WHL BSE 5 FT
$60.00
321.463 321.463
$269.25
T142
05/01/2014
05/01/2014
8:30 AM 05/19/2014
$373.88
EARLY - 2200 PEREZ, WILLIAM
MAY, 2014
08
OTHER MOTOR VEHICLE ENFORCEMENT
NOT GUILTY
Driver's License
Recommendation
OTHER DISPOSITION
Other
Susp.
Yr.
BAIL CASH DEPOSIT
DATE: Continued to:
Incarceration in
VERDICT
WARRANT ISSUED
Iowa
DISMISSED
TESTIMONY - JUDGE'S NOTES: (Other Orders)
Revo
Mo.
Signature, person giving bail
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
COST $
ABSTRACT OF COURT RECORD
Address
JURY TRIAL
Days:
DOCKET NO.
REASON
CASE NO.
School
CASE NO.
STATE:
Days
Name
FORFEIT BOND
The court Therefore Enters in Following Order This Date
REASON
Phone
PLEA
LICENSE NO.
NOT GUILTY
Citation#:
GUILTY
Signature, person taking bail Date
DATE:
NO JURY TRIAL or
PROCEEDING
GUILTY
DATE:
None
Day
COURT NO.
FINED $ SURCHARGE $
Continued to:
T01 T142 140501 112909 8
FILED 05/08/2014 06:33PM
CLERK DISTRICT COURT
SAC COUNTY IOWA
Dated
Notary/other
Signature
Middle
Co. Enf. Surcharge
PassEnd
Req?
COMPLAINT
at
Defendant, Last
at
ICISOrd.
X
Non-scheduled Violation
Officer's
Signature
HazMatEndReq?
Total Fine/Costs
Officer's
Signature
County of:
Other Civil Damage Assessment
3. If a court appearance is not required, I may enter a plea of guilty prior to the designated appearance date by delivery in person, or by agent, or by mail to the court specified by this citation.
Reason:
Notary/other
in
Serious P.I.
Criminal Surcharge
Suffix
Scheduled Violation/Fine
State
defendant did unlawfully: Operate Motor Vehicle/Boat
First
2. I promise to appear in said court at said time and place. I understand that a person who willfully fails to appear in court as specified by this citation may be subject to arrest and/or loss of driving privileges.
State
DL Class
US DOT#
20
Dispatch/
Case#:
City of:
Signatureof
Defendant
Reference#:
I.D. No.
Lic. Plate #/REG ICC#
, Iowa I swear that the foregoing complaint is true and correct.
IOWA UNIFORM CITATION AND COMPLAINT
Address
DL#
DL End.
dollarsandentermywrittenappearance.IagreethatifIfailtoappearinpersonorbycounseltodefendagainsttheoffense
Year
CDL
Req?
Upon a public highway at
Sec #:
The undersigned states that on or about
The following applies to simple misdemeanors only:
Sex
Race
DL/StateID
Viewed?
Name
VS.
Court Appearance Required (805.10)
require an appearance, report to the above named court on:
Height
Local Ord.
DOB
Form420001E1/07
Zip Code
day of
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
Dated
DL Rest.
Fatal Accident
Located in the county and state aforesaid and did then and there commit the following offense:
In the Court at
DL State
Violation
Law Enforcement Agency -
NOTICE:ProvidingfalseidentificationinformationisaviolationofSection719.1Aof
theCodeofIowaandispunishableasasimplemisdemeanor.
Fed/AdmCode:
at
Subscribed and sworn to me by
ICISSec#:
4. I hereby give my unsecured appearance bond in the amount of
PLAINTIFF
My signature below is not a plea of guilty, but acknowledges all of the following:
1.Iherebyswearandaffirmthattheinformationprovidedbymeonthiscitationistrueunderpenaltyofprovidingfalseinformation.
Court Costs
Zone
City
Agency
Weight
Road Work Zone
this
State of Iowa
IACode:
Speed
Youherebyaregivennoticethatwithinareasonabletimebutnolaterthanthedatescheduledforyour
initialappearanceacitation/complaintswornunderoathwillbefiledwiththedistrictcourtclerkofthe
countyinwhichthiscitationwasissued.
chargedinthiscitation,thecourtisauthorizedtoenteraconvictionandrenderjudgmentagainstmefortheamountofmyappearancebondinsatisfactionofthepenaltyandsurchargepluscourtcost.
T01 T142 140501 112820 7
*+T01T1421405011128207+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
706XX8016 CONOVER ERIC WAYNE 7/29/1986 YES
W N
Ethnicity
51025-0000 HOLSTEIN IA
118 S ALTONA ST
6' 00" IA 150 LBS NONE MALE A LN
05/01/2014 10:55 AM 2009 GRY PETERBIL
T - PTRB
TT/ST
2014 YES NO NO IA VA1753 02131872 787829
SB M43
$375.00
$131.25
392.2-SLLEWA2
N/A
13
OW ON TRIPLE AXLES 5-7 BY 4,600 LBS (48,100 LBS) WHL BSE 10 FT
$60.00
321.463 321.463
$566.25
T142
05/01/2014
05/01/2014
8:30 AM 05/19/2014
$819.38
EARLY - 2200 PEREZ, WILLIAM
MAY, 2014
08
OTHER MOTOR VEHICLE ENFORCEMENT
NOT GUILTY
Driver's License
Recommendation
OTHER DISPOSITION
Other
Susp.
Yr.
BAIL CASH DEPOSIT
DATE: Continued to:
Incarceration in
VERDICT
WARRANT ISSUED
Iowa
DISMISSED
TESTIMONY - JUDGE'S NOTES: (Other Orders)
Revo
Mo.
Signature, person giving bail
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
COST $
ABSTRACT OF COURT RECORD
Address
JURY TRIAL
Days:
DOCKET NO.
REASON
CASE NO.
School
CASE NO.
STATE:
Days
Name
FORFEIT BOND
The court Therefore Enters in Following Order This Date
REASON
Phone
PLEA
LICENSE NO.
NOT GUILTY
Citation#:
GUILTY
Signature, person taking bail Date
DATE:
NO JURY TRIAL or
PROCEEDING
GUILTY
DATE:
None
Day
COURT NO.
FINED $ SURCHARGE $
Continued to:
T01 T142 140501 112820 7
FILED 05/08/2014 06:35PM
CLERK DISTRICT COURT
SAC COUNTY IOWA
Dated
Notary/other
Signature
Middle
Co. Enf. Surcharge
PassEnd
Req?
COMPLAINT
at
Defendant, Last
at
ICISOrd.
X
Non-scheduled Violation
Officer's
Signature
HazMatEndReq?
Total Fine/Costs
Officer's
Signature
County of:
Other Civil Damage Assessment
3. If a court appearance is not required, I may enter a plea of guilty prior to the designated appearance date by delivery in person, or by agent, or by mail to the court specified by this citation.
Reason:
Notary/other
in
Serious P.I.
Criminal Surcharge
Suffix
Scheduled Violation/Fine
State
defendant did unlawfully: Operate Motor Vehicle/Boat
First
2. I promise to appear in said court at said time and place. I understand that a person who willfully fails to appear in court as specified by this citation may be subject to arrest and/or loss of driving privileges.
State
DL Class
US DOT#
20
Dispatch/
Case#:
City of:
Signatureof
Defendant
Reference#:
I.D. No.
Lic. Plate #/REG ICC#
, Iowa I swear that the foregoing complaint is true and correct.
IOWA UNIFORM CITATION AND COMPLAINT
Address
DL#
DL End.
dollarsandentermywrittenappearance.IagreethatifIfailtoappearinpersonorbycounseltodefendagainsttheoffense
Year
CDL
Req?
Upon a public highway at
Sec #:
The undersigned states that on or about
The following applies to simple misdemeanors only:
Sex
Race
DL/StateID
Viewed?
Name
VS.
Court Appearance Required (805.10)
require an appearance, report to the above named court on:
Height
Local Ord.
DOB
Form420001E1/07
Zip Code
day of
Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
Dated
DL Rest.
Fatal Accident
Located in the county and state aforesaid and did then and there commit the following offense:
In the Court at
DL State
Violation
Law Enforcement Agency -
NOTICE:ProvidingfalseidentificationinformationisaviolationofSection719.1Aof
theCodeofIowaandispunishableasasimplemisdemeanor.
Fed/AdmCode:
at
Subscribed and sworn to me by
ICISSec#:
4. I hereby give my unsecured appearance bond in the amount of
PLAINTIFF
My signature below is not a plea of guilty, but acknowledges all of the following:
1.Iherebyswearandaffirmthattheinformationprovidedbymeonthiscitationistrueunderpenaltyofprovidingfalseinformation.
Court Costs
Zone
City
Agency
Weight
Road Work Zone
this
State of Iowa
IACode:
Speed
Youherebyaregivennoticethatwithinareasonabletimebutnolaterthanthedatescheduledforyour
initialappearanceacitation/complaintswornunderoathwillbefiledwiththedistrictcourtclerkofthe
countyinwhichthiscitationwasissued.
chargedinthiscitation,thecourtisauthorizedtoenteraconvictionandrenderjudgmentagainstmefortheamountofmyappearancebondinsatisfactionofthepenaltyandsurchargepluscourtcost.
T01 T142 140501 112643 6
*+T01T1421405011126436+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
706XX8016 CONOVER ERIC WAYNE 7/29/1986 YES
W N
Ethnicity
51025-0000 HOLSTEIN IA
118 S ALTONA ST
6' 00" IA 150 LBS NONE MALE A LN
05/01/2014 10:55 AM 2009 GRY PETERBIL
T - PTRB
TT/ST
2014 YES NO NO IA VA1753 02131872 787829
SB M43
$155.00
$54.25
392.2-SLLEWA2
N/A
13
OW ON BRIDGE AXLES 2-7 BY 2,940 LBS (86,940 LBS) WH BSE 50 FT
$60.00
321.463 321.463
$269.25
T142
05/01/2014
05/01/2014
8:30 AM 05/19/2014
$373.88
EARLY - 2200 PEREZ, WILLIAM
MAY, 2014
08
OTHER MOTOR VEHICLE ENFORCEMENT
NOT GUILTY
Driver's License
Recommendation
OTHER DISPOSITION
Other
Susp.
Yr.
BAIL CASH DEPOSIT
DATE: Continued to:
Incarceration in
VERDICT
WARRANT ISSUED
Iowa
DISMISSED
TESTIMONY - JUDGE'S NOTES: (Other Orders)
Revo
Mo.
Signature, person giving bail
TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:
COST $
ABSTRACT OF COURT RECORD
Address
JURY TRIAL
Days:
DOCKET NO.
REASON
CASE NO.
School
CASE NO.
STATE:
Days
Name
FORFEIT BOND
The court Therefore Enters in Following Order This Date
REASON
Phone
PLEA
LICENSE NO.
NOT GUILTY
Citation#:
GUILTY
Signature, person taking bail Date
DATE:
NO JURY TRIAL or
PROCEEDING
GUILTY
DATE:
None
Day
COURT NO.
FINED $ SURCHARGE $
Continued to:
T01 T142 140501 112643 6
FILED 05/08/2014 06:48PM
CLERK DISTRICT COURT
SAC COUNTY IOWA