State of Iowa
Road Work ZoneWeight
My signature below is not a plea of guilty, but acknowledges all of the following:
4. I hereby give my unsecured appearance bond in the amount of
Subscribed and sworn to me by
Law Enforcement Agency -ViolationDL StateIn the Court atLocated in the county and state aforesaid and did then and there commit the following offense:Fatal AccidentDL Rest.DatedCourt Date: If you must appear in court or if you choose to appear to answer to a charge which does not
DOBLocal Ord.Heightrequire an appearance, report to the above named court on:Court Appearance Required (805.10)VS.Name
The following applies to simple misdemeanors only:
The undersigned states that on or aboutSec #:Upon a public highway at
DL End.DL# Address
IOWA UNIFORM CITATION AND COMPLAINT
I swear that the foregoing complaint is true and correct., Iowa
ICC#Lic. Plate #/REGI.D. No.
20US DOT#DL ClassState
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.
Firstdefendant did unlawfully: Operate Motor Vehicle/BoatStateScheduled Violation/FineSuffixCriminal SurchargeSerious P.I.in
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 AssessmentOther County of:
Co. Enf. SurchargeMiddle
S81 RMAN 130815 200212 3
SAC COUNTY SHERIFF'S OFFICE
SAC - 81SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12SAC CITYIA50583
50583-0000SAC CITYIA1100 HOBBS ST6' 01"IAYMALECNONE08/15/20138:02 PM2000BLUFORD -F25PK 2013NOIAAUC8405TH AND MELROSE ST$35.00$12.25$5.0013CARELESS DRIVING$60.00321.277A321.277A$112.2581-508/15/201308/15/20138:30 AM09/16/2013$138.38SAC CITY - 6717HATTERMAN, JOHNAUGUST, 201315NOTARYSAC COUNTY SHERIFF'S OFFICE
Continued to:SURCHARGE $FINED $COURT NO.
NoneDATE:GUILTYNO JURY TRIAL or PROCEEDINGDATE:
DateSignature, person taking bail
NOT GUILTYLICENSE NO.PLEA
REASONThe court Therefore Enters in Following Order This DateFORFEIT BOND
DaysSTATE:CASE NO.SchoolCASE NO.REASONDOCKET NO.Days:JURY TRIAL
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 bailMo.
RevoTESTIMONY - JUDGE'S NOTES: (Other Orders)DISMISSEDIowaWARRANT ISSUEDVERDICTIncarceration inContinued to:DATE:BAIL CASH DEPOSIT
Susp.Other OTHER DISPOSITIONDriver's LicenseRecommendationNOT GUILTY
S81 RMAN 130815 200212 3
E-FILED 2013 AUG 16 8:30 AM SAC - CLERK OF DISTRICT COURT