Dispatch /

Case #:

COMPLAINT
Form 420001E 1/07
PLAINTIFF

Reference #:

Law Enforcement Agency -

IOWA STATE PATROL - DIST 04

City of:

SAC CITY

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12

CLARK

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

P04 5CLA 150303 172326 8

Citation #:

JOSHUA

Defendant, Last

First

Address 1202 PRAIRIE ST

DL Class

The undersigned states that on or about

US DOT#

03/03/2015

$20.00

Criminal Surcharge

$7.00

Co. Enf. Surcharge

N/A

Court Costs

$60.00

Total Fine/Costs

$87.00

Court Appearance Required (805.10)

Reason:

Height

Serious P.I.

2013 SIL

Race W

67501
6' 00"

Ethnicity N

Weight 155 LBS

FORD FORD
Pass
End

Sex MALE

FOCUS

4 DR

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

IA

State

Upon a public highway at HWY 20 WB E/ M31 (QUAIL)

Scheduled Violation/Fine

Zip Code

DL Rest. NONE

defendant did unlawfully: Operate Motor Vehicle/Boat

Lic. Plate #/REG 551EAU

ICC#

State KS

HUTCHINSON
DL End. NONE

at 5:23 PM

DOB 1/14/1981

Suffix

City

DL State KS

50583
DL/State ID
Viewed?
YES

K01328047

DL#

Middle

IA

Year 2008

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

55

Zone

IA Code: 20 15

ICIS Sec #: 321.285-A

ICIS Ord.

Local Ord.

I.D. No. 035

Officer's
Signature

in

Fed/Adm Code:

Violation SPEEDING 55 OR < (FA 74 RA 68

Sec #: 321.285

60

NOTICE: Providing false identification information is a violation of Section 719.1A of

the Code of Iowa and is punishable as a simple misdemeanor.

Dated 03/03/2015

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:
04/06/2015 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.

*+P045CLA1503031723268+*
Dated

Signature of
Defendant

03/03/2015

I swear that the foregoing complaint is true and correct.

this

06

day of

Agency

Officer's
Signature

IOWA STATE PATROL - DIST 04

ABSTRACT OF COURT RECORD

COURT NO.

CASE NO.

DOCKET NO.
LICENSE NO.

CASE NO.
STATE:

NO JURY TRIAL or
PROCEEDING

OTHER

P04 5CLA 150303 172326 8

TESTIMONY - JUDGE'S NOTES: (Other Orders)

Iowa

FILED 03/07/2015 11:58AM

CLERK DISTRICT COURT
SAC COUNTY IOWA

BAIL CASH DEPOSIT

VERDICT

GUILTY
NOT GUILTY

GUILTY
NOT GUILTY
Date

DISMISSED

Signature, person giving bail

Driver's License
Recommendation

OTHER DISPOSITION

None

School

Signature, person taking bail

Susp.

Revo

The court Therefore Enters in Following Order This Date

Mo.

FINED $
Incarceration in

SURCHARGE $

Day

COST $
Days:

Yr.

, Iowa

Notary/other

Other

PLEA

MISSOURI VALLEY - 5130

Notary/other
Signature

Citation #:

FORFEIT BOND

JURY TRIAL

at

CLAYTON, G
MARCH, 2015

Subscribed and sworn to me by

DATE:

Continued to:

REASON

DATE:

Continued to:

REASON

DATE:

WARRANT ISSUED

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

Days

Dispatch /
Case #:

COMPLAINT
Form 420001E 1/07
PLAINTIFF

Reference #: XXDB1J3

Law Enforcement Agency -

SAC CITY POLICE DEPARTMENT

City of:

SAC CITY

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12

KIRCHNER

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

762 TZER 150307 142711 0

Citation #:

KYLE

Defendant, Last

THOMAS

First

Address 305 W RAILROAD ST

DL Class

The undersigned states that on or about

US DOT#

03/07/2015

$110.00

Criminal Surcharge

$38.50

Co. Enf. Surcharge

N/A

Court Costs

$60.00

Total Fine/Costs

$208.50

Court Appearance Required (805.10)

Reason:

Height

Serious P.I.

2005 BLU

Race W
51025-0000
6' 03"
Weight

Ethnicity N
Sex MALE

CHEVROL CBT
ET -End
CHEV
Pass

4D

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

IA

State

Upon a public highway at 400 BLOCK SOUTH 16TH STREET

Scheduled Violation/Fine

Zip Code

DL Rest. NONE

defendant did unlawfully: Operate Motor Vehicle/Boat

Lic. Plate #/REG 609ZIQ

ICC#

State IA

HOLSTEIN
DL End. NONE

at 2:27 PM

DOB 7/30/1992

Suffix

City

DL State IA

50583
DL/State ID
Viewed?
YES

473AF4980

DL#

Middle

IA

Year 2015

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

ICIS Sec #: 321.285-E

25

Zone

IA Code: 20 15
ICIS Ord.

Local Ord.

I.D. No. 81-23

Officer's
Signature

in

Fed/Adm Code:

Violation SPEEDING 55 OR < (20 MPH OVER + $5.00 EA. MILE)

Sec #: 321.285

47

NOTICE: Providing false identification information is a violation of Section 719.1A of

the Code of Iowa and is punishable as a simple misdemeanor.

Dated 03/07/2015

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:
03/30/2015 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:

$282.75
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.

*+762TZER1503071427110+*
Dated

Signature of
Defendant

03/07/2015

I swear that the foregoing complaint is true and correct.

this

07

day of

Agency

Officer's
Signature

SAC CITY POLICE DEPARTMENT

ABSTRACT OF COURT RECORD

COURT NO.

CASE NO.

DOCKET NO.
LICENSE NO.

CASE NO.
STATE:

NO JURY TRIAL or
PROCEEDING

Notary/other

OTHER

762 TZER 150307 142711 0

TESTIMONY - JUDGE'S NOTES: (Other Orders)

Iowa

FILED 03/07/2015 04:39PM

CLERK DISTRICT COURT
SAC COUNTY IOWA

Other
BAIL CASH DEPOSIT
PLEA

VERDICT

GUILTY
NOT GUILTY

GUILTY
NOT GUILTY
Date

DISMISSED

Signature, person giving bail

Driver's License
Recommendation

OTHER DISPOSITION

None

School

Signature, person taking bail

Susp.

Revo

The court Therefore Enters in Following Order This Date

Mo.

FINED $
Incarceration in

SURCHARGE $

, Iowa

SAC CITY - 6717

Notary/other
Signature

Citation #:

FORFEIT BOND

JURY TRIAL

at

MENTZER, BRIAN
MARCH, 2015

Subscribed and sworn to me by

Day

COST $
Days:

Yr.

DATE:

Continued to:

REASON

DATE:

Continued to:

REASON

DATE:

WARRANT ISSUED

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

Days

Dispatch /
Case #:

COMPLAINT
Form 420001E 1/07
PLAINTIFF

Reference #: XXDB1J4

Law Enforcement Agency -

SAC CITY POLICE DEPARTMENT

City of:

SAC CITY

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12

HAMMOND

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

762 TZER 150307 184553 1

Citation #:

CHAD

Defendant, Last

ALAN

First

Address 218 S 13TH ST

DL Class

The undersigned states that on or about

US DOT#

03/07/2015

$115.00

Criminal Surcharge

$40.25

Co. Enf. Surcharge

N/A

Court Costs

$60.00

Total Fine/Costs

$215.25

Court Appearance Required (805.10)

Reason:

Height

Serious P.I.

1999 WHI

Race B
50583-0000
5' 09"
Weight

Ethnicity N
Sex MALE

CHEVROL SLV
ET -End
CHEV
Pass

3D

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

IA

State

Upon a public highway at 700 BLOCK SIOUX STREET

Scheduled Violation/Fine

Zip Code

DL Rest. 7

defendant did unlawfully: Operate Motor Vehicle/Boat

Lic. Plate #/REG BBT352

ICC#

State IA

SAC CITY
DL End. NONE

at 6:45 PM

DOB 10/26/1998

Suffix

City

DL State IA

50583
DL/State ID
Viewed?
YES

802AK1145

DL#

Middle

IA

Year 2015

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

ICIS Sec #: 321.285-E

25

Zone

IA Code: 20 15
ICIS Ord.

Local Ord.

I.D. No. 81-23

Officer's
Signature

in

Fed/Adm Code:

Violation SPEEDING 55 OR < (20 MPH OVER + $5.00 EA. MILE)

Sec #: 321.285

48

NOTICE: Providing false identification information is a violation of Section 719.1A of

the Code of Iowa and is punishable as a simple misdemeanor.

Dated 03/07/2015

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:
03/30/2015 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:

$292.88
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.

*+762TZER1503071845531+*
Dated

Signature of
Defendant

03/07/2015

I swear that the foregoing complaint is true and correct.

this

07

day of

Agency

Officer's
Signature

SAC CITY POLICE DEPARTMENT

ABSTRACT OF COURT RECORD

COURT NO.

CASE NO.

DOCKET NO.
LICENSE NO.

CASE NO.
STATE:

NO JURY TRIAL or
PROCEEDING

Notary/other

OTHER

762 TZER 150307 184553 1

TESTIMONY - JUDGE'S NOTES: (Other Orders)

Iowa

FILED 03/07/2015 07:19PM

CLERK DISTRICT COURT
SAC COUNTY IOWA

Other
BAIL CASH DEPOSIT
PLEA

VERDICT

GUILTY
NOT GUILTY

GUILTY
NOT GUILTY
Date

DISMISSED

Signature, person giving bail

Driver's License
Recommendation

OTHER DISPOSITION

None

School

Signature, person taking bail

Susp.

Revo

The court Therefore Enters in Following Order This Date

Mo.

FINED $
Incarceration in

SURCHARGE $

, Iowa

SAC CITY - 6717

Notary/other
Signature

Citation #:

FORFEIT BOND

JURY TRIAL

at

MENTZER, BRIAN
MARCH, 2015

Subscribed and sworn to me by

Day

COST $
Days:

Yr.

DATE:

Continued to:

REASON

DATE:

Continued to:

REASON

DATE:

WARRANT ISSUED

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

Days