March 16, 2015 PDF

01/07
"""COMPLMNT
IOWA UNIFORM CITATION AND C O M P L A I N T
E-FILED 2015 MAR 16 1:26 PM SAC - CLERK OF DISTRICT COURT

SAC CITY POLICE DEPT.
state of Iowa
^jQity
of:
In tfie Court at ^
vs:
Name.
N2
0005324
SAC GO. COURTHOUSE, SAG CITY, lA 50583
p ,
^^f
A
3
Firs
J=lrst
5. tjfv.
3oc.
L<: <~
T^Ji
^\
QCS-
fndant, Last
Defendant. Last
Address.
81
SAC
SAC CITY
0*000^7 of:.
Middle
tS^
. state
City.
. State
DL#.
. DL Rest.
Race.
DOB
DL/State ID Viewed? Y e s D
Ethn.
tfO
Sex
NoD
H t . ^ r - o S . w,. _
AM
J g l J iM
W/B/l/A/U
Ttie undersigned states ttiat on or about 0^

H
o f o n H c n t HiH
iniauufiillv
^
Mo.
defendant
did iunlawfully:
/.^
Day
at ^ l * f ^
Yr.
Operate Motor Vehicle/Boat (describe)

CDLReq?Yesn
Reg#
NoD
Pass. End. Req? Y e s D
t i^<^ State
-^-gA -
Year
NoD
^C?-
HazMat End. R e q ? Y e s D N o D
^ ^ U S DOT#
Upon a public highway a t .

Located in the county and state aforesaid and did then and there commit the following offense:
^âffic
GNavigation
12S(êd. Violation/Fine
.li
Criminal Surcharge
Co. Enf. Surcharge
Court Costs
Vinlatinn - f ^ L I UA
3 ( ^
O 0
t^*^
Fish-Game
Parks
Co
CH
CoC:^^ ^
^SV * ^
Râd Work Zone
court Appearance Required (805.10)

Reason:
Serious P.I
,...
,.,^.,,
Civil Damage
Assessment
î^^
^-
(HU.'
i1
(-
CH Fatal Accident
kj
Other
cX
20
Zone Sec.
Fed/Adm. C o d e .
/ (<;
Tobacco
Non-scheduled Violation
TQ
in
DATA CODE
Dated
( ^(
Total Fine/Costs
Speed
Snowmobile/ATV
. Local Ord
C^.ct
lACode
CC^3^
Mo.
Day
Yr.
Officer's Signature
f.D. No.
C o u r t 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
3/23/
Mo.
Day
(%
PM
Yr.
NOTICE: Providing false information is a violation of Section 719.3 of the Code of Iowa and is punishable as an
aggravated 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 whic^ 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 o1
the citation.
The following applies to simple misdemeanors only:
^ "IALJL
S'^-T^
3. I liereby give my unsecured appearance bond in the amount n i O
rlnlfarf^ 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 ente^â conviction and render judgment against me for the amount of my appearance bond in satisfaction of the
penalty and^^{l<fârge plus court costs.
yt^
ABSTRACT O F COER1 RECORD
E-FILED 2015 MAR 16 1:26 PM SAC - CASE

CLERK
OF DISTRICT COURT
NO,.
COURT NO.
DOCKET N( ).
CASE NO,
STATl;
LICENSE N0.,_
IOWA
OTHER
BAIL CASH DEPOSIT
FORFErr BOND
... ,^ ^
JURY TRIAL
NO JURY UR.IAL
or PROCEEDING
VERDICT
GUILIT
NOT GUILTY
DISMISSED
PLEA . . GUILTY
NOT GUILTY
OFHER DiSPOSrnON.
The Court Therefore Eniei's In Foliowiiig Oixler Fhis Date.
Day
Mo.
Yr.
CRIMINAL SURCHARGE S
FINED $..
COUN'TY ENFORCEMENT- SURCH AR,GE S
COSTS S...
Incarceration in
Davs;
None
SlISD
School
Davs
Revo
Drivers License
Recommendation
DATE:
..
...JJ
REASON
Contini!cd..ii:
REASON
Contimtcd to:
WARRANT ISSUED
DATE:
TESTIMONY - JUDGES NOTES: (Other Orders)
Date
Signature, peison giviru.; hail
Signature, person taking hail

/O
I swear that (lifc forgoing citaiioii is true and correct.

Signature
Agency
Subscribed and sworn to before mc by
Tivvf^'^^^^^îp f r e i . . . .
at
day of ..y(dfiJl,.LH-^-'li)lS
T O T H E C O U R T ; Tlie following are witnesses who can give testimony relating to

the facts of this alleged violation. Please subpoena prosecuting witness:
Title
1.
Name
Address
Phone
E-FILED 2015 MAR 16 2:31 AM SAC - CLERK OF DISTRICT COURT
Dispatch /
Case #:
COMPLAINT
Form 420001E 1/07
PLAINTIFF
Law Enforcement Agency -
SAC COUNTY SHERIFF'S OFFICE

City of:
SAC CITY
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12
BELT
Name
IOWA UNIFORM CITATION AND COMPLAINT
County of: SAC - 81
State of Iowa
In the Court at
VS.
S81 RMAN 150313 231229 7
Citation #:
Reference #:
TREY
Defendant, Last
ROBERT
First
Address 310 370TH ST
DL Class
The undersigned states that on or about

US DOT#
03/13/2015
$40.00
Criminal Surcharge
$14.00
Co. Enf. Surcharge
$5.00
Court Costs
$60.00
Total Fine/Costs
$119.00
Court Appearance Required (805.10)

Reason:
Height
Serious P.I.
2008 BLK
Race W
51450-0000
5' 10"
Weight
Ethnicity N
Sex MALE
CHEVROL IMP
ET -End
CHEV
Pass
4D
CDL NO
HazMat End Req?
Req?
Req?
IA
State
Upon a public highway at STATE 39/FOX AVE

Scheduled Violation/Fine
Zip Code
DL Rest. 7
defendant did unlawfully: Operate Motor Vehicle/Boat
Lic. Plate #/REG CZN257
ICC#
State IA
CARNARVON
DL End. NONE
at 11:12 PM
DOB 8/10/1999
Suffix
City
DL State IA
50583
DL/State ID
Viewed?
YES
751AJ2693
DL#
Middle
IA
Year 2015
Road Work Zone
Fatal Accident
Civil Damage Assessment
Speed
Other
55
Zone
IA Code: 20 15
ICIS Sec #: 321.285-B
ICIS Ord.
Local Ord.
I.D. No. 81-6

Officer's
Signature
in
Fed/Adm Code:
Violation SPEEDING 55 OR < (6 THRU 10 OVER)

Sec #: 321.285
65
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 03/13/2015
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
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.
$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.
*+S81RMAN1503132312297+*
Dated
Signature of
Defendant
03/13/2015
I swear that the foregoing complaint is true and correct.
this
13
day of
Agency
Officer's
Signature
ABSTRACT OF COURT RECORD

COURT NO.
CASE NO.
DOCKET NO.
LICENSE NO.
CASE NO.
STATE:
NO JURY TRIAL or
PROCEEDING
Notary/other
NOTARY
S81 RMAN 150313 231229 7
TESTIMONY - JUDGE'S NOTES: (Other Orders)

Iowa
FILED 03/16/2015 08:03AM

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
, Iowa
SAC CITY - 6717
Notary/other
Signature
Citation #:
FORFEIT BOND
JURY TRIAL
at
HATTERMAN, JOHN
MARCH, 2015
Subscribed and sworn to me by
SURCHARGE $
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

City of:
SAC CITY
BELT
Name
County of: SAC - 81
State of Iowa
In the Court at
VS.
S81 RMAN 150313 231458 8
Citation #:
Reference #:
TREY
Defendant, Last
ROBERT
First
Address 310 370TH ST
DL Class

US DOT#
03/13/2015
$50.00
Criminal Surcharge
$17.50
Co. Enf. Surcharge
$5.00
Court Costs
$60.00
Total Fine/Costs
$132.50

Reason:
Height
Serious P.I.
2008 BLK
Race W
51450-0000
5' 10"
Weight
Ethnicity N
Sex MALE
CHEVROL IMP
ET -End
CHEV
Pass
4D
CDL NO
HazMat End Req?
Req?
Req?
IA
State
Upon a public highway at STATE 39/FOX AVE

Zip Code
DL Rest. 7
Lic. Plate #/REG CZN257
ICC#
State IA
CARNARVON
DL End. NONE
at 11:12 PM
DOB 8/10/1999
Suffix
City
DL State IA
50583
DL/State ID
Viewed?
YES
751AJ2693
DL#
Middle
IA
Year 2015
Road Work Zone
Fatal Accident
Speed
Other
Violation VIOL OF CONDITIONS OF RESTRICTED LICENSE

Sec #: 321.193
ICIS Sec #: 321.193
Officer's
Signature
Zone
IA Code: 20 15
ICIS Ord.
Local Ord.
I.D. No. 81-6
in
Fed/Adm Code:

Dated 03/13/2015
04/06/2015 at
8:30 AM
$168.75
*+S81RMAN1503132314588+*
Dated
Signature of
Defendant
03/13/2015
this
13
day of
Agency
Officer's
Signature

COURT NO.
CASE NO.
DOCKET NO.
LICENSE NO.
CASE NO.
STATE:
NO JURY TRIAL or
PROCEEDING
Notary/other
NOTARY
S81 RMAN 150313 231458 8

Iowa
FILED 03/16/2015 08:03AM

SAC COUNTY IOWA
Other
BAIL CASH DEPOSIT
PLEA
VERDICT
GUILTY
NOT GUILTY
GUILTY
NOT GUILTY
Date
DISMISSED
Driver's License
Recommendation
OTHER DISPOSITION
None
School
Susp.
Revo

Mo.
FINED $
Incarceration in
, Iowa
SAC CITY - 6717
Notary/other
Signature
Citation #:
FORFEIT BOND
JURY TRIAL
at
HATTERMAN, JOHN
MARCH, 2015
SURCHARGE $
Day
COST $
Days:
Yr.
DATE:
Continued to:
REASON
DATE:
Continued to:
REASON
DATE:
WARRANT ISSUED
Name
Address
Phone
Days
Dispatch /
Case #:
COMPLAINT
Form 420001E 1/07
PLAINTIFF

City of:
SAC CITY
REATH
Name
County of: SAC - 81
State of Iowa
In the Court at
VS.
S81 RMAN 150314 201146 9
Citation #:
Reference #:
JACK
Defendant, Last
Middle
Address 3111 MAPLEWOOD BLVD APT

DL State NE
City
US DOT#
03/14/2015
ICC#
$120.00
$42.00
Co. Enf. Surcharge
$5.00
Court Costs
$60.00
Total Fine/Costs
$227.00
2002 MAR
Year

Reason:
Height
Race B
68134-0000
6' 00"
Weight
Ethnicity N
Sex MALE
CHEVROL IMPALA
ET -End
CHEV
Pass
4D
CDL NO
HazMat End Req?
Req?
Req?
State
Upon a public highway at ESTHER AVE AND 310TH ST
Criminal Surcharge
Zip Code
DL Rest. NONE
Lic. Plate #/REG
State NE
OMAHA
DL End. NONE
at 8:11 PM
DOB 8/28/1997
Suffix
DL Class
50583
DL/State ID
Viewed?
YES
H13625288
DL#
First
IA
Serious P.I.
Road Work Zone
Fatal Accident
Speed
Other
ICIS Sec #: 321.285-E
Officer's
Signature
55
Zone
IA Code: 20 15
ICIS Ord.
Local Ord.
I.D. No. 81-6
in
Fed/Adm Code:
Violation SPEEDING 55 OR < (20 MPH OVER + $5.00 EA. MILE)

Sec #: 321.285
79

Dated 03/14/2015
04/06/2015 at
8:30 AM
$310.50
*+S81RMAN1503142011469+*
Dated
Signature of
Defendant
03/14/2015
this
14
day of
Agency
Officer's
Signature

COURT NO.
CASE NO.
DOCKET NO.
LICENSE NO.
CASE NO.
STATE:
NO JURY TRIAL or
PROCEEDING
Notary/other
NOTARY
S81 RMAN 150314 201146 9

Iowa
FILED 03/16/2015 08:03AM

SAC COUNTY IOWA
Other
BAIL CASH DEPOSIT
PLEA
VERDICT
GUILTY
NOT GUILTY
GUILTY
NOT GUILTY
Date
DISMISSED
Driver's License
Recommendation
OTHER DISPOSITION
None
School
Susp.
Revo

Mo.
FINED $
Incarceration in
, Iowa
SAC CITY - 6717
Notary/other
Signature
Citation #:
FORFEIT BOND
JURY TRIAL
at
HATTERMAN, JOHN
MARCH, 2015
SURCHARGE $
Day
COST $
Days:
Yr.
DATE:
Continued to:
REASON
DATE:
Continued to:
REASON
DATE:
WARRANT ISSUED
Name
Address
Phone
Days
Dispatch /
Case #:
COMPLAINT
Form 420001E 1/07
PLAINTIFF

City of:
SAC CITY
BETTIN
Name
County of: SAC - 81
State of Iowa
In the Court at
VS.
S81 URNS 150315 165348 7
Citation #:
Reference #:
MADISON
Defendant, Last
QUINN
First
Address 614 W 4TH ST
DL Class

US DOT#
03/15/2015
$80.00
Criminal Surcharge
$28.00
Co. Enf. Surcharge
$5.00
Court Costs
$60.00
Total Fine/Costs
$173.00

Reason:
Height
2014 SIL
Serious P.I.
Race W
51458-0000
5' 00"
Weight
Ethnicity N
Sex FEMALE
CHEVROL SLV
ET -End
CHEV
Pass
PK
CDL NO
HazMat End Req?
Req?
Req?
IA
State
Upon a public highway at PERKINS AVE AND D036/255TH ST

Zip Code
DL Rest. NONE
Lic. Plate #/REG BHB005
ICC#
State IA
ODEBOLT
DL End. NONE
at 4:53 PM
DOB 8/4/1997
Suffix
City
DL State IA
50583
DL/State ID
Viewed?
YES
063BB0378
DL#
Middle
IA
Year 2016
Road Work Zone
Fatal Accident
Speed
Other
55
Zone
IA Code: 20 15
ICIS Sec #: 321.285-C
ICIS Ord.
Local Ord.
I.D. No. 81-7

Officer's
Signature
in
Fed/Adm Code:
Violation SPEEDING 55 OR < (11 THRU 15 OVER)

Sec #: 321.285
70

Dated 03/15/2015
04/13/2015 at
8:30 AM
$229.50
*+S81URNS1503151653487+*
Dated
Signature of
Defendant
03/15/2015
this
15
day of
Agency
Officer's
Signature

COURT NO.
CASE NO.
DOCKET NO.
LICENSE NO.
CASE NO.
STATE:
NO JURY TRIAL or
PROCEEDING
Notary/other
NOTARY
S81 URNS 150315 165348 7

Iowa
FILED 03/16/2015 08:03AM

SAC COUNTY IOWA
Other
BAIL CASH DEPOSIT
PLEA
VERDICT
GUILTY
NOT GUILTY
GUILTY
NOT GUILTY
Date
DISMISSED
Driver's License
Recommendation
OTHER DISPOSITION
None
School
Susp.
Revo

Mo.
FINED $
Incarceration in
, Iowa
SAC CITY - 6717
Notary/other
Signature
Citation #:
FORFEIT BOND
JURY TRIAL
at
BURNS, JOEL
MARCH, 2015
SURCHARGE $
Day
COST $
Days:
Yr.
DATE:
Continued to:
REASON
DATE:
Continued to:
REASON
DATE:
WARRANT ISSUED
Name
Address
Phone
Days
DEFENDANT COPY
T01 T142 150311 202334 4
Citation #:
Form 420001E 1/07

PLAINTIFF:
IOWA UNIFORM CITATION A N D COMPLAINT

Law Enforcement Agency - M O T O R V E H I C L E E N F O R C E M E N T
iCounty of:
: ^ : State of lowa
S a c - 81
Reference
I City of:
In the Court at SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12

VS.
OCASIO
Name
Address
DL State
j.-
n l J
First
Middle
DL C l a s s

U S DOT# 0 0 0 6 9 8 5 2
ICC#
Upon a public highway at
Suffix
City
12 E A S T B I D W E L L A V E .
NJ
03/11/2015
u n i
140125
at
8:00 P M
n u ^ j#// R
DE^G
, iLie..Plate
iCourt Appearance Required (805 10)
S35.00
Co. Enf. Surcharge
State N J
Zip C o d e 0 7 3 0 5 - 4 2 1 7
DL R e s . 1 M
e*i. L
i \A
State
Height
w
Year i2h0i1s 5
5' 0 7 "
2012 M A R
Court C o s t s
Race
Weight
1
^ F R H T " ' ^ ' '
09/28/1962
Ethnicity
330 L B S
'isV
Sex M A L E
r
."
C D ,L ' Y
V Er Sc ' ' '^P a s=s E n d. N\ O
s r_\ H a; z M a'_,>-__,
r
i? vNO
t Erid R e_q_-,
E n d
Reason
I'
: Fata! Accident
Serious P.I.
; Road Work Zone
Civil Damage A s s e s s m e n t
Speed
Other
Zone
Fed/Adm Code
N/A
Violation FAILURE TO OBEY TRAFFIC CONTROL DEVICE (OPEN SCALE SIGN)
_>&Lflj^^\
Local Ord.
(^$195.00 ^ y 6 e c 321.256
ICIS Sec # 321.256
"-..
Officer's
Signature
Court Date:
I.D N o 7 ] 4 2
392.2C
l A C o d e : 20 13
Total Fine/Costs
Date of Birth
DL#
defendant did unlawfully: Operate Motorêbjcle/Boat
T>7Aom
PZ6970
Zip 50583
$100.00
Criminal Surcharge
011176760009622
DL E n d ' H . M
US 71/KARR A V E
S c h e d u l e d Violation/Fine
JERSEY CITY
State LA
City SAC CITY
RUBEN
Defendant, Last
tt:
ICIS Ord.
If you must appear in court or if you choose to appear to angwer to a charge

which doesQQUeqtrtTe anappearance, reôrtte-tS^bove namedegurtoh:
-
Dated .03/11/2015
03/3tW2015-- -8:36-A-ftfra
NOTICE: Providing false identification information is a violation of Section 719.1 A of the Code o?To"wa-.anaVjiLrîshable as a simple^jmsdemeanor,
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 tiled with the
district court clerk of the county in which this citation was issued.
1.1 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.
,,

4._ I hereby give my unsecured appearance bond in the amount of
. S262.50
dollars and enter 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.
,
Defendant
Signature
,.
~
f , fjf'tfjYi t
' '
;.
C
.,.
Dated
' '
03/11/2015
If you require the assistance of auxiliary aids or services to participate in court because of a
disability, immediately call the ADA district coordinator in the.county which the citation was
issued, or if you are hearing impaired, call Relay lowa TTY at 1-800-735-2942.
T01 T142 .150311 -202334 4

IF PLEADING GUILTy DETACPKAND REMIT WITH PAYMENT OR PAY ONLINE;
B AT WWW.IOWACOURTS.GOV
T4U_T142_-1503I1 2023 34 4
Citation #:
^ C H E C K S P A Y A B L E T O : C L E R K OF i
s CSTlBMIT P A Y M E N T TO: SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12
ISSUING LAW ENFORCEMENT AGENCY

Name
RUBEN
OCASIO
Defendant, Last
Middle
Address 12 EAST BIDWELL AVE.
City
DL Class A

US DOT# 00069852
ICC# 140125
SAC CITY
State
03/11/2015 at
Z i p 50583
D a t e of B i r t h
09/28/1962
Suffix
JERSEY CITY
State N J
DL End. H N
20:00
L\
Reference #:
DL# 011176760009622
First
DL State NJ
City
M o t o r Vehicle Enforcement
<HpCode
DL Res. I M
Height
Lie. Plate #/REG PZ6970
State
LA Year 2015
CDL
Req?
YES
07305-4217
Race
5'07'
Weight 330
rmgllimux
P a s s End
Req?
NO
Ethnicity
Sex M A L E
TT/ST
HazMat End Req? NO
Upon a public highway at US 71/kARR AVE

Located in the county and state aforesaid and did then and there commit the following offense
Violation FAILURE TO OBEY TRAFFIC CONTROL DEVICE (OPEN SCALE SI Sec #: 321.256
ICIS Sec 321.256
LocalOrd
ICIS Ord.
Scheduled Fine
S100.00
Bond Amount
S262.50
APPEARANCE
Criminal Surcharge
; Road Work Z o n e
S35.00
Co. Enf.Surcharge
Court Appearance Required (805 10)
N / A
Court Costs
Court Date- 0 3 / 3 0 / 2 0 1 5 S p e e d
PLEA OF GUILTY
$60.00
Total Fine/Costs .5195.00
Zone F e d / A d m C o d e . 3 9 2 . 2 C
l A C o d e : 20 13
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 PLEAD GUILTY .to said offense as charged and agree to the penalty prescribed for my offense.
Amount to pay: $195.00
: IF YOU ARE REQUIRED TO POST BAIL TO OBTAIN RELEASE

'
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. Ifyou choose to plead NOT 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 will appear pursuant to this citation or (2) if I do not so appear, the amount deposited as bail will be forfeited."
Signatiureof
Defendant
V?
A l /
Officer: PEREZ, WILLIAM
I.D. No. T142
Dispatch /
Case #:
COMPLAINT
Form 420001E 1/07
PLAINTIFF

City of:
SAC CITY
NASH
Name
County of: SAC - 81
State of Iowa
In the Court at
VS.
S81 BACK 150316 112222 7
Citation #:
Reference #:
BRITTANY
Defendant, Last
NICOLE
First
Address 1725 BURNETT AVE
DL Class

US DOT#
03/16/2015
$40.00
Criminal Surcharge
$14.00
Co. Enf. Surcharge
$5.00
Court Costs
$60.00
Total Fine/Costs
$119.00

Reason:
Height
Serious P.I.
1999 GRN
Race W
50010-0000
5' 08"
Weight
AUDI AUDI
Pass
End
Ethnicity N
Sex FEMALE
AA6
4D
CDL NO
HazMat End Req?
Req?
Req?
IA
State
Upon a public highway at PERKINS AVE AND US 20

Zip Code
DL Rest. NONE
Lic. Plate #/REG 945WQC
ICC#
State IA
AMES
DL End. NONE
at 11:22 AM
DOB 10/14/1995
Suffix
City
DL State IA
50583
DL/State ID
Viewed?
YES
615AH3100
DL#
Middle
IA
Year 2010
Road Work Zone
Fatal Accident
Speed
Other
65
Zone
IA Code: 20 15
ICIS Sec #: 321.285-G
ICIS Ord.
Local Ord.
I.D. No. 81-5

Officer's
Signature
in
Fed/Adm Code:
Violation SPEEDING > 55 (6 THRU 10 OVER)

Sec #: 321.285
75

Dated 03/16/2015
04/20/2015 at
8:30 AM
$148.50
*+S81BACK1503161122227+*
Dated
Signature of
Defendant
03/16/2015
this
16
day of
Agency
Officer's
Signature

COURT NO.
CASE NO.
DOCKET NO.
LICENSE NO.
CASE NO.
STATE:
NO JURY TRIAL or
PROCEEDING
Notary/other
NOTARY
S81 BACK 150316 112222 7

Iowa
FILED 03/16/2015 12:17PM

SAC COUNTY IOWA
Other
BAIL CASH DEPOSIT
PLEA
VERDICT
GUILTY
NOT GUILTY
GUILTY
NOT GUILTY
Date
DISMISSED
Driver's License
Recommendation
OTHER DISPOSITION
None
School
Susp.
Revo

Mo.
FINED $
Incarceration in
, Iowa
SAC CITY - 6717
Notary/other
Signature
Citation #:
FORFEIT BOND
JURY TRIAL
at
CUDABACK, TORY
MARCH, 2015
SURCHARGE $
Day
COST $
Days:
Yr.
DATE:
Continued to:
REASON
DATE:
Continued to:
REASON
DATE:
WARRANT ISSUED
Name
Address
Phone
Days
Dispatch /
Case #:
COMPLAINT
MOTOR VEHICLE ENFORCEMENT

City of:
SAC CITY
ROJAS
Name
County of: SAC - 81
State of Iowa
In the Court at
VS.
T01 T142 150311 152207 9
Citation #:
Reference #:
Form 420001E 1/07

PLAINTIFF
SOPHIE
Defendant, Last
DANIELLE
First
Address 6121 HOLMES

US DOT#
DL Class
03/11/2015
$90.00
Criminal Surcharge
$31.50
Co. Enf. Surcharge
N/A
Court Costs
$60.00
Total Fine/Costs
$181.50
Serious P.I.
2013 GRY
Race W
64110
5' 07"
Ethnicity N
Weight 137 LBS
Sex FEMALE
TOYOTA - RAV4
TOYT
Pass
End
SUV
CDL NO
HazMat End Req?
Req?
Req?

Reason:
Height
State MO Year 2013
Upon a public highway at N028/DAKOTA AVE

Zip Code
DL Rest. B
Lic. Plate #/REG SL5D9Y
ICC#
State MO
KANSAS CITY
DL End. NONE
at 3:22 PM
DOB 9/30/1975
Suffix
City
DL State MO
50583
DL/State ID
Viewed?
YES
D0944118
DL#
Middle
IA
Road Work Zone
Fatal Accident
Speed
Other
ICIS Sec #: 321.285-I
65
Zone
IA Code: 20 15
ICIS Ord.
Local Ord.
I.D. No. T142

Officer's
Signature
in
Fed/Adm Code:
Violation SPEEDING 87 MPH IN 65 MPH ZONE (RADAR 87 MPH)

Sec #: 321.285
85

Dated 03/11/2015
03/30/2015 at
8:30 AM
$242.25
*+T01T1421503111522079+*
Dated
Signature of
Defendant
03/11/2015
this
16
day of
Agency
Officer's
Signature

COURT NO.
CASE NO.
DOCKET NO.
LICENSE NO.
CASE NO.
STATE:
NO JURY TRIAL or
PROCEEDING
Notary/other
OTHER
T01 T142 150311 152207 9

Iowa
FILED 03/16/2015 03:30PM

SAC COUNTY IOWA
Other
BAIL CASH DEPOSIT
PLEA
VERDICT
GUILTY
NOT GUILTY
GUILTY
NOT GUILTY
Date
DISMISSED
Driver's License
Recommendation
OTHER DISPOSITION
None
School
Susp.
Revo

Mo.
FINED $
Incarceration in
SURCHARGE $
, Iowa
EARLY - 2200
Notary/other
Signature
Citation #:
FORFEIT BOND
JURY TRIAL
at
PEREZ, WILLIAM
MARCH, 2015
Day
COST $
Days:
Yr.
DATE:
Continued to:
REASON
DATE:
Continued to:
REASON
DATE:
WARRANT ISSUED
Name
Address
Phone
Days
Dispatch /
Case #:
COMPLAINT
Form 420001E 1/07
PLAINTIFF
Reference #:

City of:
SAC CITY
KRAUSE
Name
County of: SAC - 81
State of Iowa
In the Court at
VS.
T01 T142 150311 165944 0
Citation #:
THOMAS
Defendant, Last
JAMES
First
Address 20450 COUNTY HIGHWAY
03/11/2015

US DOT# 00075296
DL Class
ICC# 160820
$50.00
$17.50
Co. Enf. Surcharge
N/A
Court Costs
$60.00
Total Fine/Costs
$127.50
Serious P.I.
2004 PLE
Race W
56501
5' 11"
Ethnicity N
Weight 260 LBS
Sex MALE
PETERBIL
T - PTRB
Pass
End NO
TT/ST
CDL YES
HazMat End Req? NO
Req?
Req?

Reason:
Height
State MN Year 2015
Upon a public highway at US 71/KARR AVE
Criminal Surcharge
Zip Code
DL Rest. B
Lic. Plate #/REG PAB1349
State MN
DETROIT LAKES
DL End. NONE
at 4:05 PM
DOB 12/18/1983
Suffix
City
DL State MN
50583
DL/State ID
Viewed?
YES
Y195242828415
DL#
Middle
IA
Road Work Zone
Fatal Accident
Speed
Other
Violation INOPERATIVE LEFT & RIGHT TURN SIGNALS

Sec #: 321.449
ICIS Ord.
Local Ord.
I.D. No. T142
Zone
IA Code: 20 13
ICIS Sec #: 321.449-A
Officer's
Signature
in
Fed/Adm Code: 393.9TS

Dated 03/11/2015
03/30/2015 at
8:30 AM
$161.25
*+T01T1421503111659440+*
Dated
Signature of
Defendant
03/11/2015
this
16
day of
Agency
Officer's
Signature

COURT NO.
CASE NO.
DOCKET NO.
LICENSE NO.
CASE NO.
STATE:
NO JURY TRIAL or
PROCEEDING
Notary/other
OTHER
T01 T142 150311 165944 0

Iowa
FILED 03/16/2015 03:30PM

SAC COUNTY IOWA
Other
BAIL CASH DEPOSIT
PLEA
VERDICT
GUILTY
NOT GUILTY
GUILTY
NOT GUILTY
Date
DISMISSED
Driver's License
Recommendation
OTHER DISPOSITION
None
School
Susp.
Revo

Mo.
FINED $
Incarceration in
SURCHARGE $
, Iowa
EARLY - 2200
Notary/other
Signature
Citation #:
FORFEIT BOND
JURY TRIAL
at
PEREZ, WILLIAM
MARCH, 2015
Day
COST $
Days:
Yr.
DATE:
Continued to:
REASON
DATE:
Continued to:
REASON
DATE:
WARRANT ISSUED
Name
Address
Phone
Days
Dispatch /
Case #:
COMPLAINT
Form 420001E 1/07
PLAINTIFF
Reference #:

City of:
SAC CITY
SIMONS
Name
County of: SAC - 81
State of Iowa
In the Court at
VS.
T01 T142 150311 183412 2
Citation #:
PHILLIP
Defendant, Last
ROSS
First
Address 4225 210TH AVE
DL Class

US DOT# 02562993
03/11/2015
$50.00
Criminal Surcharge
$17.50
Co. Enf. Surcharge
N/A
Court Costs
$60.00
Total Fine/Costs
$127.50

Reason:
Height
Serious P.I.
2007 WHI
Race W
51301-0000
6' 00"
Weight 170 LBS
Ethnicity N
Sex MALE
INTERNA
TIONAL
-I
Pass
End NO
TT/ST
CDL YES
HazMat End Req? NO
Req?
Req?
IA
State
Upon a public highway at RAILROAD ST AND 4TH AVE

Zip Code
DL Rest. NONE
Lic. Plate #/REG DD3220
ICC#
State IA
SPENCER
DL End. LN
at 6:20 PM
DOB 2/9/1986
Suffix
City
DL State IA
50583
DL/State ID
Viewed?
YES
890ZZ2865
DL#
Middle
IA
Year 2015
Road Work Zone
Fatal Accident
Speed
Other
Violation FAILING TO USE SEAT BELT WHILE OPERATING CMV

Sec #: 321.445
ICIS Sec #: 321.445
Zone
IA Code: 20 13
ICIS Ord.
Local Ord.
I.D. No. T142

Officer's
Signature
in
Fed/Adm Code: 392.16

Dated 03/11/2015
03/30/2015 at
8:30 AM
$161.25
*+T01T1421503111834122+*
Dated
Signature of
Defendant
03/11/2015
this
16
day of
Agency
Officer's
Signature

COURT NO.
CASE NO.
DOCKET NO.
LICENSE NO.
CASE NO.
STATE:
NO JURY TRIAL or
PROCEEDING
Notary/other
OTHER
T01 T142 150311 183412 2

Iowa
FILED 03/16/2015 03:30PM

SAC COUNTY IOWA
Other
BAIL CASH DEPOSIT
PLEA
VERDICT
GUILTY
NOT GUILTY
GUILTY
NOT GUILTY
Date
DISMISSED
Driver's License
Recommendation
OTHER DISPOSITION
None
School
Susp.
Revo

Mo.
FINED $
Incarceration in
SURCHARGE $
, Iowa
EARLY - 2200
Notary/other
Signature
Citation #:
FORFEIT BOND
JURY TRIAL
at
PEREZ, WILLIAM
MARCH, 2015
Day
COST $
Days:
Yr.
DATE:
Continued to:
REASON
DATE:
Continued to:
REASON
DATE:
WARRANT ISSUED
Name
Address
Phone
Days
Dispatch /
Case #:
COMPLAINT
Form 420001E 1/07
PLAINTIFF
Reference #:

City of:
SAC CITY
FISHER
Name
County of: SAC - 81
State of Iowa
In the Court at
VS.
T01 T142 150316 091019 3
Citation #:
MITCHELL
Defendant, Last
WAYNE
First
Address 103 POPLAR DR
03/16/2015

US DOT# 02317650
DL Class
ICC# 791195
$50.00
$17.50
Co. Enf. Surcharge
N/A
Court Costs
$60.00
Total Fine/Costs
$127.50
Serious P.I.
Race W
80705-0000
6' 01"
Weight 180 LBS
2000 BLK
Ethnicity N
Sex MALE
FRH
TT/ST
CDL YES
Pass End NO
HazMat End Req? NO
Req?
Req?

Reason:
Height
CO Year 2014
State
Criminal Surcharge
Zip Code
DL Rest. NONE
Lic. Plate #/REG 566-XAL
State CO
LOG LNE VLG

DL End. M
at 9:00 AM
DOB 1/11/1977
Suffix
City
DL State CO
50583
DL/State ID
Viewed?
YES
942022402
DL#
Middle
IA
Road Work Zone
Fatal Accident
Speed
Other
Violation FAILING TO USE SEAT BELT WHILE OPERATING CMV

Sec #: 321.445
ICIS Sec #: 321.445
Zone
IA Code: 20 13
ICIS Ord.
Local Ord.
I.D. No. T142

Officer's
Signature
in
Fed/Adm Code: 392.16

Dated 03/16/2015
03/30/2015 at
8:30 AM
$161.25
*+T01T1421503160910193+*
Dated
Signature of
Defendant
03/16/2015
this
16
day of
Agency
Officer's
Signature

COURT NO.
CASE NO.
DOCKET NO.
LICENSE NO.
CASE NO.
STATE:
NO JURY TRIAL or
PROCEEDING
Notary/other
OTHER
T01 T142 150316 091019 3

Iowa
FILED 03/16/2015 03:31PM

SAC COUNTY IOWA
Other
BAIL CASH DEPOSIT
PLEA
VERDICT
GUILTY
NOT GUILTY
GUILTY
NOT GUILTY
Date
DISMISSED
Driver's License
Recommendation
OTHER DISPOSITION
None
School
Susp.
Revo

Mo.
FINED $
Incarceration in
SURCHARGE $
, Iowa
EARLY - 2200
Notary/other
Signature
Citation #:
FORFEIT BOND
JURY TRIAL
at
PEREZ, WILLIAM
MARCH, 2015
Day
COST $
Days:
Yr.
DATE:
Continued to:
REASON
DATE:
Continued to:
REASON
DATE:
WARRANT ISSUED
Name
Address
Phone
Days
Dispatch /
Case #:
COMPLAINT
Form 420001E 1/07
PLAINTIFF
Reference #:

City of:
SAC CITY
FISHER
Name
County of: SAC - 81
State of Iowa
In the Court at
VS.
T01 T142 150316 092641 4
Citation #:
MITCHELL
Defendant, Last
WAYNE
First
Address 103 POPLAR DR
03/16/2015

US DOT# 02317650
DL Class
ICC# 791195
$50.00
$17.50
Co. Enf. Surcharge
N/A
Court Costs
$60.00
Total Fine/Costs
$127.50
Serious P.I.
Race W
80705-0000
6' 01"
Weight 180 LBS
2000 BLK
Ethnicity N
Sex MALE
FRH
TT/ST
CDL YES
Pass End NO
HazMat End Req? NO
Req?
Req?

Reason:
Height
CO Year 2014
State
Criminal Surcharge
Zip Code
DL Rest. NONE
Lic. Plate #/REG 566-XAL
State CO
LOG LNE VLG

DL End. M
at 9:00 AM
DOB 1/11/1977
Suffix
City
DL State CO
50583
DL/State ID
Viewed?
YES
942022402
DL#
Middle
IA
Road Work Zone
Fatal Accident
Speed
Other
Violation BRAKES OUT OF SERVICE: 2 OF 10 BRAKES OUT OF ADJUSTMENT (AXLE 4 &
5)
Sec #: 321.449
ICIS Sec #: 321.449-A
Zone
IA Code: 20 13
ICIS Ord.
Local Ord.
I.D. No. T142

Officer's
Signature
in
Fed/Adm Code: 396.3A1BOS

Dated 03/16/2015
03/30/2015 at
8:30 AM
$161.25
*+T01T1421503160926414+*
Dated
Signature of
Defendant
03/16/2015
this
16
day of
Agency
Officer's
Signature

COURT NO.
CASE NO.
DOCKET NO.
LICENSE NO.
CASE NO.
STATE:
NO JURY TRIAL or
PROCEEDING
Notary/other
OTHER
T01 T142 150316 092641 4

Iowa
FILED 03/16/2015 03:31PM

SAC COUNTY IOWA
Other
BAIL CASH DEPOSIT
PLEA
VERDICT
GUILTY
NOT GUILTY
GUILTY
NOT GUILTY
Date
DISMISSED
Driver's License
Recommendation
OTHER DISPOSITION
None
School
Susp.
Revo

Mo.
FINED $
Incarceration in
SURCHARGE $
, Iowa
EARLY - 2200
Notary/other
Signature
Citation #:
FORFEIT BOND
JURY TRIAL
at
PEREZ, WILLIAM
MARCH, 2015
Day
COST $
Days:
Yr.
DATE:
Continued to:
REASON
DATE:
Continued to:
REASON
DATE:
WARRANT ISSUED
Name
Address
Phone
Days
Dispatch /
Case #:
COMPLAINT
Form 420001E 1/07
PLAINTIFF
Reference #:

City of:
SAC CITY
DALE
Name
County of: SAC - 81
State of Iowa
In the Court at
VS.
T01 T142 150316 093847 7
Citation #:
ROBERT
Defendant, Last
First
Address 13202 E 42ND DR
DL Class
03/16/2015

US DOT# 00074432
ICC# 103798
$22.00
$7.70
Co. Enf. Surcharge
N/A
Court Costs
$60.00
Total Fine/Costs
$89.70

Reason:
Height
Serious P.I.
Race W
85367-6113
5' 10"
Weight 205 LBS
2010 RED
Ethnicity N
Sex MALE
KEN
TT/ST
CDL YES
Pass End NO
HazMat End Req? NO
Req?
Req?
IN
State
Criminal Surcharge
Zip Code
DL Rest. B
Lic. Plate #/REG 1026787
State AZ
YUMA
DL End. TXL
at 9:40 AM
DOB 7/24/1961
Suffix
City
DL State AZ
50583
DL/State ID
Viewed?
YES
D00398219
DL#
Middle
IA
Year 2015
Road Work Zone
Fatal Accident
Speed
Other
Violation OW ON TANDEM AXLES 2 & 3 BY 1,520 LBS (35,520 LBS)

Sec #: 321.463
ICIS Sec #: 321.463
Zone
IA Code: 20 13
ICIS Ord.
Local Ord.
I.D. No. T142

Officer's
Signature
in
Fed/Adm Code: 392.2-SLLEWA1

Dated 03/16/2015
03/30/2015 at
8:30 AM
$104.55
*+T01T1421503160938477+*
Dated
Signature of
Defendant
03/16/2015
this
16
day of
Agency
Officer's
Signature

COURT NO.
CASE NO.
DOCKET NO.
LICENSE NO.
CASE NO.
STATE:
NO JURY TRIAL or
PROCEEDING
Notary/other
OTHER
T01 T142 150316 093847 7

Iowa
FILED 03/16/2015 03:31PM

SAC COUNTY IOWA
Other
BAIL CASH DEPOSIT
PLEA
VERDICT
GUILTY
NOT GUILTY
GUILTY
NOT GUILTY
Date
DISMISSED
Driver's License
Recommendation
OTHER DISPOSITION
None
School
Susp.
Revo

Mo.
FINED $
Incarceration in
SURCHARGE $
, Iowa
EARLY - 2200
Notary/other
Signature
Citation #:
FORFEIT BOND
JURY TRIAL
at
PEREZ, WILLIAM
MARCH, 2015
Day
COST $
Days:
Yr.
DATE:
Continued to:
REASON
DATE:
Continued to:
REASON
DATE:
WARRANT ISSUED
Name
Address
Phone
Days
Dispatch /
Case #:
COMPLAINT
Form 420001E 1/07
PLAINTIFF
Reference #:

City of:
SAC CITY
KETO
Name
County of: SAC - 81
State of Iowa
In the Court at
VS.
T01 T142 150316 120503 0
Citation #:
DJODJI
Defendant, Last
Middle
Address 825 17TH STREET APT 406
DL Class
03/16/2015

US DOT# 02407460
ICC# 828350
$100.00
$35.00
Co. Enf. Surcharge
N/A
Court Costs
$60.00
Total Fine/Costs
$195.00

Reason:
Height
Serious P.I.
2006 WHI
Race B
61265-0000
5' 09"
Weight 165 LBS
Ethnicity N
Sex MALE
VOLVO VOLV
Pass
End NO
TT/ST
CDL YES
HazMat End Req? NO
Req?
Req?
IL
State
Criminal Surcharge
Zip Code
DL Rest. B
Lic. Plate #/REG P849340
State IL
MOLINE
DL End. ****
at 11:40 AM
DOB 12/31/1986
Suffix
City
DL State IL
50583
DL/State ID
Viewed?
YES
K30016086372
DL#
First
IA
Year 2015
Road Work Zone
Fatal Accident
Speed
Other
Violation FAILURE TO OBEY TRAFFIC CONTROL DEVICE (OPEN SCALE SIGN)

Sec #: 321.256
ICIS Sec #: 321.256
Zone
IA Code: 20 13
ICIS Ord.
Local Ord.
I.D. No. T142

Officer's
Signature
in
Fed/Adm Code: 392.2C

Dated 03/16/2015
03/30/2015 at
8:30 AM
$262.50
*+T01T1421503161205030+*
Dated
Signature of
Defendant
03/16/2015
this
16
day of
Agency
Officer's
Signature

COURT NO.
CASE NO.
DOCKET NO.
LICENSE NO.
CASE NO.
STATE:
NO JURY TRIAL or
PROCEEDING
Notary/other
OTHER
T01 T142 150316 120503 0

Iowa
FILED 03/16/2015 03:31PM

SAC COUNTY IOWA
Other
BAIL CASH DEPOSIT
PLEA
VERDICT
GUILTY
NOT GUILTY
GUILTY
NOT GUILTY
Date
DISMISSED
Driver's License
Recommendation
OTHER DISPOSITION
None
School
Susp.
Revo

Mo.
FINED $
Incarceration in
SURCHARGE $
, Iowa
EARLY - 2200
Notary/other
Signature
Citation #:
FORFEIT BOND
JURY TRIAL
at
PEREZ, WILLIAM
MARCH, 2015
Day
COST $
Days:
Yr.
DATE:
Continued to:
REASON
DATE:
Continued to:
REASON
DATE:
WARRANT ISSUED
Name
Address
Phone
Days

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01/07

E-FILED 2015 MAR 16 1:26 PM SAC - CLERK OF DISTRICT COURT

SAC GO. COURTHOUSE, SAG CITY, lA 50583

Ttie undersigned states ttiat on or about 0^

Operate Motor Vehicle/Boat (describe)

Pass. End. Req? Y e s D

Upon a public highway a t .

Co. Enf. Surcharge

R^ad Work Zone

court Appearance Required (805.10)

ABSTRACT O F COER1 RECORD

E-FILED 2015 MAR 16 1:26 PM SAC - CASE

BAIL CASH DEPOSIT

COUN'TY ENFORCEMENT- SURCH AR,GE S

Signature, peison giviru.; hail

Signature, person taking hail

I swear that (lifc forgoing citaiioii is true and correct.

Subscribed and sworn to before mc by

T O T H E C O U R T ; Tlie following are witnesses who can give testimony relating to

E-FILED 2015 MAR 16 2:31 AM SAC - CLERK OF DISTRICT COURT

E-FILED 2015 MAR 16 2:31 AM SAC - CLERK OF DISTRICT COURT

E-FILED 2015 MAR 16 2:30 AM SAC - CLERK OF DISTRICT COURT

E-FILED 2015 MAR 16 2:30 AM SAC - CLERK OF DISTRICT COURT

Law Enforcement Agency -

SAC COUNTY SHERIFF'S OFFICE

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

S81 RMAN 150313 231229 7

Address 310 370TH ST

The undersigned states that on or about

Co. Enf. Surcharge

Court Appearance Required (805.10)

Upon a public highway at STATE 39/FOX AVE

defendant did unlawfully: Operate Motor Vehicle/Boat

Lic. Plate #/REG CZN257

Road Work Zone

Civil Damage Assessment

ICIS Sec #: 321.285-B

I.D. No. 81-6

Violation SPEEDING 55 OR < (6 THRU 10 OVER)

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

I swear that the foregoing complaint is true and correct.

SAC COUNTY SHERIFF'S OFFICE

ABSTRACT OF COURT RECORD

S81 RMAN 150313 231229 7

TESTIMONY - JUDGE'S NOTES: (Other Orders)

FILED 03/16/2015 08:03AM

Signature, person giving bail

Signature, person taking bail

The court Therefore Enters in Following Order This Date

SAC CITY - 6717

Subscribed and sworn to me by

Law Enforcement Agency -

SAC COUNTY SHERIFF'S OFFICE

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

S81 RMAN 150313 231458 8

Address 310 370TH ST

The undersigned states that on or about

Co. Enf. Surcharge