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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

MCDONALD

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

S81 LURE 150318 160401 3

Citation #:

Reference #:

SCOTT

Defendant, Last

ANTHONY

First

Address 650 NORTH STATE #60

DL Class

The undersigned states that on or about


US DOT#

03/18/2015

Court Appearance Required (805.10)

Criminal Surcharge

Reason:

Co. Enf. Surcharge

N/A

Court Costs

Serious P.I.

2005 SIL

Race W

51458
5' 09"

Ethnicity N

Weight 130 LBS

Sex MALE

CHRYSLE TOW
R - CHRY
Pass
End

Year 2015

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

VN

Speed

Other

ICIS Sec #: 321.218

Officer's
Signature

Zone

IA Code: 20 15
ICIS Ord.

Local Ord.

I.D. No. 81-1

in

Fed/Adm Code:

Violation DRIVING WHILE LICENSE DENIED,SUSP,CANCELLED OR REVOKED


Sec #: 321.218

Total Fine/Costs

Height

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 265TH ST AND M068/PERKINS AVE


Scheduled Violation/Fine

Zip Code

DL Rest. NONE

defendant did unlawfully: Operate Motor Vehicle/Boat

Lic. Plate #/REG CIY039

ICC#

State IA

LAKE VIEW
DL End. NONE

at 3:37 PM

DOB 7/6/1984

Suffix

City

DL State IA

50583
DL/State ID
Viewed?
NO

199WW3823

DL#

Middle

IA

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 03/18/2015

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:

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

*+S81LURE1503181604013+*
Dated

Signature of
Defendant

03/18/2015

I swear that the foregoing complaint is true and correct.

this

18

day of

Agency

Officer's
Signature

SAC COUNTY SHERIFF'S OFFICE

ABSTRACT OF COURT RECORD


COURT NO.

CASE NO.

DOCKET NO.
LICENSE NO.

CASE NO.
STATE:

NO JURY TRIAL or
PROCEEDING

Notary/other

NOTARY

S81 LURE 150318 160401 3

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 03/19/2015 08:04AM


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

MCCLURE, KEN
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

Law Enforcement Agency -

SAC COUNTY SHERIFF'S OFFICE


City of:

SAC CITY

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12

MCDONALD

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

S81 LURE 150318 153745 2

Citation #:

Reference #:

SCOTT

Defendant, Last

ANTHONY

First

Address 650 NORTH STATE #60

DL Class

The undersigned states that on or about


US DOT#

03/18/2015

$100.00

Criminal Surcharge

$35.00

Co. Enf. Surcharge

$5.00

Court Costs

$60.00

Total Fine/Costs

$200.00

Court Appearance Required (805.10)


Reason:

Height

Serious P.I.

2005 SIL

Race W

51458
5' 09"

Ethnicity N

Weight 130 LBS

Sex MALE

CHRYSLE TOW
R - CHRY
Pass
End

VN

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 265TH ST AND M068/PERKINS AVE


Scheduled Violation/Fine

Zip Code

DL Rest. NONE

defendant did unlawfully: Operate Motor Vehicle/Boat

Lic. Plate #/REG CIY039

ICC#

State IA

LAKE VIEW
DL End. NONE

at 3:37 PM

DOB 7/6/1984

Suffix

City

DL State IA

50583
DL/State ID
Viewed?
NO

199WW3823

DL#

Middle

IA

Year 2015

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

Violation FAIL TO OBEY STOP SIGN AND YIELD RIGHT OF WAY


Sec #: 321.322

ICIS Sec #: 321.322(1)

Officer's
Signature

Zone

IA Code: 20 15
ICIS Ord.

Local Ord.

I.D. No. 81-1

in

Fed/Adm Code:

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 03/18/2015

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:
04/13/2015 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:

$270.00
4. I hereby give my unsecured appearance bond in the amount of
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty and surcharge plus court cost.

*+S81LURE1503181537452+*
Dated

Signature of
Defendant

03/18/2015

I swear that the foregoing complaint is true and correct.

this

18

day of

Agency

Officer's
Signature

SAC COUNTY SHERIFF'S OFFICE

ABSTRACT OF COURT RECORD


COURT NO.

CASE NO.

DOCKET NO.
LICENSE NO.

CASE NO.
STATE:

NO JURY TRIAL or
PROCEEDING

Notary/other

NOTARY

S81 LURE 150318 153745 2

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 03/19/2015 08:04AM


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

MCCLURE, KEN
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

Reference #:

Law Enforcement Agency -

IOWA STATE PATROL - DIST 07


City of:

SAC CITY

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12

LYNN

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

P07 4DEV 150313 162518 2

Citation #:

WHITNEY

Defendant, Last

ELIZABETH

First

Address 711 19TH ST

DL Class

The undersigned states that on or about


US DOT#

03/13/2015

$40.00

Criminal Surcharge

$14.00

Co. Enf. Surcharge

N/A

Court Costs

$60.00

Total Fine/Costs

$114.00

Court Appearance Required (805.10)


Reason:

Height

Serious P.I.

2003 RED

Race W
51360-0000
5' 04"
Weight

FORD FORD
Pass
End

Ethnicity N
Sex FEMALE

FOC

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 US 71/KARR AVE AND 175TH ST


Scheduled Violation/Fine

Zip Code

DL Rest. NONE

defendant did unlawfully: Operate Motor Vehicle/Boat

Lic. Plate #/REG 214RRX

ICC#

State IA

SPIRIT LAKE
DL End. NONE

at 4:25 PM

DOB 7/12/1993

Suffix

City

DL State IA

50583
DL/State ID
Viewed?
YES

299AE6028

DL#

Middle

IA

Year 2015

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

55

Zone

IA Code: 20 15

ICIS Sec #: 321.285-B

ICIS Ord.

Local Ord.

I.D. No. 084


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:
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:

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

*+P074DEV1503131625182+*
Dated

Signature of
Defendant

03/13/2015

I swear that the foregoing complaint is true and correct.

this

19

day of

Agency

Officer's
Signature

IOWA STATE PATROL - DIST 07

ABSTRACT OF COURT RECORD


COURT NO.

CASE NO.

DOCKET NO.
LICENSE NO.

CASE NO.
STATE:

NO JURY TRIAL or
PROCEEDING

OTHER

P07 4DEV 150313 162518 2

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 03/19/2015 02:25PM


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

FORT DODGE - 2690

Notary/other
Signature

Citation #:

FORFEIT BOND

JURY TRIAL

at

DEVEREAUX, S
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 #:

Law Enforcement Agency -

IOWA STATE PATROL - DIST 07


City of:

SAC CITY

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12

ANDASOL

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

P07 4DEV 150313 164054 3

Citation #:

YESY

Defendant, Last

First

Address 7100 DAVE CARR RD

DL Class

The undersigned states that on or about


US DOT#

03/13/2015

$80.00

Criminal Surcharge

$28.00

Co. Enf. Surcharge

N/A

Court Costs

$60.00

Total Fine/Costs

$168.00

Court Appearance Required (805.10)


Reason:

Height

Serious P.I.

2005 SIL

Race W
47111-0000
5' 05"
Weight 150 LBS

HONDA HOND
Pass
End

Ethnicity H
Sex FEMALE

CIVIC

4DR

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

IN

State

Upon a public highway at US 71/KARR AVE (MM: 157)


Scheduled Violation/Fine

Zip Code

DL Rest. NONE

defendant did unlawfully: Operate Motor Vehicle/Boat

Lic. Plate #/REG 156CAY

ICC#

State IN

CHARLESTOWN
DL End. NONE

at 4:40 PM

DOB 8/17/1980

Suffix

City

DL State IN

50583
DL/State ID
Viewed?
YES

1030476196

DL#

Middle

IA

Year 2016

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

55

Zone

IA Code: 20 15

ICIS Sec #: 321.285-C

ICIS Ord.

Local Ord.

I.D. No. 084


Officer's
Signature

in

Fed/Adm Code:

Violation SPEEDING 55 OR < (11 THRU 15 OVER)


Sec #: 321.285

70

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:
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:

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

*+P074DEV1503131640543+*
Dated

Signature of
Defendant

03/13/2015

I swear that the foregoing complaint is true and correct.

this

19

day of

Agency

Officer's
Signature

IOWA STATE PATROL - DIST 07

ABSTRACT OF COURT RECORD


COURT NO.

CASE NO.

DOCKET NO.
LICENSE NO.

CASE NO.
STATE:

NO JURY TRIAL or
PROCEEDING

OTHER

P07 4DEV 150313 164054 3

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 03/19/2015 02:25PM


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

FORT DODGE - 2690

Notary/other
Signature

Citation #:

FORFEIT BOND

JURY TRIAL

at

DEVEREAUX, S
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 #:

Law Enforcement Agency -

IOWA STATE PATROL - DIST 07


City of:

SAC CITY

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12

LEE

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

P07 4DEV 150313 165922 4

Citation #:

JENNA

Defendant, Last

KATHERINE

First

Address 3204 JENNINGS ST

DL Class

The undersigned states that on or about


US DOT#

03/13/2015

$40.00

Criminal Surcharge

$14.00

Co. Enf. Surcharge

N/A

Court Costs

$60.00

Total Fine/Costs

$114.00

Court Appearance Required (805.10)


Reason:

Height

Serious P.I.

1999 MAR

Race W
51104-0000
5' 02"
Weight

Ethnicity N
Sex FEMALE

CHEVROL MAL
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 US 20


Scheduled Violation/Fine

Zip Code

DL Rest. NONE

defendant did unlawfully: Operate Motor Vehicle/Boat

Lic. Plate #/REG 714YNA

ICC#

State IA

SIOUX CITY
DL End. NONE

at 4:59 PM

DOB 3/17/1996

Suffix

City

DL State IA

50583
DL/State ID
Viewed?
YES

444AF8394

DL#

Middle

IA

Year 2016

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

65

Zone

IA Code: 20 15

ICIS Sec #: 321.285-G

ICIS Ord.

Local Ord.

I.D. No. 084


Officer's
Signature

in

Fed/Adm Code:

Violation SPEEDING > 55 (6 THRU 10 OVER)


Sec #: 321.285

75

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:
03/30/2015 at
9:00 AM
My signature below is not a plea of guilty, but acknowledges all of the following:
1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.

2. I promise to appear in said court at said time and place. I understand that a person who willfully fails to appear in court as specified by this citation may be subject to arrest and/or loss of driving privileges.
3. If a court appearance is not required, I may enter a plea of guilty prior to the designated appearance date by delivery in person, or by agent, or by mail to the court specified by this citation.
The following applies to simple misdemeanors only:

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

*+P074DEV1503131659224+*
Dated

Signature of
Defendant

03/13/2015

I swear that the foregoing complaint is true and correct.

this

19

day of

Agency

Officer's
Signature

IOWA STATE PATROL - DIST 07

ABSTRACT OF COURT RECORD


COURT NO.

CASE NO.

DOCKET NO.
LICENSE NO.

CASE NO.
STATE:

NO JURY TRIAL or
PROCEEDING

OTHER

P07 4DEV 150313 165922 4

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 03/19/2015 02:25PM


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

FORT DODGE - 2690

Notary/other
Signature

Citation #:

FORFEIT BOND

JURY TRIAL

at

DEVEREAUX, S
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 #:

Law Enforcement Agency -

MOTOR VEHICLE ENFORCEMENT


City of:

SAC CITY

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12

STOLL

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

T01 T255 150318 094126 0

Citation #:

DAVID

Defendant, Last

LEE

First

Address 4049 TAFT AVE

DL Class

The undersigned states that on or about


US DOT#

03/18/2015

$60.00

Criminal Surcharge

$21.00

Co. Enf. Surcharge

N/A

Court Costs

$60.00

Total Fine/Costs

$141.00

Court Appearance Required (805.10)


Reason:

Height

Serious P.I.

2003 WHI

Race W
51245-0000
5' 11"
Weight

Ethnicity N
Sex MALE

CHEVROL SLV
ET -End
CHEV
Pass

CB

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 LEE AVE


Scheduled Violation/Fine

Zip Code

DL Rest. NONE

defendant did unlawfully: Operate Motor Vehicle/Boat

Lic. Plate #/REG 856XGN

ICC#

State IA

PRIMGHAR
DL End. L

at 9:29 AM

DOB 1/8/1959

Suffix

City

DL State IA

50583
DL/State ID
Viewed?
YES

680XX4850

DL#

Middle

IA

Year 2016

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

Violation GROSS WEIGHT EXCEEDS REG WEIGHT BY 4,500


Sec #: 321.466

ICIS Sec #: 321.466

Zone

IA Code: 20 13
ICIS Ord.

Local Ord.

I.D. No. T255


Officer's
Signature

in

Fed/Adm Code: 392.2RG

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 03/18/2015

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:
03/31/2015 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:

$181.50
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.

*+T01T2551503180941260+*
Dated

Signature of
Defendant

03/18/2015

I swear that the foregoing complaint is true and correct.

this

19

day of

Agency

Officer's
Signature

MOTOR VEHICLE ENFORCEMENT

ABSTRACT OF COURT RECORD


COURT NO.

CASE NO.

DOCKET NO.
LICENSE NO.

CASE NO.
STATE:

NO JURY TRIAL or
PROCEEDING

NOTARY

T01 T255 150318 094126 0

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 03/19/2015 04:30PM


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

POCAHONTAS - 6150

Notary/other
Signature

Citation #:

FORFEIT BOND

JURY TRIAL

at

TRUOG, KEITH
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 #:

Law Enforcement Agency -

MOTOR VEHICLE ENFORCEMENT


City of:

SAC CITY

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12

STEWART

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

T01 T324 150319 140123 8

Citation #:

BARBRA

Defendant, Last

LOUELLA

First

Address 614 A STREET NORTH

DL Class

03/19/2015

The undersigned states that on or about


US DOT# 02565288

ICC# 895683

$200.00
$70.00

Co. Enf. Surcharge

N/A

Court Costs

$60.00

Total Fine/Costs

$330.00

Serious P.I.

2013 WHI

Race W
37771-0000
5' 06"
Weight 150 LBS

Ethnicity N
Sex FEMALE

FORD FORD
Pass
End

TT

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

Court Appearance Required (805.10)


Reason:

Height

TN Year 2015

State

Upon a public highway at OFF ROADWAY/ROADWAY NOT FOUND

Criminal Surcharge

Zip Code

DL Rest. NONE

defendant did unlawfully: Operate Motor Vehicle/Boat

Lic. Plate #/REG B348HS

Scheduled Violation/Fine

State TN

LENOIR CITY
DL End. PS

at 1:45 PM

DOB 1/15/1976

Suffix

City

DL State TN

50583
DL/State ID
Viewed?
YES

081086303

DL#

Middle

IA

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

Violation OPERATING CLASS A CDL REQUIRED COMBINATION WITH CLASS B CDL


Sec #: 321.174

ICIS Sec #: 321.174(2)(B)

Zone

IA Code: 20 15
ICIS Ord.

Local Ord.

I.D. No. T324


Officer's
Signature

in

Fed/Adm Code: 383.91A

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 03/19/2015

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:

$465.00
4. I hereby give my unsecured appearance bond in the amount of
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty and surcharge plus court cost.

*+T01T3241503191401238+*
Dated

Signature of
Defendant

03/19/2015

I swear that the foregoing complaint is true and correct.

this

19

day of

Agency

Officer's
Signature

MOTOR VEHICLE ENFORCEMENT

ABSTRACT OF COURT RECORD


COURT NO.

CASE NO.

DOCKET NO.
LICENSE NO.

CASE NO.
STATE:

NO JURY TRIAL or
PROCEEDING

Notary/other

OTHER

T01 T324 150319 140123 8

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 03/19/2015 06:30PM


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

EARLY - 2200

Notary/other
Signature

Citation #:

FORFEIT BOND

JURY TRIAL

at

DAGIT, JOSHUA
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 #:

Law Enforcement Agency -

MOTOR VEHICLE ENFORCEMENT


City of:

SAC CITY

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12

JINDRA

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

T01 T324 150319 154703 2

Citation #:

NICHOLAS

Defendant, Last

First

Address 82235 567TH AVE

DL Class

The undersigned states that on or about


US DOT#

03/19/2015

$50.00

Criminal Surcharge

$17.50

Co. Enf. Surcharge

N/A

Court Costs

$60.00

Total Fine/Costs

$127.50

Serious P.I.

2013 GRY

Race W
68629-0000
6' 01"
Weight 190 LBS

FORD FORD
Pass
End

Ethnicity N
Sex MALE

SRW

SR

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

Court Appearance Required (805.10)


Reason:

Height

NE Year 2014

State

Upon a public highway at OFF ROADWAY/ROADWAY NOT FOUND


Scheduled Violation/Fine

Zip Code

DL Rest. NONE

defendant did unlawfully: Operate Motor Vehicle/Boat

Lic. Plate #/REG 531436

ICC#

State NE

CLARKSON
DL End. NONE

at 3:35 PM

DOB 7/16/1981

Suffix

City

DL State NE

50583
DL/State ID
Viewed?
YES

H12403375

DL#

Middle

IA

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

Violation FAILURE TO DISPLAY DOT NUMBER AND COMPANY NAME


Sec #: 321.449

ICIS Sec #: 321.449-A

Zone

IA Code: 20 13
ICIS Ord.

Local Ord.

I.D. No. T324


Officer's
Signature

in

Fed/Adm Code: 390.21B

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 03/19/2015

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:

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

*+T01T3241503191547032+*
Dated

Signature of
Defendant

03/19/2015

I swear that the foregoing complaint is true and correct.

this

19

day of

Agency

Officer's
Signature

MOTOR VEHICLE ENFORCEMENT

ABSTRACT OF COURT RECORD


COURT NO.

CASE NO.

DOCKET NO.
LICENSE NO.

CASE NO.
STATE:

NO JURY TRIAL or
PROCEEDING

Notary/other

OTHER

T01 T324 150319 154703 2

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 03/19/2015 06:30PM


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

EARLY - 2200

Notary/other
Signature

Citation #:

FORFEIT BOND

JURY TRIAL

at

DAGIT, JOSHUA
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 #:

Law Enforcement Agency -

MOTOR VEHICLE ENFORCEMENT


City of:

SAC CITY

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12

BUSTER

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

T01 T424 150319 125228 2

Citation #:

JOSHUA

Defendant, Last

DOUGLAS

First

Address 905 LEROY ST

DL Class

The undersigned states that on or about


US DOT# 02451376

03/19/2015

$50.00

Criminal Surcharge

$17.50

Co. Enf. Surcharge

N/A

Court Costs

$60.00

Total Fine/Costs

$127.50

Court Appearance Required (805.10)


Reason:

Height

Serious P.I.

1999 WHI

Race W
52761-0000
5' 11"
Weight 200 LBS

Ethnicity N
Sex MALE

PETERBIL
T - PTRB
Pass
End NO

TTST

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

IA

State

Upon a public highway at US 71/KARR AVE


Scheduled Violation/Fine

Zip Code

DL Rest. NONE

defendant did unlawfully: Operate Motor Vehicle/Boat

Lic. Plate #/REG VB2550

ICC#

State IA

MUSCATINE
DL End. NONE

at 12:00 PM

DOB 4/23/1984

Suffix

City

DL State IA

50583
DL/State ID
Viewed?
YES

001AA8204

DL#

Middle

IA

Year 2015

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

Violation MISSING LOWER REAR IMPACT GUARD TL


Sec #: 321.449

ICIS Ord.

Local Ord.

I.D. No. T424

Zone

IA Code: 20 13

ICIS Sec #: 321.449-A

Officer's
Signature

in

Fed/Adm Code: 393.86A1

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 03/19/2015

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:
04/07/2015 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:

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

*+T01T4241503191252282+*
Dated

Signature of
Defendant

03/19/2015

I swear that the foregoing complaint is true and correct.

this

19

day of

Agency

Officer's
Signature

MOTOR VEHICLE ENFORCEMENT

ABSTRACT OF COURT RECORD


COURT NO.

CASE NO.

DOCKET NO.
LICENSE NO.

CASE NO.
STATE:

NO JURY TRIAL or
PROCEEDING

OTHER

T01 T424 150319 125228 2

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 03/19/2015 06:30PM


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

CHEROKEE - 1272

Notary/other
Signature

Citation #:

FORFEIT BOND

JURY TRIAL

at

CLAYCAMP, FRED
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 #:

Law Enforcement Agency -

MOTOR VEHICLE ENFORCEMENT


City of:

SAC CITY

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12

GREVING

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

T01 T424 150319 132439 4

Citation #:

DUANE

Defendant, Last

FRANCIS

First

Address 1415 SIMON AVE

DL Class

03/19/2015

The undersigned states that on or about


US DOT# 00723167

ICC# 821078

$100.00
$35.00

Co. Enf. Surcharge

N/A

Court Costs

$60.00

Total Fine/Costs

$195.00

Court Appearance Required (805.10)


Reason:

Height

Serious P.I.

1999 BLU

Race W
51401-0000
6' 00"
Weight 200 LBS

Ethnicity N
Sex MALE

INTERNA
TIONAL
-I
Pass
End NO

TTST

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

IA

State

Upon a public highway at US 71/KARR AVE

Criminal Surcharge

Zip Code

DL Rest. NONE

defendant did unlawfully: Operate Motor Vehicle/Boat

Lic. Plate #/REG 7151DC

Scheduled Violation/Fine

State IA

CARROLL
DL End. L

at 1:00 PM

DOB 6/16/1949

Suffix

City

DL State IA

50583
DL/State ID
Viewed?
YES

538YY9300

DL#

Middle

IA

Year 2015

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

Violation FAILURE TO OBEY OPEN SCALE SIGN


Sec #: 321.256

Zone

IA Code: 20 13

ICIS Sec #: 321.256

ICIS Ord.

Local Ord.

I.D. No. T424


Officer's
Signature

in

Fed/Adm Code: 392.2C

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 03/19/2015

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:
04/07/2015 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:

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

*+T01T4241503191324394+*
Dated

Signature of
Defendant

03/19/2015

I swear that the foregoing complaint is true and correct.

this

19

day of

Agency

Officer's
Signature

MOTOR VEHICLE ENFORCEMENT

ABSTRACT OF COURT RECORD


COURT NO.

CASE NO.

DOCKET NO.
LICENSE NO.

CASE NO.
STATE:

NO JURY TRIAL or
PROCEEDING

OTHER

T01 T424 150319 132439 4

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 03/19/2015 06:30PM


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

CHEROKEE - 1272

Notary/other
Signature

Citation #:

FORFEIT BOND

JURY TRIAL

at

CLAYCAMP, FRED
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