March 18, 2015.pdf

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    chargedinthiscitation,thecourtisauthorizedtoenteraconvictionandrenderjudgmentagainstmefortheamountofmyappearancebondinsatisfactionofthepenaltyandsurchargepluscourtcost.

    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.

    Speed

    IACode:

    State of Iowa

    this

    Road Work Zone

    Weight

     Agency

    City

    Zone

    Court Costs

    1.Iherebyswearandaffirmthattheinformationprovidedbymeonthiscitationistrueunderpenaltyofprovidingfalseinformation.

    My signature below is not a plea of guilty, but acknowledges all of the following:

    PLAINTIFF

    4. I hereby give my unsecured appearance bond in the amount of 

    ICISSec#:

    Subscribed and sworn to me by

    at

    Fed/AdmCode:

    NOTICE:ProvidingfalseidentificationinformationisaviolationofSection719.1Aof theCodeofIowaandispunishableasasimplemisdemeanor.

    Law Enforcement Agency -

    Violation

    DL State

    In the Court at

    Located in the county and state aforesaid and did then and there commit the following offense:

    Fatal Accident

    DL Rest.

    Dated

    Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not

    day of 

    Zip Code

    Form420001E1/07

    DOB

    Local Ord.

    Height

    require an appearance, report to the above named court on:

    Court Appearance Required (805.10)

    VS.

    Name

    DL/StateIDViewed?

    Race

    Sex

    The following applies to simple misdemeanors only:

    The undersigned states that on or about

    Sec #:

    Upon a public highway at

    CDLReq?

    Year 

    dollarsandentermywrittenappearance.IagreethatifIfailtoappearinpersonorbycounseltodefendagainsttheoffense

    DL End.

    DL#

     Address

    IOWA UNIFORM CITATION AND COMPLAINT

    I swear that the foregoing complaint is true and correct. , Iowa

    ICC# Lic. Plate #/REG

    I.D. No.

    Reference#:

    Signatureof Defendant

    City of:

    Dispatch /

    Case :

    20

    US DOT#

    DL Class

    State

    2. I promise to appear in said court at said time and place. I understand that a person who willfully fails to appear in court as specified by this citation may be subject to arrest and/or loss of driving privileges.

    First

    defendant did unlawfully: Operate Motor Vehicle/Boat

    State

    Scheduled Violation/Fine

    Suffix

    Criminal SurchargeSerious P.I.

    in

    Notary/other 

    Reason:

    3. If a court appearance is not required, I may enter a plea of guilty prior to the designated appearance date by delivery in person, or by agent, or by mail to the court specified by this citation.

    Civil Damage Assessment Other  

    County of:

    Officer'sSignature

    Total Fine/Costs

    HazMatEndReq?

    Officer'sSignature

    Non-scheduled Violation

    X

    ICISOrd.

    at

    Defendant, Last

    at

    COMPLAINT

    PassEndReq?

    Co. Enf. Surcharge

    Middle

    Notary/other Signature

    Dated

    T 1 T424 15 314 8 755 9

    *+T01T4241503140807559+*

    Citation #:

    MOTOR VEHICLE ENFORCEMENT

    SAC - 81

    SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583

    H13606134BASCH DAVID EUGENE 1/7/1964YES

    NEthnicity68127-0000OMAHA NE6314 S 96TH ST APT 25

    6' 01"NE 210 LBSNONE MALEA T

    03/14/2015 7:45 AM 2013 BLU FREIGHT

     

    TTST

    2014 YES NO NONE17438400507614 248489

    M043/GARD AVE

    5565$40.00

    $14.00392.2-SLLS3

    N/A15SPEEDING 65 IN 55 ZONE MFODR NB

    $60.00

    321.285 321.285-B$114.00

    T424

    03/14/2015

    03/14/2015

    8:30 AM03/31/2015

    $141.00

    EARLY - 2200CLAYCAMP, FRED

    MARCH, 201514

    OTHER MOTOR VEHICLE ENFORCEMENT

    NOT GUILTY

    Driver's LicenseRecommendation

    OTHER DISPOSITION

    Other 

    Susp.

    Yr.

    BAIL CASH DEPOSIT

    DATE: Continued to:

    Incarceration in

    VERDICT

    WARRANT ISSUED

    Iowa

    DISMISSED

    TESTIMONY - JUDGE'S NOTES: (Other Orders)

    Revo

    Mo.

    Signature, person giving bail

    TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:

    COST $

    ABSTRACT OF COURT RECORD

    Address

    JURY TRIAL

    Days:

    DOCKET NO.

    REASON

    CASE NO.

    School

    CASE NO.

    STATE:

    Days

    Name

    FORFEIT BOND

    The court Therefore Enters in Following Order This Date

    REASON

    Phone

    PLEA

    LICENSE NO.

    NOT GUILTY

    Citation :

    GUILTY

    Signature, person taking bailDate

    DATE:

    NO JURY TRIAL or PROCEEDING

    GUILTY

    DATE:

    None

    Day

    COURT NO.

    FINED $ SURCHARGE $ Continued to:

    T 1 T424 15 314 8 755 9

    FILED 03/18/2015 01:31PM

    CLERK DISTRICT COURT

    SAC COUNTY IOWA

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    3/11

    chargedinthiscitation,thecourtisauthorizedtoenteraconvictionandrenderjudgmentagainstmefortheamountofmyappearancebondinsatisfactionofthepenaltyandsurchargepluscourtcost.

    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.

    Speed

    IACode:

    State of Iowa

    this

    Road Work Zone

    Weight

     Agency

    City

    Zone

    Court Costs

    1.Iherebyswearandaffirmthattheinformationprovidedbymeonthiscitationistrueunderpenaltyofprovidingfalseinformation.

    My signature below is not a plea of guilty, but acknowledges all of the following:

    PLAINTIFF

    4. I hereby give my unsecured appearance bond in the amount of 

    ICISSec#:

    Subscribed and sworn to me by

    at

    Fed/AdmCode:

    NOTICE:ProvidingfalseidentificationinformationisaviolationofSection719.1Aof theCodeofIowaandispunishableasasimplemisdemeanor.

    Law Enforcement Agency -

    Violation

    DL State

    In the Court at

    Located in the county and state aforesaid and did then and there commit the following offense:

    Fatal Accident

    DL Rest.

    Dated

    Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not

    day of 

    Zip Code

    Form420001E1/07

    DOB

    Local Ord.

    Height

    require an appearance, report to the above named court on:

    Court Appearance Required (805.10)

    VS.

    Name

    DL/StateIDViewed?

    Race

    Sex

    The following applies to simple misdemeanors only:

    The undersigned states that on or about

    Sec #:

    Upon a public highway at

    CDLReq?

    Year 

    dollarsandentermywrittenappearance.IagreethatifIfailtoappearinpersonorbycounseltodefendagainsttheoffense

    DL End.

    DL#

     Address

    IOWA UNIFORM CITATION AND COMPLAINT

    I swear that the foregoing complaint is true and correct. , Iowa

    ICC# Lic. Plate #/REG

    I.D. No.

    Reference#:

    Signatureof Defendant

    City of:

    Dispatch /

    Case :

    20

    US DOT#

    DL Class

    State

    2. I promise to appear in said court at said time and place. I understand that a person who willfully fails to appear in court as specified by this citation may be subject to arrest and/or loss of driving privileges.

    First

    defendant did unlawfully: Operate Motor Vehicle/Boat

    State

    Scheduled Violation/Fine

    Suffix

    Criminal SurchargeSerious P.I.

    in

    Notary/other 

    Reason:

    3. If a court appearance is not required, I may enter a plea of guilty prior to the designated appearance date by delivery in person, or by agent, or by mail to the court specified by this citation.

    Civil Damage Assessment Other  

    County of:

    Officer'sSignature

    Total Fine/Costs

    HazMatEndReq?

    Officer'sSignature

    Non-scheduled Violation

    X

    ICISOrd.

    at

    Defendant, Last

    at

    COMPLAINT

    PassEndReq?

    Co. Enf. Surcharge

    Middle

    Notary/other Signature

    Dated

    T 1 T424 15 314 82117 1

    *+T01T4241503140821171+*

    Citation #:

    MOTOR VEHICLE ENFORCEMENT

    SAC - 81

    SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583

    353YY0335SUNDALL BRYAN MATTHEW 11/9/1987YES

    NEthnicity50567-0000NEMAHA IA1681 HIGHWAY 71

    5' 07"IA 175 LBSNONE MALED 1

    03/14/2015 8:21 AM 2008 SIL CHEVROL

     

    SLV PK  

    2015 NOIABB409

    M043/GARD AVE

    5565$40.00

    $14.00

    N/A15SPEEDING 65 IN 55 MFODR (68)

    $60.00

    321.285 321.285-B$114.00

    T424

    03/14/2015

    03/14/2015

    8:30 AM03/31/2015

    $141.00

    EARLY - 2200CLAYCAMP, FRED

    MARCH, 201514

    OTHER MOTOR VEHICLE ENFORCEMENT

    NOT GUILTY

    Driver's LicenseRecommendation

    OTHER DISPOSITION

    Other 

    Susp.

    Yr.

    BAIL CASH DEPOSIT

    DATE: Continued to:

    Incarceration in

    VERDICT

    WARRANT ISSUED

    Iowa

    DISMISSED

    TESTIMONY - JUDGE'S NOTES: (Other Orders)

    Revo

    Mo.

    Signature, person giving bail

    TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:

    COST $

    ABSTRACT OF COURT RECORD

    Address

    JURY TRIAL

    Days:

    DOCKET NO.

    REASON

    CASE NO.

    School

    CASE NO.

    STATE:

    Days

    Name

    FORFEIT BOND

    The court Therefore Enters in Following Order This Date

    REASON

    Phone

    PLEA

    LICENSE NO.

    NOT GUILTY

    Citation :

    GUILTY

    Signature, person taking bailDate

    DATE:

    NO JURY TRIAL or PROCEEDING

    GUILTY

    DATE:

    None

    Day

    COURT NO.

    FINED $ SURCHARGE $ Continued to:

    T 1 T424 15 314 82117 1

    FILED 03/18/2015 01:31PM

    CLERK DISTRICT COURT

    SAC COUNTY IOWA

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    4/11

    chargedinthiscitation,thecourtisauthorizedtoenteraconvictionandrenderjudgmentagainstmefortheamountofmyappearancebondinsatisfactionofthepenaltyandsurchargepluscourtcost.

    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.

    Speed

    IACode:

    State of Iowa

    this

    Road Work Zone

    Weight

     Agency

    City

    Zone

    Court Costs

    1.Iherebyswearandaffirmthattheinformationprovidedbymeonthiscitationistrueunderpenaltyofprovidingfalseinformation.

    My signature below is not a plea of guilty, but acknowledges all of the following:

    PLAINTIFF

    4. I hereby give my unsecured appearance bond in the amount of 

    ICISSec#:

    Subscribed and sworn to me by

    at

    Fed/AdmCode:

    NOTICE:ProvidingfalseidentificationinformationisaviolationofSection719.1Aof theCodeofIowaandispunishableasasimplemisdemeanor.

    Law Enforcement Agency -

    Violation

    DL State

    In the Court at

    Located in the county and state aforesaid and did then and there commit the following offense:

    Fatal Accident

    DL Rest.

    Dated

    Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not

    day of 

    Zip Code

    Form420001E1/07

    DOB

    Local Ord.

    Height

    require an appearance, report to the above named court on:

    Court Appearance Required (805.10)

    VS.

    Name

    DL/StateIDViewed?

    Race

    Sex

    The following applies to simple misdemeanors only:

    The undersigned states that on or about

    Sec #:

    Upon a public highway at

    CDLReq?

    Year 

    dollarsandentermywrittenappearance.IagreethatifIfailtoappearinpersonorbycounseltodefendagainsttheoffense

    DL End.

    DL#

     Address

    IOWA UNIFORM CITATION AND COMPLAINT

    I swear that the foregoing complaint is true and correct. , Iowa

    ICC# Lic. Plate #/REG

    I.D. No.

    Reference#:

    Signatureof Defendant

    City of:

    Dispatch /

    Case :

    20

    US DOT#

    DL Class

    State

    2. I promise to appear in said court at said time and place. I understand that a person who willfully fails to appear in court as specified by this citation may be subject to arrest and/or loss of driving privileges.

    First

    defendant did unlawfully: Operate Motor Vehicle/Boat

    State

    Scheduled Violation/Fine

    Suffix

    Criminal SurchargeSerious P.I.

    in

    Notary/other 

    Reason:

    3. If a court appearance is not required, I may enter a plea of guilty prior to the designated appearance date by delivery in person, or by agent, or by mail to the court specified by this citation.

    Civil Damage Assessment Other  

    County of:

    Officer'sSignature

    Total Fine/Costs

    HazMatEndReq?

    Officer'sSignature

    Non-scheduled Violation

    X

    ICISOrd.

    at

    Defendant, Last

    at

    COMPLAINT

    PassEndReq?

    Co. Enf. Surcharge

    Middle

    Notary/other Signature

    Dated

    T 1 T424 15 314 93425 3

    *+T01T4241503140934253+*

    Citation #:

    MOTOR VEHICLE ENFORCEMENT

    SAC - 81

    SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583

    007AA5264HERRIG BRYAN DAVID 3/1/1966YES

    NEthnicity51466-0000ALL LAKE IA3414 MACE AVE

    5' 10"IA 215 LBSB MALEA NONE

    03/14/2015 9:15 AM 2012 HI FORD - F35 TRST

    2015 YES NO NOIABDH34400283576

    US 71/KARR AVE

    $40.00

    $14.00392.2RG

    N/A13ACTUAL WT EXCEEDS REGISTERED WT BY 2140#

    $60.00

    321.466 321.466$114.00

    T424

    03/14/2015

    03/14/2015

    8:30 AM03/31/2015

    $141.00

    EARLY - 2200CLAYCAMP, FRED

    MARCH, 201514

    OTHER MOTOR VEHICLE ENFORCEMENT

    NOT GUILTY

    Driver's LicenseRecommendation

    OTHER DISPOSITION

    Other 

    Susp.

    Yr.

    BAIL CASH DEPOSIT

    DATE: Continued to:

    Incarceration in

    VERDICT

    WARRANT ISSUED

    Iowa

    DISMISSED

    TESTIMONY - JUDGE'S NOTES: (Other Orders)

    Revo

    Mo.

    Signature, person giving bail

    TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:

    COST $

    ABSTRACT OF COURT RECORD

    Address

    JURY TRIAL

    Days:

    DOCKET NO.

    REASON

    CASE NO.

    School

    CASE NO.

    STATE:

    Days

    Name

    FORFEIT BOND

    The court Therefore Enters in Following Order This Date

    REASON

    Phone

    PLEA

    LICENSE NO.

    NOT GUILTY

    Citation :

    GUILTY

    Signature, person taking bailDate

    DATE:

    NO JURY TRIAL or PROCEEDING

    GUILTY

    DATE:

    None

    Day

    COURT NO.

    FINED $ SURCHARGE $ Continued to:

    T 1 T424 15 314 93425 3

    FILED 03/18/2015 01:31PM

    CLERK DISTRICT COURT

    SAC COUNTY IOWA

  • 8/9/2019 March 18, 2015.pdf

    5/11

    chargedinthiscitation,thecourtisauthorizedtoenteraconvictionandrenderjudgmentagainstmefortheamountofmyappearancebondinsatisfactionofthepenaltyandsurchargepluscourtcost.

    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.

    Speed

    IACode:

    State of Iowa

    this

    Road Work Zone

    Weight

     Agency

    City

    Zone

    Court Costs

    1.Iherebyswearandaffirmthattheinformationprovidedbymeonthiscitationistrueunderpenaltyofprovidingfalseinformation.

    My signature below is not a plea of guilty, but acknowledges all of the following:

    PLAINTIFF

    4. I hereby give my unsecured appearance bond in the amount of 

    ICISSec#:

    Subscribed and sworn to me by

    at

    Fed/AdmCode:

    NOTICE:ProvidingfalseidentificationinformationisaviolationofSection719.1Aof theCodeofIowaandispunishableasasimplemisdemeanor.

    Law Enforcement Agency -

    Violation

    DL State

    In the Court at

    Located in the county and state aforesaid and did then and there commit the following offense:

    Fatal Accident

    DL Rest.

    Dated

    Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not

    day of 

    Zip Code

    Form420001E1/07

    DOB

    Local Ord.

    Height

    require an appearance, report to the above named court on:

    Court Appearance Required (805.10)

    VS.

    Name

    DL/StateIDViewed?

    Race

    Sex

    The following applies to simple misdemeanors only:

    The undersigned states that on or about

    Sec #:

    Upon a public highway at

    CDLReq?

    Year 

    dollarsandentermywrittenappearance.IagreethatifIfailtoappearinpersonorbycounseltodefendagainsttheoffense

    DL End.

    DL#

     Address

    IOWA UNIFORM CITATION AND COMPLAINT

    I swear that the foregoing complaint is true and correct. , Iowa

    ICC# Lic. Plate #/REG

    I.D. No.

    Reference#:

    Signatureof Defendant

    City of:

    Dispatch /

    Case :

    20

    US DOT#

    DL Class

    State

    2. I promise to appear in said court at said time and place. I understand that a person who willfully fails to appear in court as specified by this citation may be subject to arrest and/or loss of driving privileges.

    First

    defendant did unlawfully: Operate Motor Vehicle/Boat

    State

    Scheduled Violation/Fine

    Suffix

    Criminal SurchargeSerious P.I.

    in

    Notary/other 

    Reason:

    3. If a court appearance is not required, I may enter a plea of guilty prior to the designated appearance date by delivery in person, or by agent, or by mail to the court specified by this citation.

    Civil Damage Assessment Other  

    County of:

    Officer'sSignature

    Total Fine/Costs

    HazMatEndReq?

    Officer'sSignature

    Non-scheduled Violation

    X

    ICISOrd.

    at

    Defendant, Last

    at

    COMPLAINT

    PassEndReq?

    Co. Enf. Surcharge

    Middle

    Notary/other Signature

    Dated

    T 1 T424 15 314 1 2118 5

    *+T01T4241503141021185+*

    Citation #:

    MOTOR VEHICLE ENFORCEMENT

    SAC - 81

    SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583

    01461088KANE ALEXANDER JOHN 5/17/1991YES

    NEthnicity57718-9576BLACK HAWK SD6611 RIDGEVIEW DR 

    5' 09"SD 155 LBSO MALE1 NONE

    03/14/2015 10:00 AM 2007 GRY DODGE - TR  

    2015 NOMNYBJ635000987575

    US 71/KARR AVE

    $50.00

    $17.50391.41A-F

    N/A13EXPIRED MEDICAL CARD DATED 12-10-14

    $60.00

    321.449 321.449-B$127.50

    T424

    03/14/2015

    03/14/2015

    8:30 AM03/31/2015

    $161.25

    EARLY - 2200CLAYCAMP, FRED

    MARCH, 201514

    OTHER MOTOR VEHICLE ENFORCEMENT

    NOT GUILTY

    Driver's LicenseRecommendation

    OTHER DISPOSITION

    Other 

    Susp.

    Yr.

    BAIL CASH DEPOSIT

    DATE: Continued to:

    Incarceration in

    VERDICT

    WARRANT ISSUED

    Iowa

    DISMISSED

    TESTIMONY - JUDGE'S NOTES: (Other Orders)

    Revo

    Mo.

    Signature, person giving bail

    TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:

    COST $

    ABSTRACT OF COURT RECORD

    Address

    JURY TRIAL

    Days:

    DOCKET NO.

    REASON

    CASE NO.

    School

    CASE NO.

    STATE:

    Days

    Name

    FORFEIT BOND

    The court Therefore Enters in Following Order This Date

    REASON

    Phone

    PLEA

    LICENSE NO.

    NOT GUILTY

    Citation :

    GUILTY

    Signature, person taking bailDate

    DATE:

    NO JURY TRIAL or PROCEEDING

    GUILTY

    DATE:

    None

    Day

    COURT NO.

    FINED $ SURCHARGE $ Continued to:

    T 1 T424 15 314 1 2118 5

    FILED 03/18/2015 01:31PM

    CLERK DISTRICT COURT

    SAC COUNTY IOWA

  • 8/9/2019 March 18, 2015.pdf

    6/11

    chargedinthiscitation,thecourtisauthorizedtoenteraconvictionandrenderjudgmentagainstmefortheamountofmyappearancebondinsatisfactionofthepenaltyandsurchargepluscourtcost.

    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.

    Speed

    IACode:

    State of Iowa

    this

    Road Work Zone

    Weight

     Agency

    City

    Zone

    Court Costs

    1.Iherebyswearandaffirmthattheinformationprovidedbymeonthiscitationistrueunderpenaltyofprovidingfalseinformation.

    My signature below is not a plea of guilty, but acknowledges all of the following:

    PLAINTIFF

    4. I hereby give my unsecured appearance bond in the amount of 

    ICISSec#:

    Subscribed and sworn to me by

    at

    Fed/AdmCode:

    NOTICE:ProvidingfalseidentificationinformationisaviolationofSection719.1Aof theCodeofIowaandispunishableasasimplemisdemeanor.

    Law Enforcement Agency -

    Violation

    DL State

    In the Court at

    Located in the county and state aforesaid and did then and there commit the following offense:

    Fatal Accident

    DL Rest.

    Dated

    Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not

    day of 

    Zip Code

    Form420001E1/07

    DOB

    Local Ord.

    Height

    require an appearance, report to the above named court on:

    Court Appearance Required (805.10)

    VS.

    Name

    DL/StateIDViewed?

    Race

    Sex

    The following applies to simple misdemeanors only:

    The undersigned states that on or about

    Sec #:

    Upon a public highway at

    CDLReq?

    Year 

    dollarsandentermywrittenappearance.IagreethatifIfailtoappearinpersonorbycounseltodefendagainsttheoffense

    DL End.

    DL#

     Address

    IOWA UNIFORM CITATION AND COMPLAINT

    I swear that the foregoing complaint is true and correct. , Iowa

    ICC# Lic. Plate #/REG

    I.D. No.

    Reference#:

    Signatureof Defendant

    City of:

    Dispatch /

    Case :

    20

    US DOT#

    DL Class

    State

    2. I promise to appear in said court at said time and place. I understand that a person who willfully fails to appear in court as specified by this citation may be subject to arrest and/or loss of driving privileges.

    First

    defendant did unlawfully: Operate Motor Vehicle/Boat

    State

    Scheduled Violation/Fine

    Suffix

    Criminal SurchargeSerious P.I.

    in

    Notary/other 

    Reason:

    3. If a court appearance is not required, I may enter a plea of guilty prior to the designated appearance date by delivery in person, or by agent, or by mail to the court specified by this citation.

    Civil Damage Assessment Other  

    County of:

    Officer'sSignature

    Total Fine/Costs

    HazMatEndReq?

    Officer'sSignature

    Non-scheduled Violation

    X

    ICISOrd.

    at

    Defendant, Last

    at

    COMPLAINT

    PassEndReq?

    Co. Enf. Surcharge

    Middle

    Notary/other Signature

    Dated

    T 1 T142 15 318 755 8 5

    *+T01T1421503180755085+*

    Citation #:

    MOTOR VEHICLE ENFORCEMENT

    SAC - 81

    SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583

    00087164KERNER TIMOTHY ALLAN 9/29/1959YES

    NEthnicity57580-1625INNER SD533 S VAN BUREN ST

    5' 09"SD 185 LBSNONE MALEA TN

    03/18/2015 7:45 AM 2003 MAR PETERBIL

     

    TT/ST

    2015 YES NO NOSDPR0501000821938 445797

    M065/ROLF AVE

    6575$40.00

    $14.00392.2-SLLS2

    N/A15SPEEDING 76 MPH IN 65 MPH ZONE (RADAR 76 MPH)

    $60.00

    321.285 321.285-G$114.00

    T142

    03/18/2015

    03/18/2015

    8:30 AM04/06/2015

    $141.00

    EARLY - 2200PEREZ, WILLIAM

    MARCH, 201518

    OTHER MOTOR VEHICLE ENFORCEMENT

    NOT GUILTY

    Driver's LicenseRecommendation

    OTHER DISPOSITION

    Other 

    Susp.

    Yr.

    BAIL CASH DEPOSIT

    DATE: Continued to:

    Incarceration in

    VERDICT

    WARRANT ISSUED

    Iowa

    DISMISSED

    TESTIMONY - JUDGE'S NOTES: (Other Orders)

    Revo

    Mo.

    Signature, person giving bail

    TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:

    COST $

    ABSTRACT OF COURT RECORD

    Address

    JURY TRIAL

    Days:

    DOCKET NO.

    REASON

    CASE NO.

    School

    CASE NO.

    STATE:

    Days

    Name

    FORFEIT BOND

    The court Therefore Enters in Following Order This Date

    REASON

    Phone

    PLEA

    LICENSE NO.

    NOT GUILTY

    Citation :

    GUILTY

    Signature, person taking bailDate

    DATE:

    NO JURY TRIAL or PROCEEDING

    GUILTY

    DATE:

    None

    Day

    COURT NO.

    FINED $ SURCHARGE $ Continued to:

    T 1 T142 15 318 755 8 5

    FILED 03/18/2015 02:30PM

    CLERK DISTRICT COURT

    SAC COUNTY IOWA

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    7/11

    chargedinthiscitation,thecourtisauthorizedtoenteraconvictionandrenderjudgmentagainstmefortheamountofmyappearancebondinsatisfactionofthepenaltyandsurchargepluscourtcost.

    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.

    Speed

    IACode:

    State of Iowa

    this

    Road Work Zone

    Weight

     Agency

    City

    Zone

    Court Costs

    1.Iherebyswearandaffirmthattheinformationprovidedbymeonthiscitationistrueunderpenaltyofprovidingfalseinformation.

    My signature below is not a plea of guilty, but acknowledges all of the following:

    PLAINTIFF

    4. I hereby give my unsecured appearance bond in the amount of 

    ICISSec#:

    Subscribed and sworn to me by

    at

    Fed/AdmCode:

    NOTICE:ProvidingfalseidentificationinformationisaviolationofSection719.1Aof theCodeofIowaandispunishableasasimplemisdemeanor.

    Law Enforcement Agency -

    Violation

    DL State

    In the Court at

    Located in the county and state aforesaid and did then and there commit the following offense:

    Fatal Accident

    DL Rest.

    Dated

    Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not

    day of 

    Zip Code

    Form420001E1/07

    DOB

    Local Ord.

    Height

    require an appearance, report to the above named court on:

    Court Appearance Required (805.10)

    VS.

    Name

    DL/StateIDViewed?

    Race

    Sex

    The following applies to simple misdemeanors only:

    The undersigned states that on or about

    Sec #:

    Upon a public highway at

    CDLReq?

    Year 

    dollarsandentermywrittenappearance.IagreethatifIfailtoappearinpersonorbycounseltodefendagainsttheoffense

    DL End.

    DL#

     Address

    IOWA UNIFORM CITATION AND COMPLAINT

    I swear that the foregoing complaint is true and correct. , Iowa

    ICC# Lic. Plate #/REG

    I.D. No.

    Reference#:

    Signatureof Defendant

    City of:

    Dispatch /

    Case :

    20

    US DOT#

    DL Class

    State

    2. I promise to appear in said court at said time and place. I understand that a person who willfully fails to appear in court as specified by this citation may be subject to arrest and/or loss of driving privileges.

    First

    defendant did unlawfully: Operate Motor Vehicle/Boat

    State

    Scheduled Violation/Fine

    Suffix

    Criminal SurchargeSerious P.I.

    in

    Notary/other 

    Reason:

    3. If a court appearance is not required, I may enter a plea of guilty prior to the designated appearance date by delivery in person, or by agent, or by mail to the court specified by this citation.

    Civil Damage Assessment Other  

    County of:

    Officer'sSignature

    Total Fine/Costs

    HazMatEndReq?

    Officer'sSignature

    Non-scheduled Violation

    X

    ICISOrd.

    at

    Defendant, Last

    at

    COMPLAINT

    PassEndReq?

    Co. Enf. Surcharge

    Middle

    Notary/other Signature

    Dated

    T 1 T142 15 318 9 7 7 7

    *+T01T1421503180907077+*

    Citation #:

    MOTOR VEHICLE ENFORCEMENT

    SAC - 81

    SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583

    4039025HEFLIN RICHARD BRADFORD 1/23/1958YES

    NEthnicity35805-4620HUNTSVILLE AL3310 ALPINE ST SW

    6' 08"AL 270 LBSNONE MALEAM NT

    03/18/2015 8:25 AM 2007 SIL INTERNA

     

    TT/ST

    2015 YES NO NOAL109213801432388 541238

    US 71/KARR AVE

    $50.00

    $17.50393.75A

    N/A13AXLE #2 LEFT SIDE INNER TIRE IS FLAT & AXLE #3 RIGHT SIDE INNER TIRE

     $60.00

    321.449 321.449-A$127.50

    T142

    03/18/2015

    03/18/2015

    8:30 AM04/06/2015

    $161.25

    EARLY - 2200PEREZ, WILLIAM

    MARCH, 201518

    OTHER MOTOR VEHICLE ENFORCEMENT

    NOT GUILTY

    Driver's LicenseRecommendation

    OTHER DISPOSITION

    Other 

    Susp.

    Yr.

    BAIL CASH DEPOSIT

    DATE: Continued to:

    Incarceration in

    VERDICT

    WARRANT ISSUED

    Iowa

    DISMISSED

    TESTIMONY - JUDGE'S NOTES: (Other Orders)

    Revo

    Mo.

    Signature, person giving bail

    TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:

    COST $

    ABSTRACT OF COURT RECORD

    Address

    JURY TRIAL

    Days:

    DOCKET NO.

    REASON

    CASE NO.

    School

    CASE NO.

    STATE:

    Days

    Name

    FORFEIT BOND

    The court Therefore Enters in Following Order This Date

    REASON

    Phone

    PLEA

    LICENSE NO.

    NOT GUILTY

    Citation :

    GUILTY

    Signature, person taking bailDate

    DATE:

    NO JURY TRIAL or PROCEEDING

    GUILTY

    DATE:

    None

    Day

    COURT NO.

    FINED $ SURCHARGE $ Continued to:

    T 1 T142 15 318 9 7 7 7

    FILED 03/18/2015 02:30PM

    CLERK DISTRICT COURT

    SAC COUNTY IOWA

  • 8/9/2019 March 18, 2015.pdf

    8/11

    chargedinthiscitation,thecourtisauthorizedtoenteraconvictionandrenderjudgmentagainstmefortheamountofmyappearancebondinsatisfactionofthepenaltyandsurchargepluscourtcost.

    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.

    Speed

    IACode:

    State of Iowa

    this

    Road Work Zone

    Weight

     Agency

    City

    Zone

    Court Costs

    1.Iherebyswearandaffirmthattheinformationprovidedbymeonthiscitationistrueunderpenaltyofprovidingfalseinformation.

    My signature below is not a plea of guilty, but acknowledges all of the following:

    PLAINTIFF

    4. I hereby give my unsecured appearance bond in the amount of 

    ICISSec#:

    Subscribed and sworn to me by

    at

    Fed/AdmCode:

    NOTICE:ProvidingfalseidentificationinformationisaviolationofSection719.1Aof theCodeofIowaandispunishableasasimplemisdemeanor.

    Law Enforcement Agency -

    Violation

    DL State

    In the Court at

    Located in the county and state aforesaid and did then and there commit the following offense:

    Fatal Accident

    DL Rest.

    Dated

    Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not

    day of 

    Zip Code

    Form420001E1/07

    DOB

    Local Ord.

    Height

    require an appearance, report to the above named court on:

    Court Appearance Required (805.10)

    VS.

    Name

    DL/StateIDViewed?

    Race

    Sex

    The following applies to simple misdemeanors only:

    The undersigned states that on or about

    Sec #:

    Upon a public highway at

    CDLReq?

    Year 

    dollarsandentermywrittenappearance.IagreethatifIfailtoappearinpersonorbycounseltodefendagainsttheoffense

    DL End.

    DL#

     Address

    IOWA UNIFORM CITATION AND COMPLAINT

    I swear that the foregoing complaint is true and correct. , Iowa

    ICC# Lic. Plate #/REG

    I.D. No.

    Reference#:

    Signatureof Defendant

    City of:

    Dispatch /

    Case :

    20

    US DOT#

    DL Class

    State

    2. I promise to appear in said court at said time and place. I understand that a person who willfully fails to appear in court as specified by this citation may be subject to arrest and/or loss of driving privileges.

    First

    defendant did unlawfully: Operate Motor Vehicle/Boat

    State

    Scheduled Violation/Fine

    Suffix

    Criminal SurchargeSerious P.I.

    in

    Notary/other 

    Reason:

    3. If a court appearance is not required, I may enter a plea of guilty prior to the designated appearance date by delivery in person, or by agent, or by mail to the court specified by this citation.

    Civil Damage Assessment Other  

    County of:

    Officer'sSignature

    Total Fine/Costs

    HazMatEndReq?

    Officer'sSignature

    Non-scheduled Violation

    X

    ICISOrd.

    at

    Defendant, Last

    at

    COMPLAINT

    PassEndReq?

    Co. Enf. Surcharge

    Middle

    Notary/other Signature

    Dated

    T 1 T142 15 318 91 1 8

    *+T01T1421503180910018+*

    Citation #:

    MOTOR VEHICLE ENFORCEMENT

    SAC - 81

    SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583

    4039025HEFLIN RICHARD BRADFORD 1/23/1958YES

    NEthnicity35805-4620HUNTSVILLE AL3310 ALPINE ST SW

    6' 08"AL 270 LBSNONE MALEAM NT

    03/18/2015 8:25 AM 2007 SIL INTERNA

     

    TT/ST

    2015 YES NO NOAL109213801432388 541238

    US 71/KARR AVE

    $50.00

    $17.50393.45

    N/A13BRAKES HOSE AT AXLE #4 RIGHT SIDE IS CRIMPED (PICTURES TAKEN)

    $60.00

    321.449 321.449-A$127.50

    T142

    03/18/2015

    03/18/2015

    8:30 AM04/06/2015

    $161.25

    EARLY - 2200PEREZ, WILLIAM

    MARCH, 201518

    OTHER MOTOR VEHICLE ENFORCEMENT

    NOT GUILTY

    Driver's LicenseRecommendation

    OTHER DISPOSITION

    Other 

    Susp.

    Yr.

    BAIL CASH DEPOSIT

    DATE: Continued to:

    Incarceration in

    VERDICT

    WARRANT ISSUED

    Iowa

    DISMISSED

    TESTIMONY - JUDGE'S NOTES: (Other Orders)

    Revo

    Mo.

    Signature, person giving bail

    TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:

    COST $

    ABSTRACT OF COURT RECORD

    Address

    JURY TRIAL

    Days:

    DOCKET NO.

    REASON

    CASE NO.

    School

    CASE NO.

    STATE:

    Days

    Name

    FORFEIT BOND

    The court Therefore Enters in Following Order This Date

    REASON

    Phone

    PLEA

    LICENSE NO.

    NOT GUILTY

    Citation :

    GUILTY

    Signature, person taking bailDate

    DATE:

    NO JURY TRIAL or PROCEEDING

    GUILTY

    DATE:

    None

    Day

    COURT NO.

    FINED $ SURCHARGE $ Continued to:

    T 1 T142 15 318 91 1 8

    FILED 03/18/2015 02:30PM

    CLERK DISTRICT COURT

    SAC COUNTY IOWA

  • 8/9/2019 March 18, 2015.pdf

    9/11

    chargedinthiscitation,thecourtisauthorizedtoenteraconvictionandrenderjudgmentagainstmefortheamountofmyappearancebondinsatisfactionofthepenaltyandsurchargepluscourtcost.

    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.

    Speed

    IACode:

    State of Iowa

    this

    Road Work Zone

    Weight

     Agency

    City

    Zone

    Court Costs

    1.Iherebyswearandaffirmthattheinformationprovidedbymeonthiscitationistrueunderpenaltyofprovidingfalseinformation.

    My signature below is not a plea of guilty, but acknowledges all of the following:

    PLAINTIFF

    4. I hereby give my unsecured appearance bond in the amount of 

    ICISSec#:

    Subscribed and sworn to me by

    at

    Fed/AdmCode:

    NOTICE:ProvidingfalseidentificationinformationisaviolationofSection719.1Aof theCodeofIowaandispunishableasasimplemisdemeanor.

    Law Enforcement Agency -

    Violation

    DL State

    In the Court at

    Located in the county and state aforesaid and did then and there commit the following offense:

    Fatal Accident

    DL Rest.

    Dated

    Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not

    day of 

    Zip Code

    Form420001E1/07

    DOB

    Local Ord.

    Height

    require an appearance, report to the above named court on:

    Court Appearance Required (805.10)

    VS.

    Name

    DL/StateIDViewed?

    Race

    Sex

    The following applies to simple misdemeanors only:

    The undersigned states that on or about

    Sec #:

    Upon a public highway at

    CDLReq?

    Year 

    dollarsandentermywrittenappearance.IagreethatifIfailtoappearinpersonorbycounseltodefendagainsttheoffense

    DL End.

    DL#

     Address

    IOWA UNIFORM CITATION AND COMPLAINT

    I swear that the foregoing complaint is true and correct. , Iowa

    ICC# Lic. Plate #/REG

    I.D. No.

    Reference#:

    Signatureof Defendant

    City of:

    Dispatch /

    Case :

    20

    US DOT#

    DL Class

    State

    2. I promise to appear in said court at said time and place. I understand that a person who willfully fails to appear in court as specified by this citation may be subject to arrest and/or loss of driving privileges.

    First

    defendant did unlawfully: Operate Motor Vehicle/Boat

    State

    Scheduled Violation/Fine

    Suffix

    Criminal SurchargeSerious P.I.

    in

    Notary/other 

    Reason:

    3. If a court appearance is not required, I may enter a plea of guilty prior to the designated appearance date by delivery in person, or by agent, or by mail to the court specified by this citation.

    Civil Damage Assessment Other  

    County of:

    Officer'sSignature

    Total Fine/Costs

    HazMatEndReq?

    Officer'sSignature

    Non-scheduled Violation

    X

    ICISOrd.

    at

    Defendant, Last

    at

    COMPLAINT

    PassEndReq?

    Co. Enf. Surcharge

    Middle

    Notary/other Signature

    Dated

    T 1 T142 15 318 95933 1

    *+T01T1421503180959331+*

    Citation #:

    MOTOR VEHICLE ENFORCEMENT

    SAC - 81

    SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583

    R568185362119HOVLAND JOEL INZER  7/24/1977YES

    NEthnicity56137HERON LAKE MN89499 420TH AVE

    5' 07"MN 150 LBSNONE MALEA N

    03/18/2015 9:45 AM 2001 HI ESTERN

     

    TT/ST

    2014 YES NO NOMNPAM093502123779 860109

    US 71/KARR AVE

    $11.00

    $3.85392.2-SLLEWG1

    N/A13OW ON GROSS AXLES 1-5 BY 1,140 LBS (87,140 LBS) WHL BSE

    $60.00

    321.463 321.463$74.85

    T142

    03/18/2015

    03/18/2015

    8:30 AM04/06/2015

    $82.28

    EARLY - 2200PEREZ, WILLIAM

    MARCH, 201518

    OTHER MOTOR VEHICLE ENFORCEMENT

    NOT GUILTY

    Driver's LicenseRecommendation

    OTHER DISPOSITION

    Other 

    Susp.

    Yr.

    BAIL CASH DEPOSIT

    DATE: Continued to:

    Incarceration in

    VERDICT

    WARRANT ISSUED

    Iowa

    DISMISSED

    TESTIMONY - JUDGE'S NOTES: (Other Orders)

    Revo

    Mo.

    Signature, person giving bail

    TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:

    COST $

    ABSTRACT OF COURT RECORD

    Address

    JURY TRIAL

    Days:

    DOCKET NO.

    REASON

    CASE NO.

    School

    CASE NO.

    STATE:

    Days

    Name

    FORFEIT BOND

    The court Therefore Enters in Following Order This Date

    REASON

    Phone

    PLEA

    LICENSE NO.

    NOT GUILTY

    Citation :

    GUILTY

    Signature, person taking bailDate

    DATE:

    NO JURY TRIAL or PROCEEDING

    GUILTY

    DATE:

    None

    Day

    COURT NO.

    FINED $ SURCHARGE $ Continued to:

    T 1 T142 15 318 95933 1

    FILED 03/18/2015 02:30PM

    CLERK DISTRICT COURT

    SAC COUNTY IOWA

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    10/11

    chargedinthiscitation,thecourtisauthorizedtoenteraconvictionandrenderjudgmentagainstmefortheamountofmyappearancebondinsatisfactionofthepenaltyandsurchargepluscourtcost.

    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.

    Speed

    IACode:

    State of Iowa

    this

    Road Work Zone

    Weight

     Agency

    City

    Zone

    Court Costs

    1.Iherebyswearandaffirmthattheinformationprovidedbymeonthiscitationistrueunderpenaltyofprovidingfalseinformation.

    My signature below is not a plea of guilty, but acknowledges all of the following:

    PLAINTIFF

    4. I hereby give my unsecured appearance bond in the amount of 

    ICISSec#:

    Subscribed and sworn to me by

    at

    Fed/AdmCode:

    NOTICE:ProvidingfalseidentificationinformationisaviolationofSection719.1Aof theCodeofIowaandispunishableasasimplemisdemeanor.

    Law Enforcement Agency -

    Violation

    DL State

    In the Court at

    Located in the county and state aforesaid and did then and there commit the following offense:

    Fatal Accident

    DL Rest.

    Dated

    Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not

    day of 

    Zip Code

    Form420001E1/07

    DOB

    Local Ord.

    Height

    require an appearance, report to the above named court on:

    Court Appearance Required (805.10)

    VS.

    Name

    DL/StateIDViewed?

    Race

    Sex

    The following applies to simple misdemeanors only:

    The undersigned states that on or about

    Sec #:

    Upon a public highway at

    CDLReq?

    Year 

    dollarsandentermywrittenappearance.IagreethatifIfailtoappearinpersonorbycounseltodefendagainsttheoffense

    DL End.

    DL#

     Address

    IOWA UNIFORM CITATION AND COMPLAINT

    I swear that the foregoing complaint is true and correct. , Iowa

    ICC# Lic. Plate #/REG

    I.D. No.

    Reference#:

    Signatureof Defendant

    City of:

    Dispatch /

    Case :

    20

    US DOT#

    DL Class

    State

    2. I promise to appear in said court at said time and place. I understand that a person who willfully fails to appear in court as specified by this citation may be subject to arrest and/or loss of driving privileges.

    First

    defendant did unlawfully: Operate Motor Vehicle/Boat

    State

    Scheduled Violation/Fine

    Suffix

    Criminal SurchargeSerious P.I.

    in

    Notary/other 

    Reason:

    3. If a court appearance is not required, I may enter a plea of guilty prior to the designated appearance date by delivery in person, or by agent, or by mail to the court specified by this citation.

    Civil Damage Assessment Other  

    County of:

    Officer'sSignature

    Total Fine/Costs

    HazMatEndReq?

    Officer'sSignature

    Non-scheduled Violation

    X

    ICISOrd.

    at

    Defendant, Last

    at

    COMPLAINT

    PassEndReq?

    Co. Enf. Surcharge

    Middle

    Notary/other Signature

    Dated

    T 1 T142 15 318 1 9 2

    *+T01T1421503181000092+*

    Citation #:

    MOTOR VEHICLE ENFORCEMENT

    SAC - 81

    SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583

    R568185362119HOVLAND JOEL INZER  7/24/1977YES

    NEthnicity56137HERON LAKE MN89499 420TH AVE

    5' 07"MN 150 LBSNONE MALEA N

    03/18/2015 9:45 AM 2001 HI ESTERN

     

    TT/ST

    2014 YES NO NOMNPAM093502123779 860109

    US 71/KARR AVE

    $22.00

    $7.70392.2-SLLEWA1

    N/A13OW ON TANDEM AXLES 2 & 3 BY 2,000 LBS (36,000 LBS) WHL BSE 5 FT

    $60.00

    321.463 321.463$89.70

    T142

    03/18/2015

    03/18/2015

    8:30 AM04/06/2015

    $104.55

    EARLY - 2200PEREZ, WILLIAM

    MARCH, 201518

    OTHER MOTOR VEHICLE ENFORCEMENT

    NOT GUILTY

    Driver's LicenseRecommendation

    OTHER DISPOSITION

    Other 

    Susp.

    Yr.

    BAIL CASH DEPOSIT

    DATE: Continued to:

    Incarceration in

    VERDICT

    WARRANT ISSUED

    Iowa

    DISMISSED

    TESTIMONY - JUDGE'S NOTES: (Other Orders)

    Revo

    Mo.

    Signature, person giving bail

    TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:

    COST $

    ABSTRACT OF COURT RECORD

    Address

    JURY TRIAL

    Days:

    DOCKET NO.

    REASON

    CASE NO.

    School

    CASE NO.

    STATE:

    Days

    Name

    FORFEIT BOND

    The court Therefore Enters in Following Order This Date

    REASON

    Phone

    PLEA

    LICENSE NO.

    NOT GUILTY

    Citation :

    GUILTY

    Signature, person taking bailDate

    DATE:

    NO JURY TRIAL or PROCEEDING

    GUILTY

    DATE:

    None

    Day

    COURT NO.

    FINED $ SURCHARGE $ Continued to:

    T 1 T142 15 318 1 9 2

    FILED 03/18/2015 02:31PM

    CLERK DISTRICT COURT

    SAC COUNTY IOWA

  • 8/9/2019 March 18, 2015.pdf

    11/11

    chargedinthiscitation,thecourtisauthorizedtoenteraconvictionandrenderjudgmentagainstmefortheamountofmyappearancebondinsatisfactionofthepenaltyandsurchargepluscourtcost.

    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.

    Speed

    IACode:

    State of Iowa

    this

    Road Work Zone

    Weight

     Agency

    City

    Zone

    Court Costs

    1.Iherebyswearandaffirmthattheinformationprovidedbymeonthiscitationistrueunderpenaltyofprovidingfalseinformation.

    My signature below is not a plea of guilty, but acknowledges all of the following:

    PLAINTIFF

    4. I hereby give my unsecured appearance bond in the amount of 

    ICISSec#:

    Subscribed and sworn to me by

    at

    Fed/AdmCode:

    NOTICE:ProvidingfalseidentificationinformationisaviolationofSection719.1Aof theCodeofIowaandispunishableasasimplemisdemeanor.

    Law Enforcement Agency -

    Violation

    DL State

    In the Court at

    Located in the county and state aforesaid and did then and there commit the following offense:

    Fatal Accident

    DL Rest.

    Dated

    Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not

    day of 

    Zip Code

    Form420001E1/07

    DOB

    Local Ord.

    Height

    require an appearance, report to the above named court on:

    Court Appearance Required (805.10)

    VS.

    Name

    DL/StateIDViewed?

    Race

    Sex

    The following applies to simple misdemeanors only:

    The undersigned states that on or about

    Sec #:

    Upon a public highway at

    CDLReq?

    Year 

    dollarsandentermywrittenappearance.IagreethatifIfailtoappearinpersonorbycounseltodefendagainsttheoffense

    DL End.

    DL#

     Address

    IOWA UNIFORM CITATION AND COMPLAINT

    I swear that the foregoing complaint is true and correct. , Iowa

    ICC# Lic. Plate #/REG

    I.D. No.

    Reference#:

    Signatureof Defendant

    City of:

    Dispatch /

    Case :

    20

    US DOT#

    DL Class

    State

    2. I promise to appear in said court at said time and place. I understand that a person who willfully fails to appear in court as specified by this citation may be subject to arrest and/or loss of driving privileges.

    First

    defendant did unlawfully: Operate Motor Vehicle/Boat

    State

    Scheduled Violation/Fine

    Suffix

    Criminal SurchargeSerious P.I.

    in

    Notary/other 

    Reason:

    3. If a court appearance is not required, I may enter a plea of guilty prior to the designated appearance date by delivery in person, or by agent, or by mail to the court specified by this citation.

    Civil Damage Assessment Other  

    County of:

    Officer'sSignature

    Total Fine/Costs

    HazMatEndReq?

    Officer'sSignature

    Non-scheduled Violation

    X

    ICISOrd.

    at

    Defendant, Last

    at

    COMPLAINT

    PassEndReq?

    Co. Enf. Surcharge

    Middle

    Notary/other Signature

    Dated

    P 5 5BRE 15 318 92729 2

    *+P055BRE1503180927292+*

    Citation #:

    IOWA STATE PATROL - DIST 05

    SAC - 81

    SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583

    135BB8781UOL TUT KIR   4/10/1982YES

    B NEthnicity50588-0000STORM LAKE IA605 W 9TH ST APT B

    6' 01"IA NONE MALEC NONE

    03/18/2015 9:27 AM 2003 SIL LEXUS - G47 SW

    2015 NOIA121SIX

    M043/GARD AVE AND D015/190TH ST SB LV DL 6

    $100.00

    $35.00

    N/A15FAIL TO OBEY STOP SIGN AND YIELD RIGHT OF WAY

    $60.00

    321.322 321.322(1)$195.00

    025

    03/18/2015

    03/18/2015

    9:30 AM04/14/2015

    $262.50

    ALTA - 0125BRECHWALD, T

    MARCH, 201518

    NOTARYIOWA STATE PATROL - DIST 05

    NOT GUILTY

    Driver's LicenseRecommendation

    OTHER DISPOSITION

    Other 

    Susp.

    Yr.

    BAIL CASH DEPOSIT

    DATE: Continued to:

    Incarceration in

    VERDICT

    WARRANT ISSUED

    Iowa

    DISMISSED

    TESTIMONY - JUDGE'S NOTES: (Other Orders)

    Revo

    Mo.

    Signature, person giving bail

    TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:

    COST $

    ABSTRACT OF COURT RECORD

    Address

    JURY TRIAL

    Days:

    DOCKET NO.

    REASON

    CASE NO.

    School

    CASE NO.

    STATE:

    Days

    Name

    FORFEIT BOND

    The court Therefore Enters in Following Order This Date

    REASON

    Phone

    PLEA

    LICENSE NO.

    NOT GUILTY

    Citation :

    GUILTY

    Signature, person taking bailDate

    DATE:

    NO JURY TRIAL or PROCEEDING

    GUILTY

    DATE:

    None

    Day

    COURT NO.

    FINED $ SURCHARGE $ Continued to:

    P 5 5BRE 15 318 92729 2

    FILED 03/18/2015 02:42PM

    CLERK DISTRICT COURT

    SAC COUNTY IOWA