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C O M P L M N T
I O W A U N I F O R M C I T A T IO N A N D C O M P L A I N T
SAC C I T Y P O L IC E D E P T .
• s ta te o f Iowa
0 000̂ 7 o f :
j ity
of:
SAC
S A C
C I T Y
81
N 2 0005324
In t f ie Court at ^
v s : p ,
N a m e .
S A C G O . C O U R T H O U S E , S A G C I T Y , lA 50583
Q C S ^ \^^f T ^ J i L< ~
Defendan t . Las t 3 I =lrst M i dd l e
A d d r e s s .
fnda nt , Las t A F i rs
3 o c . 5 . t j f v tS^
C i t y .
D L # .
. s ta te
. State
C
DO B
R a c e .
. DL Rest.
o
W / B / l / A / U
DL /S ta te ID V i ewed? Y e s D
Ethn . tfO S e x H t . ^ r - o S . w , .
Tt ie unders igned states t t iat on or about 0 ^ / / / . ^ at ^ l * f ^ J g l J i
H o f o n H c n t H i H i i n i a u u f i i l l v ^ M o . , D a y Y r.
N o D
• AM
M
defendant did unlawful ly :
Ope rate Motor Vehic le/Boat (descr ibe)
C D L R e q ? Y e s n N o D P ass. E nd . R eq? Y e s D N o D H azM at E nd . R e q ? Y e s D N o D
Reg# ^ t î
-
8/9/2019 March 16, 2015.pdf
3/22
A B S T R A C T O F C O E R R E C O R D
COURT NO.
DOCKET N ( ).„
LICENSE N0.,_
FORFErr
BOND
JURY T R I A L
n
NO JURY •UR.IAL
or PROCEEDING •
OFHER DiSPOSrnON.
CASE NO,.
CASE NO,
S T A T l ; • I O W A
OTHER
B A I L
CASH
DEPOSIT
,^ ^ PLEA .. -
• G U I L T Y
NOT G U I L T Y
VERDICT
G U I L I T
NOT G U I L T Y
DISMISSED
The Court Therefore Eniei's In F o l i o w i i ig Oixler Fhis Date.
o Day Yr.
FINED ..
C R I M I N A L SURCHARGE S
COUN'TY ENFORCEMENT- SURCH AR ,G E S COSTS S...
Incarceration in
Davs;
None School
Drivers License
Recommendation .„.„ ...JJ
D A T E : C ontini cd..i£i:
SlIS Davs
Revo
Contimtcd to:
REASON
REASON
D A T E :
WAR R A N T ISSUED
T E S T I M O N Y - JUDGES NOTES: (Other Orders)
X
Date Signature, peison giviru.; hail Signature, person taking hail
swear
that (lifc forgoing ci ta i ioi i
is true and correct. /O
Signature Agency
Subscribed and sworn to before mc by ivvf̂ '^^^^^^ip f r e i at
y o ..y (dfi J l, .L H-^ - l i) l
T O T H E C O U R T ; T l ie f o l l o w i n g
are witnesses who can give testimony relating to
the facts of this alleged violation Please subpoena prosecuting witness:
Tit le
Name Address Phone
1
E-FILED 2015 MAR 16 1:26 PM SAC - CLERK OF DISTRICT COURT
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E-FILED 2015 MAR 16 2:31 AM SAC - CLERK OF DISTRICT COURT
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E-FILED 2015 MAR 16 2:31 AM SAC - CLERK OF DISTRICT COURT
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8/9/2019 March 16, 2015.pdf
6/22
E-FILED 2015 MAR 16 2:30 AM SAC - CLERK OF DISTRICT COURT
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8/9/2019 March 16, 2015.pdf
7/22
E-FILED 2015 MAR 16 2:30 AM SAC - CLERK OF DISTRICT COURT
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8/9/2019 March 16, 2015.pdf
8/22
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
S81 RMAN 15 313 231229 7
Citation #:
SAC COUNTY SHERIFF'S OFFICE
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
751AJ2693BELT TREY ROBERT 8/10/1999YES
NEthnicity51450-0000CARNARVON IA310 370TH ST
5' 10"IA 7 MALEC NONE
03/13/2015 11:12 PM 2008 BLK CHEVROL
IMP 4D
2015 NOIACZN257
STATE 39/FOX AVE5565$40.00
$14.00
$5.0015SPEEDING 55 OR < (6 THRU 10 OVER)
$60.00
321.285 321.285-B$119.00
81-6
03/13/2015
03/13/2015
8:30 AM04/06/2015
$148.50
SAC CITY - 6717HATTERMAN, JOHN
MARCH, 201513
NOTARYSAC COUNTY SHERIFF'S OFFICE
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:
S81 RMAN 15 313 231229 7
FILED 03/16/2015 08:03AM
CLERK DISTRICT COURT
SAC COUNTY IOWA
-
8/9/2019 March 16, 2015.pdf
9/22
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
S81 RMAN 15 313 231458 8
Citation #:
SAC COUNTY SHERIFF'S OFFICE
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
751AJ2693BELT TREY ROBERT 8/10/1999YES
NEthnicity51450-0000CARNARVON IA310 370TH ST
5' 10"IA 7 MALEC NONE
03/13/2015 11:12 PM 2008 BLK CHEVROL
IMP 4D
2015 NOIACZN257
STATE 39/FOX AVE$50.00
$17.50
$5.0015VIOL OF CONDITIONS OF RESTRICTED LICENSE
$60.00
321.193 321.193$132.50
81-6
03/13/2015
03/13/2015
8:30 AM04/06/2015
$168.75
SAC CITY - 6717HATTERMAN, JOHN
MARCH, 201513
NOTARYSAC COUNTY SHERIFF'S OFFICE
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:
S81 RMAN 15 313 231458 8
FILED 03/16/2015 08:03AM
CLERK DISTRICT COURT
SAC COUNTY IOWA
-
8/9/2019 March 16, 2015.pdf
10/22
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
S81 RMAN 15 314 2 1146 9
Citation #:
SAC COUNTY SHERIFF'S OFFICE
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
H13625288REATH JACK 8/28/1997YES
B NEthnicity68134-0000OMAHA NE3111 MAPLEWOOD BLVD APT
6' 00"NE NONE MALEO NONE
03/14/2015 8:11 PM 2002 MAR CHEVROL
IMPALA 4D
NO
ESTHER AVE AND 310TH ST5579$120.00
$42.00
$5.0015SPEEDING 55 OR < (20 MPH OVER + $5.00 EA. MILE)
$60.00
321.285 321.285-E$227.00
81-6
03/14/2015
03/14/2015
8:30 AM04/06/2015
$310.50
SAC CITY - 6717HATTERMAN, JOHN
MARCH, 201514
NOTARYSAC COUNTY SHERIFF'S OFFICE
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:
S81 RMAN 15 314 2 1146 9
FILED 03/16/2015 08:03AM
CLERK DISTRICT COURT
SAC COUNTY IOWA
-
8/9/2019 March 16, 2015.pdf
11/22
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
S81 URNS 15 315 165348 7
Citation #:
SAC COUNTY SHERIFF'S OFFICE
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
063BB0378BETTIN MADISON QUINN 8/4/1997YES
NEthnicity51458-0000ODEBOLT IA614 W 4TH ST
5' 00"IA NONE FEMALEC NONE
03/15/2015 4:53 PM 2014 SIL CHEVROL
SLV PK
2016 NOIABHB005
PERKINS AVE AND D036/255TH ST5570$80.00
$28.00
$5.0015SPEEDING 55 OR < (11 THRU 15 OVER)
$60.00
321.285 321.285-C$173.00
81-7
03/15/2015
03/15/2015
8:30 AM04/13/2015
$229.50
SAC CITY - 6717BURNS, JOEL
MARCH, 201515
NOTARYSAC COUNTY SHERIFF'S OFFICE
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:
S81 URNS 15 315 165348 7
FILED 03/16/2015 08:03AM
CLERK DISTRICT COURT
SAC COUNTY IOWA
-
8/9/2019 March 16, 2015.pdf
12/22
DEFEND NT COPY Citat ion #:
T T142 15 311 2 2334 4
F o r m 4 2 0 0 0 1 E 1/07
P L A I N T I F F :
I O W A U N I F O R M C I T A T I O N A N D C O M P L A I N T
L a w E n f o r c e m e n t A g e n c y - M O T O R V E H I C L E E N F O R C E M E N T
Reference tt
i C o u n t y of: S a c - 81
^ : S ta te of l owa
In the Court at SA C C O U N T Y C O U R T H O U S E 100 NW S T A T E STR E E T S U I TE 12
V S .
I C i t y of:
City SA C CITY
State LA Zip
;
50583
N a m e
O C A S I O R U B E N
D e f e n d a n t , L a s t j.- First
A d d r e s s 12E A S T B I D W E L L A V E .
D L S ta te N J
Midd le Su f f i x
C i t y J E R S E Y C I T Y
n l J
, 011176760009622
DL#
Date of B i r th 0 9 / 2 8 / 1 9 6 2
D L C l a s s A D L E n d 'H. M
S t a t e N J . Z i p C o d e • 0 7 3 0 5 - 4 2 1 7 R a c e W Ethn ic i t y N
D L R e s . 1 M H e i g h t 5' 07 W e i g h t 3 3 0 L B S Sex M A L E
T h e u n d e r s i g n e d s t a t e s that on or a b o u t • 0 3 / 1 1 / 2 0 1 5 at 8 : 0 0 P M d e f e n d a n t did u n l a w f u l ly : O p e r a t e M o t o r ^ e b j c l e / B o a t 2012 M A R
y
- ^ F R H T
1
' ^ ' ' ' • • • i s V .
r T / S T
U S D OT # 0 0 06 9 85 2 u n i « i n u ^ j / D ^ T > 7A o m e»*„i.„ i \ w i h i s CDL V r c ' ' P a s s E n d \sr\
1
; '_,>-__, _ _-, vr»
ICC# 140125
, L i e .. P l a te # / R E G P Z 6 9 7 0
$100.00
U p o n a pub l i c h ighw ay at U S 7 1 / K A R R A V E
S c h e d u l e d V i o l a t i o n / F i n e
C r i m i n a l S u r c h a r g e
C o . E n f . S u r c h a r g e
C o u r t C o s t s
T o t a l F i n e / C o s t s
S t a t e LA Y e a r 2015
C D L
, ' Y E S
;
' ^
S
q
=
E n d
. N O _ H a z M a t E rid R e q
i? NO
S 3 5 . 0 0
R e a s o n
L o c a t e d in he coun ty and s ta te a fo r e sa id and did t hen and the r e com mi t the f o l low ing o f fense :
i C o u r t A p p e a r a n c e R e q u i r e d ( 8 0 5 10) I' ; R o a d W o r k Z o n e N o n - s c h e d u l e d V i o l a t io n S p e e d
C iv i l D a m a g e A s s e s s m e n t
Z o n e
S e r i o u s P.I.
: F a t a A c c i d e n t
O t h e r
N /A • - „ . .
Violation F A I L U R E T O O B E Y T R A F F I C C O N T R O L D E V I CE ( O P E N S C A L E SIGN)
_ Lflj^^\
•
(^$195.00 ^ y 6 e c « 321.256 ICIS Sec 321.256
L o c a l O r d .
F e d / A d m C o d e 3 9 2 . 2 C
l A C o d e : 20 13
IC IS Or d .
O f f i c e r ' s
S i g n a t u r e
I.D No 7] 42
C o u r t D a t e : If you must appear in court or if you choose to appear to angwer to a charge
which doesQQU eqtr tTe
-
anappearance, re^or t te- tS^bove namedegurtoh:
Dated .03/11/2015
— 03/3tW2015--
a
-8:36-A-ftfr-
NOTICE: Providing false identification information is a violation of Section 719.1 A of the Code o?To wa-.anaVjiLr̂ ishable as a simplê jmsdemeanor,
Y o u hereby are given notice that wthin a reasonable time but no later than the date scheduled for your initial appearance a citation/com plaint sworn under oa th will be tiled wth the
district court clerk of the county in which this citation wa s issue d.
My signature below is not a plea of guilty but acknowledges all of the following:
1.1 hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
2 . I promise to appear in said court at said time and place I understand that a person who willfully fails to appear in court as specified by this citation may be subject to arrest
and/or loss of driving privileges.
3 If a court appearance is not required, I may enter a plea of guilty prior to the designated appearance date by delivery in person, or by agent, or by mail to the court specified by
this citation. ,,
Th e following applies to simple misdemeanors only:
4._ hereby give my unsecured appearance bond in the amount of . S262.50 dollars and enter written appearance. I agree that if I fail to appear in person or by counsel to
defend against the offense charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in
satisfaction of the penalty and surcharge plus court cost. ,
,. ~
v
;.
4
., . Dated If you require the assistance of auxiliary aids or services to participate in court because of a
f ,
fjf'tfjYi • t C - '
' disability, immediately call the AD A district coordinator in the.county which the citation was
' '• • . 03/11/2015 issu ed, or if you are hearing impaired, call Relay lowa TTY at 1-800-735-2942.
D e f e n d a n t
Signature
T01 T142 150311 202334 4
IF PLE AD I N G G U I L T y DETACPKAND R EMIT WITH P A Y M E N T O R P A Y ONLINE; A T W W W . IO W A C O U R T S . G O V
A T
^ C H E C K S P A Y A B L E T O : C L E R K O F i
Citat ion #:
s C S T l B M I T P A Y M E N T T O : S A C C O U N T Y C O U R T H O U S E 100 NW S T A T E STR E E T S U I TE 12
•T4U_T142_-1503I1 2023 34 4
C i ty S A C C I T Y S t a t e L\ Zip 5 0 5 8 3
ISSUING L A W ENFORCEMENT AGENCY M o t o r V e h i c l e E n f o r c e m e n t
Reference #:
N a m e O C A S I O R U B E N
DL # 011176760009622
D a t e of B i r t h 0 9 / 2 8 / 1 9 6 2
D e f e n d a n t , L a s t • F i r s t
Address 12 EA ST B I D W E L L A V E .
Midd le Su f f i x
C i t y J E R S E Y C I T Y
D L State NJ DL Class A
The undersigned states
that
on or about 03/11/2015 at
D L E n d . HN D L R e s . IM
S t a t e N J < H p C o d e 0 7 3 0 5- 4 2 17 R a c e W
H e i g h t 5 ' 0 7 ' W e i g h t 330
E t h n i c i t y
Sex M A L E
20:00 defendant did unlawfully: Operate Motor Veh icle/Boat
U S DOT# 00069852 ICC# 140125
L i e . Plate #/REG PZ6970
State LA Yea r 2015
Upon a public highway at U S 71 / k A R R A V E
C D L
R e q ?
r m g l l i m u x
TT/ST
Y E S
P a s s E n d
R e q ?
N O HazMat End Req? NO
Located in the county and state aforesaid and did then and there commit the following offense
Violation F A I L U R E T O O B E Y T R A F F I C C O N T R O L D E V I C E ( O P E N S C A L E SI Sec #: 321.256 ICIS Sec 321.256 LocalO rd ICIS Ord.
S c h e d u l e d F i n e S 1 0 0 . 0 0
B o n d A m o u n t S 2 62 .5 0
C r i m i n a l S u r c h a r g e S 35 .0 0 C o . E n f . S u r c h a r g e N / A
Court Costs $60.00 To tal F in e /C o st s .5195.00
; R o a d W o r k Z o n e C o u r t A p p e a r a n c e R e q u i r e d ( 8 0 5 10) C o u r t D a t e - 0 3 / 3 0 / 2 0 1 5 S p e e d
Z o n e F e d / A d m C o d e . 3 9 2 . 2 C
• l A C o d e : 20 13
PPE R NCE PLE OF GUILTY S
I, the undersigned, do hereby enter my appearance on the complaint of the offense charged on this citation. I have been informed of my right to a trial, that my
signature to this plea of guilty will have the sam e effect as a judgment of court and this record will be sent to the Department of Transportation of this state (or of the "
state of my residence). I do hereby P L EA D GUILTY .to said offense as charged and agree to the penalty prescribed for my offense. Amou nt to pay: $195 .00
: IF Y O U A R E REQUIRED TO POST BAIL TO OBTAIN RELEASE
A . If you desire to enter a plea of guilty, the officer may release you from custody upon observing you mail the citation, admission of guilt and minimum fine, •
'• surcharge, wth court costs to a traffic violations office in an env elope furnished by the officer. • •
B . Ifyou choose to plead NOT GUILTY, the officer may release you from custody by observing you mail the citation, and one and one half times the minimum fine,
surcharge, wth court costs, or in lieu of one and one half times the fine and costs a guaranteed arrest bond certificate together wth signing the following statement:
I agree that either (1) I wi l l appear pursuant to this citation or (2) if I do not so appear, the amount deposited as ba i l wi l l be for feited."
Signa t i
D e f e n d a n t
ur o V? A l o
Officer: PEREZ, WILLIAM
I.D. No. T142
-
8/9/2019 March 16, 2015.pdf
13/22
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
S81 BACK 15 316 112222 7
Citation #:
SAC COUNTY SHERIFF'S OFFICE
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
615AH3100NASH BRITTANY NICOLE 10/14/1995YES
NEthnicity50010-0000AMES IA1725 BURNETT AVE
5' 08"IA NONE FEMALEC NONE
03/16/2015 11:22 AM 1999 GRN AUDI - AA6 4D
2010 NOIA945WQC
PERKINS AVE AND US 206575$40.00
$14.00
$5.0015SPEEDING > 55 (6 THRU 10 OVER)
$60.00
321.285 321.285-G$119.00
81-5
03/16/2015
03/16/2015
8:30 AM04/20/2015
$148.50
SAC CITY - 6717CUDABACK, TORY
MARCH, 201516
NOTARYSAC COUNTY SHERIFF'S OFFICE
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:
S81 BACK 15 316 112222 7
FILED 03/16/2015 12:17PM
CLERK DISTRICT COURT
SAC COUNTY IOWA
-
8/9/2019 March 16, 2015.pdf
14/22
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 15 311 1522 7 9
*+T01T1421503111522079+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
D0944118ROJAS SOPHIE DANIELLE 9/30/1975YES
NEthnicity64110KANSAS CITY MO6121 HOLMES
5' 07"MO 137 LBSB FEMALEF NONE
03/11/2015 3:22 PM 2013 GRY TOYOTA - RAV4 SUV
2013 NOMOSL5D9Y
N028/DAKOTA AVE
6585$90.00
$31.50
N/A15SPEEDING 87 MPH IN 65 MPH ZONE (RADAR 87 MPH)
$60.00
321.285 321.285-I$181.50
T142
03/11/2015
03/11/2015
8:30 AM03/30/2015
$242.25
EARLY - 2200PEREZ, WILLIAM
MARCH, 201516
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 15 311 1522 7 9
FILED 03/16/2015 03:30PM
CLERK DISTRICT COURT
SAC COUNTY IOWA
-
8/9/2019 March 16, 2015.pdf
15/22
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 15 311 165944
*+T01T1421503111659440+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
Y195242828415KRAUSE THOMAS JAMES 12/18/1983YES
NEthnicity56501DETROIT LAKES MN20450 COUNTY HIGHWAY
5' 11"MN 260 LBSB MALEA NONE
03/11/2015 4:05 PM 2004 PLE PETERBIL
TT/ST
2015 YES NO NOMNPAB134900075296 160820
US 71/KARR AVE
$50.00
$17.50393.9TS
N/A13INOPERATIVE LEFT & RIGHT TURN SIGNALS
$60.00
321.449 321.449-A$127.50
T142
03/11/2015
03/11/2015
8:30 AM03/30/2015
$161.25
EARLY - 2200PEREZ, WILLIAM
MARCH, 201516
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 15 311 165944
FILED 03/16/2015 03:30PM
CLERK DISTRICT COURT
SAC COUNTY IOWA
-
8/9/2019 March 16, 2015.pdf
16/22
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 15 311 183412 2
*+T01T1421503111834122+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
890ZZ2865SIMONS PHILLIP ROSS 2/9/1986YES
NEthnicity51301-0000SPENCER IA4225 210TH AVE
6' 00"IA 170 LBSNONE MALEA LN
03/11/2015 6:20 PM 2007
HI INTERNA
TT/ST
2015 YES NO NOIADD322002562993
RAILROAD ST AND 4TH AVE
$50.00
$17.50392.16
N/A13FAILING TO USE SEAT BELT WHILE OPERATING CMV
$60.00
321.445 321.445$127.50
T142
03/11/2015
03/11/2015
8:30 AM03/30/2015
$161.25
EARLY - 2200PEREZ, WILLIAM
MARCH, 201516
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 15 311 183412 2
FILED 03/16/2015 03:30PM
CLERK DISTRICT COURT
SAC COUNTY IOWA
-
8/9/2019 March 16, 2015.pdf
17/22
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 15 316 91 19 3
*+T01T1421503160910193+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
942022402FISHER MITCHELL AYNE 1/11/1977YES
NEthnicity80705-0000LOG LNE VLG CO103 POPLAR DR
6' 01"CO 180 LBSNONE MALEA M
03/16/2015 9:00 AM 2000 BLK FRH TT/ST
2014 YES NO NOCO566-XAL02317650 791195
US 71/KARR AVE
$50.00
$17.50392.16
N/A13FAILING TO USE SEAT BELT WHILE OPERATING CMV
$60.00
321.445 321.445$127.50
T142
03/16/2015
03/16/2015
8:30 AM03/30/2015
$161.25
EARLY - 2200PEREZ, WILLIAM
MARCH, 201516
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 15 316 91 19 3
FILED 03/16/2015 03:31PM
CLERK DISTRICT COURT
SAC COUNTY IOWA
-
8/9/2019 March 16, 2015.pdf
18/22
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 15 316 92641 4
*+T01T1421503160926414+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
942022402FISHER MITCHELL AYNE 1/11/1977YES
NEthnicity80705-0000LOG LNE VLG CO103 POPLAR DR
6' 01"CO 180 LBSNONE MALEA M
03/16/2015 9:00 AM 2000 BLK FRH TT/ST
2014 YES NO NOCO566-XAL02317650 791195
US 71/KARR AVE
$50.00
$17.50396.3A1BOS
N/A13BRAKES OUT OF SERVICE: 2 OF 10 BRAKES OUT OF ADJUSTMENT (AXLE 4 &
$60.00
321.449 321.449-A$127.50
T142
03/16/2015
03/16/2015
8:30 AM03/30/2015
$161.25
EARLY - 2200PEREZ, WILLIAM
MARCH, 201516
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 15 316 92641 4
FILED 03/16/2015 03:31PM
CLERK DISTRICT COURT
SAC COUNTY IOWA
-
8/9/2019 March 16, 2015.pdf
19/22
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 15 316 93847 7
*+T01T1421503160938477+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
D00398219DALE ROBERT A 7/24/1961YES
NEthnicity85367-6113YUMA AZ13202 E 42ND DR
5' 10"AZ 205 LBSB MALEA TXL
03/16/2015 9:40 AM 2010 RED KEN TT/ST
2015 YES NO NOIN102678700074432 103798
US 71/KARR AVE
$22.00
$7.70392.2-SLLEWA1
N/A13OW ON TANDEM AXLES 2 & 3 BY 1,520 LBS (35,520 LBS)
$60.00
321.463 321.463$89.70
T142
03/16/2015
03/16/2015
8:30 AM03/30/2015
$104.55
EARLY - 2200PEREZ, WILLIAM
MARCH, 201516
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 15 316 93847 7
FILED 03/16/2015 03:31PM
CLERK DISTRICT COURT
SAC COUNTY IOWA
-
8/9/2019 March 16, 2015.pdf
20/22
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 15 316 12 5 3
*+T01T1421503161205030+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
K30016086372KETO DJODJI 12/31/1986YES
B NEthnicity61265-0000MOLINE IL825 17TH STREET APT 406
5' 09"IL 165 LBSB MALEA ****
03/16/2015 11:40 AM 2006
HI VOLVO - TT/ST
2015 YES NO NOILP84934002407460 828350
US 71/KARR AVE
$100.00
$35.00392.2C
N/A13FAILURE TO OBEY TRAFFIC CONTROL DEVICE (OPEN SCALE SIGN)
$60.00
321.256 321.256$195.00
T142
03/16/2015
03/16/2015
8:30 AM03/30/2015
$262.50
EARLY - 2200PEREZ, WILLIAM
MARCH, 201516
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 15 316 12 5 3
FILED 03/16/2015 03:31PM
CLERK DISTRICT COURT
SAC COUNTY IOWA
-
8/9/2019 March 16, 2015.pdf
21/22
E-FILED 2015 MAR 16 2:30 AM SAC - CLERK OF DISTRICT COURT
-
8/9/2019 March 16, 2015.pdf
22/22
E-FILED 2015 MAR 16 2:30 AM SAC - CLERK OF DISTRICT COURT