Scheduled and unscheduled violations filed on February 16, 2015.pdf
Scheduled and Unscheduled charges Filed - March 2, 2015.pdf
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Transcript of Scheduled and Unscheduled charges Filed - March 2, 2015.pdf
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.
You hereby are given notice that within a reasonable time but no later than the date scheduled for yourinitial appearance a citation/complaint sworn under oath will be filed with the district court clerk of thecounty in which this citation was issued.
Speed
IA Code:
State of Iowa
this
Road Work Zone
Weight
Agency
City
Zone
Court Costs
1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
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
ICIS Sec #:
Subscribed and sworn to me by
at
Fed/Adm Code:
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
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
Form 420001E 1/07
DOB
Local Ord.
Height
require an appearance, report to the above named court on:
Court Appearance Required (805.10)
VS.
Name
DL/State IDViewed?
Race
Sex
The following applies to simple misdemeanors only:
The undersigned states that on or about
Sec #:
Upon a public highway at
CDLReq?
Year
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
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 #:
Signature ofDefendant
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
HazMat End Req?
Officer'sSignature
Non-scheduled Violation
X
ICIS Ord.
at
Defendant, Last
at
COMPLAINT
Pass EndReq?
Co. Enf. Surcharge
Middle
Notary/otherSignature
Dated
S81 IEDE 150301 025359 0
*+S81IEDE1503010253590+*
Citation #:
SAC COUNTY SHERIFF'S OFFICE
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
509AG8704BLAIR CAMRON LASHAWN 8/27/1994YES
B NEthnicity51058-0000SUTHERLAND IA502 MASON ST
5' 11"IA 175 LBSNONE MALEC NONE
03/01/2015 2:53 AM 1995 MAR CHRYSLER - CHRY
SEB 2D
2015 NOIACTN857
STATE 110/DEAN AVE AND 210TH ST AND STAT
$200.00
$70.00
$5.0015FAILURE TO HAVE VALID LICENSE/PERMIT WHILE OPER. MOTOR VEH.
$60.00
321.174 321.174(1)$335.00
81-4
03/01/2015
03/01/2015
8:30 AM04/06/2015
$472.50
SAC CITY - 6717BIEDE, MATT
MARCH, 201501
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 orPROCEEDING
GUILTY
DATE:
None
Day
COURT NO.
FINED $ SURCHARGE $ Continued to:
S81 IEDE 150301 025359 0
FILED 03/02/2015 08:06AMCLERK DISTRICT COURTSAC COUNTY IOWA
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.
You hereby are given notice that within a reasonable time but no later than the date scheduled for yourinitial appearance a citation/complaint sworn under oath will be filed with the district court clerk of thecounty in which this citation was issued.
Speed
IA Code:
State of Iowa
this
Road Work Zone
Weight
Agency
City
Zone
Court Costs
1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
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
ICIS Sec #:
Subscribed and sworn to me by
at
Fed/Adm Code:
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
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
Form 420001E 1/07
DOB
Local Ord.
Height
require an appearance, report to the above named court on:
Court Appearance Required (805.10)
VS.
Name
DL/State IDViewed?
Race
Sex
The following applies to simple misdemeanors only:
The undersigned states that on or about
Sec #:
Upon a public highway at
CDLReq?
Year
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
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 #:
Signature ofDefendant
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
HazMat End Req?
Officer'sSignature
Non-scheduled Violation
X
ICIS Ord.
at
Defendant, Last
at
COMPLAINT
Pass EndReq?
Co. Enf. Surcharge
Middle
Notary/otherSignature
Dated
S81 RMAN 150228 132321 2
*+S81RMAN1502281323212+*
Citation #:
SAC COUNTY SHERIFF'S OFFICE
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
194AD9416GARVIN NICHOLAS LEE 2/28/1994YES
W NEthnicity50226-0000POLK CITY IA606 PHILLIPS ST
5' 11"IA NONE MALEC NONE
02/28/2015 1:23 PM 2004 RED OLDSMOBILE - OLD
ALERO 2D
2015 NOIA711ZXJ
US 20/220TH ST
5579$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
02/28/2015
02/28/2015
8:30 AM03/30/2015
$310.50
SAC CITY - 6717HATTERMAN, JOHN
FEBRUARY, 201528
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 orPROCEEDING
GUILTY
DATE:
None
Day
COURT NO.
FINED $ SURCHARGE $ Continued to:
S81 RMAN 150228 132321 2
FILED 03/02/2015 08:06AMCLERK DISTRICT COURTSAC COUNTY IOWA
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.
You hereby are given notice that within a reasonable time but no later than the date scheduled for yourinitial appearance a citation/complaint sworn under oath will be filed with the district court clerk of thecounty in which this citation was issued.
Speed
IA Code:
State of Iowa
this
Road Work Zone
Weight
Agency
City
Zone
Court Costs
1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
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
ICIS Sec #:
Subscribed and sworn to me by
at
Fed/Adm Code:
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
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
Form 420001E 1/07
DOB
Local Ord.
Height
require an appearance, report to the above named court on:
Court Appearance Required (805.10)
VS.
Name
DL/State IDViewed?
Race
Sex
The following applies to simple misdemeanors only:
The undersigned states that on or about
Sec #:
Upon a public highway at
CDLReq?
Year
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
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 #:
Signature ofDefendant
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
HazMat End Req?
Officer'sSignature
Non-scheduled Violation
X
ICIS Ord.
at
Defendant, Last
at
COMPLAINT
Pass EndReq?
Co. Enf. Surcharge
Middle
Notary/otherSignature
Dated
S81 URNS 150227 175202 4
*+S81URNS1502271752024+*
Citation #:
SAC COUNTY SHERIFF'S OFFICE
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
529AG7884BAXTER CHRISTIAN MICHAEL 4/17/1996YES
W NEthnicity51401-0000CARROLL IA1225 N MAIN ST
5' 10"IA NONE MALEC NONE
02/27/2015 5:52 PM 2002 WHI DODGE -DODG
CVN VN
2015 NOIACSJ048
ROLLAND AVE AND US 71/330TH ST
5565$40.00
$14.00
$5.0015SPEEDING 55 OR < (6 THRU 10 OVER)
$60.00
321.285 321.285-B$119.00
81-7
02/27/2015
02/27/2015
8:30 AM03/23/2015
$148.50
LAKE VIEW - 4157BURNS, JOEL
FEBRUARY, 201527
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 orPROCEEDING
GUILTY
DATE:
None
Day
COURT NO.
FINED $ SURCHARGE $ Continued to:
S81 URNS 150227 175202 4
FILED 03/02/2015 08:06AMCLERK DISTRICT COURTSAC COUNTY IOWA
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.
You hereby are given notice that within a reasonable time but no later than the date scheduled for yourinitial appearance a citation/complaint sworn under oath will be filed with the district court clerk of thecounty in which this citation was issued.
Speed
IA Code:
State of Iowa
this
Road Work Zone
Weight
Agency
City
Zone
Court Costs
1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
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
ICIS Sec #:
Subscribed and sworn to me by
at
Fed/Adm Code:
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
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
Form 420001E 1/07
DOB
Local Ord.
Height
require an appearance, report to the above named court on:
Court Appearance Required (805.10)
VS.
Name
DL/State IDViewed?
Race
Sex
The following applies to simple misdemeanors only:
The undersigned states that on or about
Sec #:
Upon a public highway at
CDLReq?
Year
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
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 #:
Signature ofDefendant
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
HazMat End Req?
Officer'sSignature
Non-scheduled Violation
X
ICIS Ord.
at
Defendant, Last
at
COMPLAINT
Pass EndReq?
Co. Enf. Surcharge
Middle
Notary/otherSignature
Dated
S81 URNS 150228 220041 5
*+S81URNS1502282200415+*
Citation #:
SAC COUNTY SHERIFF'S OFFICE
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
007AA7920RITCHIE PATRICIA ELISHA 4/7/1973YES
W NEthnicity51467-0000WESTSIDE IA3765 WESTSIDE AVE
5' 02"IA BF FEMALEC NONE
02/28/2015 10:00 PM 2014 GRY FORD -FORD
FUS 4D
2015 NOIABXJ469
M064/NEEDHAM AVE
5575$90.00
$31.50
$5.0015SPEEDING 55 OR < (16 THRU 20)
$60.00
321.285 321.285-D$186.50
81-7
02/28/2015
02/28/2015
8:30 AM03/23/2015
$249.75
WALL LAKE - 8065BURNS, JOEL
FEBRUARY, 201528
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 orPROCEEDING
GUILTY
DATE:
None
Day
COURT NO.
FINED $ SURCHARGE $ Continued to:
S81 URNS 150228 220041 5
FILED 03/02/2015 08:06AMCLERK DISTRICT COURTSAC COUNTY IOWA
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.
You hereby are given notice that within a reasonable time but no later than the date scheduled for yourinitial appearance a citation/complaint sworn under oath will be filed with the district court clerk of thecounty in which this citation was issued.
Speed
IA Code:
State of Iowa
this
Road Work Zone
Weight
Agency
City
Zone
Court Costs
1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
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
ICIS Sec #:
Subscribed and sworn to me by
at
Fed/Adm Code:
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
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
Form 420001E 1/07
DOB
Local Ord.
Height
require an appearance, report to the above named court on:
Court Appearance Required (805.10)
VS.
Name
DL/State IDViewed?
Race
Sex
The following applies to simple misdemeanors only:
The undersigned states that on or about
Sec #:
Upon a public highway at
CDLReq?
Year
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
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 #:
Signature ofDefendant
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
HazMat End Req?
Officer'sSignature
Non-scheduled Violation
X
ICIS Ord.
at
Defendant, Last
at
COMPLAINT
Pass EndReq?
Co. Enf. Surcharge
Middle
Notary/otherSignature
Dated
T01 T142 150224 090344 0
*+T01T1421502240903440+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
C0196715HOVSEPYAN SARKIS 6/18/1961YES
W NEthnicity91104-0000PASADENA CA1448 WESLEY AVE
5' 00"CA 240 LBSNONE MALEA NONE
02/24/2015 8:50 AM 2009 ONG FREIGHTLINER - F
TT/ST
2016 YES NO NOCAWP3819301989140 703707
US 71/KARR AVE
$50.00
$17.50396.17C
N/A13OPERATING CMV W/OUT PROOF OF PERIODIC INSPECTION FOR TT
$60.00
321.449 321.449-A$127.50
T142
02/24/2015
02/24/2015
8:30 AM03/16/2015
$161.25
EARLY - 2200PEREZ, WILLIAM
MARCH, 201502
OTHERMOTOR 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 orPROCEEDING
GUILTY
DATE:
None
Day
COURT NO.
FINED $ SURCHARGE $ Continued to:
T01 T142 150224 090344 0
FILED 03/02/2015 03:30PMCLERK DISTRICT COURTSAC COUNTY IOWA
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.
You hereby are given notice that within a reasonable time but no later than the date scheduled for yourinitial appearance a citation/complaint sworn under oath will be filed with the district court clerk of thecounty in which this citation was issued.
Speed
IA Code:
State of Iowa
this
Road Work Zone
Weight
Agency
City
Zone
Court Costs
1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
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
ICIS Sec #:
Subscribed and sworn to me by
at
Fed/Adm Code:
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
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
Form 420001E 1/07
DOB
Local Ord.
Height
require an appearance, report to the above named court on:
Court Appearance Required (805.10)
VS.
Name
DL/State IDViewed?
Race
Sex
The following applies to simple misdemeanors only:
The undersigned states that on or about
Sec #:
Upon a public highway at
CDLReq?
Year
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
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 #:
Signature ofDefendant
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
HazMat End Req?
Officer'sSignature
Non-scheduled Violation
X
ICIS Ord.
at
Defendant, Last
at
COMPLAINT
Pass EndReq?
Co. Enf. Surcharge
Middle
Notary/otherSignature
Dated
T01 T142 150224 092214 1
*+T01T1421502240922141+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
C0196715HOVSEPYAN SARKIS 6/18/1961YES
W NEthnicity91104-0000PASADENA CA1448 WESLEY AVE
5' 00"CA 240 LBSNONE MALEA NONE
02/24/2015 8:50 AM 2009 ONG FREIGHTLINER - F
TT/ST
2016 YES NO NOCAWP3819301989140 703707
US 71/KARR AVE
$50.00
$17.50393.45
N/A13EMERGENCY BRAKE HOSE HAS DAMAGE THROUGH OUTER
REINFORCEMENT PLY$60.00
321.449 321.449-A$127.50
T142
02/24/2015
02/24/2015
8:30 AM03/16/2015
$161.25
EARLY - 2200PEREZ, WILLIAM
MARCH, 201502
OTHERMOTOR 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 orPROCEEDING
GUILTY
DATE:
None
Day
COURT NO.
FINED $ SURCHARGE $ Continued to:
T01 T142 150224 092214 1
FILED 03/02/2015 03:30PMCLERK DISTRICT COURTSAC COUNTY IOWA
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.
You hereby are given notice that within a reasonable time but no later than the date scheduled for yourinitial appearance a citation/complaint sworn under oath will be filed with the district court clerk of thecounty in which this citation was issued.
Speed
IA Code:
State of Iowa
this
Road Work Zone
Weight
Agency
City
Zone
Court Costs
1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
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
ICIS Sec #:
Subscribed and sworn to me by
at
Fed/Adm Code:
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
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
Form 420001E 1/07
DOB
Local Ord.
Height
require an appearance, report to the above named court on:
Court Appearance Required (805.10)
VS.
Name
DL/State IDViewed?
Race
Sex
The following applies to simple misdemeanors only:
The undersigned states that on or about
Sec #:
Upon a public highway at
CDLReq?
Year
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
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 #:
Signature ofDefendant
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
HazMat End Req?
Officer'sSignature
Non-scheduled Violation
X
ICIS Ord.
at
Defendant, Last
at
COMPLAINT
Pass EndReq?
Co. Enf. Surcharge
Middle
Notary/otherSignature
Dated
T01 T142 150224 100928 4
*+T01T1421502241009284+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
D200552854570DIAS MELQUIZEDEQUE L 12/17/1985YES
W HEthnicity32835-5389ORLANDO FL7900 BRIDGESTONE DR
5' 10"FL 220 LBSNONE MALEA NONE
02/24/2015 9:30 AM 2014 BLK FREIGHTLINER - F
TT/ST
2016 YES NO NOFLF0215S02071179 723883
US 71/KARR AVE
$50.00
$17.50395.3A2-PROP
N/A13DRIVING BEYOND 14 HOUR DUTY PERIOD 02-24-15 FROM 0845HRS-0915HRS
$60.00
321.449 321.449-C$127.50
T142
02/24/2015
02/24/2015
8:30 AM03/16/2015
$161.25
EARLY - 2200PEREZ, WILLIAM
MARCH, 201502
OTHERMOTOR 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 orPROCEEDING
GUILTY
DATE:
None
Day
COURT NO.
FINED $ SURCHARGE $ Continued to:
T01 T142 150224 100928 4
FILED 03/02/2015 03:30PMCLERK DISTRICT COURTSAC COUNTY IOWA
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.
You hereby are given notice that within a reasonable time but no later than the date scheduled for yourinitial appearance a citation/complaint sworn under oath will be filed with the district court clerk of thecounty in which this citation was issued.
Speed
IA Code:
State of Iowa
this
Road Work Zone
Weight
Agency
City
Zone
Court Costs
1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
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
ICIS Sec #:
Subscribed and sworn to me by
at
Fed/Adm Code:
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
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
Form 420001E 1/07
DOB
Local Ord.
Height
require an appearance, report to the above named court on:
Court Appearance Required (805.10)
VS.
Name
DL/State IDViewed?
Race
Sex
The following applies to simple misdemeanors only:
The undersigned states that on or about
Sec #:
Upon a public highway at
CDLReq?
Year
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
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 #:
Signature ofDefendant
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
HazMat End Req?
Officer'sSignature
Non-scheduled Violation
X
ICIS Ord.
at
Defendant, Last
at
COMPLAINT
Pass EndReq?
Co. Enf. Surcharge
Middle
Notary/otherSignature
Dated
T01 T142 150224 113926 8
*+T01T1421502241139268+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
P 422 630 003 447POLOCOSER NICULAI 6/15/1967YES
W NEthnicity48127-2890DEARBORN HEIGHTS MI27151 FORD RD
6' 00"MI 10 LBSNONE MALECA NONE
02/24/2015 11:30 AM 1996 WHI KENTUCKY - KENT
TT/ST
2015 YES NO NOMIRA3876100878699 547491
US 71/KARR AVE
$50.00
$17.50395.8K2
N/A13DRIVER FAILING TO RETAIN PREVIOUS 7 DAYS LOGS
$60.00
321.449 321.449-C$127.50
T142
02/24/2015
02/24/2015
8:30 AM03/16/2015
$161.25
EARLY - 2200PEREZ, WILLIAM
MARCH, 201502
OTHERMOTOR 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 orPROCEEDING
GUILTY
DATE:
None
Day
COURT NO.
FINED $ SURCHARGE $ Continued to:
T01 T142 150224 113926 8
FILED 03/02/2015 03:30PMCLERK DISTRICT COURTSAC COUNTY IOWA
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.
You hereby are given notice that within a reasonable time but no later than the date scheduled for yourinitial appearance a citation/complaint sworn under oath will be filed with the district court clerk of thecounty in which this citation was issued.
Speed
IA Code:
State of Iowa
this
Road Work Zone
Weight
Agency
City
Zone
Court Costs
1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
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
ICIS Sec #:
Subscribed and sworn to me by
at
Fed/Adm Code:
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
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
Form 420001E 1/07
DOB
Local Ord.
Height
require an appearance, report to the above named court on:
Court Appearance Required (805.10)
VS.
Name
DL/State IDViewed?
Race
Sex
The following applies to simple misdemeanors only:
The undersigned states that on or about
Sec #:
Upon a public highway at
CDLReq?
Year
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
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 #:
Signature ofDefendant
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
HazMat End Req?
Officer'sSignature
Non-scheduled Violation
X
ICIS Ord.
at
Defendant, Last
at
COMPLAINT
Pass EndReq?
Co. Enf. Surcharge
Middle
Notary/otherSignature
Dated
T01 T142 150302 124459 5
*+T01T1421503021244595+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
H13061530DAUBMAN RICARDO 12/12/1987YES
W NEthnicity68127-0000OMAHA NE9529 U PLZ APT 13
6' 00"NE 210 LBSNONE MALEO NONE
03/02/2015 12:05 PM 2015 WHI GENERALMOTORS -
SIER TR/ST
2014 YES NO NONETRR59200446537
US 71/KARR AVE
$50.00
$17.50393.9TS
N/A13INOPERATIVE LEFT TURN SIGNAL ON TRAILER
$60.00
321.449 321.449-A$127.50
T142
03/02/2015
03/02/2015
8:30 AM03/23/2015
$161.25
EARLY - 2200PEREZ, WILLIAM
MARCH, 201502
OTHERMOTOR 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 orPROCEEDING
GUILTY
DATE:
None
Day
COURT NO.
FINED $ SURCHARGE $ Continued to:
T01 T142 150302 124459 5
FILED 03/02/2015 03:31PMCLERK DISTRICT COURTSAC COUNTY IOWA
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.
You hereby are given notice that within a reasonable time but no later than the date scheduled for yourinitial appearance a citation/complaint sworn under oath will be filed with the district court clerk of thecounty in which this citation was issued.
Speed
IA Code:
State of Iowa
this
Road Work Zone
Weight
Agency
City
Zone
Court Costs
1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
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
ICIS Sec #:
Subscribed and sworn to me by
at
Fed/Adm Code:
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
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
Form 420001E 1/07
DOB
Local Ord.
Height
require an appearance, report to the above named court on:
Court Appearance Required (805.10)
VS.
Name
DL/State IDViewed?
Race
Sex
The following applies to simple misdemeanors only:
The undersigned states that on or about
Sec #:
Upon a public highway at
CDLReq?
Year
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
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 #:
Signature ofDefendant
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
HazMat End Req?
Officer'sSignature
Non-scheduled Violation
X
ICIS Ord.
at
Defendant, Last
at
COMPLAINT
Pass EndReq?
Co. Enf. Surcharge
Middle
Notary/otherSignature
Dated
T01 T142 150302 125730 0
*+T01T1421503021257300+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
H13061530DAUBMAN RICARDO 12/12/1987YES
W NEthnicity68127-0000OMAHA NE9529 U PLZ APT 13
6' 00"NE 210 LBSNONE MALEO NONE
03/02/2015 12:05 PM 2015 WHI GENERALMOTORS -
SIER TR/ST
2014 YES NO NONETRR59200446537
US 71/KARR AVE
$200.00
$70.00392.2FT
N/A13VIOLATION INTERNATIONAL FUEL TAX AGREEEMENT REQUIREMENTS
(NO IFTA)$60.00
452A.52 452A.52$330.00
T142
03/02/2015
03/02/2015
8:30 AM03/23/2015
$465.00
EARLY - 2200PEREZ, WILLIAM
MARCH, 201502
OTHERMOTOR 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 orPROCEEDING
GUILTY
DATE:
None
Day
COURT NO.
FINED $ SURCHARGE $ Continued to:
T01 T142 150302 125730 0
FILED 03/02/2015 03:31PMCLERK DISTRICT COURTSAC COUNTY IOWA
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.
You hereby are given notice that within a reasonable time but no later than the date scheduled for yourinitial appearance a citation/complaint sworn under oath will be filed with the district court clerk of thecounty in which this citation was issued.
Speed
IA Code:
State of Iowa
this
Road Work Zone
Weight
Agency
City
Zone
Court Costs
1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
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
ICIS Sec #:
Subscribed and sworn to me by
at
Fed/Adm Code:
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
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
Form 420001E 1/07
DOB
Local Ord.
Height
require an appearance, report to the above named court on:
Court Appearance Required (805.10)
VS.
Name
DL/State IDViewed?
Race
Sex
The following applies to simple misdemeanors only:
The undersigned states that on or about
Sec #:
Upon a public highway at
CDLReq?
Year
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
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 #:
Signature ofDefendant
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
HazMat End Req?
Officer'sSignature
Non-scheduled Violation
X
ICIS Ord.
at
Defendant, Last
at
COMPLAINT
Pass EndReq?
Co. Enf. Surcharge
Middle
Notary/otherSignature
Dated
T01 T142 150302 124505 6
*+T01T1421503021245056+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
H13061530DAUBMAN RICARDO 12/12/1987YES
W NEthnicity68127-0000OMAHA NE9529 U PLZ APT 13
6' 00"NE 210 LBSNONE MALEO NONE
03/02/2015 12:05 PM 2015 WHI GENERALMOTORS -
SIER TR/ST
2014 YES NO NONETRR59200446537
US 71/KARR AVE
$50.00
$17.50393.95A
N/A13NO FIRE EXTINGUISHER
$60.00
321.449 321.449-A$127.50
T142
03/02/2015
03/02/2015
8:30 AM03/23/2015
$161.25
EARLY - 2200PEREZ, WILLIAM
MARCH, 201502
OTHERMOTOR 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 orPROCEEDING
GUILTY
DATE:
None
Day
COURT NO.
FINED $ SURCHARGE $ Continued to:
T01 T142 150302 124505 6
FILED 03/02/2015 03:31PMCLERK DISTRICT COURTSAC COUNTY IOWA
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.
You hereby are given notice that within a reasonable time but no later than the date scheduled for yourinitial appearance a citation/complaint sworn under oath will be filed with the district court clerk of thecounty in which this citation was issued.
Speed
IA Code:
State of Iowa
this
Road Work Zone
Weight
Agency
City
Zone
Court Costs
1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
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
ICIS Sec #:
Subscribed and sworn to me by
at
Fed/Adm Code:
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
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
Form 420001E 1/07
DOB
Local Ord.
Height
require an appearance, report to the above named court on:
Court Appearance Required (805.10)
VS.
Name
DL/State IDViewed?
Race
Sex
The following applies to simple misdemeanors only:
The undersigned states that on or about
Sec #:
Upon a public highway at
CDLReq?
Year
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
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 #:
Signature ofDefendant
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
HazMat End Req?
Officer'sSignature
Non-scheduled Violation
X
ICIS Ord.
at
Defendant, Last
at
COMPLAINT
Pass EndReq?
Co. Enf. Surcharge
Middle
Notary/otherSignature
Dated
T01 T324 150227 100609 2
*+T01T3241502271006092+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
934ZZ0426HOPKINS JOHNNY EARL 4/12/1970YES
W NEthnicity50530-0000DAYTON IA3716 QUAIL AVE
5' 05"IA 160 LBSNONE MALEA L
02/27/2015 9:40 AM 2001 RED DODGE -DODG
R35 PK
2015 YES NO NOIA153WMN
US 71/KARR AVE
$20.00
$7.00392.2RG
N/A13FAILURE TO CARRY TRAILER REGISTRATION
$60.00
321.32 321.32$87.00
T324
02/27/2015
02/27/2015
8:30 AM03/16/2015
$100.50
EARLY - 2200DAGIT, JOSHUA
MARCH, 201502
OTHERMOTOR 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 orPROCEEDING
GUILTY
DATE:
None
Day
COURT NO.
FINED $ SURCHARGE $ Continued to:
T01 T324 150227 100609 2
FILED 03/02/2015 03:32PMCLERK DISTRICT COURTSAC COUNTY IOWA
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.
You hereby are given notice that within a reasonable time but no later than the date scheduled for yourinitial appearance a citation/complaint sworn under oath will be filed with the district court clerk of thecounty in which this citation was issued.
Speed
IA Code:
State of Iowa
this
Road Work Zone
Weight
Agency
City
Zone
Court Costs
1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
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
ICIS Sec #:
Subscribed and sworn to me by
at
Fed/Adm Code:
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
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
Form 420001E 1/07
DOB
Local Ord.
Height
require an appearance, report to the above named court on:
Court Appearance Required (805.10)
VS.
Name
DL/State IDViewed?
Race
Sex
The following applies to simple misdemeanors only:
The undersigned states that on or about
Sec #:
Upon a public highway at
CDLReq?
Year
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
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 #:
Signature ofDefendant
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
HazMat End Req?
Officer'sSignature
Non-scheduled Violation
X
ICIS Ord.
at
Defendant, Last
at
COMPLAINT
Pass EndReq?
Co. Enf. Surcharge
Middle
Notary/otherSignature
Dated
T01 T324 150227 100529 1
*+T01T3241502271005291+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
934ZZ0426HOPKINS JOHNNY EARL 4/12/1970YES
W NEthnicity50530-0000DAYTON IA3716 QUAIL AVE
5' 05"IA 160 LBSNONE MALEA L
02/27/2015 9:40 AM 2001 RED DODGE -DODG
R35 PK
2015 YES NO NOIA153WMN
US 71/KARR AVE
$50.00
$17.50393.43
N/A13FAILURE TO ATTACH AUTOMATIC TRAILER BRAKE TO POWER UNIT
$60.00
321.449 321.449-A$127.50
T324
02/27/2015
02/27/2015
8:30 AM03/16/2015
$161.25
EARLY - 2200DAGIT, JOSHUA
MARCH, 201502
OTHERMOTOR 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 orPROCEEDING
GUILTY
DATE:
None
Day
COURT NO.
FINED $ SURCHARGE $ Continued to:
T01 T324 150227 100529 1
FILED 03/02/2015 03:32PMCLERK DISTRICT COURTSAC COUNTY IOWA
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.
You hereby are given notice that within a reasonable time but no later than the date scheduled for yourinitial appearance a citation/complaint sworn under oath will be filed with the district court clerk of thecounty in which this citation was issued.
Speed
IA Code:
State of Iowa
this
Road Work Zone
Weight
Agency
City
Zone
Court Costs
1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
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
ICIS Sec #:
Subscribed and sworn to me by
at
Fed/Adm Code:
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
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
Form 420001E 1/07
DOB
Local Ord.
Height
require an appearance, report to the above named court on:
Court Appearance Required (805.10)
VS.
Name
DL/State IDViewed?
Race
Sex
The following applies to simple misdemeanors only:
The undersigned states that on or about
Sec #:
Upon a public highway at
CDLReq?
Year
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
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 #:
Signature ofDefendant
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
HazMat End Req?
Officer'sSignature
Non-scheduled Violation
X
ICIS Ord.
at
Defendant, Last
at
COMPLAINT
Pass EndReq?
Co. Enf. Surcharge
Middle
Notary/otherSignature
Dated
T01 T324 150227 100629 3
*+T01T3241502271006293+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
934ZZ0426HOPKINS JOHNNY EARL 4/12/1970YES
W NEthnicity50530-0000DAYTON IA3716 QUAIL AVE
5' 05"IA 160 LBSNONE MALEA L
02/27/2015 9:40 AM 2001 RED DODGE -DODG
R35 PK
2015 YES NO NOIA153WMN
US 71/KARR AVE
$50.00
$17.50393.9
N/A13INOPERABLE STOP LAMPS
$60.00
321.449 321.449-A$127.50
T324
02/27/2015
02/27/2015
8:30 AM03/16/2015
$161.25
EARLY - 2200DAGIT, JOSHUA
MARCH, 201502
OTHERMOTOR 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 orPROCEEDING
GUILTY
DATE:
None
Day
COURT NO.
FINED $ SURCHARGE $ Continued to:
T01 T324 150227 100629 3
FILED 03/02/2015 03:32PMCLERK DISTRICT COURTSAC COUNTY IOWA
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.
You hereby are given notice that within a reasonable time but no later than the date scheduled for yourinitial appearance a citation/complaint sworn under oath will be filed with the district court clerk of thecounty in which this citation was issued.
Speed
IA Code:
State of Iowa
this
Road Work Zone
Weight
Agency
City
Zone
Court Costs
1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
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
ICIS Sec #:
Subscribed and sworn to me by
at
Fed/Adm Code:
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
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
Form 420001E 1/07
DOB
Local Ord.
Height
require an appearance, report to the above named court on:
Court Appearance Required (805.10)
VS.
Name
DL/State IDViewed?
Race
Sex
The following applies to simple misdemeanors only:
The undersigned states that on or about
Sec #:
Upon a public highway at
CDLReq?
Year
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
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 #:
Signature ofDefendant
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
HazMat End Req?
Officer'sSignature
Non-scheduled Violation
X
ICIS Ord.
at
Defendant, Last
at
COMPLAINT
Pass EndReq?
Co. Enf. Surcharge
Middle
Notary/otherSignature
Dated
T01 T324 150302 121156 0
*+T01T3241503021211560+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
H13478018WAHRMAN RICHARD S 7/3/1969YES
W NEthnicity68057-0000SCRIBNER NE642 COUNTY RD 10
5' 07"NE 200 LBSB MALEA N
03/02/2015 11:45 AM 1994 BLU KENWORTH - KW
TT
2015 YES NO NONE17606300124813 076266
US 71/KARR AVE
$50.00
$17.50396.17C
N/A13FAILURE TO PROVIDE DOCUMENTATION OF CURRENT ANNUAL
INSPECTION.$60.00
321.449 321.449-A$127.50
T324
03/02/2015
03/02/2015
8:30 AM03/23/2015
$161.25
EARLY - 2200DAGIT, JOSHUA
MARCH, 201502
OTHERMOTOR 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 orPROCEEDING
GUILTY
DATE:
None
Day
COURT NO.
FINED $ SURCHARGE $ Continued to:
T01 T324 150302 121156 0
FILED 03/02/2015 03:32PMCLERK DISTRICT COURTSAC COUNTY IOWA
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.
You hereby are given notice that within a reasonable time but no later than the date scheduled for yourinitial appearance a citation/complaint sworn under oath will be filed with the district court clerk of thecounty in which this citation was issued.
Speed
IA Code:
State of Iowa
this
Road Work Zone
Weight
Agency
City
Zone
Court Costs
1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
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
ICIS Sec #:
Subscribed and sworn to me by
at
Fed/Adm Code:
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
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
Form 420001E 1/07
DOB
Local Ord.
Height
require an appearance, report to the above named court on:
Court Appearance Required (805.10)
VS.
Name
DL/State IDViewed?
Race
Sex
The following applies to simple misdemeanors only:
The undersigned states that on or about
Sec #:
Upon a public highway at
CDLReq?
Year
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
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 #:
Signature ofDefendant
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
HazMat End Req?
Officer'sSignature
Non-scheduled Violation
X
ICIS Ord.
at
Defendant, Last
at
COMPLAINT
Pass EndReq?
Co. Enf. Surcharge
Middle
Notary/otherSignature
Dated
T01 T324 150302 102559 8
*+T01T3241503021025598+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
790YY7881HOGREFE TIMOTHY JOHN 12/6/1984YES
W NEthnicity50510-0000ALBERT CITY IA2039 510TH ST
5' 09"IA 195 LBSBM MALEA NPS
03/02/2015 10:10 AM 1995 WHI INTERNATIONAL - I
TL
2015 YES NO NOIA9557EO2572540
PERKINS AVE
$50.00
$17.50396.17C
N/A13FAILURE TO PROVIDE DOCUMENTATION OF CURRENT ANNUAL
INSPECTION.$60.00
321.449 321.449-A$127.50
T324
03/02/2015
03/02/2015
8:30 AM03/23/2015
$161.25
EARLY - 2200DAGIT, JOSHUA
MARCH, 201502
OTHERMOTOR 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 orPROCEEDING
GUILTY
DATE:
None
Day
COURT NO.
FINED $ SURCHARGE $ Continued to:
T01 T324 150302 102559 8
FILED 03/02/2015 03:32PMCLERK DISTRICT COURTSAC COUNTY IOWA
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.
You hereby are given notice that within a reasonable time but no later than the date scheduled for yourinitial appearance a citation/complaint sworn under oath will be filed with the district court clerk of thecounty in which this citation was issued.
Speed
IA Code:
State of Iowa
this
Road Work Zone
Weight
Agency
City
Zone
Court Costs
1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
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
ICIS Sec #:
Subscribed and sworn to me by
at
Fed/Adm Code:
NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.
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
Form 420001E 1/07
DOB
Local Ord.
Height
require an appearance, report to the above named court on:
Court Appearance Required (805.10)
VS.
Name
DL/State IDViewed?
Race
Sex
The following applies to simple misdemeanors only:
The undersigned states that on or about
Sec #:
Upon a public highway at
CDLReq?
Year
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
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 #:
Signature ofDefendant
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
HazMat End Req?
Officer'sSignature
Non-scheduled Violation
X
ICIS Ord.
at
Defendant, Last
at
COMPLAINT
Pass EndReq?
Co. Enf. Surcharge
Middle
Notary/otherSignature
Dated
T01 T324 150302 123434 2
*+T01T3241503021234342+*
Citation #:
MOTOR VEHICLE ENFORCEMENT
SAC - 81
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583
543ZZ8151KATHOL ZACHARY RYAN 2/19/1989YES
W NEthnicity51463-0000TEMPLETON IA105 1ST AVE
5' 10"IA 180 LBSNONE MALEC NONE
03/02/2015 12:30 PM 2007 WHI DODGE -DODG
R35 CB
2015 NOIABVP400
OFF ROADWAY/ROADWAY NOT FOUND
$50.00
$17.50396.17C
N/A13FAILURE TO PROVIDE DOCUMENTATION OF ANNUAL INSPECTION
$60.00
321.449 321.449-A$127.50
T324
03/02/2015
03/02/2015
8:30 AM03/23/2015
$161.25
EARLY - 2200DAGIT, JOSHUA
MARCH, 201502
OTHERMOTOR 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 orPROCEEDING
GUILTY
DATE:
None
Day
COURT NO.
FINED $ SURCHARGE $ Continued to:
T01 T324 150302 123434 2
FILED 03/02/2015 03:32PMCLERK DISTRICT COURTSAC COUNTY IOWA
