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COMPLAINT

Form 420001E 1/07 PLAINTIFF State of Iowa In the Court at VS. Name

Dispatch / Case #:

Citation #: IOWA UNIFORM CITATION AND COMPLAINT


Law Enforcement Agency IOWA STATE PATROL - DIST 04 City of:

P04 2LUK 130820 135111 3


SAC CITY IA 50583
DL/State ID Viewed? YES Zip Code Height Race W 51466-0000 5' 07" Weight DOB 12/15/1971 Ethnicity N Sex FEMALE

Reference #:
County of: SAC - 81

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 LISA


First DL Class

QUIRK
Defendant, Last

LOU
Middle City Suffix

DL#

288AE3386
State IA DL Rest. NONE

Address 2185 330TH ST DL State IA The undersigned states that on or about US DOT# ICC#

WALL LAKE
DL End. NONE

08/20/2013

at 1:51 PM

defendant did unlawfully: Operate Motor Vehicle/Boat State

2008 WHI

Lic. Plate #/REG 823ZEF

Upon a public highway at EB HWY 175 E OF HWY 71 WJ (73) Scheduled Violation/Fine Criminal Surcharge Co. Enf. Surcharge Court Costs Total Fine/Costs

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

IA

Year 2014

CHEVROL SUB ET -End CHEV Pass

SW

$40.00 $14.00 N/A $60.00 $114.00

Court Appearance Required (805.10) Reason: Serious P.I. Fatal Accident

Road Work Zone Civil Damage Assessment

Non-scheduled Violation Other

Speed

65

in

55

Zone

Fed/Adm Code: IA Code: 20 13

Violation SPEEDING 55 OR < (6 THRU 10 OVER) Sec #: 321.285 ICIS Sec #: 321.285-B I.D. No. 492 Local Ord. ICIS Ord.

Officer's Signature

Dated 08/20/2013

NOTICE: Providing false identification information is a violation of Section 719.1A of the Code of Iowa and is punishable as a simple misdemeanor.
You hereby are given notice that within a reasonable time but no later than the date scheduled for your initial appearance a citation/complaint sworn under oath will be filed with the district court clerk of the county in which this citation was issued.

Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not require an appearance, report to the above named court on: 09/23/2013 at 9:00 AM
My signature below is not a plea of guilty, but acknowledges all of the following: 1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.

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

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

*+P042LUK1308201351113+*
Dated
Signature of Defendant

X
Subscribed and sworn to me by this

08/20/2013

I swear that the foregoing complaint is true and correct.

21

day of

LUKE, C AUGUST, 2013


Notary/other Signature

at

DENISON - 1920
Notary/other

, Iowa

Officer's Signature

Agency

IOWA STATE PATROL - DIST 04

TROOPER/NOTARY

ABSTRACT OF COURT RECORD


COURT NO. DOCKET NO. LICENSE NO. FORFEIT BOND BAIL CASH DEPOSIT PLEA GUILTY NOT GUILTY VERDICT GUILTY NOT GUILTY DISMISSED CASE NO. CASE NO. STATE: Iowa Other

Citation #:

P04 2LUK 130820 135111 3


FILED 08/23/2013 10:36AM CLERK DISTRICT COURT SAC COUNTY IOWA

TESTIMONY - JUDGE'S NOTES: (Other Orders)

JURY TRIAL

NO JURY TRIAL or PROCEEDING

Date

Signature, person giving bail

Signature, person taking bail

OTHER DISPOSITION The court Therefore Enters in Following Order This Date
Mo. Day Yr.

Driver's License Recommendation DATE: DATE: DATE:

None

School

Susp.

Revo

Days

Continued to: Continued to: WARRANT ISSUED

REASON REASON

FINED $ Incarceration in

SURCHARGE $

COST $ Days:

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

COMPLAINT
Form 420001E 1/07 PLAINTIFF State of Iowa In the Court at VS. Name

Dispatch / Case #:

Citation #: IOWA UNIFORM CITATION AND COMPLAINT


Law Enforcement Agency MOTOR VEHICLE ENFORCEMENT City of:

T01 T142 130821 135630 2


SAC CITY IA 50583
DL/State ID Viewed? YES Zip Code Height Race W 51458-0000 6' 02" Weight 320 LBS DOB 11/26/1971 Ethnicity N Sex MALE

Reference #:
County of: SAC - 81

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 MATTHEW


First DL Class

GRITTEN
Defendant, Last

DAVID
Middle City Suffix

DL#

790YY6681
State IA DL Rest. NONE

Address 221 W HIGHWAY DL State IA The undersigned states that on or about US DOT# 02124755 ICC#

ODEBOLT
DL End. LN

08/21/2013

at 1:40 PM

defendant did unlawfully: Operate Motor Vehicle/Boat State

2007 WHI

Lic. Plate #/REG SG5543

Upon a public highway at 44 - JCT HWY 71/20 EARLY Scheduled Violation/Fine Criminal Surcharge Co. Enf. Surcharge Court Costs Total Fine/Costs

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

IA

Year 2012

FREIGHT LINER F Pass End - NO

TT/ST

$22.00 $7.70 N/A $60.00 $89.70

Court Appearance Required (805.10) Reason: Serious P.I. Fatal Accident

Road Work Zone Civil Damage Assessment

Non-scheduled Violation Other

Speed

in

Zone

Fed/Adm Code: 392.2-SLLEWA1 IA Code: 20 13 ICIS Ord.

Violation OW ON TANDEM AXLES 2 & 3 BY 1,760LBS (35,760LBS) Sec #: 321.463 ICIS Sec #: 321.463 I.D. No. T142 Local Ord.

Officer's Signature

Dated 08/21/2013

NOTICE: Providing false identification information is a violation of Section 719.1A of the Code of Iowa and is punishable as a simple misdemeanor.
You hereby are given notice that within a reasonable time but no later than the date scheduled for your initial appearance a citation/complaint sworn under oath will be filed with the district court clerk of the county in which this citation was issued.

Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not require an appearance, report to the above named court on: 09/09/2013 at 8:30 AM
My signature below is not a plea of guilty, but acknowledges all of the following: 1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.

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

$104.55 4. I hereby give my unsecured appearance bond in the amount of dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty and surcharge plus court cost.

*+T01T1421308211356302+*
Dated
Signature of Defendant

X
Subscribed and sworn to me by this

08/21/2013

I swear that the foregoing complaint is true and correct.

22

day of

PEREZ, WILLIAM AUGUST, 2013


Notary/other Signature

at

NOT APPLICABLE - 0000


Notary/other

, Iowa

Officer's Signature

Agency

MOTOR VEHICLE ENFORCEMENT

OTHER

ABSTRACT OF COURT RECORD


COURT NO. DOCKET NO. LICENSE NO. FORFEIT BOND BAIL CASH DEPOSIT PLEA GUILTY NOT GUILTY VERDICT GUILTY NOT GUILTY DISMISSED CASE NO. CASE NO. STATE: Iowa Other

Citation #:

T01 T142 130821 135630 2


FILED 08/23/2013 10:36AM CLERK DISTRICT COURT SAC COUNTY IOWA

TESTIMONY - JUDGE'S NOTES: (Other Orders)

JURY TRIAL

NO JURY TRIAL or PROCEEDING

Date

Signature, person giving bail

Signature, person taking bail

OTHER DISPOSITION The court Therefore Enters in Following Order This Date
Mo. Day Yr.

Driver's License Recommendation DATE: DATE: DATE:

None

School

Susp.

Revo

Days

Continued to: Continued to: WARRANT ISSUED

REASON REASON

FINED $ Incarceration in

SURCHARGE $

COST $ Days:

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

COMPLAINT
Form 420001E 1/07 PLAINTIFF State of Iowa In the Court at VS. Name

Dispatch / Case #:

Citation #: IOWA UNIFORM CITATION AND COMPLAINT


Law Enforcement Agency IOWA STATE PATROL - DIST 06 City of:

P06 5MAI 130821 140120 4


SAC CITY IA 50583
DL/State ID Viewed? YES Zip Code Height Race W 51053-0000 6' 02" Weight DOB 2/4/1981 Ethnicity N Sex MALE

Reference #:
County of: SAC - 81

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 AARON


First DL Class

JACOBSON
Defendant, Last

LEE
Middle City Suffix

DL#

529YY1343
State IA DL Rest. B

Address 501 S SELKIRK ST DL State IA The undersigned states that on or about US DOT# ICC#

SCHALLER
DL End. NONE

08/21/2013

at 2:01 PM

defendant did unlawfully: Operate Motor Vehicle/Boat State

1993 RED

Lic. Plate #/REG 27064

Upon a public highway at 110 1/4 NO 20 SB OV Scheduled Violation/Fine Criminal Surcharge Co. Enf. Surcharge Court Costs Total Fine/Costs

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

IA

Year 2013

FORD FORD Pass End

F250

P/U

$50.00 $17.50 N/A $60.00 $127.50

Court Appearance Required (805.10) Reason: Serious P.I. Fatal Accident

Road Work Zone Civil Damage Assessment

Non-scheduled Violation Other

Speed Fed/Adm Code:

in

Zone

Violation FAIL TO WEAR/MAINTAIN SAFETY BELTS Sec #: 321.445 ICIS Sec #: 321.445 I.D. No. 215 Local Ord. ICIS Ord.

IA Code: 20 13

Officer's Signature

Dated 08/21/2013

NOTICE: Providing false identification information is a violation of Section 719.1A of the Code of Iowa and is punishable as a simple misdemeanor.
You hereby are given notice that within a reasonable time but no later than the date scheduled for your initial appearance a citation/complaint sworn under oath will be filed with the district court clerk of the county in which this citation was issued.

Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not require an appearance, report to the above named court on: 09/23/2013 at 9:30 AM
My signature below is not a plea of guilty, but acknowledges all of the following: 1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.

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

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

*+P065MAI1308211401204+*
Dated
Signature of Defendant

X
Subscribed and sworn to me by this

08/21/2013

I swear that the foregoing complaint is true and correct.

21

day of

MAIER, D AUGUST, 2013


Notary/other Signature

at

SPENCER - 7170
Notary/other

, Iowa

Officer's Signature

Agency

IOWA STATE PATROL - DIST 06

TROOPER

ABSTRACT OF COURT RECORD


COURT NO. DOCKET NO. LICENSE NO. FORFEIT BOND BAIL CASH DEPOSIT PLEA GUILTY NOT GUILTY VERDICT GUILTY NOT GUILTY DISMISSED CASE NO. CASE NO. STATE: Iowa Other

Citation #:

P06 5MAI 130821 140120 4


FILED 08/23/2013 01:43PM CLERK DISTRICT COURT SAC COUNTY IOWA

TESTIMONY - JUDGE'S NOTES: (Other Orders)

JURY TRIAL

NO JURY TRIAL or PROCEEDING

Date

Signature, person giving bail

Signature, person taking bail

OTHER DISPOSITION The court Therefore Enters in Following Order This Date
Mo. Day Yr.

Driver's License Recommendation DATE: DATE: DATE:

None

School

Susp.

Revo

Days

Continued to: Continued to: WARRANT ISSUED

REASON REASON

FINED $ Incarceration in

SURCHARGE $

COST $ Days:

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

COMPLAINT
Form 420001E 1/07 PLAINTIFF State of Iowa In the Court at VS. Name

Dispatch / Case #:

Citation #: IOWA UNIFORM CITATION AND COMPLAINT


Law Enforcement Agency IOWA STATE PATROL - DIST 04 City of:

P04 4WIS 130822 072114 2


SAC CITY IA 50583
DL/State ID Viewed? YES Zip Code Height Race U 50561-0000 5' 00" Weight DOB 6/18/1977 Ethnicity H Sex FEMALE

Reference #:
County of: SAC - 81

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SHELLY


First DL Class

SMITH
Defendant, Last

ANN
Middle City Suffix

DL#

515YY4743
State IA DL Rest. B

Address 317 OAK AVE DL State IA The undersigned states that on or about US DOT# ICC#

LYTTON
DL End. NONE

08/22/2013

at 7:21 AM

defendant did unlawfully: Operate Motor Vehicle/Boat State

2010 SIL

Lic. Plate #/REG BMU021

Upon a public highway at D-35 E OF WADSLEY WB OS69 Scheduled Violation/Fine Criminal Surcharge Co. Enf. Surcharge Court Costs Total Fine/Costs

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

IA

Year 2014

DODGE DODG Pass End

JNY

SW

$40.00 $14.00 N/A $60.00 $114.00

Court Appearance Required (805.10) Reason: Serious P.I. Fatal Accident

Road Work Zone Civil Damage Assessment

Non-scheduled Violation Other

Speed

65

in

55

Zone

Fed/Adm Code: IA Code: 20 13

Violation SPEEDING 55 OR < (6 THRU 10 OVER) Sec #: 321.285 ICIS Sec #: 321.285-B I.D. No. 294 Local Ord. ICIS Ord.

Officer's Signature

Dated 08/22/2013

NOTICE: Providing false identification information is a violation of Section 719.1A of the Code of Iowa and is punishable as a simple misdemeanor.
You hereby are given notice that within a reasonable time but no later than the date scheduled for your initial appearance a citation/complaint sworn under oath will be filed with the district court clerk of the county in which this citation was issued.

Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not require an appearance, report to the above named court on: 09/30/2013 at 8:30 AM
My signature below is not a plea of guilty, but acknowledges all of the following: 1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.

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

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

*+P044WIS1308220721142+*
Dated
Signature of Defendant

X
Subscribed and sworn to me by this

08/22/2013

I swear that the foregoing complaint is true and correct.

22

day of

WISSLER, JAMES AUGUST, 2013


Notary/other Signature

at

EARLY - 2200
Notary/other

, Iowa

Officer's Signature

Agency

IOWA STATE PATROL - DIST 04

TROOPER

ABSTRACT OF COURT RECORD


COURT NO. DOCKET NO. LICENSE NO. FORFEIT BOND BAIL CASH DEPOSIT PLEA GUILTY NOT GUILTY VERDICT GUILTY NOT GUILTY DISMISSED CASE NO. CASE NO. STATE: Iowa Other

Citation #:

P04 4WIS 130822 072114 2


FILED 08/26/2013 12:46AM CLERK DISTRICT COURT SAC COUNTY IOWA

TESTIMONY - JUDGE'S NOTES: (Other Orders)

JURY TRIAL

NO JURY TRIAL or PROCEEDING

Date

Signature, person giving bail

Signature, person taking bail

OTHER DISPOSITION The court Therefore Enters in Following Order This Date
Mo. Day Yr.

Driver's License Recommendation DATE: DATE: DATE:

None

School

Susp.

Revo

Days

Continued to: Continued to: WARRANT ISSUED

REASON REASON

FINED $ Incarceration in

SURCHARGE $

COST $ Days:

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

E-FILED 2013 AUG 25 11:44 PM SAC - CLERK OF DISTRICT COURT

E-FILED 2013 AUG 25 11:44 PM SAC - CLERK OF DISTRICT COURT

E-FILED 2013 AUG 25 11:49 PM SAC - CLERK OF DISTRICT COURT

E-FILED 2013 AUG 25 11:49 PM SAC - CLERK OF DISTRICT COURT

E-FILED 2013 AUG 25 11:49 PM SAC - CLERK OF DISTRICT COURT

E-FILED 2013 AUG 25 11:49 PM SAC - CLERK OF DISTRICT COURT

COMPLAINT
Form 420001E 1/07 PLAINTIFF State of Iowa In the Court at VS. Name

Dispatch / Case #:

Citation #: IOWA UNIFORM CITATION AND COMPLAINT


Law Enforcement Agency MOTOR VEHICLE ENFORCEMENT City of:

T01 T250 130822 124521 6


SAC CITY IA 50583
DL/State ID Viewed? YES Zip Code Height Race W 51466-0000 5' 05" Weight DOB 1/26/1950 Ethnicity N Sex FEMALE

Reference #:
County of: SAC - 81

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SANDRA


First DL Class

SCHMITT
Defendant, Last

SUE
Middle City Suffix

DL#

678ZZ6658
State IA DL Rest. NONE

Address 3766 OTTER AVE DL State IA The undersigned states that on or about US DOT# ICC#

WALL LAKE
DL End. NONE

08/22/2013

at 12:45 PM

defendant did unlawfully: Operate Motor Vehicle/Boat State

2007 WHI

Lic. Plate #/REG 921ZPP

Upon a public highway at HWY 196 AND 250TH Scheduled Violation/Fine Criminal Surcharge Co. Enf. Surcharge Court Costs Total Fine/Costs

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

IA

Year 2013

CHEVROL SLV ET -End CHEV Pass

PK

$40.00 $14.00 N/A $60.00 $114.00

Court Appearance Required (805.10) Reason: Serious P.I. Fatal Accident

Road Work Zone Civil Damage Assessment

Non-scheduled Violation Other

Speed

65

in

55

Zone

Fed/Adm Code: IA Code: 20 13 ICIS Ord.

Violation SPEEDING 72MPH IN A 55 ZONE(LOCKED AT 72MPH). FCOD SB HWY 196 Sec #: 321.285 ICIS Sec #: 321.285-B I.D. No. T250 Local Ord.

Officer's Signature

Dated 08/22/2013

NOTICE: Providing false identification information is a violation of Section 719.1A of the Code of Iowa and is punishable as a simple misdemeanor.
You hereby are given notice that within a reasonable time but no later than the date scheduled for your initial appearance a citation/complaint sworn under oath will be filed with the district court clerk of the county in which this citation was issued.

Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not require an appearance, report to the above named court on: 09/09/2013 at 9:30 AM
My signature below is not a plea of guilty, but acknowledges all of the following: 1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.

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

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

*+T01T2501308221245216+*
Dated
Signature of Defendant

X
Subscribed and sworn to me by this

08/22/2013

I swear that the foregoing complaint is true and correct.

23

day of

SIVINSKI, JOEL AUGUST, 2013


Notary/other Signature

at

EARLY - 2200
Notary/other

, Iowa

Officer's Signature

Agency

MOTOR VEHICLE ENFORCEMENT

OTHER

ABSTRACT OF COURT RECORD


COURT NO. DOCKET NO. LICENSE NO. FORFEIT BOND BAIL CASH DEPOSIT PLEA GUILTY NOT GUILTY VERDICT GUILTY NOT GUILTY DISMISSED CASE NO. CASE NO. STATE: Iowa Other

Citation #:

08/26/2013 01:01PM T01 FILED T250 130822 124521 6 CLERK DISTRICT COURT IOWA

SAC COUNTY TESTIMONY - JUDGE'S NOTES: (Other Orders)

JURY TRIAL

NO JURY TRIAL or PROCEEDING

Date

Signature, person giving bail

Signature, person taking bail

OTHER DISPOSITION The court Therefore Enters in Following Order This Date
Mo. Day Yr.

Driver's License Recommendation DATE: DATE: DATE:

None

School

Susp.

Revo

Days

Continued to: Continued to: WARRANT ISSUED

REASON REASON

FINED $ Incarceration in

SURCHARGE $

COST $ Days:

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

COMPLAINT
Form 420001E 1/07 PLAINTIFF State of Iowa In the Court at VS. Name

Dispatch / Case #:

Citation #: IOWA UNIFORM CITATION AND COMPLAINT


Law Enforcement Agency MOTOR VEHICLE ENFORCEMENT City of:

T01 T324 130817 113528 0


SAC CITY IA 50583
DL/State ID Viewed? YES Zip Code Height Race W 50535-0000 5' 09" Weight 145 LBS DOB 4/16/1981 Ethnicity N Sex MALE

Reference #:
County of: SAC - 81

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 JUSTIN


First DL Class

TIEFENTHALER
Defendant, Last

JACOB
Middle City Suffix

DL#

888ZZ8140
State IA DL Rest. B

Address 224 N MAIN ST DL State IA The undersigned states that on or about US DOT# ICC#

EARLY
DL End. NONE

08/17/2013

at 11:35 AM

defendant did unlawfully: Operate Motor Vehicle/Boat State

1966 BLU

Lic. Plate #/REG 810ZPP

Upon a public highway at HWY 20 WB EXIT TO HWY 71 SB EARLY Scheduled Violation/Fine Criminal Surcharge Co. Enf. Surcharge Court Costs Total Fine/Costs

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

IA

Year 2014

FORD FORD Pass End

MUS

2D

$35.00 $12.25 N/A $60.00 $107.25

Court Appearance Required (805.10) Reason: Serious P.I. Fatal Accident

Road Work Zone Civil Damage Assessment

Non-scheduled Violation Other

Speed Fed/Adm Code:

in

Zone

Violation CARELESS DRIVING Sec #: 321.277A ICIS Sec #: 321.277A I.D. No. T324 Local Ord. ICIS Ord.

IA Code: 20 13

Officer's Signature

Dated 08/17/2013

NOTICE: Providing false identification information is a violation of Section 719.1A of the Code of Iowa and is punishable as a simple misdemeanor.
You hereby are given notice that within a reasonable time but no later than the date scheduled for your initial appearance a citation/complaint sworn under oath will be filed with the district court clerk of the county in which this citation was issued.

Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not require an appearance, report to the above named court on: 09/09/2013 at 8:30 AM
My signature below is not a plea of guilty, but acknowledges all of the following: 1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.

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

$130.88 4. I hereby give my unsecured appearance bond in the amount of dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty and surcharge plus court cost.

*+T01T3241308171135280+*
Dated
Signature of Defendant

X
Subscribed and sworn to me by this

08/17/2013

I swear that the foregoing complaint is true and correct.

23

day of

DAGIT, JOSHUA AUGUST, 2013


Notary/other Signature

at

EARLY - 2200
Notary/other

, Iowa

Officer's Signature

Agency

MOTOR VEHICLE ENFORCEMENT

OTHER

ABSTRACT OF COURT RECORD


COURT NO. DOCKET NO. LICENSE NO. FORFEIT BOND BAIL CASH DEPOSIT PLEA GUILTY NOT GUILTY VERDICT GUILTY NOT GUILTY DISMISSED CASE NO. CASE NO. STATE: Iowa Other

Citation #:

08/26/2013 01:14PM T01 FILED T324 130817 113528 0 CLERK DISTRICT COURT IOWA

SAC COUNTY TESTIMONY - JUDGE'S NOTES: (Other Orders)

JURY TRIAL

NO JURY TRIAL or PROCEEDING

Date

Signature, person giving bail

Signature, person taking bail

OTHER DISPOSITION The court Therefore Enters in Following Order This Date
Mo. Day Yr.

Driver's License Recommendation DATE: DATE: DATE:

None

School

Susp.

Revo

Days

Continued to: Continued to: WARRANT ISSUED

REASON REASON

FINED $ Incarceration in

SURCHARGE $

COST $ Days:

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

COMPLAINT
Form 420001E 1/07 PLAINTIFF State of Iowa In the Court at VS. Name

Dispatch / Case #:

Citation #: IOWA UNIFORM CITATION AND COMPLAINT


Law Enforcement Agency MOTOR VEHICLE ENFORCEMENT City of:

T01 T324 130817 114138 1


SAC CITY IA 50583
DL/State ID Viewed? YES Zip Code Height Race W 50535-5005 5' 09" Weight 145 LBS DOB 4/16/1981 Ethnicity N Sex MALE

Reference #:
County of: SAC - 81

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 JUSTIN


First DL Class

TIEFENTHALER
Defendant, Last

JACOB
Middle City Suffix

DL#

888ZZ8140
State IA DL Rest. B

Address 224 N MAIN ST DL State IA The undersigned states that on or about US DOT# ICC#

EARLY
DL End. NONE

08/17/2013

at 11:41 AM

defendant did unlawfully: Operate Motor Vehicle/Boat State

1966 BLU

Lic. Plate #/REG 810ZPP

Upon a public highway at HWY 20 WB EXIT TO HWY 71 SB EARLY Scheduled Violation/Fine Criminal Surcharge Co. Enf. Surcharge Court Costs Total Fine/Costs

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

IA

Year 2014

FORD FORD Pass End

MUS

2D

$250.00 $87.50 N/A $60.00 $397.50

Court Appearance Required (805.10) Reason: Serious P.I. Fatal Accident

Road Work Zone Civil Damage Assessment

Non-scheduled Violation Other

Speed Fed/Adm Code:

in

Zone

Violation VIOLATION - FINANCIAL LIABILITY COVERAGE Sec #: 321.20B ICIS Sec #: 321.20B-A I.D. No. T324 Local Ord. ICIS Ord.

IA Code: 20 13

Officer's Signature

Dated 08/17/2013

NOTICE: Providing false identification information is a violation of Section 719.1A of the Code of Iowa and is punishable as a simple misdemeanor.
You hereby are given notice that within a reasonable time but no later than the date scheduled for your initial appearance a citation/complaint sworn under oath will be filed with the district court clerk of the county in which this citation was issued.

Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not require an appearance, report to the above named court on: 09/09/2013 at 8:30 AM
My signature below is not a plea of guilty, but acknowledges all of the following: 1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.

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

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

*+T01T3241308171141381+*
Dated
Signature of Defendant

X
Subscribed and sworn to me by this

08/17/2013

I swear that the foregoing complaint is true and correct.

23

day of

DAGIT, JOSHUA AUGUST, 2013


Notary/other Signature

at

EARLY - 2200
Notary/other

, Iowa

Officer's Signature

Agency

MOTOR VEHICLE ENFORCEMENT

OTHER

ABSTRACT OF COURT RECORD


COURT NO. DOCKET NO. LICENSE NO. FORFEIT BOND BAIL CASH DEPOSIT PLEA GUILTY NOT GUILTY VERDICT GUILTY NOT GUILTY DISMISSED CASE NO. CASE NO. STATE: Iowa Other

Citation #:

08/26/2013 01:14PM T01 FILED T324 130817 114138 1 CLERK DISTRICT COURT IOWA

SAC COUNTY TESTIMONY - JUDGE'S NOTES: (Other Orders)

JURY TRIAL

NO JURY TRIAL or PROCEEDING

Date

Signature, person giving bail

Signature, person taking bail

OTHER DISPOSITION The court Therefore Enters in Following Order This Date
Mo. Day Yr.

Driver's License Recommendation DATE: DATE: DATE:

None

School

Susp.

Revo

Days

Continued to: Continued to: WARRANT ISSUED

REASON REASON

FINED $ Incarceration in

SURCHARGE $

COST $ Days:

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

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