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 T405 131004 120351 6

SAC CITY IA 50583
DL/State ID Viewed? YES Zip Code Height DOB 5/17/1989 Ethnicity N Sex MALE

Reference #:
County of: SAC - 81

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 JON

First DL Class

CAUDRON
Defendant, Last

SCOTT
Middle City Suffix

DL#

P069184014
State MO DL Rest. NONE

Address 19552 SHANE LN DL State MO The undersigned states that on or about US DOT# 01224778 ICC# 484615

WESTON
DL End. XT

64098 5' 10"

Race W Weight 220 LBS

10/04/2013

at 11:25 AM

defendant did unlawfully: Operate Motor Vehicle/Boat State MO Year 2014

2006 BLU

Lic. Plate #/REG 57AP8F

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: Road Work Zone Civil Damage Assessment Non-scheduled Violation Other Speed in Zone

KENWOR TH KW Pass End NO

TT-ST

$20.00 $7.00 N/A $60.00 $87.00

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

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

Violation FAIL TO CARRY REGISTRATION CARD FOR TRAILER Sec #: 321.32 ICIS Sec #: 321.32 I.D. No. T405 Local Ord.

Officer's Signature

Dated 10/04/2013

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: 10/28/2013 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:

$100.50 4. I hereby give my unsecured appearance bond in the amount of dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty and surcharge plus court cost.

*+T01T4051310041203516+*
Dated
Signature of Defendant

X
Subscribed and sworn to me by this

10/04/2013

I swear that the foregoing complaint is true and correct.

04

day of

MCFARLAND, TIMOTHY OCTOBER, 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 #:

T01 T405 131004 120351 6

FILED 10/04/2013 06:45PM 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 T324 131004 120038 5

SAC CITY IA 50583
DL/State ID Viewed? YES Zip Code Height Race W 30721-5951 5' 11" Weight 280 LBS DOB 3/6/1978 Ethnicity H Sex MALE

Reference #:
County of: SAC - 81

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 JUAN

First DL Class Middle City Suffix DL#

DIAZ
Defendant, Last

050597671
State GA DL Rest. NONE

Address 125 BEAR DEN CT DL State GA The undersigned states that on or about US DOT# 02273489 ICC#

DALTON
DL End. NONE

10/04/2013

at 11:30 AM

defendant did unlawfully: Operate Motor Vehicle/Boat State

2012 WHI

Lic. Plate #/REG PGE2578

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

GA Year 2014

FORD FORD Pass End

VAN

$20.00 $7.00 N/A $60.00 $87.00

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: 392.2RG IA Code: 20 13 ICIS Ord.

Violation ATTACHMENT OF WRONG PLATE. PLATE TL2CZ96 ATTACHED. Sec #: 321.37 ICIS Sec #: 321.37 I.D. No. T324 Local Ord.

Officer's Signature

Dated 10/04/2013

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: 10/28/2013 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:

$100.50 4. I hereby give my unsecured appearance bond in the amount of dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty and surcharge plus court cost.

*+T01T3241310041200385+*
Dated
Signature of Defendant

X
Subscribed and sworn to me by this

10/04/2013

I swear that the foregoing complaint is true and correct.

04

day of

DAGIT, JOSHUA OCTOBER, 2013

Notary/other Signature

at

HUMBOLDT - 3595
Notary/other

, Iowa

Officer's Signature

Agency

MOTOR VEHICLE ENFORCEMENT

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 #:

T01 T324 131004 120038 5

FILED 10/04/2013 06:47PM 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 T324 131004 115946 4

SAC CITY IA 50583
DL/State ID Viewed? YES Zip Code Height Race W 30721-5951 5' 11" Weight 280 LBS DOB 3/6/1978 Ethnicity H Sex MALE

Reference #:
County of: SAC - 81

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 JUAN

First DL Class Middle City Suffix DL#

DIAZ
Defendant, Last

050597671
State GA DL Rest. NONE

Address 125 BEAR DEN CT DL State GA The undersigned states that on or about US DOT# 02273489 ICC#

DALTON
DL End. NONE

10/04/2013

at 11:30 AM

defendant did unlawfully: Operate Motor Vehicle/Boat State

2012 WHI

Lic. Plate #/REG PGE2578

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

GA Year 2014

FORD FORD Pass End

VAN

$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

in

Zone

Fed/Adm Code: 393.9TS IA Code: 20 13

Violation INOPERABLE RIGHT REAR TURN SIGNAL Sec #: 321.449 ICIS Sec #: 321.449-A I.D. No. T324 Local Ord. ICIS Ord.

Officer's Signature

Dated 10/04/2013

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: 10/28/2013 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:

$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.

*+T01T3241310041159464+*
Dated
Signature of Defendant

X
Subscribed and sworn to me by this

10/04/2013

I swear that the foregoing complaint is true and correct.

04

day of

DAGIT, JOSHUA OCTOBER, 2013

Notary/other Signature

at

HUMBOLDT - 3595
Notary/other

, Iowa

Officer's Signature

Agency

MOTOR VEHICLE ENFORCEMENT

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 #:

T01 T324 131004 115946 4

FILED 10/04/2013 06:48PM 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 T324 131004 125728 8

SAC CITY IA 50583
DL/State ID Viewed? YES Zip Code Height Race W 51301-0000 6' 00" Weight 200 LBS DOB 8/19/1955 Ethnicity N Sex MALE

Reference #:
County of: SAC - 81

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 ROBERT

First DL Class

GINGER
Defendant, Last

LEE
Middle City Suffix

DL#

801YY4101
State IA DL Rest. M

Address 103 4TH AVE W DL State IA The undersigned states that on or about US DOT# 00182048 ICC#

SPENCER
DL End. LP

10/04/2013

at 12:50 PM

defendant did unlawfully: Operate Motor Vehicle/Boat State

2011 WHI

Lic. Plate #/REG 536DLP

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

KS

Year 2014

FORD FORD Pass End

F350

TR

$30.00 $10.50 N/A $60.00 $100.50

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: 392.2RG IA Code: 20 13

Violation FAILURE TO REGISTER VEHICLE IN IOWA Sec #: 321.54 ICIS Sec #: 321.54 I.D. No. T324 Local Ord. ICIS Ord.

Officer's Signature

Dated 10/04/2013

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: 10/28/2013 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:

$120.75 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.

*+T01T3241310041257288+*
Dated
Signature of Defendant

X
Subscribed and sworn to me by this

10/04/2013

I swear that the foregoing complaint is true and correct.

04

day of

DAGIT, JOSHUA OCTOBER, 2013

Notary/other Signature

at

HUMBOLDT - 3595
Notary/other

, Iowa

Officer's Signature

Agency

MOTOR VEHICLE ENFORCEMENT

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 #:

T01 T324 131004 125728 8

FILED 10/04/2013 06:49PM 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 T250 131002 091141 1

SAC CITY IA 50583
DL/State ID Viewed? YES Zip Code Height Race W 50562-0000 5' 07" Weight 218 LBS DOB 11/17/1965 Ethnicity N Sex MALE

Reference #:
County of: SAC - 81

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 JEFFERY

First DL Class

OPHEIM
Defendant, Last

DEAN
Middle City Suffix

DL#

790ZZ2450
State IA DL Rest. NONE

Address 202 S 6TH ST DL State IA The undersigned states that on or about US DOT# 02067373 ICC#

MALLARD
DL End. L

10/02/2013

at 8:30 AM

defendant did unlawfully: Operate Motor Vehicle/Boat State

2000 BLU

Lic. Plate #/REG 7170DO

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 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

FREIGHT LINER Pass End - F

DS

$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

in

Zone

Fed/Adm Code: 393.75C IA Code: 20 13 ICIS Ord.

Violation TIRE TREAD DEPTH LESS THAN 2/32 OF INCH (AXLE 3 RIGHT OUTER) Sec #: 321.449 ICIS Sec #: 321.449-A I.D. No. T250 Local Ord.

Officer's Signature

Dated 10/02/2013

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: 10/14/2013 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:

$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.

*+T01T2501310020911411+*
Dated
Signature of Defendant

X
Subscribed and sworn to me by this

10/02/2013

I swear that the foregoing complaint is true and correct.

04

day of

SIVINSKI, JOEL OCTOBER, 2013

Notary/other Signature

at

EARLY - 2200
Notary/other

, Iowa

Officer's Signature

Agency

MOTOR VEHICLE ENFORCEMENT

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 #:

T01 T250 131002 091141 1

FILED 10/04/2013 06:52PM 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 131004 115931 7

SAC CITY IA 50583
DL/State ID Viewed? YES Zip Code Height Race W 51443-0000 6' 01" Weight 210 LBS DOB 8/2/1982 Ethnicity N Sex MALE

Reference #:
County of: SAC - 81

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 MATTHEW

First DL Class

MICHELS
Defendant, Last

RAY
Middle City Suffix

DL#

758YY0014
State IA DL Rest. NONE

Address 30053 HIGHWAY 30 DL State IA The undersigned states that on or about US DOT# 00481919 ICC#

GLIDDEN
DL End. LX

10/04/2013

at 11:00 AM

defendant did unlawfully: Operate Motor Vehicle/Boat State

2000 WHI

Lic. Plate #/REG 562XGT

Upon a public highway at XAVIER AVE 255TH STREET Scheduled Violation/Fine Criminal Surcharge Co. Enf. Surcharge Court Costs Total Fine/Costs

CDL YES HazMat End Req? YES Req? Req? Located in the county and state aforesaid and did then and there commit the following offense:

IA

Year 2013

INTERNA TIONAL -I Pass End NO

TR

$100.00 $35.00 N/A $60.00 $195.00

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: 392.2C IA Code: 20 13

Violation FAILURE TO YEILD Sec #: 321.322 ICIS Sec #: 321.322(1) I.D. No. T142 Local Ord. ICIS Ord.

Officer's Signature

Dated 10/04/2013

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: 10/28/2013 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:

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

*+T01T1421310041159317+*
Dated
Signature of Defendant

X
Subscribed and sworn to me by this

10/04/2013

I swear that the foregoing complaint is true and correct.

07

day of

PEREZ, WILLIAM OCTOBER, 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 #:

T01 T142 131004 115931 7

FILED 10/07/2013 06:34PM 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 T424 131001 182421 1

SAC CITY IA 50583
DL/State ID Viewed? YES Zip Code Height DOB 5/10/1939 Ethnicity N Sex MALE

Reference #:
County of: SAC - 81

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 KENNETH

First DL Class

PAYNE
Defendant, Last

JOSEPH
Middle City Suffix

DL#

024XX3372
State IA DL Rest. F

Address 42171 PANTHER CREEK HOLLOW DL State IA The undersigned states that on or about US DOT# 00107347 ICC# 124807

HOLY CROSS
DL End. L

52053 5' 09"

Race W Weight 180 LBS

10/01/2013

at 5:45 PM

defendant did unlawfully: Operate Motor Vehicle/Boat State

2005 GRY

Lic. Plate #/REG DA9237

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 2014

FREIGHT LINER F Pass End - NO

TTST

$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

in

Zone

Fed/Adm Code: 396.17C IA Code: 20 13

Violation EXPIRED ANNUAL INSPECTION DATED 7/12 Sec #: 321.449 ICIS Sec #: 321.449-A I.D. No. T424 Local Ord. ICIS Ord.

Officer's Signature

Dated 10/01/2013

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: 10/28/2013 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:

$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.

*+T01T4241310011824211+*
Dated
Signature of Defendant

X
Subscribed and sworn to me by this

10/01/2013

I swear that the foregoing complaint is true and correct.

01

day of

CLAYCAMP, FRED OCTOBER, 2013

Notary/other Signature

at

STORM LAKE - 7422

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 T424 131001 182421 1

FILED 10/07/2013 06:45PM 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 T424 131001 204439 3

SAC CITY IA 50583
DL/State ID Viewed? YES Zip Code Height Race W 50315-0000 5' 11" Weight 230 LBS DOB 4/14/1992 Ethnicity N Sex MALE

Reference #:
County of: SAC - 81

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 TANNER

First DL Class

COLE
Defendant, Last

MICHAEL
Middle City Suffix

DL#

174CC3611
State IA DL Rest. NONE

Address 1322 GEIL AVE DL State IA The undersigned states that on or about US DOT# 00334098 ICC#

DES MOINES
DL End. NONE

10/01/2013

at 8:15 PM

defendant did unlawfully: Operate Motor Vehicle/Boat State

2005 WHI

Lic. Plate #/REG AWZ874

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 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

FREIGHT LINER Pass End - F

PK

$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

in

Zone

Fed/Adm Code: 395.8A IA Code: 20 13 ICIS Ord.

Violation NO LOG BOOK WHEN REQUIRED >150MILES NON CDL VEHICLE Sec #: 321.449 ICIS Sec #: 321.449-C I.D. No. T424 Local Ord.

Officer's Signature

Dated 10/01/2013

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: 10/28/2013 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:

$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.

*+T01T4241310012044393+*
Dated
Signature of Defendant

X
Subscribed and sworn to me by this

10/01/2013

I swear that the foregoing complaint is true and correct.

01

day of

CLAYCAMP, FRED OCTOBER, 2013

Notary/other Signature

at

STORM LAKE - 7422

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 T424 131001 204439 3

FILED 10/07/2013 06:52PM 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 #: E-FILED 2013 OCT 07 9:39 AM SAC - CLERK OF DISTRICT COURT131005 S81 IEDE IOWA UNIFORM CITATION AND COMPLAINT
Law Enforcement Agency SAC COUNTY SHERIFF'S OFFICE City of:

000000 5

Reference #:
County of: SAC - 81

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 DEQUANDIS

First DL Class

SAC CITY
DL#

IA

50583
DL/State ID Viewed? YES DOB 7/22/1991 Ethnicity N Sex MALE

HUMPHREY
Defendant, Last

TRAVON
Middle City Suffix

030CC5916
State IA DL Rest. NONE Zip Code Height

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

WATERLOO
DL End. NONE

Race B 50703-0000 5' 06" Weight 180 LBS

10/04/2013

at 11:59 PM

defendant did unlawfully: Operate Motor Vehicle/Boat State

2008 BLK

Lic. Plate #/REG 072ZJX

Upon a public highway at US 71 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

PONTIAC - G5 PONT Pass End

2D

$40.00 $14.00 $5.00 $60.00 $119.00

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

Road Work Zone Civil Damage Assessment

Non-scheduled Violation Other

Speed

45

in

35

Zone

Fed/Adm Code: IA Code: 20

Violation SPEED (55 ZONE) 6-10 OVER Sec #: ICIS Sec #: I.D. No. 81-4 Local Ord. 4.5.2/4(1)

ICIS Ord. 4.5.2/4(1)-B

Officer's Signature

Dated 10/05/2013

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: 11/04/2013 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:

$148.50 4. I hereby give my unsecured appearance bond in the amount of dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty and surcharge plus court cost.

*+S81IEDE1310050000005+*
Dated
Signature of Defendant

X
Subscribed and sworn to me by this

10/05/2013

I swear that the foregoing complaint is true and correct.

05

day of

BIEDE, MATT OCTOBER, 2013

Notary/other Signature

at

SAC CITY - 6717

Notary/other

, Iowa

Officer's Signature

Agency

SAC COUNTY SHERIFF'S OFFICE

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 #:

S81 IEDE 131005 000000 5

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 #: E-FILED 2013 OCT 07 9:42 AM SAC - CLERK OF DISTRICT COURT131006 S81 IEDE IOWA UNIFORM CITATION AND COMPLAINT
Law Enforcement Agency SAC COUNTY SHERIFF'S OFFICE City of:

210258 8

Reference #:
County of: SAC - 81

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 EMILY

First DL Class

SAC CITY
DL#

IA

50583
DL/State ID Viewed? YES DOB 5/27/1995 Ethnicity N Sex FEMALE

CHISHOLM
Defendant, Last

ANN
Middle City Suffix

343AE2604
State IA DL Rest. NONE Zip Code Height

Address 2408 25TH ST LOT 80 DL State IA The undersigned states that on or about US DOT# ICC#

SPIRIT LAKE
DL End. NONE

Race W 51360-0000 5' 04" Weight

10/06/2013

at 9:02 PM

defendant did unlawfully: Operate Motor Vehicle/Boat State

2004 GRN

Lic. Plate #/REG BFA070

Upon a public highway at STATE 39/FOX AVE 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

XPL

SW

$40.00 $14.00 $5.00 $60.00 $119.00

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

Violation SPEED (55 ZONE) 6-10 OVER Sec #: ICIS Sec #: I.D. No. 81-4 Local Ord. 4.5.2/4(1)

ICIS Ord. 4.5.2/4(1)-B

Officer's Signature

Dated 10/06/2013

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: 11/04/2013 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:

$148.50 4. I hereby give my unsecured appearance bond in the amount of dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty and surcharge plus court cost.

*+S81IEDE1310062102588+*
Dated
Signature of Defendant

X
Subscribed and sworn to me by this

10/06/2013

I swear that the foregoing complaint is true and correct.

06

day of

BIEDE, MATT OCTOBER, 2013

Notary/other Signature

at

SAC CITY - 6717

Notary/other

, Iowa

Officer's Signature

Agency

SAC COUNTY SHERIFF'S OFFICE

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 #:

S81 IEDE 131006 210258 8

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 / Citation #: E-FILED 2013 OCT 08 11:36 AM SAC - CLERK OF DISTRICT COURT Case #: S81 KINE 131003

155814 3

Reference #:
County of: SAC - 81

IOWA UNIFORM CITATION AND COMPLAINT

Law Enforcement Agency SAC COUNTY SHERIFF'S OFFICE City of:

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SARA

First DL Class

SAC CITY
DL#

IA

50583
DL/State ID Viewed? YES DOB 9/18/1961 Ethnicity N Sex FEMALE

KREUTZ
Defendant, Last

JEAN
Middle City Suffix

810YY9024
State IA DL Rest. B Zip Code Height

Address 122 S HAMBURG ST DL State IA The undersigned states that on or about US DOT# ICC#

HOLSTEIN
DL End. NONE

Race W 51025-0000 5' 07" Weight

10/03/2013

at 3:58 PM

defendant did unlawfully: Operate Motor Vehicle/Boat State

2005 BRZ

Lic. Plate #/REG 469RQD

Upon a public highway at 325TH ST AND M043/FOX AVE 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 UPL ET -End CHEV Pass

VN

$20.00 $7.00 $5.00 $60.00 $92.00

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

Road Work Zone Civil Damage Assessment

Non-scheduled Violation Other

Speed

60

in

55

Zone

Fed/Adm Code: IA Code: 20 13

Violation SPEEDING 55 OR < (1 THRU 5 OVER) Sec #: 321.285 ICIS Sec #: 321.285-A I.D. No. 81-8 Local Ord. ICIS Ord.

Officer's Signature

Dated 10/03/2013

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: 11/04/2013 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:

$108.00 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.

*+S81KINE1310031558143+*
Dated
Signature of Defendant

X
Subscribed and sworn to me by this

10/03/2013

I swear that the foregoing complaint is true and correct.

03

day of

ERSKINE, KRISTAN OCTOBER, 2013

Notary/other Signature

at

SAC CITY - 6717

Notary/other

, Iowa

Officer's Signature

Agency

SAC COUNTY SHERIFF'S OFFICE

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 #:

S81 KINE 131003 155814 3

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