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Dispatch /

Case #:

COMPLAINT
Form 420001E 1/07
PLAINTIFF

Reference #:

Law Enforcement Agency -

MOTOR VEHICLE ENFORCEMENT


City of:

SAC CITY

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12

KREITLOW

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

T01 T404 150227 034059 8

Citation #:

LAURIE

Defendant, Last

MARIE

First

Address 718 NE 4TH ST

DL Class

02/27/2015

The undersigned states that on or about


US DOT# 00995356

ICC# 526519

$50.00
$17.50

Co. Enf. Surcharge

N/A

Court Costs

$60.00

Total Fine/Costs

$127.50

Court Appearance Required (805.10)


Reason:

Height

Serious P.I.

2010 WHI

Race W
50533-0000
5' 09"
Weight 210 LBS

Ethnicity N
Sex FEMALE

FREIGHT
LINER
F
Pass
End - NO

TT/ST

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

State

Upon a public highway at US 20/220TH ST AND JACKSON AVE

Criminal Surcharge

Zip Code

DL Rest. M

defendant did unlawfully: Operate Motor Vehicle/Boat

Lic. Plate #/REG SD2009

Scheduled Violation/Fine

State IA

EAGLE GROVE
DL End. P

at 3:30 AM

DOB 2/22/1964

Suffix

City

DL State IA

50583
DL/State ID
Viewed?
YES

182AD3352

DL#

Middle

IA

Year 2015

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

Violation LOG NOT CURRENT LE 2/26@NOON


Sec #: 321.449

Zone

IA Code: 20 13

ICIS Sec #: 321.449-C

ICIS Ord.

Local Ord.

I.D. No. T404


Officer's
Signature

in

Fed/Adm Code: 395.8F1

NOTICE: Providing false identification information is a violation of Section 719.1A of


the Code of Iowa and is punishable as a simple misdemeanor.

Dated 02/27/2015

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:
03/09/2015 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.

*+T01T4041502270340598+*
Dated

Signature of
Defendant

02/27/2015

I swear that the foregoing complaint is true and correct.

this

05

day of

Agency

Officer's
Signature

MOTOR VEHICLE ENFORCEMENT

ABSTRACT OF COURT RECORD


COURT NO.

CASE NO.

DOCKET NO.
LICENSE NO.

CASE NO.
STATE:

NO JURY TRIAL or
PROCEEDING

OTHER

T01 T404 150227 034059 8

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 03/05/2015 10:30AM


CLERK DISTRICT COURT
SAC COUNTY IOWA

BAIL CASH DEPOSIT


VERDICT

GUILTY
NOT GUILTY

GUILTY
NOT GUILTY
Date

DISMISSED

Signature, person giving bail

Driver's License
Recommendation

OTHER DISPOSITION

None

School

Signature, person taking bail

Susp.

Revo

The court Therefore Enters in Following Order This Date


Mo.

FINED $
Incarceration in

SURCHARGE $

Day

COST $
Days:

Yr.

, Iowa

Notary/other

Other

PLEA

STORM LAKE - 7422

Notary/other
Signature

Citation #:

FORFEIT BOND

JURY TRIAL

at

HANSEN, JEFFREY
MARCH, 2015

Subscribed and sworn to me by

DATE:

Continued to:

REASON

DATE:

Continued to:

REASON

DATE:

WARRANT ISSUED

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

Days

Dispatch /
Case #:

COMPLAINT
Form 420001E 1/07
PLAINTIFF

Reference #:

Law Enforcement Agency -

MOTOR VEHICLE ENFORCEMENT


City of:

SAC CITY

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12

FELDE

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

T01 T404 150302 092554 0

Citation #:

JEREMIAH

Defendant, Last

DAVID

First

Address 731 NW 96TH ST

03/02/2015

The undersigned states that on or about


US DOT# 00000536

DL Class

ICC# 108008

$50.00
$17.50

Co. Enf. Surcharge

N/A

Court Costs

$60.00

Total Fine/Costs

$127.50

Serious P.I.

2000 WHI

Race W
73114-0000
5' 07"
Weight 177 LBS

Ethnicity N
Sex MALE

FREIGHT
LINER
F
Pass
End - NO

TT/ST

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

Court Appearance Required (805.10)


Reason:

Height

TN Year 2014

State

Upon a public highway at US 71/KARR AVE

Criminal Surcharge

Zip Code

DL Rest. 1

defendant did unlawfully: Operate Motor Vehicle/Boat

Lic. Plate #/REG C925HZ

Scheduled Violation/Fine

State OK

OKLAHOMA CITY
DL End. NONE

at 8:55 AM

DOB 12/13/1984

Suffix

City

DL State OK

50583
DL/State ID
Viewed?
YES

R081621102

DL#

Middle

IA

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

Violation 14HR VIO @2300HRS ON 3/1 STILL ACTIVE SEE COMMENTS DROVE 4 HOURS

15 MINUTES
Sec #: 321.449

ICIS Sec #: 321.449-C

Zone

IA Code: 20 13
ICIS Ord.

Local Ord.

I.D. No. T404


Officer's
Signature

in

Fed/Adm Code: 395.3A2-PROP

NOTICE: Providing false identification information is a violation of Section 719.1A of


the Code of Iowa and is punishable as a simple misdemeanor.

Dated 03/02/2015

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:
03/16/2015 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.

*+T01T4041503020925540+*
Dated

Signature of
Defendant

03/02/2015

I swear that the foregoing complaint is true and correct.

this

05

day of

Agency

Officer's
Signature

MOTOR VEHICLE ENFORCEMENT

ABSTRACT OF COURT RECORD


COURT NO.

CASE NO.

DOCKET NO.
LICENSE NO.

CASE NO.
STATE:

NO JURY TRIAL or
PROCEEDING

OTHER

T01 T404 150302 092554 0

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 03/05/2015 10:30AM


CLERK DISTRICT COURT
SAC COUNTY IOWA

BAIL CASH DEPOSIT


VERDICT

GUILTY
NOT GUILTY

GUILTY
NOT GUILTY
Date

DISMISSED

Signature, person giving bail

Driver's License
Recommendation

OTHER DISPOSITION

None

School

Signature, person taking bail

Susp.

Revo

The court Therefore Enters in Following Order This Date


Mo.

FINED $
Incarceration in

SURCHARGE $

Day

COST $
Days:

Yr.

, Iowa

Notary/other

Other

PLEA

STORM LAKE - 7422

Notary/other
Signature

Citation #:

FORFEIT BOND

JURY TRIAL

at

HANSEN, JEFFREY
MARCH, 2015

Subscribed and sworn to me by

DATE:

Continued to:

REASON

DATE:

Continued to:

REASON

DATE:

WARRANT ISSUED

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

Days

Dispatch /
Case #:

COMPLAINT
Form 420001E 1/07
PLAINTIFF

Reference #:

Law Enforcement Agency -

MOTOR VEHICLE ENFORCEMENT


City of:

SAC CITY

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12

FELDE

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

T01 T404 150302 092640 1

Citation #:

JEREMIAH

Defendant, Last

DAVID

First

Address 731 NW 96TH ST

03/02/2015

The undersigned states that on or about


US DOT# 00000536

DL Class

ICC# 108008

$50.00
$17.50

Co. Enf. Surcharge

N/A

Court Costs

$60.00

Total Fine/Costs

$127.50

Serious P.I.

2000 WHI

Race W
73114-0000
5' 07"
Weight 177 LBS

Ethnicity N
Sex MALE

FREIGHT
LINER
F
Pass
End - NO

TT/ST

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

Court Appearance Required (805.10)


Reason:

Height

TN Year 2014

State

Upon a public highway at US 71/KARR AVE

Criminal Surcharge

Zip Code

DL Rest. 1

defendant did unlawfully: Operate Motor Vehicle/Boat

Lic. Plate #/REG C925HZ

Scheduled Violation/Fine

State OK

OKLAHOMA CITY
DL End. NONE

at 8:55 AM

DOB 12/13/1984

Suffix

City

DL State OK

50583
DL/State ID
Viewed?
YES

R081621102

DL#

Middle

IA

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

Violation 11HR VIO 3/2@0800HRS DROVE 1 1 HOUR 45 MINUTES IN VIO


Sec #: 321.449

ICIS Sec #: 321.449-C

Zone

IA Code: 20 13
ICIS Ord.

Local Ord.

I.D. No. T404


Officer's
Signature

in

Fed/Adm Code: 395.3A3-PROP

NOTICE: Providing false identification information is a violation of Section 719.1A of


the Code of Iowa and is punishable as a simple misdemeanor.

Dated 03/02/2015

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:
03/16/2015 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.

*+T01T4041503020926401+*
Dated

Signature of
Defendant

03/02/2015

I swear that the foregoing complaint is true and correct.

this

05

day of

Agency

Officer's
Signature

MOTOR VEHICLE ENFORCEMENT

ABSTRACT OF COURT RECORD


COURT NO.

CASE NO.

DOCKET NO.
LICENSE NO.

CASE NO.
STATE:

NO JURY TRIAL or
PROCEEDING

OTHER

T01 T404 150302 092640 1

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 03/05/2015 10:30AM


CLERK DISTRICT COURT
SAC COUNTY IOWA

BAIL CASH DEPOSIT


VERDICT

GUILTY
NOT GUILTY

GUILTY
NOT GUILTY
Date

DISMISSED

Signature, person giving bail

Driver's License
Recommendation

OTHER DISPOSITION

None

School

Signature, person taking bail

Susp.

Revo

The court Therefore Enters in Following Order This Date


Mo.

FINED $
Incarceration in

SURCHARGE $

Day

COST $
Days:

Yr.

, Iowa

Notary/other

Other

PLEA

STORM LAKE - 7422

Notary/other
Signature

Citation #:

FORFEIT BOND

JURY TRIAL

at

HANSEN, JEFFREY
MARCH, 2015

Subscribed and sworn to me by

DATE:

Continued to:

REASON

DATE:

Continued to:

REASON

DATE:

WARRANT ISSUED

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

Days

Dispatch /
Case #:

COMPLAINT
Form 420001E 1/07
PLAINTIFF

Reference #:

Law Enforcement Agency -

MOTOR VEHICLE ENFORCEMENT


City of:

SAC CITY

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12

FELDE

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

T01 T404 150302 093302 2

Citation #:

JEREMIAH

Defendant, Last

DAVID

First

Address 731 NW 96TH ST

03/02/2015

The undersigned states that on or about


US DOT# 00000536

DL Class

ICC# 108008

$50.00
$17.50

Co. Enf. Surcharge

N/A

Court Costs

$60.00

Total Fine/Costs

$127.50

Serious P.I.

2000 WHI

Race W
73114-0000
5' 07"
Weight 177 LBS

Ethnicity N
Sex MALE

FREIGHT
LINER
F
Pass
End - NO

TT/ST

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

Court Appearance Required (805.10)


Reason:

Height

TN Year 2014

State

Upon a public highway at US 71/KARR AVE

Criminal Surcharge

Zip Code

DL Rest. 1

defendant did unlawfully: Operate Motor Vehicle/Boat

Lic. Plate #/REG C925HZ

Scheduled Violation/Fine

State OK

OKLAHOMA CITY
DL End. NONE

at 8:55 AM

DOB 12/13/1984

Suffix

City

DL State OK

50583
DL/State ID
Viewed?
YES

R081621102

DL#

Middle

IA

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

Violation 20% OF BRAKES INOP ON TRUCK TRACTOR COMB


Sec #: 321.449

ICIS Sec #: 321.449-A

Zone

IA Code: 20 13
ICIS Ord.

Local Ord.

I.D. No. T404


Officer's
Signature

in

Fed/Adm Code: 396.3A1BOS

NOTICE: Providing false identification information is a violation of Section 719.1A of


the Code of Iowa and is punishable as a simple misdemeanor.

Dated 03/02/2015

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:
03/16/2015 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.

*+T01T4041503020933022+*
Dated

Signature of
Defendant

03/02/2015

I swear that the foregoing complaint is true and correct.

this

05

day of

Agency

Officer's
Signature

MOTOR VEHICLE ENFORCEMENT

ABSTRACT OF COURT RECORD


COURT NO.

CASE NO.

DOCKET NO.
LICENSE NO.

CASE NO.
STATE:

NO JURY TRIAL or
PROCEEDING

OTHER

T01 T404 150302 093302 2

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 03/05/2015 10:30AM


CLERK DISTRICT COURT
SAC COUNTY IOWA

BAIL CASH DEPOSIT


VERDICT

GUILTY
NOT GUILTY

GUILTY
NOT GUILTY
Date

DISMISSED

Signature, person giving bail

Driver's License
Recommendation

OTHER DISPOSITION

None

School

Signature, person taking bail

Susp.

Revo

The court Therefore Enters in Following Order This Date


Mo.

FINED $
Incarceration in

SURCHARGE $

Day

COST $
Days:

Yr.

, Iowa

Notary/other

Other

PLEA

STORM LAKE - 7422

Notary/other
Signature

Citation #:

FORFEIT BOND

JURY TRIAL

at

HANSEN, JEFFREY
MARCH, 2015

Subscribed and sworn to me by

DATE:

Continued to:

REASON

DATE:

Continued to:

REASON

DATE:

WARRANT ISSUED

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

Days

Dispatch /
Case #:

COMPLAINT
Form 420001E 1/07
PLAINTIFF

Reference #:

Law Enforcement Agency -

MOTOR VEHICLE ENFORCEMENT


City of:

SAC CITY

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12

KAWLESKI

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

T01 T404 150302 113630 6

Citation #:

LEONARD

Defendant, Last

PETER

First

Address 3190 SUNSET DR N

BCD

DL Class

03/02/2015

The undersigned states that on or about


US DOT# 00164218

ICC# 144120

$50.00
$17.50

Co. Enf. Surcharge

N/A

Court Costs

$60.00

Total Fine/Costs

$127.50

1997 WHI

Race W
54482-9696
5' 07"
Weight 160 LBS

Ethnicity N
Sex MALE

FREIGHT
LINER
F
Pass
End - NO

TR

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

Court Appearance Required (805.10)


Reason:

Height

WI Year 2016

State

Upon a public highway at US 71/KARR AVE

Criminal Surcharge

Zip Code

DL Rest. EB

defendant did unlawfully: Operate Motor Vehicle/Boat

Lic. Plate #/REG 45213

Scheduled Violation/Fine

State WI

STEVENS POINT
DL End. NONE

at 11:10 AM

DOB 5/1/1958

Suffix

City

DL State WI

50583
DL/State ID
Viewed?
YES

K4205355816106

DL#

Middle

IA

Serious P.I.

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

Violation 20 PERCENT OF BRAKES OUT 1 OF 4 AXLE 2 LEFT SIDE MEAS 2 1/4


Sec #: 321.449

ICIS Sec #: 321.449-A

Zone

IA Code: 20 13
ICIS Ord.

Local Ord.

I.D. No. T404


Officer's
Signature

in

Fed/Adm Code: 396.3A1BOS

NOTICE: Providing false identification information is a violation of Section 719.1A of


the Code of Iowa and is punishable as a simple misdemeanor.

Dated 03/02/2015

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:
03/16/2015 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.

*+T01T4041503021136306+*
Dated

Signature of
Defendant

03/02/2015

I swear that the foregoing complaint is true and correct.

this

05

day of

Agency

Officer's
Signature

MOTOR VEHICLE ENFORCEMENT

ABSTRACT OF COURT RECORD


COURT NO.

CASE NO.

DOCKET NO.
LICENSE NO.

CASE NO.
STATE:

NO JURY TRIAL or
PROCEEDING

OTHER

T01 T404 150302 113630 6

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 03/05/2015 10:30AM


CLERK DISTRICT COURT
SAC COUNTY IOWA

BAIL CASH DEPOSIT


VERDICT

GUILTY
NOT GUILTY

GUILTY
NOT GUILTY
Date

DISMISSED

Signature, person giving bail

Driver's License
Recommendation

OTHER DISPOSITION

None

School

Signature, person taking bail

Susp.

Revo

The court Therefore Enters in Following Order This Date


Mo.

FINED $
Incarceration in

SURCHARGE $

Day

COST $
Days:

Yr.

, Iowa

Notary/other

Other

PLEA

STORM LAKE - 7422

Notary/other
Signature

Citation #:

FORFEIT BOND

JURY TRIAL

at

HANSEN, JEFFREY
MARCH, 2015

Subscribed and sworn to me by

DATE:

Continued to:

REASON

DATE:

Continued to:

REASON

DATE:

WARRANT ISSUED

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

Days

Dispatch /
Case #:

COMPLAINT
Form 420001E 1/07
PLAINTIFF

Reference #:

Law Enforcement Agency -

MOTOR VEHICLE ENFORCEMENT


City of:

SAC CITY

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12

DAVIS

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

T01 T404 150302 144451 8

Citation #:

CHRISTOPHER

Defendant, Last

PAUL

First

Address 150 MORGAN ROSS ROAD

DL Class

03/02/2015

The undersigned states that on or about


US DOT# 00892176

ICC# 387904

$50.00
$17.50

Co. Enf. Surcharge

N/A

Court Costs

$60.00

Total Fine/Costs

$127.50

Serious P.I.

2012 MAR

Race W
38372-0000
6' 04"
Weight 310 LBS

Ethnicity N
Sex MALE

PETERBIL
T - PTRB
Pass
End NO

TT/ST

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

Court Appearance Required (805.10)


Reason:

Height

TN Year 2014

State

Upon a public highway at US 71/KARR AVE

Criminal Surcharge

Zip Code

DL Rest. NONE

defendant did unlawfully: Operate Motor Vehicle/Boat

Lic. Plate #/REG A334HZ

Scheduled Violation/Fine

State TN

SAVANNAH
DL End. NONE

at 2:20 PM

DOB 7/25/1966

Suffix

City

DL State TN

50583
DL/State ID
Viewed?
YES

060057371

DL#

Middle

IA

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

Violation INOP RIGHT TURN SIGNAL ON THE TRAILER


Sec #: 321.449

ICIS Ord.

Local Ord.

I.D. No. T404

Zone

IA Code: 20 13

ICIS Sec #: 321.449-A

Officer's
Signature

in

Fed/Adm Code: 393.9TS

NOTICE: Providing false identification information is a violation of Section 719.1A of


the Code of Iowa and is punishable as a simple misdemeanor.

Dated 03/02/2015

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:
03/16/2015 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.

*+T01T4041503021444518+*
Dated

Signature of
Defendant

03/02/2015

I swear that the foregoing complaint is true and correct.

this

05

day of

Agency

Officer's
Signature

MOTOR VEHICLE ENFORCEMENT

ABSTRACT OF COURT RECORD


COURT NO.

CASE NO.

DOCKET NO.
LICENSE NO.

CASE NO.
STATE:

NO JURY TRIAL or
PROCEEDING

OTHER

T01 T404 150302 144451 8

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 03/05/2015 10:30AM


CLERK DISTRICT COURT
SAC COUNTY IOWA

BAIL CASH DEPOSIT


VERDICT

GUILTY
NOT GUILTY

GUILTY
NOT GUILTY
Date

DISMISSED

Signature, person giving bail

Driver's License
Recommendation

OTHER DISPOSITION

None

School

Signature, person taking bail

Susp.

Revo

The court Therefore Enters in Following Order This Date


Mo.

FINED $
Incarceration in

SURCHARGE $

Day

COST $
Days:

Yr.

, Iowa

Notary/other

Other

PLEA

STORM LAKE - 7422

Notary/other
Signature

Citation #:

FORFEIT BOND

JURY TRIAL

at

HANSEN, JEFFREY
MARCH, 2015

Subscribed and sworn to me by

DATE:

Continued to:

REASON

DATE:

Continued to:

REASON

DATE:

WARRANT ISSUED

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

Days

Dispatch /
Case #:

COMPLAINT
Form 420001E 1/07
PLAINTIFF

Reference #:

Law Enforcement Agency -

MOTOR VEHICLE ENFORCEMENT


City of:

SAC CITY

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12

YANG

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

T01 T404 150303 142644 8

Citation #:

KA

Defendant, Last

Middle

Address 610 W 5TH ST

DL Class

The undersigned states that on or about


US DOT#

03/03/2015

$40.00

Criminal Surcharge

$14.00

Co. Enf. Surcharge

N/A

Court Costs

$60.00

Total Fine/Costs

$114.00

Court Appearance Required (805.10)


Reason:

Height

Serious P.I.

2005 WHI

Race A
50588-0000
5' 09"
Weight 170 LBS

Ethnicity N
Sex MALE

CADILLA ESC
C - CADI
Pass
End

SW

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

IA

State

Upon a public highway at D037/270TH ST AND M043/FOX AVE


Scheduled Violation/Fine

Zip Code

DL Rest. NONE

defendant did unlawfully: Operate Motor Vehicle/Boat

Lic. Plate #/REG 019ZZZ

ICC#

State IA

STORM LAKE
DL End. NONE

at 2:26 PM

DOB 4/30/1986

Suffix

City

DL State IA

50583
DL/State ID
Viewed?
YES

258AD5574

DL#

First

IA

Year 2015

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

ICIS Sec #: 321.285-B

55

Zone

IA Code: 20 15
ICIS Ord.

Local Ord.

I.D. No. T404


Officer's
Signature

in

Fed/Adm Code:

Violation SB M43 AS CROSSING 280TH AS 69 IN A 55 ZONE


Sec #: 321.285

65

NOTICE: Providing false identification information is a violation of Section 719.1A of


the Code of Iowa and is punishable as a simple misdemeanor.

Dated 03/03/2015

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:
03/23/2015 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.

*+T01T4041503031426448+*
Dated

Signature of
Defendant

03/03/2015

I swear that the foregoing complaint is true and correct.

this

05

day of

Agency

Officer's
Signature

MOTOR VEHICLE ENFORCEMENT

ABSTRACT OF COURT RECORD


COURT NO.

CASE NO.

DOCKET NO.
LICENSE NO.

CASE NO.
STATE:

NO JURY TRIAL or
PROCEEDING

OTHER

T01 T404 150303 142644 8

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 03/05/2015 10:31AM


CLERK DISTRICT COURT
SAC COUNTY IOWA

BAIL CASH DEPOSIT


VERDICT

GUILTY
NOT GUILTY

GUILTY
NOT GUILTY
Date

DISMISSED

Signature, person giving bail

Driver's License
Recommendation

OTHER DISPOSITION

None

School

Signature, person taking bail

Susp.

Revo

The court Therefore Enters in Following Order This Date


Mo.

FINED $
Incarceration in

SURCHARGE $

Day

COST $
Days:

Yr.

, Iowa

Notary/other

Other

PLEA

STORM LAKE - 7422

Notary/other
Signature

Citation #:

FORFEIT BOND

JURY TRIAL

at

HANSEN, JEFFREY
MARCH, 2015

Subscribed and sworn to me by

DATE:

Continued to:

REASON

DATE:

Continued to:

REASON

DATE:

WARRANT ISSUED

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

Days

Dispatch /
Case #:

COMPLAINT
Form 420001E 1/07
PLAINTIFF

Reference #:

Law Enforcement Agency -

MOTOR VEHICLE ENFORCEMENT


City of:

SAC CITY

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12

REID

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

T01 T405 150304 104614 7

Citation #:

SCOTT

Defendant, Last

ALAN

First

Address 1095 SCHOOL ST

03/04/2015

The undersigned states that on or about


US DOT# 00914369

DL Class

ICC# 396344

$50.00
$17.50

Co. Enf. Surcharge

N/A

Court Costs

$60.00

Total Fine/Costs

$127.50

Serious P.I.

2007 BLK

Race W

81625
5' 10"

Ethnicity N

Weight 210 LBS

Sex MALE

PETERBIL
T - PTRB
Pass
End NO

TT-ST

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

Court Appearance Required (805.10)


Reason:

Height

CO Year 2015

State

Upon a public highway at US 71/KARR AVE

Criminal Surcharge

Zip Code

DL Rest. B

defendant did unlawfully: Operate Motor Vehicle/Boat

Lic. Plate #/REG 173UKN

Scheduled Violation/Fine

State CO

CRAIG
DL End. NONE

at 10:40 AM

DOB 11/15/1967

Suffix

City

DL State CO

50583
DL/State ID
Viewed?
YES

941450160

DL#

Middle

IA

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

Violation AXLE 1 WEIGHT EXCEEDED TIRE WEIGHT RATING BY 210 LBS (12,560 LBS)
Sec #: 321.449

ICIS Sec #: 321.449-A

Zone

IA Code: 20 13
ICIS Ord.

Local Ord.

I.D. No. T405


Officer's
Signature

in

Fed/Adm Code: 393.75F

NOTICE: Providing false identification information is a violation of Section 719.1A of


the Code of Iowa and is punishable as a simple misdemeanor.

Dated 03/04/2015

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:
03/30/2015 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.

*+T01T4051503041046147+*
Dated

Signature of
Defendant

03/04/2015

I swear that the foregoing complaint is true and correct.

this

05

day of

Agency

Officer's
Signature

MOTOR VEHICLE ENFORCEMENT

ABSTRACT OF COURT RECORD


COURT NO.

CASE NO.

DOCKET NO.
LICENSE NO.

CASE NO.
STATE:

NO JURY TRIAL or
PROCEEDING

OTHER

T01 T405 150304 104614 7

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 03/05/2015 10:31AM


CLERK DISTRICT COURT
SAC COUNTY IOWA

BAIL CASH DEPOSIT


VERDICT

GUILTY
NOT GUILTY

GUILTY
NOT GUILTY
Date

DISMISSED

Signature, person giving bail

Driver's License
Recommendation

OTHER DISPOSITION

None

School

Signature, person taking bail

Susp.

Revo

The court Therefore Enters in Following Order This Date


Mo.

FINED $
Incarceration in

SURCHARGE $

, Iowa

EARLY - 2200
Notary/other

Other

PLEA

at

Notary/other
Signature

Citation #:

FORFEIT BOND

JURY TRIAL

MCFARLAND, TIMOTHY
MARCH, 2015

Subscribed and sworn to me by

Day

COST $
Days:

Yr.

DATE:

Continued to:

REASON

DATE:

Continued to:

REASON

DATE:

WARRANT ISSUED

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

Days

Dispatch /
Case #:

COMPLAINT
Form 420001E 1/07
PLAINTIFF

Reference #:

Law Enforcement Agency -

MOTOR VEHICLE ENFORCEMENT


City of:

SAC CITY

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12

GIBBS

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

T01 T405 150304 112712 9

Citation #:

JOE

Defendant, Last

First

Address 206 S PARK ST

DL Class

The undersigned states that on or about


US DOT# 00868329

03/04/2015

$50.00

Criminal Surcharge

$17.50

Co. Enf. Surcharge

N/A

Court Costs

$60.00

Total Fine/Costs

$127.50

Serious P.I.

2011 MAR

Race W
68031-0000
5' 10"
Weight 245 LBS

Ethnicity N
Sex MALE

DODGE DODG
Pass
End NO

TR-PT

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

Court Appearance Required (805.10)


Reason:

Height

NE Year 2015

State

Upon a public highway at US 71/KARR AVE


Scheduled Violation/Fine

Zip Code

DL Rest. B

defendant did unlawfully: Operate Motor Vehicle/Boat

Lic. Plate #/REG 171406

ICC#

State NE

HOOPER
DL End. TX

at 11:15 AM

DOB 10/20/1945

Suffix

City

DL State NE

50583
DL/State ID
Viewed?
YES

H12148831

DL#

Middle

IA

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

Violation PERIODIC ANNUAL INSPECTION FOR TRAILER EXPIRED IN FEB. 2015


Sec #: 321.449

ICIS Sec #: 321.449-A

Zone

IA Code: 20 13
ICIS Ord.

Local Ord.

I.D. No. T405


Officer's
Signature

in

Fed/Adm Code: 396.17C

NOTICE: Providing false identification information is a violation of Section 719.1A of


the Code of Iowa and is punishable as a simple misdemeanor.

Dated 03/04/2015

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:
03/30/2015 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.

*+T01T4051503041127129+*
Dated

Signature of
Defendant

03/04/2015

I swear that the foregoing complaint is true and correct.

this

05

day of

Agency

Officer's
Signature

MOTOR VEHICLE ENFORCEMENT

ABSTRACT OF COURT RECORD


COURT NO.

CASE NO.

DOCKET NO.
LICENSE NO.

CASE NO.
STATE:

NO JURY TRIAL or
PROCEEDING

OTHER

T01 T405 150304 112712 9

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 03/05/2015 10:31AM


CLERK DISTRICT COURT
SAC COUNTY IOWA

BAIL CASH DEPOSIT


VERDICT

GUILTY
NOT GUILTY

GUILTY
NOT GUILTY
Date

DISMISSED

Signature, person giving bail

Driver's License
Recommendation

OTHER DISPOSITION

None

School

Signature, person taking bail

Susp.

Revo

The court Therefore Enters in Following Order This Date


Mo.

FINED $
Incarceration in

SURCHARGE $

, Iowa

EARLY - 2200
Notary/other

Other

PLEA

at

Notary/other
Signature

Citation #:

FORFEIT BOND

JURY TRIAL

MCFARLAND, TIMOTHY
MARCH, 2015

Subscribed and sworn to me by

Day

COST $
Days:

Yr.

DATE:

Continued to:

REASON

DATE:

Continued to:

REASON

DATE:

WARRANT ISSUED

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

Days

Dispatch /
Case #:

COMPLAINT
Form 420001E 1/07
PLAINTIFF

Reference #:

Law Enforcement Agency -

MOTOR VEHICLE ENFORCEMENT


City of:

SAC CITY

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12

CINEUS

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

T01 T405 150304 123251 1

Citation #:

ROGIL

Defendant, Last

Middle

Address 6552 SW 20TH ST

DL Class

03/04/2015

The undersigned states that on or about


US DOT# 02475666

ICC# 856354

$50.00
$17.50

Co. Enf. Surcharge

N/A

Court Costs

$60.00

Total Fine/Costs

$127.50

2012 WHI

Race B
33068-4836
6' 00"
Weight 210 LBS

Ethnicity N
Sex MALE

VOLVO VOLV
Pass
End NO

Year

Court Appearance Required (805.10)


Reason:

Height

TT-ST

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

Upon a public highway at US 71/KARR AVE

Criminal Surcharge

Zip Code

DL Rest. NONE

defendant did unlawfully: Operate Motor Vehicle/Boat

Lic. Plate #/REG

Scheduled Violation/Fine

State FL

POMPANO BEACH
DL End. TX

at 11:55 AM

DOB 2/16/1976

Suffix

City

DL State FL

50583
DL/State ID
Viewed?
YES

C520720760560

DL#

First

IA

Serious P.I.

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

Violation DRIVER FAILING TO RETAIN PREVIOUS 7 DAYS LOGS- 2-28-15 MISSING


Sec #: 321.449

ICIS Sec #: 321.449-C

Zone

IA Code: 20 13
ICIS Ord.

Local Ord.

I.D. No. T405


Officer's
Signature

in

Fed/Adm Code: 395.8K2

NOTICE: Providing false identification information is a violation of Section 719.1A of


the Code of Iowa and is punishable as a simple misdemeanor.

Dated 03/04/2015

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:
03/30/2015 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.

*+T01T4051503041232511+*
Dated

Signature of
Defendant

03/04/2015

I swear that the foregoing complaint is true and correct.

this

05

day of

Agency

Officer's
Signature

MOTOR VEHICLE ENFORCEMENT

ABSTRACT OF COURT RECORD


COURT NO.

CASE NO.

DOCKET NO.
LICENSE NO.

CASE NO.
STATE:

NO JURY TRIAL or
PROCEEDING

OTHER

T01 T405 150304 123251 1

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 03/05/2015 10:31AM


CLERK DISTRICT COURT
SAC COUNTY IOWA

BAIL CASH DEPOSIT


VERDICT

GUILTY
NOT GUILTY

GUILTY
NOT GUILTY
Date

DISMISSED

Signature, person giving bail

Driver's License
Recommendation

OTHER DISPOSITION

None

School

Signature, person taking bail

Susp.

Revo

The court Therefore Enters in Following Order This Date


Mo.

FINED $
Incarceration in

SURCHARGE $

, Iowa

EARLY - 2200
Notary/other

Other

PLEA

at

Notary/other
Signature

Citation #:

FORFEIT BOND

JURY TRIAL

MCFARLAND, TIMOTHY
MARCH, 2015

Subscribed and sworn to me by

Day

COST $
Days:

Yr.

DATE:

Continued to:

REASON

DATE:

Continued to:

REASON

DATE:

WARRANT ISSUED

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

Days

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