Scheduled and Unscheduled Violations Filed On February 19, 2015 PDF

DEFENDANT'S C O P Y (FURNISH T O COURT)
. IOWA UNIFORM CITATION AND COMPLAINT
State of lowa
SftC
County of:_
.Mn-
81.
gmihe
cou ^ m^mxcomzmsmm
vs:.
rt
' .' Name

:'
"tendant, Last
Last
' Defendant,
Address.
# T 7 < % .
~.
First
"Middle
'
Lci.y ^ F v A y ^ - ^ ^ .
..
s< .nA/ a
, c^iS~
p
State
|:_ DL Class. O
DL Fnd A ^ M DL Rest
fc-DOB.
ftece
--'
DUState ID Viewed? Y e s . / '
Ethn. ^
W/B/I/A7U
.
NoD
Sex
H/N/U
AM
fu'i-,The;unders'igned states that on or-about C>2. / >? ./. 2. o/>.

at j P / ^ J^1"p
|:-defendarit did unlawfully:
-> n .
v ,y
.r
}
? v Operate Motor Vehicle/Boat (describe)t?_L^
C Ac? ^ /
^ / [ / ^ g O
f' CDL Req? YesD

:
|: " Reg# ( ^ l L >
M:!
Day
Yr
N o , / -" Pass. End. Req? YesD N o /

? o ( State : L o ^
/ f
Year ? Q I <-/
HazMat End. Req? Y e s D N'o0^:

l is DOT #
'
Upon a public highway at a

fi Located in the county and state aforesaid anddid then and there commit the following-offense:
Ij-'^Traffic > Navigation D Snowmobile/ATV
D Fish-Game - D Parks TobaccoE- / Sched. Violation/Fine
P Criminal Surcharge , ; $_
p*
.
.
:
. C p . Enf. S u r c h a r g e
fe:
"
Court Costs
Total Fine/COStS
/ 7
. D Road work zone
. S
'
b p
. -y "7
} f
'
D Court Appearance Required (805.10)

R e a s
O o
D Non-scheduied viola. "
n :
I I Serious P.l
I I Fatal Accident"'
r j Civil Damage Assessment f j Other
> ( >
Violation.
^i-;-,
Speed"
- - in
I . ' DATA-CODE
' -- -" - 7 h n p S e c
& ^
"2- f t
Fed/Adm. Code
? o W
^_Local O r d /
- -
IA C o d e
' --
'
|^n ,Pri&/(77' Zo/^" ;V "/^v /Uj^K-

a
. V .
Mo.
Day
.Yr.
.Officer's Signature
I.D. No.
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
t
7*_' -
T? i " i H i .
-".
Mo.
Day
Q' y .
/ A M D PM'
Yr.
NOTICE: Providing false identification information is a violation of Section 719.1 A of the Code oMowa and is
punishable as a simple" misdemeanor.
"
'
-
r,,..-
J $
You hereby are given nolice that withina reasonable time but no later than Ihe date scheduled for your initial ' -' if.'."appearance acitation/complaint sworn under oath will be filed with the district court clerk of the county in which the^: ...; ..-^'f
^citation was issued. '
' ^>;.-i''.
t.
*
-,->
''u0^f\'^ ^^^
t
\ My signature below is not a plea of.guilty, but acknowledges all of the following:
'.
f^.v' 1;. I hereby swear and affirm that the information provided by me on this citation is' true under penalty of providing false
information.
_
\
i;i';--2.-' I promise to appear in-said court at said time and place, or I will comply with the provision on the top of the reverse side o f ^
-thecitation.
.
" I /
i
the citation.
, The following applies to simple misdemeanors only:'*
I
/ "7<C"
f f f I ^*-dollars
" 3. I hereby give my unsecured appearance bond in the amount of '
dollj and enter my written appearance. I
. agree that if Mail to.appear, in person-or by counsel to defend against-, the offense charged in this citation.-the court is , i. .
J- -authorized to enter a conviction and Vender judgment against rhe for the amount of my appearance bond in satisfaction of the '
^ penalty and surcharge plus court costs.
-: /
..<
^
r
'
Hip
V
W i ^ ^ S ^ H r ' ': V-"-~"^.'q
s a r
' ^ S i g n l t u r e ^ o f Defendant
' "
Dispatch /
Case #:
COMPLAINT
Law Enforcement Agency -
SAC CITY POLICE DEPARTMENT

City of:
SAC CITY
SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12
TJOSSEM-HINKELDEY
Name
IOWA UNIFORM CITATION AND COMPLAINT
County of: SAC - 81
State of Iowa
In the Court at
VS.
762 TZER 150219 160446 0
Citation #:
Reference #: XXDB1FR
Form 420001E 1/07

PLAINTIFF
Defendant, Last
AVERY
WENDELL
First
Address 3310 230TH ST
DL Class
The undersigned states that on or about

US DOT#
02/19/2015
$20.00
Criminal Surcharge
$7.00
Co. Enf. Surcharge
N/A
Court Costs
$60.00
Total Fine/Costs
$87.00
Court Appearance Required (805.10)

Reason:
Height
Serious P.I.
2000 TAN
Race
50583-0000
6' 02"
Weight
Ethnicity N
Sex MALE
CHEVROL S10
ET -End
CHEV
Pass
PK
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 800 BLOCK NORTH 5TH ST.

Scheduled Violation/Fine
Zip Code
DL Rest. 3KJ
defendant did unlawfully: Operate Motor Vehicle/Boat
Lic. Plate #/REG CZN319
ICC#
State IA
SAC CITY
DL End. NONE
at 4:04 PM
DOB 4/26/1995
Suffix
City
DL State IA
50583
DL/State ID
Viewed?
YES
441AF6801
DL#
Middle
IA
Year 2015
Road Work Zone
Fatal Accident
Non-scheduled Violation
Civil Damage Assessment
Speed
Other
35
Zone
IA Code: 20 15
ICIS Sec #: 321.285-A
ICIS Ord.
Local Ord.
I.D. No. 81-23

Officer's
Signature
in
Fed/Adm Code:
Violation SPEEDING 55 OR < (1 THRU 5 OVER)

Sec #: 321.285
40
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 02/19/2015
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:
$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.
*+762TZER1502191604460+*
Dated
Signature of
Defendant
02/19/2015
I swear that the foregoing complaint is true and correct.
this
19
day of
Agency
Officer's
Signature
SAC CITY POLICE DEPARTMENT
ABSTRACT OF COURT RECORD

COURT NO.
CASE NO.
DOCKET NO.
LICENSE NO.
CASE NO.
STATE:
NO JURY TRIAL or
PROCEEDING
Notary/other
OTHER
762 TZER 150219 160446 0
TESTIMONY - JUDGE'S NOTES: (Other Orders)

Iowa
FILED 02/19/2015 04:39PM

CLERK DISTRICT COURT
SAC COUNTY IOWA
Other
BAIL CASH DEPOSIT
PLEA
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
SAC CITY - 6717
Notary/other
Signature
Citation #:
FORFEIT BOND
JURY TRIAL
at
MENTZER, BRIAN
FEBRUARY, 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 #:
MOTOR VEHICLE ENFORCEMENT

City of:
SAC CITY
MIENE
Name
County of: SAC - 81
State of Iowa
In the Court at
VS.
T01 T319 150219 125622 0
Citation #:
TRACE
Defendant, Last
HARLAND
First
Address 406 S EGBERT ST
DL Class

US DOT# 02049090
02/19/2015
$200.00
Criminal Surcharge
$70.00
Co. Enf. Surcharge
N/A
Court Costs
$60.00
Total Fine/Costs
$330.00

Reason:
Height
2015 WHI
Serious P.I.
Race W
52159-0000
6' 03"
Weight
Ethnicity N
Sex MALE
PETERBIL CON
TT-ST
T - PTRB
Pass
End NO
HazMat End Req? NO
CDL YES
Req?
Req?
IA
State
Upon a public highway at US 71/KARR AVE AND D015/190TH ST

Zip Code
DL Rest. NONE
Lic. Plate #/REG BK7124
ICC#
State IA
MONONA
DL End. NONE
at 12:33 PM
DOB 2/16/1977
Suffix
City
DL State IA
50583
DL/State ID
Viewed?
YES
993AA7064
DL#
Middle
IA
Year 2015
Road Work Zone
Fatal Accident
Speed
Other
Violation MEDICAL DOWNGRADE CDL IS NO LONGER VALID

Sec #: 321.174
ICIS Sec #: 321.174(1)
Zone
IA Code: 20 13
ICIS Ord.
Local Ord.
I.D. No. T319

Officer's
Signature
in
Fed/Adm Code: 383.23A2

Dated 02/19/2015
03/16/2015 at
8:30 AM
$465.00
*+T01T3191502191256220+*
Dated
Signature of
Defendant
02/19/2015
this
19
day of
Agency
Officer's
Signature

COURT NO.
CASE NO.
DOCKET NO.
LICENSE NO.
CASE NO.
STATE:
NO JURY TRIAL or
PROCEEDING
Notary/other
OTHER
T01 T319 150219 125622 0

Iowa
FILED 02/19/2015 07:30PM

SAC COUNTY IOWA
Other
BAIL CASH DEPOSIT
PLEA
VERDICT
GUILTY
NOT GUILTY
GUILTY
NOT GUILTY
Date
DISMISSED
Driver's License
Recommendation
OTHER DISPOSITION
None
School
Susp.
Revo

Mo.
FINED $
Incarceration in
SURCHARGE $
, Iowa
EARLY - 2200
Notary/other
Signature
Citation #:
FORFEIT BOND
JURY TRIAL
at
LAAKE, PAUL
FEBRUARY, 2015
Day
COST $
Days:
Yr.
DATE:
Continued to:
REASON
DATE:
Continued to:
REASON
DATE:
WARRANT ISSUED
Name
Address
Phone
Days
Dispatch /
Case #:
COMPLAINT
Form 420001E 1/07
PLAINTIFF
Reference #:

City of:
SAC CITY
STREETS
Name
County of: SAC - 81
State of Iowa
In the Court at
VS.
T01 T319 150219 114636 8
Citation #:
BRYAN
Defendant, Last
Middle
Address 236 CARTHAGE AVE
02/19/2015

US DOT# 01979132
DL Class
ICC# 699676
$40.00
$14.00
Co. Enf. Surcharge
N/A
Court Costs
$60.00
Total Fine/Costs
$114.00
2007 SIL
Serious P.I.
Race W
45215
5' 09"
Ethnicity N
Weight 245 LBS
Sex MALE
CHEVROL
ET -End
CHEV
Pass
NO
TT-ST
CDL YES
HazMat End Req? NO
Req?
Req?

Reason:
Height
OH Year 2015
State
Upon a public highway at US 71/KARR AVE AND D015/190TH ST
Criminal Surcharge
Zip Code
DL Rest. NONE
Lic. Plate #/REG PIJ8289
State OH
CINCINNATI
DL End. A
at 11:38 AM
DOB 9/28/1988
Suffix
City
DL State OH
50583
DL/State ID
Viewed?
YES
TH934386
DL#
First
IA
Road Work Zone
Fatal Accident
Speed
Other
ICIS Sec #: 321.285-B
55
Zone
IA Code: 20 15
ICIS Ord.
Local Ord.
I.D. No. T319

Officer's
Signature
in
Fed/Adm Code: 392.2-SLLS3
Violation EXCESSIVE SPEED 65 IN POSTD 55MPH ZONE <66>

Sec #: 321.285
65

Dated 02/19/2015
03/16/2015 at
8:30 AM
$141.00
*+T01T3191502191146368+*
Dated
Signature of
Defendant
02/19/2015
this
19
day of
Agency
Officer's
Signature

COURT NO.
CASE NO.
DOCKET NO.
LICENSE NO.
CASE NO.
STATE:
NO JURY TRIAL or
PROCEEDING
Notary/other
OTHER
T01 T319 150219 114636 8

Iowa
FILED 02/19/2015 07:30PM

SAC COUNTY IOWA
Other
BAIL CASH DEPOSIT
PLEA
VERDICT
GUILTY
NOT GUILTY
GUILTY
NOT GUILTY
Date
DISMISSED
Driver's License
Recommendation
OTHER DISPOSITION
None
School
Susp.
Revo

Mo.
FINED $
Incarceration in
SURCHARGE $
, Iowa
EARLY - 2200
Notary/other
Signature
Citation #:
FORFEIT BOND
JURY TRIAL
at
LAAKE, PAUL
FEBRUARY, 2015
Day
COST $
Days:
Yr.
DATE:
Continued to:
REASON
DATE:
Continued to:
REASON
DATE:
WARRANT ISSUED
Name
Address
Phone
Days
Dispatch /
Case #:
COMPLAINT

City of:
SAC CITY
PAPLOW
Name
County of: SAC - 81
State of Iowa
In the Court at
VS.
T01 T319 150219 140012 2
Citation #:
Reference #:
Form 420001E 1/07

PLAINTIFF
PAUL
Defendant, Last
DEAN
First
Address 6212 120TH ST
DL Class
02/19/2015

US DOT# 01078695
ICC# 448313
$50.00
$17.50
Co. Enf. Surcharge
N/A
Court Costs
$60.00
Total Fine/Costs
$127.50
Serious P.I.
Race W
51354-0000
6' 01"
Weight
2004 WHI
Ethnicity N
Sex MALE
PETERBIL
T - PTRB
Pass
End NO
TT-ST
CDL YES
HazMat End Req? NO
Req?
Req?

Reason:
Height
State MN Year 2014
Upon a public highway at US 71/KARR AVE
Criminal Surcharge
Zip Code
DL Rest. NONE
Lic. Plate #/REG PAL6855
State IA
OCHEYEDAN
DL End. T
at 1:45 PM
DOB 8/9/1983
Suffix
City
DL State IA
50583
DL/State ID
Viewed?
YES
509AG7382
DL#
Middle
IA
Road Work Zone
Fatal Accident
Speed
Other
Violation LOOSE CHAINS ON DECK OF TRAILER, NOT ATTACHED OR SECURED

Sec #: 321.449
ICIS Sec #: 321.449-A
Zone
IA Code: 20 13
ICIS Ord.
Local Ord.
I.D. No. T319

Officer's
Signature
in
Fed/Adm Code: 393.100B

Dated 02/19/2015
03/16/2015 at
8:30 AM
$161.25
*+T01T3191502191400122+*
Dated
Signature of
Defendant
02/19/2015
this
19
day of
Agency
Officer's
Signature

COURT NO.
CASE NO.
DOCKET NO.
LICENSE NO.
CASE NO.
STATE:
NO JURY TRIAL or
PROCEEDING
Notary/other
OTHER
T01 T319 150219 140012 2

Iowa
FILED 02/19/2015 07:30PM

SAC COUNTY IOWA
Other
BAIL CASH DEPOSIT
PLEA
VERDICT
GUILTY
NOT GUILTY
GUILTY
NOT GUILTY
Date
DISMISSED
Driver's License
Recommendation
OTHER DISPOSITION
None
School
Susp.
Revo

Mo.
FINED $
Incarceration in
SURCHARGE $
, Iowa
EARLY - 2200
Notary/other
Signature
Citation #:
FORFEIT BOND
JURY TRIAL
at
LAAKE, PAUL
FEBRUARY, 2015
Day
COST $
Days:
Yr.
DATE:
Continued to:
REASON
DATE:
Continued to:
REASON
DATE:
WARRANT ISSUED
Name
Address
Phone
Days
Dispatch /
Case #:
COMPLAINT
Form 420001E 1/07
PLAINTIFF
Reference #:

City of:
SAC CITY
STARK
Name
County of: SAC - 81
State of Iowa
In the Court at
VS.
T01 T319 150219 142528 4
Citation #:
MICHAEL
Defendant, Last
First
Address 1502 CHOKECHERRY LANE
DL Class

US DOT# 00688617
02/19/2015
$250.00
Criminal Surcharge
$87.50
Co. Enf. Surcharge
N/A
Court Costs
$60.00
Total Fine/Costs
$397.50

Reason:
Height
2006 WHI
Serious P.I.
Race W
68776-0000
5' 09"
Weight
FORD FORD
Pass
End
Ethnicity N
Sex MALE
CTV
VN
CDL NO
HazMat End Req?
Req?
Req?
IA
State

Zip Code
DL Rest. NONE
Lic. Plate #/REG 107YBR
ICC#
State NE
SOUTH SIOUX CITY

DL End. NONE
at 2:10 PM
DOB 8/18/1971
Suffix
City
DL State NE
50583
DL/State ID
Viewed?
YES
G70012288
DL#
Middle
IA
Year 2015
Road Work Zone
Fatal Accident
Speed
Other
Violation FAIL TO CARRY INSURANCE CARD

Sec #: 321.20B
Zone
IA Code: 20 13
ICIS Sec #: 321.20B-A
ICIS Ord.
Local Ord.
I.D. No. T319

Officer's
Signature
in
Fed/Adm Code: 392.2IN

Dated 02/19/2015
03/16/2015 at
8:30 AM
$566.25
*+T01T3191502191425284+*
Dated
Signature of
Defendant
02/19/2015
this
19
day of
Agency
Officer's
Signature

COURT NO.
CASE NO.
DOCKET NO.
LICENSE NO.
CASE NO.
STATE:
NO JURY TRIAL or
PROCEEDING
Notary/other
OTHER
T01 T319 150219 142528 4

Iowa
FILED 02/19/2015 07:30PM

SAC COUNTY IOWA
Other
BAIL CASH DEPOSIT
PLEA
VERDICT
GUILTY
NOT GUILTY
GUILTY
NOT GUILTY
Date
DISMISSED
Driver's License
Recommendation
OTHER DISPOSITION
None
School
Susp.
Revo

Mo.
FINED $
Incarceration in
SURCHARGE $
, Iowa
EARLY - 2200
Notary/other
Signature
Citation #:
FORFEIT BOND
JURY TRIAL
at
LAAKE, PAUL
FEBRUARY, 2015
Day
COST $
Days:
Yr.
DATE:
Continued to:
REASON
DATE:
Continued to:
REASON
DATE:
WARRANT ISSUED
Name
Address
Phone
Days
Dispatch /
Case #:
COMPLAINT
Form 420001E 1/07
PLAINTIFF
Reference #:

City of:
SAC CITY
STARK
Name
County of: SAC - 81
State of Iowa
In the Court at
VS.
T01 T319 150219 142548 5
Citation #:
MICHAEL
Defendant, Last
First
Address 1502 CHOKECHERRY LANE
DL Class

US DOT# 00688617
02/19/2015
$50.00
Criminal Surcharge
$17.50
Co. Enf. Surcharge
N/A
Court Costs
$60.00
Total Fine/Costs
$127.50

Reason:
Height
2006 WHI
Serious P.I.
Race W
68776-0000
5' 09"
Weight
FORD FORD
Pass
End
Ethnicity N
Sex MALE
CTV
VN
CDL NO
HazMat End Req?
Req?
Req?
IA
State

Zip Code
DL Rest. NONE
Lic. Plate #/REG 107YBR
ICC#
State NE
SOUTH SIOUX CITY

DL End. NONE
at 2:10 PM
DOB 8/18/1971
Suffix
City
DL State NE
50583
DL/State ID
Viewed?
YES
G70012288
DL#
Middle
IA
Year 2015
Road Work Zone
Fatal Accident
Speed
Other
Violation NO PROOF OF CURRENT ANNUAL INSPECTION

Sec #: 321.449
ICIS Sec #: 321.449-A
Zone
IA Code: 20 13
ICIS Ord.
Local Ord.
I.D. No. T319

Officer's
Signature
in
Fed/Adm Code: 396.17C

Dated 02/19/2015
03/16/2015 at
8:30 AM
$161.25
*+T01T3191502191425485+*
Dated
Signature of
Defendant
02/19/2015
this
19
day of
Agency
Officer's
Signature

COURT NO.
CASE NO.
DOCKET NO.
LICENSE NO.
CASE NO.
STATE:
NO JURY TRIAL or
PROCEEDING
Notary/other
OTHER
T01 T319 150219 142548 5

Iowa
FILED 02/19/2015 07:30PM

SAC COUNTY IOWA
Other
BAIL CASH DEPOSIT
PLEA
VERDICT
GUILTY
NOT GUILTY
GUILTY
NOT GUILTY
Date
DISMISSED
Driver's License
Recommendation
OTHER DISPOSITION
None
School
Susp.
Revo

Mo.
FINED $
Incarceration in
SURCHARGE $
, Iowa
EARLY - 2200
Notary/other
Signature
Citation #:
FORFEIT BOND
JURY TRIAL
at
LAAKE, PAUL
FEBRUARY, 2015
Day
COST $
Days:
Yr.
DATE:
Continued to:
REASON
DATE:
Continued to:
REASON
DATE:
WARRANT ISSUED
Name
Address
Phone
Days

Scheduled and Unscheduled Violations Filed On February 19, 2015 PDF

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DEFENDANT'S C O P Y (FURNISH T O COURT)

. IOWA UNIFORM CITATION AND COMPLAINT

' .' Name

DUState ID Viewed? Y e s . / '

fu'i-,The;unders'igned states that on or-about C>2. / >? ./. 2. o/>.

f' CDL Req? YesD

|: " Reg# ( ^ l L >

N o , / -" Pass. End. Req? YesD N o /

HazMat End. Req? Y e s D N'o0^:

Upon a public highway at a

. D Road work zone

D Court Appearance Required (805.10)

D Non-scheduied viola. "

|^n ,Pri&/(77' Zo/^" ;V "/^v /Uj^K-

W i ^ ^ S ^ H r ' ': V-"-~"^.'q

Law Enforcement Agency -

SAC CITY POLICE DEPARTMENT

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

762 TZER 150219 160446 0

Form 420001E 1/07

Address 3310 230TH ST

The undersigned states that on or about

Co. Enf. Surcharge

Court Appearance Required (805.10)

Upon a public highway at 800 BLOCK NORTH 5TH ST.

defendant did unlawfully: Operate Motor Vehicle/Boat

Lic. Plate #/REG CZN319

Road Work Zone

Civil Damage Assessment

ICIS Sec #: 321.285-A

I.D. No. 81-23

Violation SPEEDING 55 OR < (1 THRU 5 OVER)

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

I swear that the foregoing complaint is true and correct.

SAC CITY POLICE DEPARTMENT

ABSTRACT OF COURT RECORD

762 TZER 150219 160446 0

TESTIMONY - JUDGE'S NOTES: (Other Orders)

FILED 02/19/2015 04:39PM

Signature, person giving bail

Signature, person taking bail

The court Therefore Enters in Following Order This Date

SAC CITY - 6717

Subscribed and sworn to me by

Law Enforcement Agency -

MOTOR VEHICLE ENFORCEMENT

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

T01 T319 150219 125622 0

Address 406 S EGBERT ST

The undersigned states that on or about

Co. Enf. Surcharge

Court Appearance Required (805.10)

Upon a public highway at US 71/KARR AVE AND D015/190TH ST

defendant did unlawfully: Operate Motor Vehicle/Boat

Lic. Plate #/REG BK7124

Road Work Zone

Civil Damage Assessment

Violation MEDICAL DOWNGRADE CDL IS NO LONGER VALID