Escolar Documentos
Profissional Documentos
Cultura Documentos
Form 420001E 1/07 PLAINTIFF State of Iowa In the Court at VS. Name
Dispatch / Case #:
Reference #:
County of: SAC - 81
CARRASCO GALINDO
Defendant, Last
Address 412 LOCUST DL State OT The undersigned states that on or about US DOT# ICC#
GREAT BEND
DL End. NONE
67530
Weight
Race W
DL Rest. NONE
02/16/2014
at 4:16 PM
2004 MAR
Upon a public highway at NB HWY 39 S OF D-59 (72) 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
DURANGO
MV
Speed
65
in
55
Zone
Violation SPEEDING 55 OR < (6 THRU 10 OVER) Sec #: 321.285 ICIS Sec #: 321.285-B I.D. No. 492 Local Ord. ICIS Ord.
Officer's Signature
Dated 02/16/2014
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: 03/17/2014 at 9:00 AM
My signature below is not a plea of guilty, but acknowledges all of the following: 1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
2. I promise to appear in said court at said time and place. I understand that a person who willfully fails to appear in court as specified by this citation may be subject to arrest and/or loss of driving privileges. 3. If a court appearance is not required, I may enter a plea of guilty prior to the designated appearance date by delivery in person, or by agent, or by mail to the court specified by this citation. The following applies to simple misdemeanors only:
$141.00 4. I hereby give my unsecured appearance bond in the amount of dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty and surcharge plus court cost.
*+P042LUK1402161616209+*
Dated
Signature of Defendant
X
Subscribed and sworn to me by this
02/16/2014
20
day of
at
, Iowa
Officer's Signature
Agency
TROOPER
Citation #:
JURY TRIAL
Date
OTHER DISPOSITION The court Therefore Enters in Following Order This Date
Mo. Day Yr.
None
School
Susp.
Revo
Days
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 #:
Reference #:
County of: SAC - 81
KAMSTRA
Defendant, Last
LEE
Middle City Suffix
DL#
108AA4966
State IA DL Rest. NONE
Address 4692 280TH STREET DL State IA The undersigned states that on or about US DOT# ICC#
SHELDON
DL End. L
02/22/2014
at 8:23 AM
2011 WHI
Upon a public highway at OFF ROADWAY/ROADWAY NOT FOUND 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
F15
PK
Speed
75
in
65
Zone
Violation SPEED 81/65 Sec #: 321.285 ICIS Sec #: 321.285-G I.D. No. T255 Local Ord. ICIS Ord.
Officer's Signature
Dated 02/22/2014
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: 03/10/2014 at 9:30 AM
My signature below is not a plea of guilty, but acknowledges all of the following: 1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
2. I promise to appear in said court at said time and place. I understand that a person who willfully fails to appear in court as specified by this citation may be subject to arrest and/or loss of driving privileges. 3. If a court appearance is not required, I may enter a plea of guilty prior to the designated appearance date by delivery in person, or by agent, or by mail to the court specified by this citation. The following applies to simple misdemeanors only:
$141.00 4. I hereby give my unsecured appearance bond in the amount of dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty and surcharge plus court cost.
*+T01T2551402220823178+*
Dated
Signature of Defendant
X
Subscribed and sworn to me by this
02/22/2014
23
day of
at
EARLY - 2200
Notary/other
, Iowa
Officer's Signature
Agency
NOTARY
Citation #:
JURY TRIAL
Date
OTHER DISPOSITION The court Therefore Enters in Following Order This Date
Mo. Day Yr.
None
School
Susp.
Revo
Days
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 #:
Reference #:
County of: SAC - 81
JAPA
Defendant, Last
790ZZ8698
State IA DL Rest. NONE
Address 703 4TH ST DL State IA The undersigned states that on or about US DOT# ICC#
PERRY
DL End. NONE
02/24/2014
at 6:46 AM
2000 RED
Upon a public highway at 110 AND D15 SB LV DL 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
2D
Speed
65
in
55
Zone
Violation SPEEDING 55 OR < (6 THRU 10 OVER) Sec #: 321.285 ICIS Sec #: 321.285-B I.D. No. 025 Local Ord. ICIS Ord.
Officer's Signature
Dated 02/24/2014
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: 04/01/2014 at 9:30 AM
My signature below is not a plea of guilty, but acknowledges all of the following: 1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
2. I promise to appear in said court at said time and place. I understand that a person who willfully fails to appear in court as specified by this citation may be subject to arrest and/or loss of driving privileges. 3. If a court appearance is not required, I may enter a plea of guilty prior to the designated appearance date by delivery in person, or by agent, or by mail to the court specified by this citation. The following applies to simple misdemeanors only:
$141.00 4. I hereby give my unsecured appearance bond in the amount of dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty and surcharge plus court cost.
*+P065BRE1402240646527+*
Dated
Signature of Defendant
X
Subscribed and sworn to me by this
02/24/2014
24
day of
at
ALTA - 0125
Notary/other
, Iowa
Officer's Signature
Agency
NOTARY
Citation #:
JURY TRIAL
Date
OTHER DISPOSITION The court Therefore Enters in Following Order This Date
Mo. Day Yr.
None
School
Susp.
Revo
Days
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 #:
Reference #:
County of: SAC - 81
STONE
Defendant, Last
RAY
Middle City Suffix
DL#
730XX4571
State IA DL Rest. B
Address 904 N CENTER ST DL State IA The undersigned states that on or about US DOT# 00629606 ICC# 372561
LAKE CITY
DL End. T
02/24/2014
at 8:35 AM
2000 WHI
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
TT/ST
Speed
in
Zone
Violation DRIVER DID NOT HAVE REGISTRATION PAPER WORK FOR SEMI-TRAILER Sec #: 321.32 ICIS Sec #: 321.32 I.D. No. T142 Local Ord.
Officer's Signature
Dated 02/24/2014
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: 03/17/2014 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.
*+T01T1421402240910125+*
Dated
Signature of Defendant
X
Subscribed and sworn to me by this
02/24/2014
24
day of
at
EARLY - 2200
Notary/other
, Iowa
Officer's Signature
Agency
OTHER
Citation #:
JURY TRIAL
Date
OTHER DISPOSITION The court Therefore Enters in Following Order This Date
Mo. Day Yr.
None
School
Susp.
Revo
Days
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 #:
Reference #:
County of: SAC - 81
STONE
Defendant, Last
RAY
Middle City Suffix
DL#
730XX4571
State IA DL Rest. B
Address 904 N CENTER ST DL State IA The undersigned states that on or about US DOT# 00629606 ICC# 372561
LAKE CITY
DL End. T
02/24/2014
at 8:35 AM
2000 WHI
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
TT/ST
Speed
in
Zone
Violation OW ON BRIDGE AXLES 2-5 BY 4,000LBS (72,000LBS) WHL BSE 39 FT Sec #: 321.463 ICIS Sec #: 321.463 I.D. No. T142 Local Ord.
Officer's Signature
Dated 02/24/2014
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: 03/17/2014 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:
$303.00 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.
*+T01T1421402240921007+*
Dated
Signature of Defendant
X
Subscribed and sworn to me by this
02/24/2014
24
day of
at
EARLY - 2200
Notary/other
, Iowa
Officer's Signature
Agency
OTHER
Citation #:
JURY TRIAL
Date
OTHER DISPOSITION The court Therefore Enters in Following Order This Date
Mo. Day Yr.
None
School
Susp.
Revo
Days
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 #:
Reference #:
County of: SAC - 81
STONE
Defendant, Last
RAY
Middle City Suffix
DL#
730XX4571
State IA DL Rest. B
Address 904 N CENTER ST DL State IA The undersigned states that on or about US DOT# 00629606 ICC# 372561
LAKE CITY
DL End. T
02/24/2014
at 8:35 AM
2000 WHI
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
TT/ST
Speed
in
Zone
Violation OW ON TANDEM AXLES 2 & 3 BY 2,720LBS (36,720LBS) WHL BSE 4.3 FT Sec #: 321.463 ICIS Sec #: 321.463 I.D. No. T142 Local Ord.
Officer's Signature
Dated 02/24/2014
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: 03/17/2014 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:
$373.88 4. I hereby give my unsecured appearance bond in the amount of dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty and surcharge plus court cost.
*+T01T1421402240845590+*
Dated
Signature of Defendant
X
Subscribed and sworn to me by this
02/24/2014
24
day of
at
EARLY - 2200
Notary/other
, Iowa
Officer's Signature
Agency
OTHER
Citation #:
JURY TRIAL
Date
OTHER DISPOSITION The court Therefore Enters in Following Order This Date
Mo. Day Yr.
None
School
Susp.
Revo
Days
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 #:
Reference #:
County of: SAC - 81
LETZE
Defendant, Last
DUANE
Middle City Suffix
DL#
00860934
DL Rest. NONE
Address 805 S BLAINE ST DL State SD The undersigned states that on or about US DOT# 02293734 ICC# 783197
LENNOX
DL End. T
02/24/2014
at 10:35 AM
2007 WHI
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:
SD
Year 2014
TT/ST
Speed
in
Zone
Violation INOP. BREAKAWAY SYSTEM ON TRAILER Sec #: 321.449 ICIS Sec #: 321.449-A I.D. No. T142 Local Ord. ICIS Ord.
Officer's Signature
Dated 02/24/2014
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: 03/17/2014 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.
*+T01T1421402241058149+*
Dated
Signature of Defendant
X
Subscribed and sworn to me by this
02/24/2014
24
day of
at
EARLY - 2200
Notary/other
, Iowa
Officer's Signature
Agency
OTHER
Citation #:
JURY TRIAL
Date
OTHER DISPOSITION The court Therefore Enters in Following Order This Date
Mo. Day Yr.
None
School
Susp.
Revo
Days
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 #:
Reference #:
County of: SAC - 81
STONE
Defendant, Last
RAY
Middle City Suffix
DL#
730XX4571
State IA DL Rest. B
Address 904 N CENTER ST DL State IA The undersigned states that on or about US DOT# 00629606 ICC# 372561
LAKE CITY
DL End. T
02/24/2014
at 8:35 AM
2000 WHI
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
TT/ST
Speed
in
Zone
Violation OW ON GROSS AXLES 1-5 BY 3,680LBS (83,680LBS) WHL BSE 58 FT Sec #: 321.463 ICIS Sec #: 321.463 I.D. No. T142 Local Ord.
Officer's Signature
Dated 02/24/2014
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: 03/17/2014 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:
$303.00 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.
*+T01T1421402240845019+*
Dated
Signature of Defendant
X
Subscribed and sworn to me by this
02/24/2014
24
day of
at
EARLY - 2200
Notary/other
, Iowa
Officer's Signature
Agency
OTHER
Citation #:
JURY TRIAL
Date
OTHER DISPOSITION The court Therefore Enters in Following Order This Date
Mo. Day Yr.
None
School
Susp.
Revo
Days
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 #:
Reference #:
County of: SAC - 81
FRAZIER
Defendant, Last
AARON
Middle City Suffix
DL#
707YY1175
State IA DL Rest. B
Address 719 W ELM ST DL State IA The undersigned states that on or about US DOT# 00117784 ICC# 220315
CHEROKEE
DL End. NONE
02/24/2014
at 12:20 PM
2013 RED
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 2013
TT/ST
Speed
in
Zone
Violation OW ON TANDEM AXLES 4 & 5 BY 3,080LBS (37,080LBS) WHL BSE 4.3FT Sec #: 321.463 ICIS Sec #: 321.463 I.D. No. T142 Local Ord.
Officer's Signature
Dated 02/24/2014
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: 03/17/2014 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:
$546.00 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.
*+T01T1421402241222251+*
Dated
Signature of Defendant
X
Subscribed and sworn to me by this
02/24/2014
24
day of
at
EARLY - 2200
Notary/other
, Iowa
Officer's Signature
Agency
OTHER
Citation #:
JURY TRIAL
Date
OTHER DISPOSITION The court Therefore Enters in Following Order This Date
Mo. Day Yr.
None
School
Susp.
Revo
Days
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 #:
Reference #:
County of: SAC - 81
BURCH
Defendant, Last
PAUL
Middle City Suffix
DL#
041AA5037
State IA DL Rest. NONE
Address 426 GILLEASE ST DL State IA The undersigned states that on or about US DOT# 01315329 ICC# 509571
CHEROKEE
DL End. NONE
02/18/2014
at 9:12 AM
2007 BLU
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
TT-ST
Speed
in
Zone
Violation EXP ANNUAL INSPECTION EXP END OF JANUARY 2014 Sec #: 321.449 ICIS Sec #: 321.449-A I.D. No. T319 Local Ord.
Officer's Signature
Dated 02/18/2014
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: 03/10/2014 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.
*+T01T3191402180924037+*
Dated
Signature of Defendant
X
Subscribed and sworn to me by this
02/18/2014
24
day of
at
SPENCER - 7170
Notary/other
, Iowa
Officer's Signature
Agency
OTHER
Citation #:
JURY TRIAL
Date
OTHER DISPOSITION The court Therefore Enters in Following Order This Date
Mo. Day Yr.
None
School
Susp.
Revo
Days
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 #:
Reference #:
County of: SAC - 81
STONE
Defendant, Last
RAY
Middle City Suffix
DL#
730XX4571
State IA DL Rest. B
Address 904 N CENTER ST DL State IA The undersigned states that on or about US DOT# 00629606 ICC# 372561
LAKE CITY
DL End. T
02/24/2014
at 8:35 AM
2000 WHI
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
TT/ST
Speed
in
Zone
Violation OW ON TANDEM AXLES 4 & 5 BY 1,280LBS (35,280LBS) WHL BSE 4.3 FT Sec #: 321.463 ICIS Sec #: 321.463 I.D. No. T142 Local Ord.
Officer's Signature
Dated 02/24/2014
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: 03/17/2014 at 8:30 AM
My signature below is not a plea of guilty, but acknowledges all of the following: 1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
2. I promise to appear in said court at said time and place. I understand that a person who willfully fails to appear in court as specified by this citation may be subject to arrest and/or loss of driving privileges. 3. If a court appearance is not required, I may enter a plea of guilty prior to the designated appearance date by delivery in person, or by agent, or by mail to the court specified by this citation. The following applies to simple misdemeanors only:
$104.55 4. I hereby give my unsecured appearance bond in the amount of dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty and surcharge plus court cost.
*+T01T1421402240846471+*
Dated
Signature of Defendant
X
Subscribed and sworn to me by this
02/24/2014
24
day of
at
EARLY - 2200
Notary/other
, Iowa
Officer's Signature
Agency
OTHER
Citation #:
JURY TRIAL
Date
OTHER DISPOSITION The court Therefore Enters in Following Order This Date
Mo. Day Yr.
None
School
Susp.
Revo
Days
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 #:
Reference #:
County of: SAC - 81
DAILEY
Defendant, Last
EARL
Middle City Suffix
DL#
487BB6968
State IA DL Rest. NONE
Address 415 N LINCOLN ST DL State IA The undersigned states that on or about US DOT# ICC#
LAKE CITY
DL End. NONE
02/22/2014
at 5:44 PM
2004 SIL
Upon a public highway at NB HWY 71 S OF CARROLL CO LINE (68) 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
SW
Speed
60
in
55
Zone
Violation SPEEDING 55 OR < (1 THRU 5 OVER) Sec #: 321.285 ICIS Sec #: 321.285-A I.D. No. 492 Local Ord. ICIS Ord.
Officer's Signature
Dated 02/22/2014
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: 03/24/2014 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:
$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.
*+P042LUK1402221744381+*
Dated
Signature of Defendant
X
Subscribed and sworn to me by this
02/22/2014
24
day of
at
, Iowa
Officer's Signature
Agency
TROOPER
Citation #:
JURY TRIAL
Date
OTHER DISPOSITION The court Therefore Enters in Following Order This Date
Mo. Day Yr.
None
School
Susp.
Revo
Days
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 #:
Reference #:
County of: SAC - 81
JAPA
Defendant, Last
790ZZ8698
State IA DL Rest. NONE
Address 703 4TH ST DL State IA The undersigned states that on or about US DOT# ICC#
PERRY
DL End. NONE
02/24/2014
at 6:46 AM
2000 RED
Upon a public highway at 110 AND D15 SB LV DL 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
2D
in
Zone
Violation VIOLATION - FINANCIAL LIABILITY COVERAGE Sec #: 321.20B ICIS Sec #: 321.20B-A I.D. No. 025 Local Ord. ICIS Ord.
IA Code: 20 13
Officer's Signature
Dated 02/24/2014
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: 04/01/2014 at 9:30 AM
My signature below is not a plea of guilty, but acknowledges all of the following: 1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
2. I promise to appear in said court at said time and place. I understand that a person who willfully fails to appear in court as specified by this citation may be subject to arrest and/or loss of driving privileges. 3. If a court appearance is not required, I may enter a plea of guilty prior to the designated appearance date by delivery in person, or by agent, or by mail to the court specified by this citation. The following applies to simple misdemeanors only:
$566.25 4. I hereby give my unsecured appearance bond in the amount of dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty and surcharge plus court cost.
*+P065BRE1402240648188+*
Dated
Signature of Defendant
X
Subscribed and sworn to me by this
02/24/2014
24
day of
at
ALTA - 0125
Notary/other
, Iowa
Officer's Signature
Agency
NOTARY
Citation #:
JURY TRIAL
Date
OTHER DISPOSITION The court Therefore Enters in Following Order This Date
Mo. Day Yr.
None
School
Susp.
Revo
Days
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 #:
Reference #:
County of: SAC - 81
DREY
Defendant, Last
JOSEPH
Middle City Suffix
DL#
677XX1278
State IA DL Rest. NONE
Address 204 E 2ND ST DL State IA The undersigned states that on or about US DOT# ICC#
STORM LAKE
DL End. N
02/24/2014
at 1:41 PM
2013 WHI
RAM
RTR
PK
Upon a public highway at M43 N D15 SB LV DL 68 Scheduled Violation/Fine Criminal Surcharge Co. Enf. Surcharge Court Costs Total Fine/Costs
CDL NO Pass End HazMat End Req? Req? Req? Located in the county and state aforesaid and did then and there commit the following offense:
IA
Year 2014
Speed
65
in
55
Zone
Violation SPEEDING 55 OR < (6 THRU 10 OVER) Sec #: 321.285 ICIS Sec #: 321.285-B I.D. No. 025 Local Ord. ICIS Ord.
Officer's Signature
Dated 02/24/2014
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: 04/01/2014 at 9:30 AM
My signature below is not a plea of guilty, but acknowledges all of the following: 1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.
2. I promise to appear in said court at said time and place. I understand that a person who willfully fails to appear in court as specified by this citation may be subject to arrest and/or loss of driving privileges. 3. If a court appearance is not required, I may enter a plea of guilty prior to the designated appearance date by delivery in person, or by agent, or by mail to the court specified by this citation. The following applies to simple misdemeanors only:
$141.00 4. I hereby give my unsecured appearance bond in the amount of dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty and surcharge plus court cost.
*+P065BRE1402241341339+*
Dated
Signature of Defendant
X
Subscribed and sworn to me by this
02/24/2014
24
day of
at
ALTA - 0125
Notary/other
, Iowa
Officer's Signature
Agency
NOTARY
Citation #:
JURY TRIAL
Date
OTHER DISPOSITION The court Therefore Enters in Following Order This Date
Mo. Day Yr.
None
School
Susp.
Revo
Days
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 #:
Reference #:
County of: SAC - 81
DEHUS
Defendant, Last
H
Middle City Suffix
DL#
RU669625
DL Rest. NONE
Address 1557 ROSEHILL RD DL State OH The undersigned states that on or about US DOT# 00363676 ICC# 222049
REYNOLDSBURG
DL End. NT
02/25/2014
at 10:16 AM
2014 BLU
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:
IL
Year 2014
TTRACTOR
Speed
in
Zone
Violation INOP RT & LEFT BRAKE LAMPS TRAILER Sec #: 321.449 ICIS Sec #: 321.449-A I.D. No. T224 Local Ord. ICIS Ord.
Officer's Signature
Dated 02/25/2014
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: 03/14/2014 at 1:15 PM
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.
*+T01T2241402251018568+*
Dated
Signature of Defendant
X
Subscribed and sworn to me by this
02/25/2014
25
day of
at
SALIX - 6770
Notary/other
, Iowa
Officer's Signature
Agency
OTHER
Citation #:
JURY TRIAL
Date
OTHER DISPOSITION The court Therefore Enters in Following Order This Date
Mo. Day Yr.
None
School
Susp.
Revo
Days
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 #:
Reference #:
County of: SAC - 81
KLEINHESSELINK
Defendant, Last
JOEL
Middle City Suffix
DL#
545YY1809
State IA DL Rest. NONE
Address 515 3RD ST SW DL State IA The undersigned states that on or about US DOT# 01944675 ICC#
ORANGE CITY
DL End. NONE
02/25/2014
at 12:10 PM
2000 RED
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 NO 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
DAYCAB
TTRACTOR
Speed
in
Zone
Violation AXLE 3 O/WT 23600 LEGAL 20000 SINGLE Sec #: 321.463 ICIS Sec #: 321.463 I.D. No. T224 Local Ord. ICIS Ord.
Officer's Signature
Dated 02/25/2014
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: 03/17/2014 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:
$546.00 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.
*+T01T2241402251233331+*
Dated
Signature of Defendant
X
Subscribed and sworn to me by this
02/25/2014
25
day of
at
SALIX - 6770
Notary/other
, Iowa
Officer's Signature
Agency
OTHER
Citation #:
JURY TRIAL
Date
OTHER DISPOSITION The court Therefore Enters in Following Order This Date
Mo. Day Yr.
None
School
Susp.
Revo
Days
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 #:
Reference #:
County of: SAC - 81
KLEINHESSELINK
Defendant, Last
JOEL
Middle City Suffix
DL#
545YY1809
State IA DL Rest. NONE
Address 515 3RD ST SW DL State IA The undersigned states that on or about US DOT# 01944675 ICC#
ORANGE CITY
DL End. NONE
02/25/2014
at 12:10 PM
2000 RED
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 NO 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
DAYCAB
TTRACTOR
Speed
in
Zone
Violation AXLE 2 O/WT 23440 - LEGAL 20,000 ON SINGLE AXLE Sec #: 321.463 ICIS Sec #: 321.463 I.D. No. T224 Local Ord.
Officer's Signature
Dated 02/25/2014
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: 03/17/2014 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:
$546.00 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.
*+T01T2241402251232260+*
Dated
Signature of Defendant
X
Subscribed and sworn to me by this
02/25/2014
25
day of
at
SALIX - 6770
Notary/other
, Iowa
Officer's Signature
Agency
OTHER
Citation #:
JURY TRIAL
Date
OTHER DISPOSITION The court Therefore Enters in Following Order This Date
Mo. Day Yr.
None
School
Susp.
Revo
Days
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