Você está na página 1de 6

Dispatch /

Case #:

COMPLAINT
Form 420001E 1/07
PLAINTIFF

Law Enforcement Agency -

SAC COUNTY SHERIFF'S OFFICE


City of:

SAC CITY

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12

SALMERON

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

S81 IEDE 150620 205137 2

Citation #:

Reference #:

EMILIA

Defendant, Last

Middle

Address 319 W 7TH ST APT 3

DL Class

The undersigned states that on or about


US DOT#

06/20/2015

$40.00

Criminal Surcharge

$14.00

Co. Enf. Surcharge

$5.00

Court Costs

$60.00

Total Fine/Costs

$119.00

Court Appearance Required (805.10)


Reason:

Height

2009 SIL

Serious P.I.

Race W
50588-0000
5' 02"
Weight 180 LBS

DODGE DODG
Pass
End

Ethnicity H
Sex FEMALE

JOURNEY

VAN

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 M043/FOX AVE


Scheduled Violation/Fine

Zip Code

DL Rest. NONE

defendant did unlawfully: Operate Motor Vehicle/Boat

Lic. Plate #/REG 653ZHH

ICC#

State IA

STORM LAKE
DL End. NONE

at 8:51 PM

DOB 8/8/1967

Suffix

City

DL State IA

50583
DL/State ID
Viewed?
YES

707YY3307

DL#

First

IA

Year 2015

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

55

Zone

IA Code: 20 15

ICIS Sec #: 321.285-B

ICIS Ord.

Local Ord.

I.D. No. 81-4


Officer's
Signature

in

Fed/Adm Code:

Violation SPEEDING 55 OR < (6 THRU 10 OVER)


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 06/20/2015

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:
07/13/2015 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:

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

*+S81IEDE1506202051372+*
Dated

Signature of
Defendant

06/20/2015

I swear that the foregoing complaint is true and correct.

this

20

day of

Agency

Officer's
Signature

SAC COUNTY SHERIFF'S OFFICE

ABSTRACT OF COURT RECORD


COURT NO.

CASE NO.

DOCKET NO.
LICENSE NO.

CASE NO.
STATE:

NO JURY TRIAL or
PROCEEDING

Notary/other

Notary/other
Signature

NOTARY

S81 IEDE 150620 205137 2

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 06/22/2015 08:03AM


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

, Iowa

SAC CITY - 6717

JUNE, 2015

Citation #:

FORFEIT BOND

JURY TRIAL

at

BIEDE, MATT

Subscribed and sworn to me by

SURCHARGE $

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

Law Enforcement Agency -

MOTOR VEHICLE ENFORCEMENT


City of:

SAC CITY

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12

KACZMAREK

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

T01 T424 150622 100412 2

Citation #:

Reference #:

Form 420001E 1/07


PLAINTIFF

RONALD

Defendant, Last

CHESTER

First

Address 20968 JADE RD

The undersigned states that on or about


US DOT# 00382833

DL Class

06/22/2015

$50.00

Criminal Surcharge

$17.50

Co. Enf. Surcharge

N/A

Court Costs

$60.00

Total Fine/Costs

$127.50

Serious P.I.

2007 GRY

Race W

55381
5' 11"

Ethnicity N

Weight 220 LBS

Sex MALE

FREIGHT
LINER
F
Pass
End - NO

TTST

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

State MN Year 2015

Upon a public highway at OFF ROADWAY/ROADWAY NOT FOUND


Scheduled Violation/Fine

Zip Code

DL Rest. NONE

defendant did unlawfully: Operate Motor Vehicle/Boat

Lic. Plate #/REG PAN1934

ICC#

State MN

SILVER LAKE
DL End. NONE

at 9:45 AM

DOB 12/9/1950

Suffix

City

DL State MN

50583
DL/State ID
Viewed?
YES

G067087770913

DL#

Middle

IA

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

Violation DRIVING WITHOUT HEARING AID AS SPECIFIED ON HEALTH CARD


Sec #: 321.449

ICIS Sec #: 321.449-B

Zone

IA Code: 20 13
ICIS Ord.

Local Ord.

I.D. No. T424


Officer's
Signature

in

Fed/Adm Code: 391.11B4

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 06/22/2015

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:
07/13/2015 at
9:00 AM
My signature below is not a plea of guilty, but acknowledges all of the following:
1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.

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

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

*+T01T4241506221004122+*
Dated

Signature of
Defendant

06/22/2015

I swear that the foregoing complaint is true and correct.

this

22

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

Notary/other

Notary/other
Signature

OTHER

T01 T424 150622 100412 2

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 06/22/2015 01:30PM


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

EARLY - 2200

JUNE, 2015

Citation #:

FORFEIT BOND

JURY TRIAL

at

CLAYCAMP, FRED

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

C]taX,mtt:

DEFENDANT COPY
Form420001E 1/07
PLAINTIFF:

IwAstateof I c / V /

[ Icguntyof. S a c - 8 1

'

^HERRERAARRIAGA

HECTOR

Defendant. Last

Flit

Middle

1839 6TH AVE

OL State

IA

The undowered states that en or ebout

04709/1015

ICC3

Reference :

lotyol:

at

S50.00

Criminal Surcharge

S17.S0

Co. Et. Surcharge


Court Costs
Total Fine/Costs

N/A
560.00
S117.50

3:49 P M

Slate IA

Zip Code 51501-0000

OL Roa NONE

Meg". S'07" .

defendant did unlawfully: Operate Motor Vehicle/Boat

STL013

1000 WHI
g ^ , NO

R*" "

Race U

Sex M A L E

F 5 a >

JJJ

Ha; Mai End Rag?

Located In ihe county and state eforoeeld and did then end there commit the following!mte
often
f'RoadWorkZone

Norvsehedulcd Violation

Speed

1;

in

p ] Other

vWatanNO FIRE EXTLNCUISHER


'""'
I

SeeS: 321.449
IClSSee*. 321.449-A

'"'

0 ^

Zone

Fod/AdmCodo: 393.95A
IA Cod.: 20 13

Located.

I.D. No. T319


Court Date:
~

/ i ^ ^ M t f L

EDimcny _H

WtlaM

pn*pn

Sta to N E Year 2015

R e a a o n ^ - i serious P.I. V") Fatal Accident :""! CMI Damage Assessment

/}
r

Zip 50583

Oat, ot Birth
State IA

NONE

;"":Couit Appearance Required (805. to)

.*

/ Z ^

City SAC CITY

COUNCIL BLUFFS

_DlEid

Uc. Plato /RES

Scheduled vWsllorvf tne

ITOTTiT'

150609 155458 2

I63AC4103

DLfl

Upon a puttie highway at US 71/KARR W E ANDD015V190TH ST

Officer's
Signature

Suftrx

City
0 . Clara

US DOW 00446537

IOWA UNIFORM CITATION AND COMPLAINT


lew Enlevement Agency. MOTOR VEHICLE ENFORCEMENT

In the Court bf SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE

Adsreta

lasord.

IfyoumustaiiftfSrflrcourtar^
which dolwnot require an appearance, report to the above rrStRpd court on:

0A

Prnvirtinc fnhn irimiiflrntinn infnrmntinn h n irlntinii r f Sr-finn 711* lft n f thr n r i r nf*T?ff~n-tinrl i piiniihnMa na n stmpltwrrTsHernennnr.

Vou hereby are given notice lhat within a reasonable time but no later man the date scheduledtoryour initial appearance a citation/complaint swom under oath will be filed with ihe
district court clerk of the county in which this citation was issued

My signature below is not a plea of guilty, but acknowledges all of the following:
1,1 hereby swear and affirm thatthe Information provided by me on this citation is true under penalty of providing fal6a Information.
2.1 promise to appear In said court at Batd time and place I understand that a person who willfully fells to appear in court as specified by this citation may be subject to arrest
and/or loss of driving privileges.
3. II a court appearance is not required, I may enter a plea of guitty prior to the designated appearance date by delrrery in person, or by agent, or .by mail to the court specified by.this citation.
_

The following applies to simple misdemeanors only:


4. I hereby give my unsecured appearance bond in the amount of
$161.25
dollars snd enter written appearance. I agree that if I fail lo appear in person or by counsel to
defend against tho offense charged In this citation. the.court Is authorized to enter a conviction and render Judgment against me fcrthe amount of .my appearance, bond.ln
satisfaction of the penalty and surcharge plus court cost.
.
' . / '
Oated
If you require the assistance of auxiliary aids or services to participate in court because of a
Defendant
\\ i
/JL Jl_
disability, Immediately call the ADA district coordinator In the county which tho citation was
Signature
?'' ' '
06/09/2015 issued, or ifyou Bre hearing Impaired, call Relay lowa TTY at 1.800-738-2942

T01 T319 150609 15S458 2


IF P L E A D I N G G U I L T Y D E T A C H A N D R E M I T W I T H P A Y M E N T O R P A Y O N L I N E A T v y W W . I O V V A C O U R T S . G O V
c l t e U o n

CHECKS PAYABLE TO: CLERK OF COURT

T 0 1 T 3 1 9 150609 155458 2

S U B M I T P A Y M E N T T O : SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12


ISSUING LAW ENFORCEMENT
N B m e

AGENCY

HERRERA ARRIACA

HECfOR

Defendant. Lait

Ftrst

City
DL Class C

The undersigned states that on or about


US DOTfl 00446537

ICC*

06709/2015

at

15:49

S50.00

Bond Amount

$161.25

COUNCIL ULt'FFS

state IA

C r i m i n a l Surcharge

S170

Zip Code 51501-0000

DL Res. NONE
State

Height

NE Year 2015 j f f i ,

5' 07'

2000
NO

j^

Race V

Ethnicity

Weight
FS50

E n d
7

IdSSec

Co. Enf. Surcharge

Court Appearance Required (835.10)

N/A

321.449-A

Local O'd

Court Costs

Court Date: 06/30/2015 Spood

in

S60.00

JR

HazMat End Rs>q7


1

lasr" **
Total F i n e / C f

Zono Fed/Adm Codo: 393.95A

It rfVVPPEARAiMCE PLEA OF GUILTY


V
the undersigned, do hereby enter my appearance on the complaint of the effense charged on this citation. I have been informed of my right to a trial, that my
^ " " ^ signature to this plea of guilty will have the same effect as a judgment cf court and this record will be sent to the Department of Transportation of this state (or of the
state of my residence). I do hereby PLEAD GUILTY to said offense as charged and agree to the penalty presenbed for my offense.
Amount to pay: $137.50

D IF YOU ARE REQUIRED TO POST BAIL TO OBTAIN RELEASE


A. If you desire to enler a plea of guilty, the officer may release you from custody upon observing you mail the citation, admission of guilt and minimum fine,
surcharge, with court costs to a traffic violations olfice in an envelope furnished by the officer.
6. If you choose to plead NOT GUILTY, the officer may release you from custody by observing you mail the citation, and one and one naif times the minimum fine,
surcharge, with court costs, or in lieu of one and one half times the fine and costs a guaranteed arrest band certificate together wilh signing the fallowing statement:
"I agree that either (1) I w i l l appear pursuant to this citation o r (2) if I d o not s o appear, the amount d e p o s i t e d a s b a i l w i l l be forfeited."

1 of

Signature*
Defendant

/ L

y
fa^^

Officer:

LAAKE.PAUL

II

Sex NtALE

Located in the county and state atoresald and did then and there commit the following offen6e
Sec 0 321.449

Read Work Zone

Date of Birth 0M3/I98S

defendant did unlawfully: Operate Motor Vehicle/Boat

Lie. Plate tf/REO STL013

Upon 3 public highway at US 71/KARR A V E AND D015/190TH ST

Zip 50583

Sufl

DL End NONE

Violation NO FTRE EXTINGUISHER


Scheduled Fine

State IA
Reference tt:

put 163AC4103

Address 2639 6TH AVE


DL State IA

City SACCTTV

Motor Vehicle Enforcement

Middle

I.D. N O . T J I 9

Dispatch /
Case #:

COMPLAINT
Form 420001E 1/07
PLAINTIFF

Law Enforcement Agency -

SAC COUNTY SHERIFF'S OFFICE


City of:

SAC CITY

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12

ISOM

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

S81 BACK 150622 140601 4

Citation #:

Reference #:

ARNOLD

Defendant, Last

JAY

First

Address 907 SAND ST

DL Class

The undersigned states that on or about


US DOT#

06/22/2015

$250.00

Criminal Surcharge

$87.50

Co. Enf. Surcharge

$5.00

Court Costs

$60.00

Total Fine/Costs

$402.50

Court Appearance Required (805.10)


Reason:

Height

Serious P.I.

1992 RED

Race W
50050-0000
6' 00"
Weight

FORD FORD
Pass
End

Ethnicity N
Sex MALE

XPL

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 GARD AVE AND US 20/220TH ST


Scheduled Violation/Fine

Zip Code

DL Rest. BK

defendant did unlawfully: Operate Motor Vehicle/Boat

Lic. Plate #/REG CQW426

ICC#

State IA

CHURDAN
DL End. NONE

at 2:05 PM

DOB 6/26/1963

Suffix

City

DL State IA

50583
DL/State ID
Viewed?
YES

887AL6380

DL#

Middle

IA

Year 2015

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

Violation VIOLATION - FINANCIAL LIABILITY COVERAGE


Sec #: 321.20B

ICIS Sec #: 321.20B-A

Officer's
Signature

Zone

IA Code: 20 15
ICIS Ord.

Local Ord.

I.D. No. 81-5

in

Fed/Adm Code:

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 06/22/2015

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:
07/21/2015 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:

$573.75
4. I hereby give my unsecured appearance bond in the amount of
dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense
charged in this citation, the court is authorized to enter a conviction and render judgment against me for the amount of my appearance bond in satisfaction of the penalty and surcharge plus court cost.

*+S81BACK1506221406014+*
Dated

Signature of
Defendant

06/22/2015

I swear that the foregoing complaint is true and correct.

this

22

day of

Agency

Officer's
Signature

SAC COUNTY SHERIFF'S OFFICE

ABSTRACT OF COURT RECORD


COURT NO.

CASE NO.

DOCKET NO.
LICENSE NO.

CASE NO.
STATE:

NO JURY TRIAL or
PROCEEDING

Notary/other

Notary/other
Signature

NOTARY

S81 BACK 150622 140601 4

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 06/22/2015 02:48PM


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

, Iowa

SAC CITY - 6717

JUNE, 2015

Citation #:

FORFEIT BOND

JURY TRIAL

at

CUDABACK, TORY

Subscribed and sworn to me by

SURCHARGE $

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

BUMGARNER

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

T01 T405 150622 113328 3

Citation #:

HALLARD

Defendant, Last

Middle

Address 1721 QUAIL AVE

DL Class

The undersigned states that on or about


US DOT# 00268402

06/22/2015

$200.00

Criminal Surcharge

$70.00

Co. Enf. Surcharge

N/A

Court Costs

$60.00

Total Fine/Costs

$330.00

Serious P.I.

2009 WHI

Race W
50441-0000
6' 00"
Weight

Ethnicity N
Sex MALE

FORD FORD
Pass
End

TR

CDL NO
HazMat End Req?
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

State MO Year 2015

Upon a public highway at US 71/KARR AVE


Scheduled Violation/Fine

Zip Code

DL Rest. NONE

defendant did unlawfully: Operate Motor Vehicle/Boat

Lic. Plate #/REG 54AB0W

ICC#

State IA

HAMPTON
DL End. NONE

at 11:15 AM

DOB 5/1/1954

Suffix

City

DL State IA

50583
DL/State ID
Viewed?
YES

801ZZ1313

DL#

First

IA

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

Violation CLASS C OPERATOR'S LICENSE WHEN REQUIRED D-2 CHAUFFER'S


Sec #: 321.174

ICIS Sec #: 321.174(1)

Zone

IA Code: 20 13
ICIS Ord.

Local Ord.

I.D. No. T405


Officer's
Signature

in

Fed/Adm Code: 391.11B5-DNL

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 06/22/2015

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:
07/14/2015 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:

$465.00
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.

*+T01T4051506221133283+*
Dated

Signature of
Defendant

06/22/2015

I swear that the foregoing complaint is true and correct.

this

22

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

Notary/other

OTHER

T01 T405 150622 113328 3

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 06/22/2015 03:30PM


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
Signature

Other

PLEA

at

JUNE, 2015

Citation #:

FORFEIT BOND

JURY TRIAL

MCFARLAND, TIMOTHY

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

Você também pode gostar