8/9/2019 Scheduled and unscheduled violations filed on February 19, 2015.pdf

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8/9/2019 Scheduled and unscheduled violations filed on February 19, 2015.pdf

2/8

D E F E N D A N T ' S   C O P Y  ( F U R N I S H

  T O

  C O U R T )

. IOWA

 U N I F O R M

  C IT A T IO N A N D

 C O M P L A IN T

State

 of lowa

County of:_  SftC

  .M n- 8 1 .

ihe cou

rt

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:' ' D efendant, Las t

tendant, Las t • • ~. » First M iddle

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  ^ F v A y ^ - ^ ^ .

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  7

,

p

c ^ i

State  . •

 C lass .

  O D L F nd A ^ M D L R est A D U S tate ID View ed?

 Y e s . / '

  N o

  ftece

  Ethn.

 ^ Sex

--' W / B / I / A 7 U • H / N / U , • A

  that on or-about  C>2 . / £>? ./. 2. o/>. at j P / ^ J

 unlawfully:  -

:

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  M: Day Yr

  v ,y . r }

  Motor

 Vehicle/Boat

  ( d e s c r i b e ) t ? _ L ^ C A c ? ^ /

  ^ / [ / ^ g O

 R eq ? Y es D

  N o , / -

Pass.  End.  R eq ? Y es D

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 End.  R eq ? Y e s D

  N

eg# ( ^ l L > ? o ( S tate

  : L o ^

/ f

-  Year

  ? Q I

8/9/2019 Scheduled and unscheduled violations filed on February 19, 2015.pdf

3/8

chargedinthiscitation,thecourtisauthorizedtoenteraconvictionandrenderjudgmentagainstmefortheamountofmyappearancebondinsatisfactionofthepenaltyandsurchargepluscourtcost.

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.

Speed

IACode:

State of Iowa

this

Road Work Zone

Weight

 Agency

City

Zone

Court Costs

1.Iherebyswearandaffirmthattheinformationprovidedbymeonthiscitationistrueunderpenaltyofprovidingfalseinformation.

My signature below is not a plea of guilty, but acknowledges all of the following:

PLAINTIFF

4. I hereby give my unsecured appearance bond in the amount of 

ICISSec#:

Subscribed and sworn to me by

at

Fed/AdmCode:

NOTICE:ProvidingfalseidentificationinformationisaviolationofSection719.1Aof theCodeofIowaandispunishableasasimplemisdemeanor.

Law Enforcement Agency -

Violation

DL State

In the Court at

Located in the county and state aforesaid and did then and there commit the following offense:

Fatal Accident

DL Rest.

Dated

Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not

day of 

Zip Code

Form420001E1/07

DOB

Local Ord.

Height

require an appearance, report to the above named court on:

Court Appearance Required (805.10)

VS.

Name

DL/StateIDViewed?

Race

Sex

The following applies to simple misdemeanors only:

The undersigned states that on or about

Sec #:

Upon a public highway at

CDLReq?

Year 

dollarsandentermywrittenappearance.IagreethatifIfailtoappearinpersonorbycounseltodefendagainsttheoffense

DL End.

DL#

 Address

IOWA UNIFORM CITATION AND COMPLAINT

I swear that the foregoing complaint is true and correct. , Iowa

ICC# Lic. Plate #/REG

I.D. No.

Reference#:

Signatureof Defendant

City of:

Dispatch /

Case :

20

US DOT#

DL Class

State

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.

First

defendant did unlawfully: Operate Motor Vehicle/Boat

State

Scheduled Violation/Fine

Suffix

Criminal SurchargeSerious P.I.

in

Notary/other 

Reason:

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.

Civil Damage Assessment Other  

County of:

Officer'sSignature

Total Fine/Costs

HazMatEndReq?

Officer'sSignature

Non-scheduled Violation

X

ICISOrd.

at

Defendant, Last

at

COMPLAINT

PassEndReq?

Co. Enf. Surcharge

Middle

Notary/other Signature

Dated

762 TZER 15 219 16 446

*+762TZER1502191604460+*

Citation #:

XXDB1FR

SAC CITY POLICE DEPARTMENT

SAC - 81

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583

441AF6801TJOSSEM-HINKELDEY AVERY ENDELL 4/26/1995YES

NEthnicity50583-0000SAC CITY IA3310 230TH ST

6' 02"IA 3KJ MALEC NONE

02/19/2015 4:04 PM 2000 TAN CHEVROL

 

S10 PK  

2015 NOIACZN319

800 BLOCK NORTH 5TH ST.

3540$20.00

$7.00

N/A15SPEEDING 55 OR < (1 THRU 5 OVER)

$60.00

321.285 321.285-A$87.00

81-23

02/19/2015

02/19/2015

8:30 AM03/23/2015

$100.50

SAC CITY - 6717MENTZER, BRIAN

FEBRUARY, 201519

OTHER SAC CITY POLICE DEPARTMENT

NOT GUILTY

Driver's LicenseRecommendation

OTHER DISPOSITION

Other 

Susp.

Yr.

BAIL CASH DEPOSIT

DATE: Continued to:

Incarceration in

VERDICT

WARRANT ISSUED

Iowa

DISMISSED

TESTIMONY - JUDGE'S NOTES: (Other Orders)

Revo

Mo.

Signature, person giving bail

TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:

COST $

ABSTRACT OF COURT RECORD

Address

JURY TRIAL

Days:

DOCKET NO.

REASON

CASE NO.

School

CASE NO.

STATE:

Days

Name

FORFEIT BOND

The court Therefore Enters in Following Order This Date

REASON

Phone

PLEA

LICENSE NO.

NOT GUILTY

Citation :

GUILTY

Signature, person taking bailDate

DATE:

NO JURY TRIAL or PROCEEDING

GUILTY

DATE:

None

Day

COURT NO.

FINED $ SURCHARGE $ Continued to:

762 TZER 15 219 16 446

FILED 02/19/2015 04:39PM

CLERK DISTRICT COURT

SAC COUNTY IOWA

8/9/2019 Scheduled and unscheduled violations filed on February 19, 2015.pdf

4/8

chargedinthiscitation,thecourtisauthorizedtoenteraconvictionandrenderjudgmentagainstmefortheamountofmyappearancebondinsatisfactionofthepenaltyandsurchargepluscourtcost.

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.

Speed

IACode:

State of Iowa

this

Road Work Zone

Weight

 Agency

City

Zone

Court Costs

1.Iherebyswearandaffirmthattheinformationprovidedbymeonthiscitationistrueunderpenaltyofprovidingfalseinformation.

My signature below is not a plea of guilty, but acknowledges all of the following:

PLAINTIFF

4. I hereby give my unsecured appearance bond in the amount of 

ICISSec#:

Subscribed and sworn to me by

at

Fed/AdmCode:

NOTICE:ProvidingfalseidentificationinformationisaviolationofSection719.1Aof theCodeofIowaandispunishableasasimplemisdemeanor.

Law Enforcement Agency -

Violation

DL State

In the Court at

Located in the county and state aforesaid and did then and there commit the following offense:

Fatal Accident

DL Rest.

Dated

Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not

day of 

Zip Code

Form420001E1/07

DOB

Local Ord.

Height

require an appearance, report to the above named court on:

Court Appearance Required (805.10)

VS.

Name

DL/StateIDViewed?

Race

Sex

The following applies to simple misdemeanors only:

The undersigned states that on or about

Sec #:

Upon a public highway at

CDLReq?

Year 

dollarsandentermywrittenappearance.IagreethatifIfailtoappearinpersonorbycounseltodefendagainsttheoffense

DL End.

DL#

 Address

IOWA UNIFORM CITATION AND COMPLAINT

I swear that the foregoing complaint is true and correct. , Iowa

ICC# Lic. Plate #/REG

I.D. No.

Reference#:

Signatureof Defendant

City of:

Dispatch /

Case :

20

US DOT#

DL Class

State

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.

First

defendant did unlawfully: Operate Motor Vehicle/Boat

State

Scheduled Violation/Fine

Suffix

Criminal SurchargeSerious P.I.

in

Notary/other 

Reason:

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.

Civil Damage Assessment Other  

County of:

Officer'sSignature

Total Fine/Costs

HazMatEndReq?

Officer'sSignature

Non-scheduled Violation

X

ICISOrd.

at

Defendant, Last

at

COMPLAINT

PassEndReq?

Co. Enf. Surcharge

Middle

Notary/other Signature

Dated

T 1 T319 15 219 125622

*+T01T3191502191256220+*

Citation #:

MOTOR VEHICLE ENFORCEMENT

SAC - 81

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583

993AA7064MIENE TRACE HARLAND 2/16/1977YES

NEthnicity52159-0000MONONA IA406 S EGBERT ST

6' 03"IA NONE MALEA NONE

02/19/2015 12:33 PM 2015 HI PETERBIL

 

CON TT-ST

2015 YES NO NOIABK712402049090

US 71/KARR AVE AND D015/190TH ST

$200.00

$70.00383.23A2

N/A13MEDICAL DOWNGRADE CDL IS NO LONGER VALID

$60.00

321.174 321.174(1)$330.00

T319

02/19/2015

02/19/2015

8:30 AM03/16/2015

$465.00

EARLY - 2200LAAKE, PAUL

FEBRUARY, 201519

OTHER MOTOR VEHICLE ENFORCEMENT

NOT GUILTY

Driver's LicenseRecommendation

OTHER DISPOSITION

Other 

Susp.

Yr.

BAIL CASH DEPOSIT

DATE: Continued to:

Incarceration in

VERDICT

WARRANT ISSUED

Iowa

DISMISSED

TESTIMONY - JUDGE'S NOTES: (Other Orders)

Revo

Mo.

Signature, person giving bail

TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:

COST $

ABSTRACT OF COURT RECORD

Address

JURY TRIAL

Days:

DOCKET NO.

REASON

CASE NO.

School

CASE NO.

STATE:

Days

Name

FORFEIT BOND

The court Therefore Enters in Following Order This Date

REASON

Phone

PLEA

LICENSE NO.

NOT GUILTY

Citation :

GUILTY

Signature, person taking bailDate

DATE:

NO JURY TRIAL or PROCEEDING

GUILTY

DATE:

None

Day

COURT NO.

FINED $ SURCHARGE $ Continued to:

T 1 T319 15 219 125622

FILED 02/19/2015 07:30PM

CLERK DISTRICT COURT

SAC COUNTY IOWA

8/9/2019 Scheduled and unscheduled violations filed on February 19, 2015.pdf

5/8

chargedinthiscitation,thecourtisauthorizedtoenteraconvictionandrenderjudgmentagainstmefortheamountofmyappearancebondinsatisfactionofthepenaltyandsurchargepluscourtcost.

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.

Speed

IACode:

State of Iowa

this

Road Work Zone

Weight

 Agency

City

Zone

Court Costs

1.Iherebyswearandaffirmthattheinformationprovidedbymeonthiscitationistrueunderpenaltyofprovidingfalseinformation.

My signature below is not a plea of guilty, but acknowledges all of the following:

PLAINTIFF

4. I hereby give my unsecured appearance bond in the amount of 

ICISSec#:

Subscribed and sworn to me by

at

Fed/AdmCode:

NOTICE:ProvidingfalseidentificationinformationisaviolationofSection719.1Aof theCodeofIowaandispunishableasasimplemisdemeanor.

Law Enforcement Agency -

Violation

DL State

In the Court at

Located in the county and state aforesaid and did then and there commit the following offense:

Fatal Accident

DL Rest.

Dated

Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not

day of 

Zip Code

Form420001E1/07

DOB

Local Ord.

Height

require an appearance, report to the above named court on:

Court Appearance Required (805.10)

VS.

Name

DL/StateIDViewed?

Race

Sex

The following applies to simple misdemeanors only:

The undersigned states that on or about

Sec #:

Upon a public highway at

CDLReq?

Year 

dollarsandentermywrittenappearance.IagreethatifIfailtoappearinpersonorbycounseltodefendagainsttheoffense

DL End.

DL#

 Address

IOWA UNIFORM CITATION AND COMPLAINT

I swear that the foregoing complaint is true and correct. , Iowa

ICC# Lic. Plate #/REG

I.D. No.

Reference#:

Signatureof Defendant

City of:

Dispatch /

Case :

20

US DOT#

DL Class

State

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.

First

defendant did unlawfully: Operate Motor Vehicle/Boat

State

Scheduled Violation/Fine

Suffix

Criminal SurchargeSerious P.I.

in

Notary/other 

Reason:

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.

Civil Damage Assessment Other  

County of:

Officer'sSignature

Total Fine/Costs

HazMatEndReq?

Officer'sSignature

Non-scheduled Violation

X

ICISOrd.

at

Defendant, Last

at

COMPLAINT

PassEndReq?

Co. Enf. Surcharge

Middle

Notary/other Signature

Dated

T 1 T319 15 219 114636 8

*+T01T3191502191146368+*

Citation #:

MOTOR VEHICLE ENFORCEMENT

SAC - 81

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583

TH934386STREETS BRYAN 9/28/1988YES

NEthnicity45215CINCINNATI OH236 CARTHAGE AVE

5' 09"OH 245 LBSNONE MALEB A

02/19/2015 11:38 AM 2007 SIL CHEVROL

 

TT-ST

2015 YES NO NOOHPIJ828901979132 699676

US 71/KARR AVE AND D015/190TH ST

5565$40.00

$14.00392.2-SLLS3

N/A15EXCESSIVE SPEED 65 IN POSTD 55MPH ZONE

$60.00

321.285 321.285-B$114.00

T319

02/19/2015

02/19/2015

8:30 AM03/16/2015

$141.00

EARLY - 2200LAAKE, PAUL

FEBRUARY, 201519

OTHER MOTOR VEHICLE ENFORCEMENT

NOT GUILTY

Driver's LicenseRecommendation

OTHER DISPOSITION

Other 

Susp.

Yr.

BAIL CASH DEPOSIT

DATE: Continued to:

Incarceration in

VERDICT

WARRANT ISSUED

Iowa

DISMISSED

TESTIMONY - JUDGE'S NOTES: (Other Orders)

Revo

Mo.

Signature, person giving bail

TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:

COST $

ABSTRACT OF COURT RECORD

Address

JURY TRIAL

Days:

DOCKET NO.

REASON

CASE NO.

School

CASE NO.

STATE:

Days

Name

FORFEIT BOND

The court Therefore Enters in Following Order This Date

REASON

Phone

PLEA

LICENSE NO.

NOT GUILTY

Citation :

GUILTY

Signature, person taking bailDate

DATE:

NO JURY TRIAL or PROCEEDING

GUILTY

DATE:

None

Day

COURT NO.

FINED $ SURCHARGE $ Continued to:

T 1 T319 15 219 114636 8

FILED 02/19/2015 07:30PM

CLERK DISTRICT COURT

SAC COUNTY IOWA

8/9/2019 Scheduled and unscheduled violations filed on February 19, 2015.pdf

6/8

chargedinthiscitation,thecourtisauthorizedtoenteraconvictionandrenderjudgmentagainstmefortheamountofmyappearancebondinsatisfactionofthepenaltyandsurchargepluscourtcost.

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.

Speed

IACode:

State of Iowa

this

Road Work Zone

Weight

 Agency

City

Zone

Court Costs

1.Iherebyswearandaffirmthattheinformationprovidedbymeonthiscitationistrueunderpenaltyofprovidingfalseinformation.

My signature below is not a plea of guilty, but acknowledges all of the following:

PLAINTIFF

4. I hereby give my unsecured appearance bond in the amount of 

ICISSec#:

Subscribed and sworn to me by

at

Fed/AdmCode:

NOTICE:ProvidingfalseidentificationinformationisaviolationofSection719.1Aof theCodeofIowaandispunishableasasimplemisdemeanor.

Law Enforcement Agency -

Violation

DL State

In the Court at

Located in the county and state aforesaid and did then and there commit the following offense:

Fatal Accident

DL Rest.

Dated

Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not

day of 

Zip Code

Form420001E1/07

DOB

Local Ord.

Height

require an appearance, report to the above named court on:

Court Appearance Required (805.10)

VS.

Name

DL/StateIDViewed?

Race

Sex

The following applies to simple misdemeanors only:

The undersigned states that on or about

Sec #:

Upon a public highway at

CDLReq?

Year 

dollarsandentermywrittenappearance.IagreethatifIfailtoappearinpersonorbycounseltodefendagainsttheoffense

DL End.

DL#

 Address

IOWA UNIFORM CITATION AND COMPLAINT

I swear that the foregoing complaint is true and correct. , Iowa

ICC# Lic. Plate #/REG

I.D. No.

Reference#:

Signatureof Defendant

City of:

Dispatch /

Case :

20

US DOT#

DL Class

State

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.

First

defendant did unlawfully: Operate Motor Vehicle/Boat

State

Scheduled Violation/Fine

Suffix

Criminal SurchargeSerious P.I.

in

Notary/other 

Reason:

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.

Civil Damage Assessment Other  

County of:

Officer'sSignature

Total Fine/Costs

HazMatEndReq?

Officer'sSignature

Non-scheduled Violation

X

ICISOrd.

at

Defendant, Last

at

COMPLAINT

PassEndReq?

Co. Enf. Surcharge

Middle

Notary/other Signature

Dated

T 1 T319 15 219 14 12 2

*+T01T3191502191400122+*

Citation #:

MOTOR VEHICLE ENFORCEMENT

SAC - 81

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583

509AG7382PAPLOW PAUL DEAN 8/9/1983YES

NEthnicity51354-0000OCHEYEDAN IA6212 120TH ST

6' 01"IA NONE MALEA T

02/19/2015 1:45 PM 2004 HI PETERBIL

 

TT-ST

2014 YES NO NOMNPAL685501078695 448313

US 71/KARR AVE

$50.00

$17.50393.100B

N/A13LOOSE CHAINS ON DECK OF TRAILER, NOT ATTACHED OR SECURED

$60.00

321.449 321.449-A$127.50

T319

02/19/2015

02/19/2015

8:30 AM03/16/2015

$161.25

EARLY - 2200LAAKE, PAUL

FEBRUARY, 201519

OTHER MOTOR VEHICLE ENFORCEMENT

NOT GUILTY

Driver's LicenseRecommendation

OTHER DISPOSITION

Other 

Susp.

Yr.

BAIL CASH DEPOSIT

DATE: Continued to:

Incarceration in

VERDICT

WARRANT ISSUED

Iowa

DISMISSED

TESTIMONY - JUDGE'S NOTES: (Other Orders)

Revo

Mo.

Signature, person giving bail

TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:

COST $

ABSTRACT OF COURT RECORD

Address

JURY TRIAL

Days:

DOCKET NO.

REASON

CASE NO.

School

CASE NO.

STATE:

Days

Name

FORFEIT BOND

The court Therefore Enters in Following Order This Date

REASON

Phone

PLEA

LICENSE NO.

NOT GUILTY

Citation :

GUILTY

Signature, person taking bailDate

DATE:

NO JURY TRIAL or PROCEEDING

GUILTY

DATE:

None

Day

COURT NO.

FINED $ SURCHARGE $ Continued to:

T 1 T319 15 219 14 12 2

FILED 02/19/2015 07:30PM

CLERK DISTRICT COURT

SAC COUNTY IOWA

8/9/2019 Scheduled and unscheduled violations filed on February 19, 2015.pdf

7/8

chargedinthiscitation,thecourtisauthorizedtoenteraconvictionandrenderjudgmentagainstmefortheamountofmyappearancebondinsatisfactionofthepenaltyandsurchargepluscourtcost.

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.

Speed

IACode:

State of Iowa

this

Road Work Zone

Weight

 Agency

City

Zone

Court Costs

1.Iherebyswearandaffirmthattheinformationprovidedbymeonthiscitationistrueunderpenaltyofprovidingfalseinformation.

My signature below is not a plea of guilty, but acknowledges all of the following:

PLAINTIFF

4. I hereby give my unsecured appearance bond in the amount of 

ICISSec#:

Subscribed and sworn to me by

at

Fed/AdmCode:

NOTICE:ProvidingfalseidentificationinformationisaviolationofSection719.1Aof theCodeofIowaandispunishableasasimplemisdemeanor.

Law Enforcement Agency -

Violation

DL State

In the Court at

Located in the county and state aforesaid and did then and there commit the following offense:

Fatal Accident

DL Rest.

Dated

Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not

day of 

Zip Code

Form420001E1/07

DOB

Local Ord.

Height

require an appearance, report to the above named court on:

Court Appearance Required (805.10)

VS.

Name

DL/StateIDViewed?

Race

Sex

The following applies to simple misdemeanors only:

The undersigned states that on or about

Sec #:

Upon a public highway at

CDLReq?

Year 

dollarsandentermywrittenappearance.IagreethatifIfailtoappearinpersonorbycounseltodefendagainsttheoffense

DL End.

DL#

 Address

IOWA UNIFORM CITATION AND COMPLAINT

I swear that the foregoing complaint is true and correct. , Iowa

ICC# Lic. Plate #/REG

I.D. No.

Reference#:

Signatureof Defendant

City of:

Dispatch /

Case :

20

US DOT#

DL Class

State

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.

First

defendant did unlawfully: Operate Motor Vehicle/Boat

State

Scheduled Violation/Fine

Suffix

Criminal SurchargeSerious P.I.

in

Notary/other 

Reason:

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.

Civil Damage Assessment Other  

County of:

Officer'sSignature

Total Fine/Costs

HazMatEndReq?

Officer'sSignature

Non-scheduled Violation

X

ICISOrd.

at

Defendant, Last

at

COMPLAINT

PassEndReq?

Co. Enf. Surcharge

Middle

Notary/other Signature

Dated

T 1 T319 15 219 142528 4

*+T01T3191502191425284+*

Citation #:

MOTOR VEHICLE ENFORCEMENT

SAC - 81

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583

G70012288STARK MICHAEL H 8/18/1971YES

NEthnicity68776-0000SOUTH SIOUX CITY NE1502 CHOKECHERRY LANE

5' 09"NE NONE MALEO NONE

02/19/2015 2:10 PM 2006 HI FORD - CTV VN

2015 NOIA107YBR 00688617

US 71/KARR AVE

$250.00

$87.50392.2IN

N/A13FAIL TO CARRY INSURANCE CARD

$60.00

321.20B 321.20B-A$397.50

T319

02/19/2015

02/19/2015

8:30 AM03/16/2015

$566.25

EARLY - 2200LAAKE, PAUL

FEBRUARY, 201519

OTHER MOTOR VEHICLE ENFORCEMENT

NOT GUILTY

Driver's LicenseRecommendation

OTHER DISPOSITION

Other 

Susp.

Yr.

BAIL CASH DEPOSIT

DATE: Continued to:

Incarceration in

VERDICT

WARRANT ISSUED

Iowa

DISMISSED

TESTIMONY - JUDGE'S NOTES: (Other Orders)

Revo

Mo.

Signature, person giving bail

TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:

COST $

ABSTRACT OF COURT RECORD

Address

JURY TRIAL

Days:

DOCKET NO.

REASON

CASE NO.

School

CASE NO.

STATE:

Days

Name

FORFEIT BOND

The court Therefore Enters in Following Order This Date

REASON

Phone

PLEA

LICENSE NO.

NOT GUILTY

Citation :

GUILTY

Signature, person taking bailDate

DATE:

NO JURY TRIAL or PROCEEDING

GUILTY

DATE:

None

Day

COURT NO.

FINED $ SURCHARGE $ Continued to:

T 1 T319 15 219 142528 4

FILED 02/19/2015 07:30PM

CLERK DISTRICT COURT

SAC COUNTY IOWA

8/9/2019 Scheduled and unscheduled violations filed on February 19, 2015.pdf

8/8

chargedinthiscitation,thecourtisauthorizedtoenteraconvictionandrenderjudgmentagainstmefortheamountofmyappearancebondinsatisfactionofthepenaltyandsurchargepluscourtcost.

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.

Speed

IACode:

State of Iowa

this

Road Work Zone

Weight

 Agency

City

Zone

Court Costs

1.Iherebyswearandaffirmthattheinformationprovidedbymeonthiscitationistrueunderpenaltyofprovidingfalseinformation.

My signature below is not a plea of guilty, but acknowledges all of the following:

PLAINTIFF

4. I hereby give my unsecured appearance bond in the amount of 

ICISSec#:

Subscribed and sworn to me by

at

Fed/AdmCode:

NOTICE:ProvidingfalseidentificationinformationisaviolationofSection719.1Aof theCodeofIowaandispunishableasasimplemisdemeanor.

Law Enforcement Agency -

Violation

DL State

In the Court at

Located in the county and state aforesaid and did then and there commit the following offense:

Fatal Accident

DL Rest.

Dated

Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not

day of 

Zip Code

Form420001E1/07

DOB

Local Ord.

Height

require an appearance, report to the above named court on:

Court Appearance Required (805.10)

VS.

Name

DL/StateIDViewed?

Race

Sex

The following applies to simple misdemeanors only:

The undersigned states that on or about

Sec #:

Upon a public highway at

CDLReq?

Year 

dollarsandentermywrittenappearance.IagreethatifIfailtoappearinpersonorbycounseltodefendagainsttheoffense

DL End.

DL#

 Address

IOWA UNIFORM CITATION AND COMPLAINT

I swear that the foregoing complaint is true and correct. , Iowa

ICC# Lic. Plate #/REG

I.D. No.

Reference#:

Signatureof Defendant

City of:

Dispatch /

Case :

20

US DOT#

DL Class

State

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.

First

defendant did unlawfully: Operate Motor Vehicle/Boat

State

Scheduled Violation/Fine

Suffix

Criminal SurchargeSerious P.I.

in

Notary/other 

Reason:

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.

Civil Damage Assessment Other  

County of:

Officer'sSignature

Total Fine/Costs

HazMatEndReq?

Officer'sSignature

Non-scheduled Violation

X

ICISOrd.

at

Defendant, Last

at

COMPLAINT

PassEndReq?

Co. Enf. Surcharge

Middle

Notary/other Signature

Dated

T 1 T319 15 219 142548 5

*+T01T3191502191425485+*

Citation #:

MOTOR VEHICLE ENFORCEMENT

SAC - 81

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12 SAC CITY IA 50583

G70012288STARK MICHAEL H 8/18/1971YES

NEthnicity68776-0000SOUTH SIOUX CITY NE1502 CHOKECHERRY LANE

5' 09"NE NONE MALEO NONE

02/19/2015 2:10 PM 2006 HI FORD - CTV VN

2015 NOIA107YBR 00688617

US 71/KARR AVE

$50.00

$17.50396.17C

N/A13NO PROOF OF CURRENT ANNUAL INSPECTION

$60.00

321.449 321.449-A$127.50

T319

02/19/2015

02/19/2015

8:30 AM03/16/2015

$161.25

EARLY - 2200LAAKE, PAUL

FEBRUARY, 201519

OTHER MOTOR VEHICLE ENFORCEMENT

NOT GUILTY

Driver's LicenseRecommendation

OTHER DISPOSITION

Other 

Susp.

Yr.

BAIL CASH DEPOSIT

DATE: Continued to:

Incarceration in

VERDICT

WARRANT ISSUED

Iowa

DISMISSED

TESTIMONY - JUDGE'S NOTES: (Other Orders)

Revo

Mo.

Signature, person giving bail

TO THE COURT: The following are witnesses who can give testimony relating to the facts of this alleged violation. Please subpoena prosecuting witness:

COST $

ABSTRACT OF COURT RECORD

Address

JURY TRIAL

Days:

DOCKET NO.

REASON

CASE NO.

School

CASE NO.

STATE:

Days

Name

FORFEIT BOND

The court Therefore Enters in Following Order This Date

REASON

Phone

PLEA

LICENSE NO.

NOT GUILTY

Citation :

GUILTY

Signature, person taking bailDate

DATE:

NO JURY TRIAL or PROCEEDING

GUILTY

DATE:

None

Day

COURT NO.

FINED $ SURCHARGE $ Continued to:

T 1 T319 15 219 142548 5

FILED 02/19/2015 07:30PM

CLERK DISTRICT COURT

SAC COUNTY IOWA