Professional Documents
Culture Documents
Form 420001E 1/07 PLAINTIFF State of Iowa In the Court at VS. Name
Dispatch / Case #:
Reference #:
County of: SAC - 81
POULSON
Defendant, Last
EDWARD
Middle City Suffix
DL#
W135041007
State MO DL Rest. NONE
Address 20201 BEND RD DL State MO The undersigned states that on or about US DOT# 000251548 ICC#
CROCKER
DL End. PXT
03/03/2014
at 1:27 AM
2011 TAN
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? Req? Req? Located in the county and state aforesaid and did then and there commit the following offense: Road Work Zone Civil Damage Assessment Non-scheduled Violation Other Speed in Zone
TT-ST
Violation 14 HRS VIOLATION AT 045HRS ON THE 3RD BY.75 HRS Sec #: 321.449 ICIS Sec #: 321.449-C I.D. No. T255 Local Ord.
Officer's Signature
Dated 03/03/2014
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 9:30 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.
*+T01T2551403030214468+*
Dated
Signature of Defendant
X
Subscribed and sworn to me by this
03/03/2014
05
day of
at
POCAHONTAS - 6150
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
POULSON
Defendant, Last
EDWARD
Middle City Suffix
DL#
W135041007
State MO DL Rest. NONE
Address 20201 BEND RD DL State MO The undersigned states that on or about US DOT# 000251548 ICC#
CROCKER
DL End. PXT
03/03/2014
at 1:27 AM
2011 TAN
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? Req? Req? Located in the county and state aforesaid and did then and there commit the following offense: Road Work Zone Civil Damage Assessment Non-scheduled Violation Other Speed in Zone
TT-ST
Violation ANNUAL INSPECTION EXPIRED 2/14 Sec #: 321.449 ICIS Sec #: 321.449-A I.D. No. T255 Local Ord. ICIS Ord.
Officer's Signature
Dated 03/03/2014
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 9:30 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.
*+T01T2551403030223460+*
Dated
Signature of Defendant
X
Subscribed and sworn to me by this
03/03/2014
05
day of
at
POCAHONTAS - 6150
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
CRAWFORD
Defendant, Last
DAVID
Middle City Suffix
DL#
0600564977
State IN DL Rest. NONE
Address 1151 MAGNOLIA AVE DL State IN The undersigned states that on or about US DOT# 01989236 ICC# 703741
FRANKFORT
DL End. NONE
03/07/2014
at 12:30 PM
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:
IN
Year 2013
TTST
Speed
in
Zone
Violation FAILURE TO HAVE VALID LICENSE/PERMIT WHILE OPER. MOTOR VEH. Sec #: 321.174 ICIS Sec #: 321.174(1) I.D. No. T424 Local Ord.
Officer's Signature
Dated 03/07/2014
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 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.
*+T01T4241403071256271+*
Dated
Signature of Defendant
X
Subscribed and sworn to me by this
03/07/2014
07
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
CRAWFORD
Defendant, Last
DAVID
Middle City Suffix
DL#
0600564977
State IN DL Rest. NONE
Address 1151 MAGNOLIA AVE DL State IN The undersigned states that on or about US DOT# 01989236 ICC# 703741
FRANKFORT
DL End. NONE
03/07/2014
at 12:30 PM
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:
IN
Year 2013
TTST
Speed
in
Zone
Violation LOG NOT CURRENT LE 03-06-14 Sec #: 321.449 ICIS Sec #: 321.449-C I.D. No. T424 Local Ord. ICIS Ord.
Officer's Signature
Dated 03/07/2014
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 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.
*+T01T4241403071305352+*
Dated
Signature of Defendant
X
Subscribed and sworn to me by this
03/07/2014
07
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
ABBUHL
Defendant, Last
JEAN
Middle City Suffix
DL#
684AJ0589
State IA DL Rest. B
Address 1930 K AVE DL State IA The undersigned states that on or about US DOT# ICC#
RED OAK
DL End. NONE
03/08/2014
at 2:05 PM
2010 BLU
Upon a public highway at HWY 110 1/2 NO 20 NB OV LK69 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
ECP
SW
Speed
65
in
55
Zone
Violation SPEEDING 55 OR < (6 THRU 10 OVER) Sec #: 321.285 ICIS Sec #: 321.285-B I.D. No. 215 Local Ord. ICIS Ord.
Officer's Signature
Dated 03/08/2014
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: 03/31/2014 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:
$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.
*+P065MAI1403081405441+*
Dated
Signature of Defendant
X
Subscribed and sworn to me by this
03/08/2014
08
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
DE ANDA
Defendant, Last
654AH6013
State IA DL Rest. BY
Address 4601 DEROCHER PATH DL State IA The undersigned states that on or about US DOT# ICC#
SIOUX CITY
DL End. NONE
03/08/2014
at 2:25 PM
2003 BLK
Upon a public highway at HWY 20 1/2 EAST 110 WB OV LK72 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:
NE Year 2014
4DR
Speed
70
in
55
Zone
Violation SPEEDING 55 OR < (11 THRU 15 OVER) Sec #: 321.285 ICIS Sec #: 321.285-C I.D. No. 215 Local Ord. ICIS Ord.
Officer's Signature
Dated 03/08/2014
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: 03/31/2014 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:
$222.00 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.
*+P065MAI1403081425462+*
Dated
Signature of Defendant
X
Subscribed and sworn to me by this
03/08/2014
08
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
BERGMAN
Defendant, Last
LEA
Middle City Suffix
DL#
H13450236
State NE DL Rest. NONE
Address 365 N 41ST AVE DL State NE The undersigned states that on or about US DOT# ICC#
OMAHA
DL End. NONE
03/07/2014
at 1:05 PM
2000 WHI
Upon a public highway at HWY 39 E OF M-35 WB OS 83 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:
NE Year 2014
CHEROKEE
SUV
Speed
75
in
55
Zone
Violation SPEEDING 55 OR < (16 THRU 20) Sec #: 321.285 ICIS Sec #: 321.285-D I.D. No. 294 Local Ord. ICIS Ord.
Officer's Signature
Dated 03/07/2014
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: 04/14/2014 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:
$242.25 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.
*+P044WIS1403071307360+*
Dated
Signature of Defendant
X
Subscribed and sworn to me by this
03/07/2014
09
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 #:
Citation #: E-FILED 2014 MAR 10 8:24 AM SAC - CLERK OF DISTRICT COURT140309 S81 UWER IOWA UNIFORM CITATION AND COMPLAINT
Law Enforcement Agency SAC COUNTY SHERIFF'S OFFICE City of:
180733 8
Reference #:
County of: SAC - 81
SAC CITY
DL#
IA
50583
DL/State ID Viewed? YES DOB 12/21/1990 Ethnicity N Sex FEMALE
COOK
Defendant, Last
DANIELLE
Middle City Suffix
892BB0250
State IA DL Rest. NONE Zip Code Height
Address 3011 AVENUE G DL State IA The undersigned states that on or about US DOT# ICC#
COUNCIL BLUFFS
DL End. NONE
03/09/2014
at 6:07 PM
2012 GRY
Upon a public highway at 315TH ST AND M043/FOX AVE 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:
NO Year
PASS
Speed
65
in
55
Zone
Violation SPEEDING 55 OR < (6 THRU 10 OVER) Sec #: 321.285 ICIS Sec #: 321.285-B I.D. No. 81-2 Local Ord. ICIS Ord.
Officer's Signature
Dated 03/09/2014
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: 04/14/2014 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:
$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.
*+S81UWER1403091807338+*
Dated
Signature of Defendant
X
Subscribed and sworn to me by this
03/09/2014
09
day of
at
ODEBOLT - 5655
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 #:
Citation #: E-FILED 2014 MAR 10 8:24 AM SAC - CLERK OF DISTRICT COURT140309 S81 RITT IOWA UNIFORM CITATION AND COMPLAINT
Law Enforcement Agency SAC COUNTY SHERIFF'S OFFICE City of:
130859 4
Reference #:
County of: SAC - 81
SAC CITY
DL#
IA
50583
DL/State ID Viewed? YES DOB 10/1/1971 Ethnicity N Sex MALE
LAM
Defendant, Last
PHI
Middle City Suffix
529XX0032
State IA DL Rest. NONE Zip Code Height
Address 2301 8TH AVE DL State IA The undersigned states that on or about US DOT# ICC#
COUNCIL BLUFFS
DL End. NONE
03/09/2014
at 1:08 PM
2003 WHI
Upon a public highway at M043/FOX AVE AND 240TH ST 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
GCH
SW
Speed
65
in
55
Zone
Violation SPEEDING 55 OR < (6 THRU 10 OVER) Sec #: 321.285 ICIS Sec #: 321.285-B I.D. No. 81-3 Local Ord. ICIS Ord.
Officer's Signature
Dated 03/09/2014
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: 03/31/2014 at 8:00 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:
$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.
*+S81RITT1403091308594+*
Dated
Signature of Defendant
X
Subscribed and sworn to me by this
03/09/2014
09
day of
at
, 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