You are on page 1of 5

Dispatch /

Case #:

COMPLAINT
Form 420001E 1/07
PLAINTIFF

Reference #:

Law Enforcement Agency -

IOWA STATE PATROL - DIST 05


City of:

SAC CITY

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12

SCHAEFER

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

P05 2LUK 150301 131712 9

Citation #:

SCOTT

Defendant, Last

ALLEN

First

Address 200 1ST STREET CARNARVON


DL State IA
The undersigned states that on or about

City

US DOT#

03/01/2015

$50.00

Criminal Surcharge

$17.50

Co. Enf. Surcharge

N/A

Court Costs

$60.00

Total Fine/Costs

$127.50

Court Appearance Required (805.10)


Reason:

Height

Serious P.I.

1999 SIL

Race W
51450-0000
5' 11"
Weight

Ethnicity N
Sex MALE

CHEVROL LUMINA
ET -End
CHEV
Pass

4D

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 SB HWY 71 NORTH OF D-59


Scheduled Violation/Fine

Zip Code

DL Rest. NONE

defendant did unlawfully: Operate Motor Vehicle/Boat

Lic. Plate #/REG IN TRANSIT

ICC#

State IA

LAKE VIEW
DL End. LN

at 1:17 PM

DOB 1/17/1975

Suffix

DL Class

50583
DL/State ID
Viewed?
YES

539YY2090

DL#

Middle

IA

Year

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

IA Code: 20 15

ICIS Sec #: 321.445

ICIS Ord.

Local Ord.

I.D. No. 492


Officer's
Signature

Zone

Fed/Adm Code:

Violation FAIL TO WEAR/MAINTAIN SAFETY BELTS


Sec #: 321.445

in

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 03/01/2015

You hereby are given notice that within a reasonable time but no later than the date scheduled for your
initial appearance a citation/complaint sworn under oath will be filed with the district court clerk of the
county in which this citation was issued.

Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
require an appearance, report to the above named court on:
03/30/2015 at
9:00 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.

*+P052LUK1503011317129+*
Dated

Signature of
Defendant

03/01/2015

I swear that the foregoing complaint is true and correct.

this

03

day of

Agency

Officer's
Signature

IOWA STATE PATROL - DIST 05

ABSTRACT OF COURT RECORD


COURT NO.

CASE NO.

DOCKET NO.
LICENSE NO.

CASE NO.
STATE:

NO JURY TRIAL or
PROCEEDING

OTHER

P05 2LUK 150301 131712 9

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 03/03/2015 07:45AM


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 $

Day

COST $
Days:

Yr.

, Iowa

Notary/other

Other

PLEA

SCHLESWIG - 6840

Notary/other
Signature

Citation #:

FORFEIT BOND

JURY TRIAL

at

LUKE, C
MARCH, 2015

Subscribed and sworn to me by

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 -

IOWA STATE PATROL - DIST 05


City of:

SAC CITY

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12

FLINK

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

P05 2LUK 150301 134457 0

Citation #:

STEPHANIE

Defendant, Last

LINNEA

First

Address 310 88TH ST APT 3210

DL Class

The undersigned states that on or about


US DOT#

03/01/2015

$90.00

Criminal Surcharge

$31.50

Co. Enf. Surcharge

N/A

Court Costs

$60.00

Total Fine/Costs

$181.50

Court Appearance Required (805.10)


Reason:

Height

Serious P.I.

2003 SIL

Race W
50266-0000
5' 05"
Weight

FORD FORD
Pass
End

Ethnicity N
Sex FEMALE

FOC

4D

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 EB HWY 175 W OF M-50 (85)


Scheduled Violation/Fine

Zip Code

DL Rest. B

defendant did unlawfully: Operate Motor Vehicle/Boat

Lic. Plate #/REG 999XTJ

ICC#

State IA

WEST DES MOINES


DL End. NONE

at 1:44 PM

DOB 8/5/1990

Suffix

City

DL State IA

50583
DL/State ID
Viewed?
YES

174CC1800

DL#

Middle

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-D

ICIS Ord.

Local Ord.

I.D. No. 492


Officer's
Signature

in

Fed/Adm Code:

Violation SPEEDING 55 OR < (16 THRU 20)


Sec #: 321.285

75

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 03/01/2015

You hereby are given notice that within a reasonable time but no later than the date scheduled for your
initial appearance a citation/complaint sworn under oath will be filed with the district court clerk of the
county in which this citation was issued.

Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
require an appearance, report to the above named court on:
03/30/2015 at
9:00 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:

$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.

*+P052LUK1503011344570+*
Dated

Signature of
Defendant

03/01/2015

I swear that the foregoing complaint is true and correct.

this

03

day of

Agency

Officer's
Signature

IOWA STATE PATROL - DIST 05

ABSTRACT OF COURT RECORD


COURT NO.

CASE NO.

DOCKET NO.
LICENSE NO.

CASE NO.
STATE:

NO JURY TRIAL or
PROCEEDING

OTHER

P05 2LUK 150301 134457 0

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 03/03/2015 07:45AM


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 $

Day

COST $
Days:

Yr.

, Iowa

Notary/other

Other

PLEA

SCHLESWIG - 6840

Notary/other
Signature

Citation #:

FORFEIT BOND

JURY TRIAL

at

LUKE, C
MARCH, 2015

Subscribed and sworn to me by

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 -

IOWA STATE PATROL - DIST 07


City of:

SAC CITY

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12

UREN

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

P07 4DEV 150302 155406 5

Citation #:

WILLIAM

Defendant, Last

SAMUEL

First

Address 2344 WADSLEY AVE

DL Class

The undersigned states that on or about


US DOT#

03/02/2015

$50.00

Criminal Surcharge

$17.50

Co. Enf. Surcharge

N/A

Court Costs

$60.00

Total Fine/Costs

$127.50

Court Appearance Required (805.10)


Reason:

Height

Serious P.I.

1997 GRN

Race W
50583-0000
6' 03"
Weight

Ethnicity N
Sex MALE

CHEVROL 1500
ET -End
CHEV
Pass

PK

CDL NO
HazMat End Req?
Req?
Req?
Located in the county and state aforesaid and did then and there commit the following offense:

IA

State

Upon a public highway at US 20


Scheduled Violation/Fine

Zip Code

DL Rest. FK

defendant did unlawfully: Operate Motor Vehicle/Boat

Lic. Plate #/REG 225XBM

ICC#

State IA

SAC CITY
DL End. LN

at 3:54 PM

DOB 1/31/1942

Suffix

City

DL State IA

50583
DL/State ID
Viewed?
YES

268YY5542

DL#

Middle

IA

Year 2015

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

IA Code: 20 15

ICIS Sec #: 321.445

ICIS Ord.

Local Ord.

I.D. No. 084


Officer's
Signature

Zone

Fed/Adm Code:

Violation FAIL TO WEAR/MAINTAIN SAFETY BELTS


Sec #: 321.445

in

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 03/02/2015

You hereby are given notice that within a reasonable time but no later than the date scheduled for your
initial appearance a citation/complaint sworn under oath will be filed with the district court clerk of the
county in which this citation was issued.

Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
require an appearance, report to the above named court on:
03/16/2015 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:

$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.

*+P074DEV1503021554065+*
Dated

Signature of
Defendant

03/02/2015

I swear that the foregoing complaint is true and correct.

this

02

day of

Agency

Officer's
Signature

IOWA STATE PATROL - DIST 07

ABSTRACT OF COURT RECORD


COURT NO.

CASE NO.

DOCKET NO.
LICENSE NO.

CASE NO.
STATE:

NO JURY TRIAL or
PROCEEDING

OTHER

P07 4DEV 150302 155406 5

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 03/03/2015 07:50AM


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 $

Day

COST $
Days:

Yr.

, Iowa

Notary/other

Other

PLEA

FORT DODGE - 2690

Notary/other
Signature

Citation #:

FORFEIT BOND

JURY TRIAL

at

DEVEREAUX, S
MARCH, 2015

Subscribed and sworn to me by

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

Law Enforcement Agency -

SAC COUNTY SHERIFF'S OFFICE


City of:

SAC CITY

SAC COUNTY COURTHOUSE 100 NW STATE STREET SUITE 12

SANCHEZ

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

S81 BACK 150302 153929 5

Citation #:

Reference #:

AUSTIN

Defendant, Last

JOSEPH

First

Address 206 S HELMER ST

DL Class

The undersigned states that on or about


US DOT#

03/02/2015

$125.00

Criminal Surcharge

$43.75

Co. Enf. Surcharge

$5.00

Court Costs

$60.00

Total Fine/Costs

$233.75

Court Appearance Required (805.10)


Reason:

Height

Serious P.I.

2008 SIL

Race W
51103-0000
5' 08"
Weight

Ethnicity H
Sex MALE

PONTIAC - G6
PONT
Pass
End

CV

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 US 20


Scheduled Violation/Fine

Zip Code

DL Rest. NONE

defendant did unlawfully: Operate Motor Vehicle/Boat

Lic. Plate #/REG BLW186

ICC#

State IA

SIOUX CITY
DL End. NONE

at 3:39 PM

DOB 11/8/1996

Suffix

City

DL State IA

50583
DL/State ID
Viewed?
YES

617AH6523

DL#

Middle

IA

Year 2015

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

Officer's
Signature

65

Zone

IA Code: 20 15

ICIS Sec #: 321.285-J

ICIS Ord.

Local Ord.

I.D. No. 81-5

in

Fed/Adm Code:

Violation SPEEDING > 55 (20 MPH OVER + $5.00 EA MILE)


Sec #: 321.285

90

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 03/02/2015

You hereby are given notice that within a reasonable time but no later than the date scheduled for your
initial appearance a citation/complaint sworn under oath will be filed with the district court clerk of the
county in which this citation was issued.

Court Date: If you must appear in court or if you choose to appear to answer to a charge which does not
require an appearance, report to the above named court on:
03/23/2015 at
8:30 AM
My signature below is not a plea of guilty, but acknowledges all of the following:
1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.

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

$320.63
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.

*+S81BACK1503021539295+*
Dated

Signature of
Defendant

03/02/2015

I swear that the foregoing complaint is true and correct.

this

02

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

S81 BACK 150302 153929 5

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 03/03/2015 09:40AM


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

Notary/other
Signature

Citation #:

FORFEIT BOND

JURY TRIAL

at

CUDABACK, TORY
MARCH, 2015

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

You might also like