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.

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

Speed

IA Code:

State of Iowa

this

Road Work Zone

Weight

Agency

City

Zone

Court Costs

1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.

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

ICIS Sec #:

Subscribed and sworn to me by

at

Fed/Adm Code:

NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.

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

Form 420001E 1/07

DOB

Local Ord.

Height

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

Court Appearance Required (805.10)

VS.

Name

DL/State IDViewed?

Race

Sex

The following applies to simple misdemeanors only:

The undersigned states that on or about

Sec #:

Upon a public highway at

CDLReq?

Year

dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense

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 #:

Signature ofDefendant

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

HazMat End Req?

Officer'sSignature

Non-scheduled Violation

X

ICIS Ord.

at

Defendant, Last

at

COMPLAINT

Pass EndReq?

Co. Enf. Surcharge

Middle

Notary/otherSignature

Dated

S81 EYER 150316 174139 5

*+S81EYER1503161741395+*

Citation #:

SAC COUNTY SHERIFF'S OFFICE

SAC - 81

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

812AK7119TWYMAN BRANDON WAYNE 12/18/1985YES

W NEthnicity50561-0000LYTTON IA206 WALNUT ST

5' 11"IA NONE MALEC NONE

03/16/2015 5:41 PM 1996 GRN DODGE -DODG

R15 PK

2015 NOIABSL742

RAILWAY ST AND MAIN ST

$50.00

$17.50

$5.0015FAIL TO WEAR/MAINTAIN SAFETY BELTS

$60.00

321.445 321.445$132.50

81-9

03/16/2015

03/16/2015

8:30 AM04/20/2015

$168.75

SAC CITY - 6717MEYER, JONATHAN

MARCH, 201516

OTHERSAC COUNTY SHERIFF'S OFFICE

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 orPROCEEDING

GUILTY

DATE:

None

Day

COURT NO.

FINED $ SURCHARGE $ Continued to:

S81 EYER 150316 174139 5

FILED 03/17/2015 08:07AMCLERK DISTRICT COURTSAC COUNTY IOWA

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.

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

Speed

IA Code:

State of Iowa

this

Road Work Zone

Weight

Agency

City

Zone

Court Costs

1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.

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

ICIS Sec #:

Subscribed and sworn to me by

at

Fed/Adm Code:

NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.

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

Form 420001E 1/07

DOB

Local Ord.

Height

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

Court Appearance Required (805.10)

VS.

Name

DL/State IDViewed?

Race

Sex

The following applies to simple misdemeanors only:

The undersigned states that on or about

Sec #:

Upon a public highway at

CDLReq?

Year

dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense

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 #:

Signature ofDefendant

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

HazMat End Req?

Officer'sSignature

Non-scheduled Violation

X

ICIS Ord.

at

Defendant, Last

at

COMPLAINT

Pass EndReq?

Co. Enf. Surcharge

Middle

Notary/otherSignature

Dated

S81 EYER 150316 180856 6

*+S81EYER1503161808566+*

Citation #:

SAC COUNTY SHERIFF'S OFFICE

SAC - 81

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

040CC9951HERRIG AMY LOUISE 12/19/1968YES

W NEthnicity50583-0000SAC CITY IA607 LEONARD ST

5' 10"IA B FEMALEC NONE

03/16/2015 6:08 PM 1999 GLD CHEVROLET - CHEV

LUM 4D

2014 NOIA411YCH

OAK AVE AND 255TH ST AND RAILWAY ST

$50.00

$17.50

$5.0015FAIL TO WEAR/MAINTAIN SAFETY BELTS

$60.00

321.445 321.445$132.50

81-9

03/16/2015

03/16/2015

8:30 AM04/20/2015

$168.75

SAC CITY - 6717MEYER, JONATHAN

MARCH, 201516

OTHERSAC COUNTY SHERIFF'S OFFICE

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 orPROCEEDING

GUILTY

DATE:

None

Day

COURT NO.

FINED $ SURCHARGE $ Continued to:

S81 EYER 150316 180856 6

FILED 03/17/2015 08:07AMCLERK DISTRICT COURTSAC COUNTY IOWA

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.

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

Speed

IA Code:

State of Iowa

this

Road Work Zone

Weight

Agency

City

Zone

Court Costs

1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.

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

ICIS Sec #:

Subscribed and sworn to me by

at

Fed/Adm Code:

NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.

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

Form 420001E 1/07

DOB

Local Ord.

Height

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

Court Appearance Required (805.10)

VS.

Name

DL/State IDViewed?

Race

Sex

The following applies to simple misdemeanors only:

The undersigned states that on or about

Sec #:

Upon a public highway at

CDLReq?

Year

dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense

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 #:

Signature ofDefendant

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

HazMat End Req?

Officer'sSignature

Non-scheduled Violation

X

ICIS Ord.

at

Defendant, Last

at

COMPLAINT

Pass EndReq?

Co. Enf. Surcharge

Middle

Notary/otherSignature

Dated

S81 EYER 150316 181520 7

*+S81EYER1503161815207+*

Citation #:

SAC COUNTY SHERIFF'S OFFICE

SAC - 81

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

040CC9951HERRIG AMY LOUISE 12/19/1968YES

W NEthnicity50583-0000SAC CITY IA607 LEONARD ST

5' 10"IA B FEMALEC NONE

03/16/2015 6:08 PM 1999 GLD CHEVROLET - CHEV

LUM 4D

2014 NOIA411YCH

OAK AVE AND 255TH ST AND RAILWAY ST

$200.00

$70.00

$5.0015FAILURE TO HAVE VALID LICENSE/PERMIT WHILE OPER. MOTOR VEH.

$60.00

321.174 321.174(1)$335.00

81-9

03/16/2015

03/16/2015

8:30 AM04/20/2015

$472.50

SAC CITY - 6717MEYER, JONATHAN

MARCH, 201516

OTHERSAC COUNTY SHERIFF'S OFFICE

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 orPROCEEDING

GUILTY

DATE:

None

Day

COURT NO.

FINED $ SURCHARGE $ Continued to:

S81 EYER 150316 181520 7

FILED 03/17/2015 08:07AMCLERK DISTRICT COURTSAC COUNTY IOWA

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.

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

Speed

IA Code:

State of Iowa

this

Road Work Zone

Weight

Agency

City

Zone

Court Costs

1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.

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

ICIS Sec #:

Subscribed and sworn to me by

at

Fed/Adm Code:

NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.

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

Form 420001E 1/07

DOB

Local Ord.

Height

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

Court Appearance Required (805.10)

VS.

Name

DL/State IDViewed?

Race

Sex

The following applies to simple misdemeanors only:

The undersigned states that on or about

Sec #:

Upon a public highway at

CDLReq?

Year

dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense

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 #:

Signature ofDefendant

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

HazMat End Req?

Officer'sSignature

Non-scheduled Violation

X

ICIS Ord.

at

Defendant, Last

at

COMPLAINT

Pass EndReq?

Co. Enf. Surcharge

Middle

Notary/otherSignature

Dated

S81 KINE 150316 170539 9

*+S81KINE1503161705399+*

Citation #:

SAC COUNTY SHERIFF'S OFFICE

SAC - 81

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

798AK5984PETERSEN JAMIE LEIGH-ANN 4/15/1991YES

W NEthnicity50583-0000SAC CITY IA1003 200TH ST

5' 07"IA NONE FEMALEC NONE

03/16/2015 5:05 PM 2003 BRO CHEVROLET - CHEV

IMP 4D

2014 NOIACHC516

STATE 175/330TH ST

$50.00

$17.50

$5.0015OPERATION W/O REGISTRATION

$60.00

321.98 321.98$132.50

81-8

03/16/2015

03/16/2015

8:30 AM04/27/2015

$168.75

SAC CITY - 6717ERSKINE, KRISTAN

MARCH, 201516

NOTARYSAC COUNTY SHERIFF'S OFFICE

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 orPROCEEDING

GUILTY

DATE:

None

Day

COURT NO.

FINED $ SURCHARGE $ Continued to:

S81 KINE 150316 170539 9

FILED 03/17/2015 08:07AMCLERK DISTRICT COURTSAC COUNTY IOWA

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.

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

Speed

IA Code:

State of Iowa

this

Road Work Zone

Weight

Agency

City

Zone

Court Costs

1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.

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

ICIS Sec #:

Subscribed and sworn to me by

at

Fed/Adm Code:

NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.

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

Form 420001E 1/07

DOB

Local Ord.

Height

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

Court Appearance Required (805.10)

VS.

Name

DL/State IDViewed?

Race

Sex

The following applies to simple misdemeanors only:

The undersigned states that on or about

Sec #:

Upon a public highway at

CDLReq?

Year

dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense

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 #:

Signature ofDefendant

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

HazMat End Req?

Officer'sSignature

Non-scheduled Violation

X

ICIS Ord.

at

Defendant, Last

at

COMPLAINT

Pass EndReq?

Co. Enf. Surcharge

Middle

Notary/otherSignature

Dated

T01 T404 150316 084612 6

*+T01T4041503160846126+*

Citation #:

MOTOR VEHICLE ENFORCEMENT

SAC - 81

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

635XX4244MEAIKE LONNIE DALE 7/25/1957YES

W NEthnicity51454-0000MANILLA IA215 JOHN ST

6' 00"IA 215 LBSK MALEA N

03/16/2015 8:15 AM 2002 BLK FREIGHTLINER - F

DS

2015 YES NO NOIA5489EX02320549 792175

US 71/PINE ST AND 1ST ST

$50.00

$17.50393.75F

N/A13AX 1 WEIGHED 12,900LBS ALLOWED 12,350 OVER 550LBS ON TIRE RATING

$60.00

321.449 321.449-A$127.50

T404

03/16/2015

03/16/2015

8:30 AM03/30/2015

$161.25

EARLY - 2200HANSEN, JEFFREY

MARCH, 201517

OTHERMOTOR 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 orPROCEEDING

GUILTY

DATE:

None

Day

COURT NO.

FINED $ SURCHARGE $ Continued to:

T01 T404 150316 084612 6

FILED 03/17/2015 12:30PMCLERK DISTRICT COURTSAC COUNTY IOWA

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.

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

Speed

IA Code:

State of Iowa

this

Road Work Zone

Weight

Agency

City

Zone

Court Costs

1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.

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

ICIS Sec #:

Subscribed and sworn to me by

at

Fed/Adm Code:

NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.

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

Form 420001E 1/07

DOB

Local Ord.

Height

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

Court Appearance Required (805.10)

VS.

Name

DL/State IDViewed?

Race

Sex

The following applies to simple misdemeanors only:

The undersigned states that on or about

Sec #:

Upon a public highway at

CDLReq?

Year

dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense

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 #:

Signature ofDefendant

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

HazMat End Req?

Officer'sSignature

Non-scheduled Violation

X

ICIS Ord.

at

Defendant, Last

at

COMPLAINT

Pass EndReq?

Co. Enf. Surcharge

Middle

Notary/otherSignature

Dated

T01 T404 150316 085014 8

*+T01T4041503160850148+*

Citation #:

MOTOR VEHICLE ENFORCEMENT

SAC - 81

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

635XX4244MEAIKE LONNIE DALE 7/25/1957YES

W NEthnicity51454-0000MANILLA IA215 JOHN ST

6' 00"IA 215 LBSK MALEA N

03/16/2015 8:15 AM 2002 BLK FREIGHTLINER - F

DS

2015 YES NO NOIA5489EX02320549 792175

US 71/PINE ST AND 1ST ST

$50.00

$17.50393.95A

N/A13DISCHARGED FIRE EXTINUISHER IN THE TRUCK

$60.00

321.449 321.449-A$127.50

T404

03/16/2015

03/16/2015

8:30 AM03/30/2015

$161.25

EARLY - 2200HANSEN, JEFFREY

MARCH, 201517

OTHERMOTOR 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 orPROCEEDING

GUILTY

DATE:

None

Day

COURT NO.

FINED $ SURCHARGE $ Continued to:

T01 T404 150316 085014 8

FILED 03/17/2015 12:30PMCLERK DISTRICT COURTSAC COUNTY IOWA

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.

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

Speed

IA Code:

State of Iowa

this

Road Work Zone

Weight

Agency

City

Zone

Court Costs

1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.

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

ICIS Sec #:

Subscribed and sworn to me by

at

Fed/Adm Code:

NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.

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

Form 420001E 1/07

DOB

Local Ord.

Height

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

Court Appearance Required (805.10)

VS.

Name

DL/State IDViewed?

Race

Sex

The following applies to simple misdemeanors only:

The undersigned states that on or about

Sec #:

Upon a public highway at

CDLReq?

Year

dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense

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 #:

Signature ofDefendant

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

HazMat End Req?

Officer'sSignature

Non-scheduled Violation

X

ICIS Ord.

at

Defendant, Last

at

COMPLAINT

Pass EndReq?

Co. Enf. Surcharge

Middle

Notary/otherSignature

Dated

T01 T404 150316 123224 0

*+T01T4041503161232240+*

Citation #:

MOTOR VEHICLE ENFORCEMENT

SAC - 81

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

855ZZ2680WINKEL DUSTIN ALLEN 1/29/1979YES

W NEthnicity51025-0000HOLSTEIN IA411 S MAIN ST

6' 04"IA 215 LBSB MALEA N

03/16/2015 12:20 PM 2006 RED PETERBILT - PTRB

TT/ST

2015 YES NO NOIASF711300776985 400639

STATE 39/FOX AVE

$50.00

$17.50392.16

N/A13DRIVER WAS NOT WEARING HIS SEATBELT WHILE TRAVELING SB ON HWY

39$60.00

321.445 321.445$127.50

T404

03/16/2015

03/16/2015

8:30 AM03/30/2015

$161.25

EARLY - 2200HANSEN, JEFFREY

MARCH, 201517

OTHERMOTOR 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 orPROCEEDING

GUILTY

DATE:

None

Day

COURT NO.

FINED $ SURCHARGE $ Continued to:

T01 T404 150316 123224 0

FILED 03/17/2015 12:30PMCLERK DISTRICT COURTSAC COUNTY IOWA

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.

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

Speed

IA Code:

State of Iowa

this

Road Work Zone

Weight

Agency

City

Zone

Court Costs

1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.

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

ICIS Sec #:

Subscribed and sworn to me by

at

Fed/Adm Code:

NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.

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

Form 420001E 1/07

DOB

Local Ord.

Height

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

Court Appearance Required (805.10)

VS.

Name

DL/State IDViewed?

Race

Sex

The following applies to simple misdemeanors only:

The undersigned states that on or about

Sec #:

Upon a public highway at

CDLReq?

Year

dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense

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 #:

Signature ofDefendant

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

HazMat End Req?

Officer'sSignature

Non-scheduled Violation

X

ICIS Ord.

at

Defendant, Last

at

COMPLAINT

Pass EndReq?

Co. Enf. Surcharge

Middle

Notary/otherSignature

Dated

T01 T404 150316 125526 2

*+T01T4041503161255262+*

Citation #:

MOTOR VEHICLE ENFORCEMENT

SAC - 81

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

088SS6170CONLON BRADLEY JAMES 11/27/1982YES

W NEthnicity51503-0000COUNCIL BLUFFS IA105 GLEASON AVE

5' 11"IA 180 LBSNONE MALEC NONE

03/16/2015 12:55 PM 2009 SIL DODGE -DODG

JNY SW

2015 NOIACBY519

STATE 39/FOX AVE

5565$40.00

$14.00

N/A15SPEED NB HWY 39 CROSSING 360TH AS 70 IN A 55 ZONE

$60.00

321.285 321.285-B$114.00

T404

03/16/2015

03/16/2015

8:30 AM03/30/2015

$141.00

EARLY - 2200HANSEN, JEFFREY

MARCH, 201517

OTHERMOTOR 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 orPROCEEDING

GUILTY

DATE:

None

Day

COURT NO.

FINED $ SURCHARGE $ Continued to:

T01 T404 150316 125526 2

FILED 03/17/2015 12:30PMCLERK DISTRICT COURTSAC COUNTY IOWA

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.

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

Speed

IA Code:

State of Iowa

this

Road Work Zone

Weight

Agency

City

Zone

Court Costs

1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.

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

ICIS Sec #:

Subscribed and sworn to me by

at

Fed/Adm Code:

NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.

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

Form 420001E 1/07

DOB

Local Ord.

Height

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

Court Appearance Required (805.10)

VS.

Name

DL/State IDViewed?

Race

Sex

The following applies to simple misdemeanors only:

The undersigned states that on or about

Sec #:

Upon a public highway at

CDLReq?

Year

dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense

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 #:

Signature ofDefendant

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

HazMat End Req?

Officer'sSignature

Non-scheduled Violation

X

ICIS Ord.

at

Defendant, Last

at

COMPLAINT

Pass EndReq?

Co. Enf. Surcharge

Middle

Notary/otherSignature

Dated

T01 T404 150316 141157 3

*+T01T4041503161411573+*

Citation #:

MOTOR VEHICLE ENFORCEMENT

SAC - 81

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

G15028583THOMPSON CARL EUGENE 6/26/1965YES

W NEthnicity68467-0000YORK NE2203 S LINCOLN AVE LOT 3

6' 02"NE 220 LBSB MALEA N

03/16/2015 1:55 PM 2007 ONG FREIGHTLINER - F

TT/ST

2015 YES NO NONE16229500073141 385183

US 71/KARR AVE

$50.00

$17.50392.16

N/A13DRIVER WAS NOT WEARING HIS SEATBELT WHILE TRAVELING S ON HWY

71$60.00

321.445 321.445$127.50

T404

03/16/2015

03/16/2015

8:30 AM03/30/2015

$161.25

EARLY - 2200HANSEN, JEFFREY

MARCH, 201517

OTHERMOTOR 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 orPROCEEDING

GUILTY

DATE:

None

Day

COURT NO.

FINED $ SURCHARGE $ Continued to:

T01 T404 150316 141157 3

FILED 03/17/2015 12:30PMCLERK DISTRICT COURTSAC COUNTY IOWA

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.

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

Speed

IA Code:

State of Iowa

this

Road Work Zone

Weight

Agency

City

Zone

Court Costs

1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.

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

ICIS Sec #:

Subscribed and sworn to me by

at

Fed/Adm Code:

NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.

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

Form 420001E 1/07

DOB

Local Ord.

Height

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

Court Appearance Required (805.10)

VS.

Name

DL/State IDViewed?

Race

Sex

The following applies to simple misdemeanors only:

The undersigned states that on or about

Sec #:

Upon a public highway at

CDLReq?

Year

dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense

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 #:

Signature ofDefendant

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

HazMat End Req?

Officer'sSignature

Non-scheduled Violation

X

ICIS Ord.

at

Defendant, Last

at

COMPLAINT

Pass EndReq?

Co. Enf. Surcharge

Middle

Notary/otherSignature

Dated

T01 T324 150317 112504 8

*+T01T3241503171125048+*

Citation #:

MOTOR VEHICLE ENFORCEMENT

SAC - 81

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

M873104814418SCHOLL JEFFREY DUSTIN 6/9/1980YES

W NEthnicity56176TRIMONT MN2095 30TH AVE

6' 06"MN 220 LBSNONE MALEA NONE

03/17/2015 11:00 AM 2008 WHI FORD -FORD

F250 TR

2015 NOMN185LDU02014975

OFF ROADWAY/ROADWAY NOT FOUND

$50.00

$17.50393.9

N/A13INOPERABLE STOP LAMPS

$60.00

321.449 321.449-A$127.50

T324

03/17/2015

03/17/2015

8:30 AM04/07/2015

$161.25

EARLY - 2200DAGIT, JOSHUA

MARCH, 201517

OTHERMOTOR 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 orPROCEEDING

GUILTY

DATE:

None

Day

COURT NO.

FINED $ SURCHARGE $ Continued to:

T01 T324 150317 112504 8

FILED 03/17/2015 05:30PMCLERK DISTRICT COURTSAC COUNTY IOWA

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.

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

Speed

IA Code:

State of Iowa

this

Road Work Zone

Weight

Agency

City

Zone

Court Costs

1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.

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

ICIS Sec #:

Subscribed and sworn to me by

at

Fed/Adm Code:

NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.

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

Form 420001E 1/07

DOB

Local Ord.

Height

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

Court Appearance Required (805.10)

VS.

Name

DL/State IDViewed?

Race

Sex

The following applies to simple misdemeanors only:

The undersigned states that on or about

Sec #:

Upon a public highway at

CDLReq?

Year

dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense

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 #:

Signature ofDefendant

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

HazMat End Req?

Officer'sSignature

Non-scheduled Violation

X

ICIS Ord.

at

Defendant, Last

at

COMPLAINT

Pass EndReq?

Co. Enf. Surcharge

Middle

Notary/otherSignature

Dated

T01 T324 150317 112702 9

*+T01T3241503171127029+*

Citation #:

MOTOR VEHICLE ENFORCEMENT

SAC - 81

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

M873104814418SCHOLL JEFFREY DUSTIN 6/9/1980YES

W NEthnicity56176TRIMONT MN2095 30TH AVE

6' 06"MN 220 LBSNONE MALEA NONE

03/17/2015 11:00 AM 2008 WHI FORD -FORD

F250 TR

2015 NOMN185LDU02014975

OFF ROADWAY/ROADWAY NOT FOUND

$50.00

$17.50393.43

N/A13FAILURE TO ATTACH EMERGENCY BREAKAWAY CABLE

$60.00

321.449 321.449-A$127.50

T324

03/17/2015

03/17/2015

8:30 AM04/07/2015

$161.25

EARLY - 2200DAGIT, JOSHUA

MARCH, 201517

OTHERMOTOR 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 orPROCEEDING

GUILTY

DATE:

None

Day

COURT NO.

FINED $ SURCHARGE $ Continued to:

T01 T324 150317 112702 9

FILED 03/17/2015 05:30PMCLERK DISTRICT COURTSAC COUNTY IOWA

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.

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

Speed

IA Code:

State of Iowa

this

Road Work Zone

Weight

Agency

City

Zone

Court Costs

1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.

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

ICIS Sec #:

Subscribed and sworn to me by

at

Fed/Adm Code:

NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.

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

Form 420001E 1/07

DOB

Local Ord.

Height

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

Court Appearance Required (805.10)

VS.

Name

DL/State IDViewed?

Race

Sex

The following applies to simple misdemeanors only:

The undersigned states that on or about

Sec #:

Upon a public highway at

CDLReq?

Year

dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense

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 #:

Signature ofDefendant

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

HazMat End Req?

Officer'sSignature

Non-scheduled Violation

X

ICIS Ord.

at

Defendant, Last

at

COMPLAINT

Pass EndReq?

Co. Enf. Surcharge

Middle

Notary/otherSignature

Dated

T01 T324 150317 135906 2

*+T01T3241503171359062+*

Citation #:

MOTOR VEHICLE ENFORCEMENT

SAC - 81

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

857ZZ3743WIEBERS CODY ALLAN 7/13/1988YES

W NEthnicity51026-0000HORNICK IA23746 HIGHWAY E16

6' 00"IA 240 LBS1J MALEA N

03/17/2015 1:25 PM 2011 BLK CHEVROLET - CHEV

SLV PK

2016 YES NO NOIAAJA665

OFF ROADWAY/ROADWAY NOT FOUND

$50.00

$17.50393.95A

N/A13NO FIRE EXTINGUISHER

$60.00

321.449 321.449-A$127.50

T324

03/17/2015

03/17/2015

8:30 AM04/07/2015

$161.25

EARLY - 2200DAGIT, JOSHUA

MARCH, 201517

OTHERMOTOR 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 orPROCEEDING

GUILTY

DATE:

None

Day

COURT NO.

FINED $ SURCHARGE $ Continued to:

T01 T324 150317 135906 2

FILED 03/17/2015 05:30PMCLERK DISTRICT COURTSAC COUNTY IOWA

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.

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

Speed

IA Code:

State of Iowa

this

Road Work Zone

Weight

Agency

City

Zone

Court Costs

1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.

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

ICIS Sec #:

Subscribed and sworn to me by

at

Fed/Adm Code:

NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.

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

Form 420001E 1/07

DOB

Local Ord.

Height

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

Court Appearance Required (805.10)

VS.

Name

DL/State IDViewed?

Race

Sex

The following applies to simple misdemeanors only:

The undersigned states that on or about

Sec #:

Upon a public highway at

CDLReq?

Year

dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense

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 #:

Signature ofDefendant

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

HazMat End Req?

Officer'sSignature

Non-scheduled Violation

X

ICIS Ord.

at

Defendant, Last

at

COMPLAINT

Pass EndReq?

Co. Enf. Surcharge

Middle

Notary/otherSignature

Dated

T01 T324 150317 140329 3

*+T01T3241503171403293+*

Citation #:

MOTOR VEHICLE ENFORCEMENT

SAC - 81

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

857ZZ3743WIEBERS CODY ALLAN 7/13/1988YES

W NEthnicity51026-0000HORNICK IA23746 HIGHWAY E16

6' 00"IA 240 LBS1J MALEA N

03/17/2015 1:25 PM 2011 BLK CHEVROLET - CHEV

SLV PK

2016 YES NO NOIAAJA665

OFF ROADWAY/ROADWAY NOT FOUND

$50.00

$17.50393.75F

N/A13AXLE 2 9,120#'S EXCEEDS TIRE WEIGHT RATING 6,390#'S

$60.00

321.449 321.449-A$127.50

T324

03/17/2015

03/17/2015

8:30 AM04/07/2015

$161.25

EARLY - 2200DAGIT, JOSHUA

MARCH, 201517

OTHERMOTOR 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 orPROCEEDING

GUILTY

DATE:

None

Day

COURT NO.

FINED $ SURCHARGE $ Continued to:

T01 T324 150317 140329 3

FILED 03/17/2015 05:30PMCLERK DISTRICT COURTSAC COUNTY IOWA

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.

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

Speed

IA Code:

State of Iowa

this

Road Work Zone

Weight

Agency

City

Zone

Court Costs

1. I hereby swear and affirm that the information provided by me on this citation is true under penalty of providing false information.

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

ICIS Sec #:

Subscribed and sworn to me by

at

Fed/Adm Code:

NOTICE: Providing false identification information is a violation of Section 719.1A ofthe Code of Iowa and is punishable as a simple misdemeanor.

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

Form 420001E 1/07

DOB

Local Ord.

Height

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

Court Appearance Required (805.10)

VS.

Name

DL/State IDViewed?

Race

Sex

The following applies to simple misdemeanors only:

The undersigned states that on or about

Sec #:

Upon a public highway at

CDLReq?

Year

dollars and enter my written appearance. I agree that if I fail to appear in person or by counsel to defend against the offense

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 #:

Signature ofDefendant

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

HazMat End Req?

Officer'sSignature

Non-scheduled Violation

X

ICIS Ord.

at

Defendant, Last

at

COMPLAINT

Pass EndReq?

Co. Enf. Surcharge

Middle

Notary/otherSignature

Dated

T01 T324 150317 140406 4

*+T01T3241503171404064+*

Citation #:

MOTOR VEHICLE ENFORCEMENT

SAC - 81

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

857ZZ3743WIEBERS CODY ALLAN 7/13/1988YES

W NEthnicity51026-0000HORNICK IA23746 HIGHWAY E16

6' 00"IA 240 LBS1J MALEA N

03/17/2015 1:25 PM 2011 BLK CHEVROLET - CHEV

SLV PK

2016 YES NO NOIAAJA665

OFF ROADWAY/ROADWAY NOT FOUND

$50.00

$17.50396.17C

N/A13FAILURE TO PROVIDE DOCUMENTATION OF ANNUAL INSPECTION

$60.00

321.449 321.449-A$127.50

T324

03/17/2015

03/17/2015

8:30 AM04/07/2015

$161.25

EARLY - 2200DAGIT, JOSHUA

MARCH, 201517

OTHERMOTOR 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 orPROCEEDING

GUILTY

DATE:

None

Day

COURT NO.

FINED $ SURCHARGE $ Continued to:

T01 T324 150317 140406 4

FILED 03/17/2015 05:31PMCLERK DISTRICT COURTSAC COUNTY IOWA