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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

MANN

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

S81 EYER 150216 175651 6

Citation #:

Reference #:

TOMMY

Defendant, Last

LEE

First

Address 308 W 5TH ST

DL Class

The undersigned states that on or about


US DOT#

02/16/2015

ICC#

$200.00
$70.00

Co. Enf. Surcharge

$5.00

Court Costs

$60.00

Total Fine/Costs

$335.00

2000 BLK

Race W
51466-0000
6' 03"
Weight

Ethnicity N
Sex MALE

CHEVROL CAVALIER
ET -End
CHEV
Pass

2D

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

Court Appearance Required (805.10)


Reason:

Height

NO Year

State

Upon a public highway at 3RD ST AND CENTER ST

Criminal Surcharge

Zip Code

DL Rest. NONE

defendant did unlawfully: Operate Motor Vehicle/Boat

Lic. Plate #/REG

Scheduled Violation/Fine

State IA

WALL LAKE
DL End. NONE

at 5:56 PM

DOB 9/10/1991

Suffix

City

DL State IA

50583
DL/State ID
Viewed?
YES

374AE4273

DL#

Middle

IA

Serious P.I.

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

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


Sec #: 321.174

ICIS Sec #: 321.174(1)

Officer's
Signature

Zone

IA Code: 20 15
ICIS Ord.

Local Ord.

I.D. No. 81-9

in

Fed/Adm Code:

NOTICE: Providing false identification information is a violation of Section 719.1A of


the Code of Iowa and is punishable as a simple misdemeanor.

Dated 02/16/2015

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:

$472.50
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.

*+S81EYER1502161756516+*
Dated

Signature of
Defendant

02/16/2015

I swear that the foregoing complaint is true and correct.

this

16

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

OTHER

S81 EYER 150216 175651 6

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 02/17/2015 08:22AM


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

MEYER, JONATHON
FEBRUARY, 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

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

WREN

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

S81 EYER 150216 193419 7

Citation #:

Reference #:

DEWAYNE

Defendant, Last

First

Address 529 RUSH ST

DL Class

The undersigned states that on or about

02/16/2015

$40.00

Criminal Surcharge

$14.00

Co. Enf. Surcharge

$5.00

Court Costs

$60.00

Total Fine/Costs

$119.00

DOB 1/8/1971

Height

Serious P.I.

2012 RED

Race W
46342-0000
6' 04"
Weight 260 LBS

Ethnicity N
Sex MALE

FREIGHT TR
TR
LINER
F
Pass
End - NO
HazMat End Req? NO

CDL YES
Req?
Req?
Located in the county and state aforesaid and did then and there commit the following offense:

IN

State

Court Appearance Required (805.10)


Reason:

Zip Code

DL Rest. NONE

defendant did unlawfully: Operate Motor Vehicle/Boat

Upon a public highway at US 71/KARR AVE


Scheduled Violation/Fine

State IN

HOBART

Lic. Plate #/REG 2032288

ICC#

1920097416

DL#

DL End. NONE

at 7:34 PM

50583
DL/State ID
Viewed?
YES

Suffix

City

DL State IN

US DOT# 606056

JR

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-B

ICIS Ord.

Local Ord.

I.D. No. 81-9


Officer's
Signature

in

Fed/Adm Code:

Violation SPEEDING 55 OR < (6 THRU 10 OVER)


Sec #: 321.285

65

NOTICE: Providing false identification information is a violation of Section 719.1A of


the Code of Iowa and is punishable as a simple misdemeanor.

Dated 02/16/2015

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:

$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.

*+S81EYER1502161934197+*
Dated

Signature of
Defendant

02/16/2015

I swear that the foregoing complaint is true and correct.

this

16

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

OTHER

S81 EYER 150216 193419 7

TESTIMONY - JUDGE'S NOTES: (Other Orders)


Iowa

FILED 02/17/2015 08:22AM


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

MEYER, JONATHON
FEBRUARY, 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

E-FILED 2015 FEB 17 7:27 PM SAC - CLERK OF DISTRICT COURT

E-FILED 2015 FEB 17 7:27 PM SAC - CLERK OF DISTRICT COURT

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