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E-FILED 2016 DEC 13 8:06 AM SAC - CLERK OF DISTRICT COURT

IN THE IOWA DISTRICT COURT IN AND FOR


SAC COUNTY

This Complaint and Affidavit is to be:

Agency Case Number: 13752

Filed with Court Clerk (cc: CA)

Arrest Date: 12/12/2016

Submitted to County Attorney


Filed with JCO - Defendant is a Juvenile

THE STATE OF IOWA


VS.

OFFENDER
Last

First

Middle

SMITH

TAMMY

SUE

Suffix

Address

City

State

Zip Code

212 1ST ST

LAKE VIEW

IA

51450

Date of Birth

Gender

Race

Ethnicity

1/9/1963

FEMALE

WHITE - W

NOT OF HISPANIC ORIGIN - N

Weight

Eye Color

Hair Color

HAZEL - HAZ

BLONDE OR STRAWBERRY - BLN

State

Height

IA
OFFENSE
State

County

Local

Code Section

Crime Description

Class

321J.21

DRIVING WHILE LICENSE DENIED OR REVOKED

SRMS

Location Type

13 - HIGHWAY/ROAD/ALLEY
Literal Description

N 17TH ST AND W MAIN ST


Address

City

State

MAIN/N17TH

SAC CITY

IA

Is Date and Time of Incident Known?

Incident Date or Low Range

YES

12/12/2016

Upper Date Range

Incident Time or Low Range

Zip Code

50583
Upper Time Range

16:00

STATUS OF OFFENDER/JUVENILE
TAKEN INTO CUSTODY

CUSTODY

SUMMONS TO APPEAR
(Citation Issued)

WARRANT REQUESTED

NO CONTACT ORDER

RELEASED TO

REQUESTED

PARENT/GUARDIAN

NARRATIVE
Narrative of Offense Committed
On or about the above stated date and time, the Defendant did

drive a motor vehicle while his (her) motor vehicle license was denied or revoked under Iowa Code Chapter 321J

AFFIDAVIT

STATE OF IOWA,

SAC COUNTY

I, the undersigned, being duly sworn, state that all facts contained in this Complaint and Affidavit, known by me or told to me by other reliable persons form the basis for my
belief that the defendant committed this crime
State all facts and persons relied upon supporting elements of alleged crime

On 12-12-2016 I was East bound on Main in Sac City when I noticed a white Ford Explorer West bound on Main. The driver Tammy Smith who I know
to be revoked. I made a traffic stop on Main and North 17th. Tammy was arrested and transported to the Sac County Jail for driving while revoked.

LADWIG, ALEX

81-8

Signature of Complainant or Officer, Officer Name & Number

Printed At

SAC COUNTY SHERIFF'S OFFICE

12/13/2016

8:07 AM

Page 1

of 2

Form #:

13752

GENERAL PROBABLE CAUSE

E-FILED 2016 DEC 13 8:06 AM SAC - CLERK OF DISTRICT COURT

Defendant Implicated

02 - CAUGHT IN ACT, 05 - OPERATING MOTOR VEHICLE, 08 - CRIME OBSERVED BY OFFICERS

Operating Motor Vehicle in County

Other Physical Evidence

Attempted To Inflict Injury

Sac - 81
OWI
OWI

BAC on Datamaster
DCI Lab Screen Positive for Drugs
Field Sobriety Tests Refused

Number of Offense

1 - FIRST OFFENSE
STATE OF IOWA,

SAC COUNTY

Subscribed and sworn to before me by the person(s) signing the Complaint and Affidavit(s) on

Printed At

Notary Name

SANDRA M. HUSTER

Commission Number

776495

My Commission Expires

01/16/2019

SAC COUNTY SHERIFF'S OFFICE

12/12/2016

Signature of Verifying Party

Peace Officer

12/13/2016

8:07 AM

Page 2

of 2

Notary

Form #:

Prosecuting Attorney

13752

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