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

POWERS

Name

IOWA UNIFORM CITATION AND COMPLAINT

County of: SAC - 81

State of Iowa
In the Court at
VS.

S81 BACK 150226 025520 1

Citation #:

Reference #:

JONATHAN

Defendant, Last

EUGENE

First

Address 310 S CENTER ST

DL Class

The undersigned states that on or about

US DOT#

02/26/2015

$250.00

Criminal Surcharge

$87.50

Co. Enf. Surcharge

$5.00

Court Costs

$60.00

Total Fine/Costs

$402.50

Court Appearance Required (805.10)

Reason:

Height

Serious P.I.

2005 RED

Race W
51449-0000
5' 08"
Weight

Ethnicity N
Sex MALE

PONTIAC - GRA
PONT
Pass
End

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 US 71/370TH ST

Scheduled Violation/Fine

Zip Code

DL Rest. B

defendant did unlawfully: Operate Motor Vehicle/Boat

Lic. Plate #/REG BVR095

ICC#

State IA

LAKE CITY
DL End. NONE

at 2:55 AM

DOB 4/1/1988

Suffix

City

DL State IA

50583
DL/State ID
Viewed?
YES

190CC0234

DL#

Middle

IA

Year 2015

Road Work Zone

Fatal Accident

Non-scheduled Violation

Civil Damage Assessment

Speed

Other

Violation VIOLATION - FINANCIAL LIABILITY COVERAGE

Sec #: 321.20B

ICIS Sec #: 321.20B-A

Officer's
Signature

Zone

IA Code: 20 15
ICIS Ord.

Local Ord.

I.D. No. 81-5

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 02/26/2015

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:

$573.75
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.

*+S81BACK1502260255201+*
Dated

Signature of
Defendant

02/26/2015

I swear that the foregoing complaint is true and correct.

this

26

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 150226 025520 1

TESTIMONY - JUDGE'S NOTES: (Other Orders)

Iowa

FILED 02/26/2015 08:11AM

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
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 26 8:17 AM SAC - CLERK OF DISTRICT COURT