Uniform Redacted Traffic Ticket Filed (1) PDF

Electronically Filed - O'Fallon Municipal - October 31, 2023 - 02:16 PM ORI NO. MO0920100 CITY OF O'Fallon Abstract of Court Record...

Electronically Filed - O'Fallon Municipal - October 31, 2023 - 02:16 PM ORI NO. MO0920100 CITY OF O'Fallon Abstract of Court Record 230370370 UNIFORM CITATION 230370370 STATE OF MISSOURI O'FALLON POLICE MUNICIPAL IN THE CIRCUIT COURT OF DEPARTMENT COURT ADDRESS (STREET, CITY, ZIP) 1019 BRYAN RD ,O'FALLON MO 63366 COURT DATE COURT TIME AM COURT PHONE NO. 12/04/2023 05:00 PM (636) 240-8766 I, KNOWING THAT FALSE STATEMENTS ON THIS FORM ARE PUNISHABLE BY LAW, STATE THAT I HAVE PROBABLE CAUSE TO BELIEVE THAT: ON/ABOUT DATE AT TIME HWY CLASS UPON/AT OR NEAR (LOCATION) 10/27/2023 1102 HRS MO K @ FALLON LOOP RD WITHIN CITY/COUNTY AND STATE AFORESAID, NAME (LAST, FIRST, MIDDLE) AMELUNG,IRENE LAVERNE STREET ADDRESS ***** CITY STATE ZIP CODE ***** ***** ***** DATE OF BIRTH RACE SEX HEIGHT WEIGHT W F 507 120 DRIVER'S LIC. NO. CDL STATE ***** YES NO MO EMPLOYER ADDRESS (STREET, CITY, STATE, ZIP) , DID UNLAWFULLY OPERATE/DRIVE PARK C.M.V. WITH HAZ MAT V YEAR MAKE MODEL STYLE COLOR E H 2003 FORD ESCAPE UT WHI I C REGISTERED WEIGHT L NUMBER STATE YEAR L I E C JF9F0S MO 2023 DID THEN AND THERE COMMIT THE FOLLOWING OFFENSE. THE FACTS SUPPORTING THIS BELIEF ARE AS FOLLOWS: EQUIP-MISCELLANEOUS REQUIREMENTS FULLY CRACKED FRONT WINDSHIELD N/A COMPLAINT NO: Subject taken into custody.(Complete "For Issuance of a Warrant" section on reverse side.) DRIVING POSTED SPEED LIMIT DETECTION METHOD STATIONARY RADAR WATCH (AIR) PACE MPH MPH MOVING RADAR WATCH (GROUND) OTHER IN VIOLATION OF: STATUTE/ORDINANCE - CHARGE CODE RSMo 370140 ORD307.0-022N20215499.0 ORD. SEAT BELT VIOLATION: STATUTE/ORDINANCE - CHARGE CODE RSMo ORD. DWI OCN IN FATAL CRASH IN CRASH OFFICER BADGE TRP/ZONE DATE /S/ GUBRICKY, BRANDON 512 S 10/27/2023 ON INFORMATION, UNDERSIGNED PROSECUTOR CHARGES THE DEFENDANT AND RSMo INFORMS THE COURT THAT ABOVE FACTS ARE TRUE AND PUNISHABLE BY: ORD. PROSECUTOR'S SIGNATURE DATE I PROMISE TO DISPOSE OF THE CHARGES OF WHICH I AM ACCUSED THROUGH COURT DR. LIC. APPEARANCE OR PREPAYMENT OF FINE AND COURT COSTS. POSTED YES SIGNATURE X NO MO 100-0051 (10-02)  Electronically Filed - O'Fallon Municipal - October 31, 2023 - 02:16 PM FOR ISSUANCE OF A WARRANT COMPLETE AT LEAST ONE OF THE FOLLOWING: Defendant will not appear because Defendant poses a danger to the victim or the community/other person because COURT ORI COURT NAME (SPECIFY COUNTY, DIVISION) MO COURT CASE NUMBER DATE FILED DATE OF SENTENCE (CONVICTION, SIS) CHARGE AS DISPOSED FELONY MISDEMEANOR INFRACTION STATUTE/ORDINANCE - CHARGE CODE RSMo ORD. DESCRIPTION OF OFFENSE FINE ORDERED DAYS OF CONFINEMENT ORDERED SEAT BELT CONVICTION $ $ FINE SUSPENDED IMPOSITION OF SENTENCE (SIS) SENTENCE SUSPENDED (SES) PROBATION TERM: DAYS SUSPENDED FINE SUSPENDED MANDATORY INSURANCE: ORDER OF SUPERVISION ORDER OF SUSPENSION DO NOT ASSESS POINTS ASSESS POINTS YES NO DRIVER IMPROVEMENT PROGRAM (IN LIEU OF POINT ASSESSMENT) LICENSE SUSPENDED PROPERTY DAMAGE/PERSONAL INJURY RESULTED AT CONVICTION FROM VIOLATION, ASSESS TWO ADDITIONAL POINTS YES NO BOND FORFEITURE DEFENDANT REPRESENTED DEFENDANT WAIVED RIGHT PREVIOUSLY SENT TO DOR BY COUNSEL TO COUNSEL IN WRITING YES NO YES NO YES NO NAME OF JUDGE LAWYER JUDGE YES NO REMARKS: I CERTIFY THIS TO BE A TRUE ABSTRACT OF RECORD IN THIS CASE NAME & TITLE MO 100-0051 (10-02)  Electronically Filed - O'Fallon Municipal - October 31, 2023 - 02:16 PM Uniform Citation Number: 230370370 ON INFORMATION, UNDERSIGNED PROSECUTOR CHARGES THE DEFENDANT AND INFORMS THE COURT THAT ABOVE FACTS ARE TRUE AND PUNISHABLE BY PROSECUTOR'S SIGNATURE: /s/K. Kyle McKay DATE: Tue Oct 31 14:16:39 CDT 2023 McKay Kyle K (MPA) Mo Bar Number: 60020 [email protected]