Production line worker production line worker 2nd shift supervisor
Resume:
Failure to answer this Complaint and Summons and/or Information and Summons or failure to appear at court may subject you to arrest and/or license suspension (IC 9-30-3-8)
Last Name First Name M.I. Suffix Violator
THE UNDERSIGNED HAVING PROBABLE CAUSE TO BELIEVE SAYS THAT: MANG THANG K N/A DRIVER
Street Address City State / Country ZIP
110 W LINDEN AVE APT 2 LOGANSPORT IN / US 46947
Race Gender Height / Weight Eye Color Hair Color
ASIAN / PACIFIC ISLANDER MALE 5' 4" / 130 BROWN BLACK Dr. Lic. # / ID # / SSN # Date of Birth License Type Expiration Date Lic. State / Country 770*******-**/05/1975 OPERATOR 03/05/2021 IN / US
Ethnicity
NON-HISPANIC
Vehicle Color Year / Make Model Lic. Year Lic. # / Exp. Date BLUE 2018 / LINCOLN MKZ 2021 FW8857
Commercial Vehicle Truck / Tractor DOT #
Placarded HAZMAT
NO N/A N/A
NO
DID UNLAWFULLY OPERATE:
IN / US
Lic. State / Country
N/A
Lic. Type Classification
PASSENGER
DID COMMIT THE FOLLOWING OFFENSE(S):
Upon (A public street or highway)
1964 W 300 S TIPTON, NB
Date Time Actual Wgt.
11/05/2020 03:25 PM EST N/A
Vehicle Speed Prima Facie Speed Allowable Wgt.
105.00 60 N/A
B.A.C.
N/A
Contrary to the form of the I.C. CODE
9-21-5-2(a)(7) - SPEEDING - > 60 MPH ON NON-INTERSTATE 4-LANE HWY/IFC CIVIL COMPLAINT &
SUMMONS
Crash Involved
NO
Local Crash #
N/A
I served Complaint and Summons and/or Information and Summons to the above named individual. I AFFIRM, UNDER PENALTY OF PERJURY AS SPECIFIED BY IC 35-44.1-2-1, THAT THE FOREGOING REPRESENTATIONS ARE TRUE. Officer's Name I.D. (Badge) No. Div/District Police Agency MATTHEW J. BILKEY 6150 Peru Indiana State Police
Plea: Signature: Date:
"My signature is an admission of the violation(s) or a pleading of no contest above and will have the same effect as a judgment of the court. I waive my rights including my right to a trial and will pay all fees and costs within the time allowed for payment. I understand that my admission or pleading of no contest may contribute to Habitual Traffic Violator Determination." The record of the judgment will be sent to the commissioner of the motor vehicles of Indiana or the state where you received a license to drive (IC 34-28-5-12). Signature: Date:
Admit No Contest
"I Deny the Violation(s)"
PLEA and COURT APPEARANCE: You shall answer this Complaint and Summons and/or Information and Summons as follows: If you enter a denial or decide not to answer, you must appear as follows or, if no date/time listed, contact this court to schedule appearance: Court Address On
TIPTON CIRCUIT COURT 101 EAST JEFFERSON STREET
TIPTON, IN 46072
12/14/2020
08:30 AM
TICKET
State of Indiana
County of: Tipton
Township of: Cicero UTT #: 000*********
9303-1 / Revised and approved by the Indiana Supreme Court Division of State Court Administration 05/2014 Page 1 of 1
Contact this candidate