Mv4017 Form PDF Details

The MV4017 form serves as a critical document within various legal and municipal proceedings, encapsulating essential information regarding civil citations, particularly those related to traffic and municipal ordinance violations. For individuals such as Jeff A. Okafo, as detailed in the provided excerpts, this form outlines several key pieces of data, including the citation number, appearance requirements, estimated penalties, and pertinent personal information like address and date of birth. It also specifies the nature of the offense—ranging from hit and run incidents to operating a vehicle after revocation and vending equipment violations—alongside detailed incident data such as time, location, and the involved officer’s observations and actions. This form not only acts as a notification to the defendant, requiring their appearance in court, but also as an official record tying the alleged violation to specific statutes and ordinances, thereby setting the stage for legal proceedings. Furthermore, the follow-up actions, such as attempts to serve citations and subsequent citations for related offenses, highlight the form's role in not only documenting an instance but in ongoing enforcement efforts.

QuestionAnswer
Form NameMv4017 Form
Form Length15 pages
Fillable?No
Fillable fields0
Avg. time to fill out3 min 45 sec
Other namesDOLSEN, WASHINGTON, U-Haul, 1993

Form Preview Example

You Are Notified to Appear

Date

 

Time

 

 

Form No. and Version CTL

CITATION NO.

 

 

 

 

APR-07-2010

08:30 AM

 

 

MV4017

0901

N168141 -

1

Appearance Required:

NO

 

 

 

 

 

Estimated Points

DEPOSiT

Cash - Card

 

 

 

 

 

 

 

 

 

MADISON CITY MUNICIPAL COURT

 

 

 

 

 

6

 

$364.50

N

N

 

 

 

 

 

 

 

 

 

 

210 MARTIN LUTHER KING JR BLVD RM 203

 

 

 

 

Court Use

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MADISON,

WI

53703

 

 

 

 

 

 

 

 

 

 

 

 

Defendant(Last Name. First. Middie). Street Address. P.O. Box, City. State. Zip

Birth Date

Sex

Race

 

 

 

 

 

 

 

 

 

10/8/1976

 

M

W

 

OKAFO JEFF A

 

 

 

 

 

 

 

 

 

 

 

 

 

910 MAGNOLIA LANE 3

 

 

 

 

 

 

HT

WT

 

Hair

Eyes

 

MADISON,

WI

53713

 

 

 

 

 

 

600

280

lbs

BLK

BRO

Driver License/Identification Card Number

 

State

Exp. Yr.

 

License Class

License Endorsements

 

02104217636807

 

 

WI

2010

 

D

 

 

 

 

 

 

License Plate Number

Plate Type

State

Exp. Yr.

OPERATING AS:

 

 

 

 

 

FJ8471

 

 

LTK

 

WI

2010

 

DRIVER

 

 

 

 

 

 

Vehicle Identification Number

US DOT No.

 

Hazmat No.

 

Vehicle Class

Vehicle Endorsements

 

IGCEC14Z4PEI06654

 

 

 

 

 

D

 

 

 

 

 

 

Vehicle Year

 

Make

Type

 

Color

 

CMV

 

CDL Waiver

 

 

 

1993

 

CBEY

PK

 

SIL

 

 

N

 

 

 

 

 

 

Plaintiff

 

 

 

Ordinance Violated

 

 

 

Adopting State Statute

 

CITY OF MADISON

 

 

 

 

 

 

 

 

346.67 (1) (a)

 

Violation Description

 

 

 

BAC

 

OvelWeight

 

Agency Space

 

 

 

 

 

 

 

 

 

 

 

 

 

HIT AND RUN

 

 

 

 

 

 

 

 

 

 

 

 

 

Week Day

 

Date

Time

 

Actual Speed Legal

 

Over

 

2010-25036

 

 

 

 

 

 

 

 

 

 

 

 

 

 

WEDNESDAY

 

JAN-13-2010

03:04 AM

 

 

 

 

 

 

 

 

 

 

County

 

 

CityNiliagefTown

 

 

 

 

 

 

 

 

 

DANE - 13

 

MADISON - 73,

CITY

 

 

 

 

 

 

 

 

ON Hwy No. and/or Street Name

 

 

 

 

Estimate Distance

 

 

 

 

 

W WASHINGTON AVE

 

 

 

 

 

 

 

 

 

 

 

 

From/AT Hwy No. and/or Street Name

 

 

 

GPS Coordinates

 

 

 

 

 

 

 

 

 

 

 

Minor Passenger

 

 

 

 

 

 

 

 

 

 

 

 

 

 

UlIAUL

 

 

 

 

 

 

 

 

 

N

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Officer Name

 

 

 

 

 

Zone: RR

Utmty

w School -

Const

Accident Severity

 

PO CHANDA DOLSEN

 

 

 

N

 

N

N

N

PROP DAMAGE

 

Officer ID

Department

 

 

 

 

 

Date Citation Served,

Method

 

 

3896

MADISON POLICE DEPARTMENT

 

 

 

MAR-06-2010

 

IN PERSON

 

Lanes

 

Road Condition

 

POLICE RECORD

---cT"'=a"ff=ic------.L"ig"'h=t'C"o"n"'di"'ti"on=-----

 

 

UNKNOWN

 

 

 

 

 

L -

LIGHT

 

DARK-LIGHTED

 

Highway

 

 

 

 

 

 

Weather Condition

 

 

 

 

 

PARKING-LOT-OR-PRIVATE-PROPERTY

 

 

 

CLEAR

 

 

 

 

 

 

PLEASE REFER TO CASE 2010-25036

T331 9/2001 WDOT

s345.11 Wis. Stats

WISCONSIN UNIFORM CITATION

YQU Are Notified to Appear

Date

 

Time

 

 

Form No, and Version CTL

CITATION NO.

 

 

 

 

APR-07-2010

08:30 AM

 

 

MV4017

0901

N168142 -

2

Appearance Required:

YES

 

 

 

 

Estimated Points

DEPOSIT

Cash - Card

 

 

 

 

 

 

 

 

 

MADISON CITY MUNICIPAL COURT

 

 

 

 

3

 

$264.50

N

N

 

 

 

 

 

 

 

 

 

 

210 MARTIN LUTHER KING JR BLVD RM 203

 

 

 

 

Court Use

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MADISON,

WI

53703

 

 

 

 

 

 

 

 

 

 

 

 

Defendant<Last Name, First, Middie), Street Address, P,O, Box, City, State, Zip

Birth Date

Sex

Race

 

 

 

 

 

 

 

 

 

10/8/1976

 

M

W

 

OKAFO JEFF A

 

 

 

 

 

 

 

 

 

 

 

 

 

910 MAGNOLIA LANE 3

 

 

 

 

 

 

HT

WT

 

Hair

Eyes

MADISON,

WI

53713

 

 

 

 

 

 

600

280

lbs

BLK

BRO

Driver License/Identification Card Number

State

Exp, Yr.

 

License Class

License Endorsements

 

02104217636807

 

 

WI

2010

 

D

 

 

 

 

 

 

License. Plate Number

Plate Type

State

Exp. Yr.

 

OPERATiNG AS:

 

 

 

 

 

FJ8471

 

 

 

LTK

WI

2010

 

DRIVER

 

 

 

 

 

 

Vehicle Identification Number

 

US DOT No.

Hazmat No.

 

Vehicle Class

Vehicle Endorsements

 

lGCEC14Z4PE106654

 

 

 

 

 

D

 

 

 

 

 

 

Vehicle Year

 

Make

Type

Color

 

 

CMV

 

COL Waiver

 

 

1993

 

CHEV

 

PK

SIL

 

 

N

 

 

 

 

 

 

Plaintiff

 

 

 

Ordinance Violated

 

 

 

Adopting State Statute

 

CITY OF MADISON

 

 

 

 

 

 

 

 

343.44(1) (b)

 

Violation Description

 

 

 

BAC

 

OveIWeight

 

Agency Space

 

 

 

 

 

 

 

 

 

 

 

 

 

OPERATING AFTER REVOCATION

(2ND)

 

 

 

 

 

 

 

 

 

 

Week Day

 

Date

 

Time

Actual Speed Legal

 

Over

 

2010-25036

 

 

 

 

 

 

 

 

 

 

 

 

 

 

WEDNESDAY

 

JAN-i3-20iO

 

03:04 AM

 

 

 

 

 

 

 

 

 

 

County

 

 

 

CityNiliagerrown

 

 

 

 

 

 

 

 

 

DANE - 13

 

 

MADISON

- 73,

CITY

 

 

 

 

 

 

 

 

ON Hwy No. and/or Street Name

 

 

 

 

Estimate Distance

 

 

 

 

 

W WASHINGTON AVE

 

 

 

 

 

 

 

 

 

 

 

 

From/AT Hwy No. and/or Street Name

 

 

GPS Coordinates

 

 

 

 

 

 

 

 

 

 

Minor Passenger

 

 

 

 

 

 

 

 

 

 

 

 

 

 

UHAUL

 

 

 

 

 

 

 

 

 

N

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Officer Name

 

 

 

 

Zone: RR Utility

MSchool - Canst

Accident Severity

 

PO CHANDA DOLSEN

 

 

 

N

 

N

N

N

PROP DAMAGE

 

Officer 10

Department

 

 

 

 

 

Date Citation Served,

 

Method

 

 

3896

MADISON POLICE DEPARTMENT

 

 

 

MAR-06-2010

 

 

IN PERSON

 

Lanes

 

Road Condition

 

POLICE RECORD

Traffic

Light Condition

 

 

 

 

 

 

 

 

 

UNKNOWN

 

 

 

 

 

L -

LIGHT

 

DARK-LIGHTED

 

Highway

 

 

 

 

 

 

Weather Condition

 

 

 

 

 

PARKING-LOT-OR-PRIVATE-PROPERTY

 

 

 

CLEAR

 

 

 

 

 

 

PLEASE REFER TO CASE 2010-25036

T331 9/2001 WDOT

s345.11 Wis. Stats

WISCONSIN UNIFORM CITATION

 

MADISON POLICE DEPARTMENT

Date of Report:

3/8/2010

Case No:

2010-25036 Field Arrest

 

 

Ref. No:

 

Occurred Incident:

52 - Accident - Hit & Run

Sec/Area:

404 CENTRAL

Dispatched as:

52 - Accident - Hit & Run

Grid:

CAPITOL

Case Offense:

ARRESTED PERSONIHIT AND RUN

 

Addr of Occurrence:

602 W Washington Av

 

 

Call DatelTime:

01/28/201010:36

From DatelTime:

Dispatch DatelTime:

01/28/2010 10:50

Thru DatelTime:

Reporting Officer:

PO CHANDA M DOLSEN 3896

 

 

Special Routing:

PO CHANEY, POTREVARTHEN, LT MCCAW, VENDING (CITY CLERK)

SUSPECT

JEFF A. OKAFO

'ARRESTED

 

MIS DOB: 10108/76 (33 yrs) Height: 6.00 Weight: 280

 

HairColor: BLK EyeColor: BRO

 

 

910 MAGNOLIA LA 3 MADISON WI

H: 608-239-4186 W: 347-5417 2133 C: 608-

 

239-4186

 

DRV L1C:

0210-4217-6368-07 WI

 

OFFENSE #1: HIT AND RUN: PDO (PR, S 346.67(1)

OFFENSE #2: OPERATING AFTER REVOCATION, S 343.44

OFFENSE #3: VENDING RESTRICTION, C 9.13(4)

VICTIM

JOHN P. HANDLEY

 

MIW DOB: 08/12/55 (54 yrs) Height: 5.10 Weight: 200

 

HairColor: BRO

EyeColor: BRO

 

4705 GRANDVIEW CT MCFARLAND WI H: 608-838-6489 C: 608-334-1361

CONTACT

JAMES DAVIS

 

 

MIB DOB: 09/28/68 (41 yrs) Height: 5.08 Weight: 230

 

HairColor: BLK

EyeColor: BRO

 

8646 GREENWAY BL 202 MIDDLETON WI H: 444-1590 W: 577-4857 C: 608-444-

 

1590

 

DRV L1C:

D120-4406-8348-03 WI

PROPERTY INFO:

 

Code

Description

Value

ACCIDENT UNK YR CHEV TRK GRY

 

CHEV CHEVROLET

 

SIN: UNK

License

 

Owner: JEFF A. OKAFO (SUSPECT)

DAMAGED

FOOD CART

$200.00

 

Owner: JOHN P. HANDLEY (VICTIM)

SUSP VEH: 1993 CHEVROLET ChevyTruck (TRUK 1993) Lie Num: FJ8471-Wisconsin 1993 SILVER PICKUP TRUCK WISCONSIN REGISTRATION SILIWHTGLD Truck

NARRATIVE:

On 01-28-2010 I was dispatched to 602 W. Washington Avenue, the U-Haul store, in reference to a hit and run. Upon my arrival I met with the complainant identified by Wisconsin Driver's License as John Handley. Handley told me he stores his food cart, the FIBS cart, in the U-Haul parking lot. On

Case # 2010-25036, PO CHANDA M DOLSEN 3896

Page 2 of4

01-13-2010 Handley observed damage to his cart. The U-Haul store manager retrieved video surveillance showing the damage occurred from another vehicle unsafely backing a food cart.

The footage was taped on 01-13-2010 at approximately 3:04 AM. I reviewed the video with Handley and the store manager. The video showed a silver pickUp truck backing the JD's food cart. I could see the JD's cart strike the FIBS cart. The video clearly showed the FIBS cart forcefully slide backwards. After the damage occurred the driver exited the vehicle as if he was checking for damage.

The driver pulled forward several times, finally parking the JD's cart next to the FIBS cart. He unhooked the cart and exited the parking lot. He did not leave a note or make any attempt to contact the staff at U-Haul to report the damage. I retrieved the video footage and still photos. All were submitted as evidence.

I observed damage on the front corner of the FIBS cart. Handley told me he called the owner of the JD food cart, James Davis. Handley said Davis was not the driver of the silver pickup, it was his "employee". Davis told Handley he would talk to his employee and get back with him. Davis never called Handley back. This is when Handley contacted the police to file a report.

I gathered Handley's personal information and cart information for my report. Handley advised he had received a verbal estimate of $200.00 to repair the damage. Handley told me he never gave anyone permission/consent to damage his property and Handley is willing to pursue a criminal complaint. I provided him with my business card including the case number and my contact information.

I contacted James Davis via telephone. Davis told me he was not the one that had returned his cart to the U-Haul lot that night. He initially told me it was an employee, then he said it was Jeff Okafo. Davis said after he had been contacted by Handley he called Okafo to question him. Davis said Okafo admitted to hitting the FIBS cart but Okafo didn't think he caused much damage. Davis said Okafo agreed to contact Handley to make arrangements to pay for the damage. Davis told me he was under the impression Okafo contacted Handley until I called him. Davis provided me with a cell phone number for Okafo. I contacted Okafo via telephone. Okafo told me he was doing Davis a favor by taking his cart to the U-Haullot. He admitted he backed the cart and said, "I thought I might have hit the FIBS cart but I am not sure". Okafo then said, "I thought I hit that trailer but I didn't see it

move."

Okafo then became very irritated with me asking him questions. He asked me why Handley didn't call him. Okafo said he doesn't feel it was his responsibility to report the hit and run, and thought Handley should have contacted Okafo. I asked Okafo to provide me with his vehicle information. He told me he was at work and he didn't have it accessible. Okafo said he would get the vehicle information and call me back.

I spoke with Okafo two more times. after that initial conversation requesting he provide me with his vehicle information. He never returned my call or prOVided his vehicle information. Further investigation showed Okafo's driver's license is revoked. I completed two tracs citations. The first citation #N 168141-1 for the Hit &Run and the second citation #N 168142-2 for Operating After Revocation. I went to his address mUltiple times attempting to serve him his citations. I had no success contacting anyone and I was hesitant to leave the citations under his door or send them certified.

On 02-06-2010 I was assigned to work the Vigil for Life rally in the 700 block of State Street. When I reported to the area I noticed the Jin's Chicken Food Cart was abandoned with no vendors present.

Case # 2010-25036, PO CHANDA M DOLSEN 3896

Page 3 of 4

Per City of Madison Ordinance 9.13 there is No Storage of Vending Equipment without a Vendor Present. I completed a Municipal Citation #A0317793 and requested a case number be drawn to document the violation 2010-36124. At this point I still was having trouble contacting Okafo.

On 03-06-2010 while working in my neighborhood I observed the Jin's Chicken Food Cart abandoned in the 700 block of State Street with no vendors present. Per City of Madison Ordinance 9.13 there is No Storage of Vending Equipment without a Vendor Present. I completed a Municipal Citation #A067065 and requested a case number be drawn to document the violation 2010-59847.

At approximately 11 :00 AM this morning PO R. Hennessey and I went to 910 Magnolia #3 to serve Okafo the four citations. After several minutes of knocking Okafo came to the door. I introduced myself verbally and explained to him why I was there. I presented him with the four citations; Hit & Run, OAR, and No Storage of Vending Equipment without Vendor Present X2. I pointed out the court date, time and the location on all the citations. Okafo didn't have much to say and asked no questions. Okafo did mumble something under his breath about him getting citations for leaving his cart abandoned. He then shut his door. NFA/jrl

Supervisory Officer:

1.0.:

_

RepOl'!irg .officer: "

1.0.: 3896

 

 

PO CHANDA M DOLSEN