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I@ <br />' <br />Pape lt'7,---'r' <br />/i <br />Case <br />15-1026 <br />JM%!!S AIQi SllQllQeMQf(@ZQQe)fffll I€l(lli (QQ(Q <br />1601 E. CHESTNUT AYE SANTA AN A, CA 92701 714-558-5535 <br />SUPPLEMENTALREPORT /5-(,4% <br /> ").. <br />" -Ha <br />p <br />E <br />? <br />o <br />Offenses Description Fe}/Misd <br />SUPPLEMENTAL OFFICER INVOLVED SHOOTING <br />Date Occurred <br />03/11/2015 - <br />Time Occurred <br />1259 <br />jIncident # <br />1503110033 <br />Date Reported <br />07/30/2015 <br />Time Reported <br />0924 <br />Related Cases <br />15-6456 <br />Date Printed <br />07/30/2015 <br />Time Printed <br />23:55:35 <br />' Printed By <br />041 <br />Latitude <br />o.oooooo <br />Longitude <br />0.000000 <br />Location <br />311 S Main St, Santa Aria, CA 92701 <br />IBeat <br />186 lil,i;,aDisposttion <br />Crime Report Filed <br />jDispo Date <br />03/1 1/2015 <br />Location Type <br />Street/Highway <br />Location of Entry Method of Entry Point of Entry Alarm System Means of Attack (Robbery) <br />Victim Drivers License Cel} Phone ' Email <br />Residence Address Notified of Victim Rights Residence Phone DOB Age Sex Race <br />Business Name and Address Business Phone Height Wt Hair Eyes <br />Assistance Rendered/Victim Disposition Transporting Agency Means of Attack (Assaults) <br />Description of Injuries Other Information <br />;'l ).. <br />Name Drivers License Cell Phone Emai} <br />Residence Address Residence Phone DOB Age Sex IRace <br />Business Name and Address Business Phone Height Wt Hair Eyes <br />SuspectName -- -- -- Action Taken Charges - <br />Residence Address Residence Phone DOB Age Sex Race <br />Business Name and Address Business Phone Height Wt Hair Eyes <br />Identifying Features Cell Phone Drivers License Arrest Number <br />Aliases <br />(/l <br />W <br />! <br />Q <br />5€ <br />ff <br />Status Vehicle Make and Model License/State <br />I <br />i____j <br />Vehicle Type <br />(/) <br />m <br />W <br />u <br />E <br />ffi <br />O- <br />,t -I <br />Prepared By <br />059 - Perkins, James <br />Date <br />07/30/201 s <br />Assisted By <br />( a.,,ogi-- <br />-l - - <br />17Dah' axis <br />RoutedTo Date <br />r. <br />IRoutedTo Date <br />j <br />No :es