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m :!iW*t :l'l( *il Ul !'! <:ru*J@!!!l#J I ?;A)IJuv"p'p.%'i 1 .kki a IPage ]/4iAAM u W J IIaa!!I kM b; a j I !J!!J <br />1601E.CHESTNUTAVE SANTAANA,CA92701 714-558-5535 <br />SUPPLEMENTAL REPORT , ;7 =-06 ""' ,":' G <br />Case ' <br />15-1026 <br />q"'2i <br />p <br />E <br />5 <br />Offenses Description Fel/Misd <br />SUPPLEMENTA_L OFFICER INVOLVED SHOOTING <br />Date Occurred <br />03/1 ]/2015 IT,;; Occurred lIncident #1503]10033 <br />Date Reported <br />i07/30/2015 <br />1. <br />i Time ReportedI <br />0924 <br />:Related Cases <br />15-6456 <br />Date Printed <br />08/1 0/2015 IT,i7;'.':'ted lPOr5in9ted By <br />Latitude <br />0.000000 ILoonogototioidoeo <br />Location <br />311 S Main St, Santa Ana, CA 92701 <br />' Beat <br />186 <br />Area <br />SE <br />Disposition <br />Crime Report Filed IDoas"ioi"zaoteis <br />Location Type <br />Street/Highway <br />Location of Entry Metliod of Entry IPoint of Entry Alarm System IMeans of Attack (Robbery)I <br />Victim Drivers License ICell Phone IF.mail <br />I <br />Residence Address INotified of Victim Riglits <br />I <br />Residence Phone iDOB <br />I <br />jAge <br />I <br />Sex <br />I <br />Race <br />I <br />Business Name and Address Business Phone IHeight <br />I <br />iWt i Hair Eyes <br />Asststance Rendered/Victim Disposition Transporting Agency <br />I <br />' Means of Attack (Assaults) ' <br />Description of Iiijuries Other Information <br />;.-aa'-,,, <br />:l W y, ,l: <br />%,.,] <br />Name Drivers License ICell Phone lEmail <br />Residence Address Residence P}ione DOB Age Sex IIRace <br />Business Name and Address Business Phone Height <br />I <br />Wt Hair Eyes <br />Suspect Name Action Taken ' Charges <br />ResidenceAddress IResidence Phone DOB lAge Sex Race <br />BusinessNameaiiilAddress IBusiness Phone Height ' Wt IHuir <br />j <br />:Eyes <br />Identifying Features Cell Phone Drivers License IArrest Number <br />Aliases <br />'y) <br />I <br />I <br />I <br />(/) <br />W <br />! <br />U)-ffl <br />E <br />s <br />> <br />Status tT7elii-cle Make a-nd Model <br />_____ _ _ u <br />ILicense/StateI <br />i I <br />______l <br />Vehicle Type <br />i <br />i <br />i <br />!, <br />t/l <br />,m. <br />=9 <br />5 <br />,yll2f(i"' <br />iS ),;a * ' al" <br />r ' it ' <br />Prepared By <br />059 - Perkins, James <br />Date <br />07/30/2015 <br />Assisted By Approved By <br />041 - Chesmore, Brian <br />D-ate <br />07/3 1/2015 <br />RoutedTo Date RoutedTo Date INoi:es <br />I <br />I <br />t47'