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0 <br />:!: <br />I) <br />j <br />---------• • POLICE · , 1 SUPPLEMENTAL <br />REPORT <br />CRIME TYPE Dis <br />. -DEPARTMENT <br />,:a._L ' < .. <br />DATE OCCUflREO <br />ClL, I .13 I l2> PAGE OF ;;)._ <br />PERSONS CODE <br />LIST PERSONS IN FOLLOWING ORDER <br />VB Victim Business V Victim W Witness C Contacted R Reporting Person P Parent M Mentioned <br />LAST; FIRST. MIDDLE cooe 111 <br />v,.1 ' INAME <br />M.A.\) Q_ I U ""bA~iJ SEX I RACE I .:._GE I DOB I tu O I INTERPRETER NEEO!;OI <br />M. b B , I 'i l::il\ A ULT JUV. Ci TYPE-- <br />HOME ADDRESS NUMBERS, DIR., STREET CITY, STATE BUSINESS ADDRESS NUMBERS CIR., STREET. CITY, STATE <br />loo c.l\JtC... L£.JJ.TI:n... 02- <br />HOME PHONE <br />!HOURS;~ BUSINESS PHONE I HOURS COL NUMBER I ss NUMBER <br />11{ -?ln-')..'I)'):\. <br />CODE r 'NAME LAST, FIRST, MIDDLE sex I RACE j AGE <br />I <br />009 <br />I <br />[J El j INTERPRETER NEEDED! <br />I I ADULT JUV. 0 TYPE- <br />HOME ADDRESS NUMBERS, DIR., STREET, CITY, STATE BUSINESS ADDRESS NUMBERS, DIR ., STREET. CITY. STATE <br />HOME PHONE <br />IHOURSI BUSINESS PHONE I HOURS COL NUMBER I SSNUMBEA <br />A Arrestee s Suspect JD Juvenile Detention <br />CODE II NAME LAST, FIRST, YIDOLE CHARGE <br />RACE SEX 0 w l AGE I DOS HEIGHT I WEIGHT I HAIR I EYES I BUILD BOOKING II BOOKING DATE I BOOKING TIME ADULT .IJV I I I I I I I HOME ADDRESS NUMBERS, DIRECTION, STREET, CITY, STATE HOME PHONE <br />OCCUPATION & BUSINESS ADDRESS BUSINESS PHONE <br />LOCATION ARRESTED OT ARRESTED I TIME ARRESTED w SAME AS LOCATION OF CRIME <br />I I I I I DRIVERS LIC. fl STATE I SOCIAL SECURITY fl CII II I SAPOMUG II SAPO 10 cooe 11 I C UNDOCUMENTED <br />PERSON! <br />AKA'S TATTOOS, MARKS, SCARS. ODDITIES & LOCATIONS CLOTHING AT TIME OF ARREST <br />SAIL AMOUNT TIME RELEASED LOCATION HELO OUTSTANDING WARRANTS PAROLE OR PROBATION HOLDS <br />LIST PROPERTY FIRST/EVIDENCE SECOND/SUSPECT INFORMATION THIRD. <br />LIST SUSPECT SEX, RACE, AGE. HEIGHT, WEIGHT, HAIR, EYES, BUILD, ODDITIES, CLOTHING DESCRIPTION. <br />INCLUDE WHERE EVIDENCE/PROPERTY BOOKED <br />ITEM II QTY, ARTICLE BRAND MODEL II (COLOR, SIZE, INSCRIPTIONS, CALIBER, MARKS) <br />T. \..uAc"s. <br />I <br />Le:.\<... <br />SERIAL II <br />~ uuLu- <br />FAIR MARKET <br />S VALUE <br />10 II