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� SUPERVISOR ' � <br /> � t APPROVED: � <br /> ��P�O�O �Ol�Ce D�'�� _ � OFFENSE REPORT ^ � <br /> � DATE & TIME REPORT MADE: <br /> � 7 •�d � -22 � <br /> FFENSE Ofi INCIDE CODE OPERATION 1. D.. <br /> u � . � <br /> E� TIME CUR LOCATION OF OCCS�r.2�ENCE (HOUSE ON OCK NOJ ZONE <br /> G 7 D o2;� A, v.'o� P 3 G G G ��4�� .�z <br /> VI IM (IF FIRM, NAME OF FIRM& NAME OF PROP.) BUSINESS ADDRESS • BUSINESS PHONE <br /> � <br /> HOME ADDRESS HOME PHONE <br /> • � �u_ .��� —.L�.� ����i <br /> IF VICTIM IS R'4CE SEX AGE CCUPATION DOB TARGET TYPE <br /> �PERSON <br /> �ERSON REPORTING OFFENSE TO POLICE BUS�NESS ADDRES'S BUtiINESS PH(�NE <br /> � HUME ADDRESS � 1�OME PH t <br /> • ����zZ�c--s�c/L/ /� O � J ► L"--r-L r �'� �,� <br /> �HOW COMPLAINT RECEIVED: (CHECK ONE) FOUND BY POLICE RADIO CITIZEN �7 STATtON � LET7ER❑ <br /> DATElTI Ef OMPLA T RECEIVED RECEIVED BY DETECTIVES ASSIGNED <br /> • 6 �/� y�7G � �; o � ----� �.���, _ -- - -� <br /> �ETAILS OF OFFENSE: (s�ate Fully All Other Circumstances of This Otfense and itc Invest�yation,Action Taken,Witnesses Inierviewed, Eic.) <br /> ,� ,�✓ <br /> � a �,�.���-,t�.L � /�'j� r ��-'��L.J.�, 4,,e�.�/�-C-"� ' / S, o---o <br /> • � / i �i , , �, o'�' <br /> ` � i� i. C'�-c--��✓ �� � '�. 8 � <br /> � / D �. ;�h-��� �� G � e� <br /> �, -�-t-�-� � <br /> /.2 � <br /> � � o �� �� �'�--e- ' ' � , y a <br /> , � <br /> � � �, � � �1���,._�, ��� '' � �, .� D <br /> /� �� .'/.�i� / • <br /> �' � '' <br /> ../ -�' ` �� � a � " <br /> �( � �'`'`� <�-�:� /� c�`. -..-r�,�--� , � � <br /> � ,, �c�,�� /� ,�--�-u�P��.�,�Z;-�� / G �- lJ <br /> � � ' a <br /> , <br /> � , , �- '1�;�-�-=-a-, �-`9� o // D $ � <br /> • � <br />� �Lc.�.�.�s.� � �.�����s�� � f a�—�-- <br /> • . i <br />�'��" _ `���� c � ^ <br /> 7�/��`� .�..�� � � ,,����-�'__ - . <br /> ���� �-�'`-.�c-�-�-�--�o--t-� ` .�X.v G=�7�-�� <br /> r���-- ��.- ��� �2�� ' �� � � <br /> ���i���� � .�`--G`�`' r - <br /> � <br /> ��� <br /> , <br /> + _ <br /> � <br /> � ' <br /> � <br /> • OISPOSITION: Uniounded� C�eared by arrest ❑ Exc.Clyd.❑ Rei.other agency❑ lnactive ❑ Other ❑ <br /> • OFFICER"S SIGNAjk� /�'��� SUPEHVISOR'S SIGNATUFiE — <br /> � c/ <br />