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[]Confidential Report [ ] Route Only As Marked [ ] DE Needed *Retum Originals To: <br />CHIEF <br />CPT <br />East <br />CPT <br />West <br />Supt <br />Capt <br />INV. <br />PIO <br />SUPPLEMENTAL REPORT <br />EUGENE POLICE DEPARTMENT <br />RELATED REPORTS <br />E] Incident <br />E) Accident <br />Page of <br />Viol <br />Prop <br />Fin <br />Spec <br />Safer <br />INET <br />Crimes <br />Crimes <br />Crimes <br />Inv <br />Schools <br />11 Custody <br />l�itation <br />Prop /Evidence <br />Supplemental <br />Brief 2 <br />Down- <br />town <br />DPS <br />EDU <br />Arson <br />Fire <br />1 id <br />rjrj` 7� /oz �f 44 } � J , <br />� , � <br />2. Case Number <br />Ci <br />os <br />M <br />urt <br />Circuit <br />Court <br />Juv <br />Court <br />I.A. <br />Risk <br />Paro <br />Prob <br />DHS <br />Vic <br />5ery <br />CAC <br />Med <br />Exm <br />Crim <br />Anys <br />Oper <br />Anys <br />3. Location <br />&Z O <br />� k. : <br />4. Grid <br />5. Source <br />ot5'� <br />Mental <br />Trf <br />Health <br />SIDS <br />Postal <br />OLCC <br />DMV <br />Eng <br />6. Rept. Date <br />T. Ti e 8. <br />Occurred Date <br />9. Time <br />Seq. # <br />0 7q3 3 <br />Other <br />As ri <br />I&CdQ/2? <br />s4c' to <br />&. to <br />10 ' <br />FOLLOW -UP REPORT <br />❑ <br />11. <br />Vict/compl First <br />Middle <br />1 DOB <br />DISPOSITION REPORT F1 <br />13. <br />Subject of ArrestlDisposition <br />14. DOB <br />15. ❑ CLEARED BY ARREST ❑ CLEARED EXCEPTIONAL ❑ CLEARED UNFOUNDED <br />❑ SUSPENDED <br />16. ❑ NO ADDITIONAL INFORMATION <br />❑ NO CRIME WAS COMMITTED <br />1 Incident Reclassification <br />18. REFERRED TO: <br />19. REVIEWING PROSECUTOR: <br />PERSONS <br />VEHICLES PROPERTY <br />MISCELLANEOUS <br />Al <br />Arrested <br />01 <br />Operator <br />AV/ Abandoned Veh API Abandoned Prop <br />All Additional Info <br />LUI Line -up Viewed <br />BI <br />Cited (UTC) <br />P1 <br />Parent <br />E/ Evidence EI Evidence <br />AO/ Assisting Officer <br />MO/ Modus Operandi <br />CI <br />Complainant <br />R1 <br />Reg Owner <br />IV/ Involved Veh FP/ Found Prop <br />BC/ Bias Crime <br />MS/ Mug Shots Taken <br />D1 <br />Dual -Vitt & Compl <br />SI <br />Suspect <br />LVI Locate /Susp Veh IP/ Involved Prop <br />BO/ Breathalyzer Opr. <br />PT/ Photos Taken <br />G1 <br />Passenger <br />T1 <br />Contacted <br />Mvl Missing Veh MP/ Missing Prop <br />CHI Charges <br />RC/ Related Cases <br />H1 <br />Non - Criminal Hold <br />V1 <br />victim <br />RV/ Recovered Veh RP/ Recovered Prop <br />CIT/ Citations Issued <br />RF1 Rolled Fingerprints <br />ll <br />Involved/Not Cont <br />WI <br />Witness <br />SV1 Stolen Veh 5P1 Stolen Pro p: <br />DC/ Duplicate Copies <br />RMDI Recommended Follow -Up <br />U <br />Legal Owner <br />Y1 <br />Wanted Subj <br />TV/ Towed Veh VP/ Victim Prp :'" <br />DD/ Document Desc <br />SCD/ Susp Code Detail <br />MI <br />Cited (Mild) <br />W1 victim Veh DPI Damaged Prop <br />IS/ Injuries Sustained TCI Towing Company <br />LF/ Latent Fingerprints VO1 video Operation <br />LRI Lab Results <br />VCDI Vehicle Code Detail <br />SUPPLEMENTAL 11.2&11 <br />