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Aa% ■A,%smLw.J r 7 r1C kto%o Ao%.4 *0o%fm aww% nrioaia% %I e+ T.. - <br />CHIEF <br />CPT <br />East <br />CPT <br />West <br />Supt <br />Capt <br />INV. <br />PID <br />i ■ ■ YMa a1"`%As <br />i <br />CUSTODY <br />■ `YrM■ \ ■ i i ■ ! `%`` Va aa' nV ■Walla m%%& VA <br />R <br />L J r""' ■ 1ww` ■ �M �M■ ■ ■ <br />rs some 5M5Y ■ V• <br />P [ - Of <br />9 <br />RELATED REPORTS <br />Viol <br />Prop <br />Fm <br />Spec <br />Safer <br />INET <br />Crimes Crimes <br />Crimes <br />Inv <br />Schools <br />EUGENE POLICE <br />DEPARTMENT <br />❑ Incident <br />❑ Accident <br />❑ Custody <br />❑ Citation <br />Brief 2 Down- <br />town; <br />DPS <br />EDU <br />Arson <br />Fire <br />C' <br />i <br />Circuit <br />Juv <br />I.A. <br />1. <br />Paro <br />nci en <br />T <br />��� <br />nn G <br />�'LKG s <br />2. a um be <br />o <br />ourt <br />Court <br />Court <br />Risk <br />Prob <br />� <br />❑ Prop/Evidence <br />�5u pp Iemental <br />, 1 <br />DH5 <br />Vic <br />Sery <br />CAC <br />Med <br />Exm <br />Crim <br />Anys <br />Der 3. <br />An <br />Location <br />t <br />^ <br />� � ' <br />4. Grid <br />5. Source <br />a <br />Mental <br />Trf <br />Health <br />SDS <br />Postal <br />' <br />DLCC <br />DMV <br />Eng <br />6. Rept. Date <br />p► <br />� <br />. Time <br />Y 3 <br />8. Occurred Date 9. <br />to <br />Time <br />to <br />Seq. # <br />� 0 <br />Pat Other <br />As an <br />V + [ <br />L [ <br />evT- , <br />10. Name <br />First <br />Middl <br />AIRS# 11. <br />D B r ;., , <br />1 A <br />13. Rac Sex <br />I <br />� <br />99 �Lqq <br />L <br />TZ <br />(AV14 <br />14. AKA <br />15. DL# <br />State <br />16 S S c# 17. <br />��, � 1 <br />OSB# <br />18. Res Address �- C' <br />��! Ec. <br />State <br />ZIP j <br />19. Res hone <br />20. 1341 State <br />� <br />21. Driver El Bicycle E3 <br />.,5- f� -A <br />�"VK <br />oa <br />7 � i <br />Passenger ❑ Pedestrian' <br />22. Employer /School & Grade <br />23. <br />Wt <br />Hair /J <br />Ey <br />Printed <br />Photo <br />26. Booking Date & Ti <br />(2 It <br />Y �,/ ta <br />24. ❑ <br />25. ❑ <br />�1 <br />27. Clothing Description <br />Resist Arrest <br />Armed <br />28. Type of Weapo <br />❑ <br />❑ <br />X 29 BUILD (05) <br />COMPLEXION (06) <br />HAIR (07) <br />HAIR STYLE (08) <br />SPEECH (09) <br />FACIAL HAIR (10) <br />CLASSES (11) <br />TEETH (12) <br />0 unknown <br />0 unknown <br />0 unknown <br />0 unknown <br />0 unknown <br />0 unknown <br />0 unknown <br />0 unknown <br />1 light <br />htlpale <br />hort <br />raight <br />1 mal <br />one <br />n nerma! <br />K �� ediurn <br />medium <br />i o llar <br />wavy <br />2 soft <br />mustache only � 2 C <br />plain -wire fr <br />goldlsilver <br />3 heavy <br />3 dark <br />3 shoulder <br />3 curly <br />3 raspy <br />3 stubble only <br />3 plain -- plastic fr <br />3 missing <br />4 muscular <br />9 other <br />4 very long <br />4 braided <br />4 deep <br />4 beard <br />4 sun -wire fr <br />4 very white <br />9 other <br />5 balding <br />5 afro <br />5 high <br />5 sideburns <br />5 sun -- plastic fr <br />5 decayed/dirty <br />9 other <br />9 other <br />9 ogler <br />9 other <br />9 other <br />9 other . <br />SCARS/MARKS/TATTOOS (03) <br />Exact description of tattoo /mark and its location <br />ITEM <br />LOCATION <br />1 <br />�= <br />unklnone 0 <br />0 unknown <br />1 • - • - - -`�` <br />names/initials 1 <br />1 head/neck <br />morn/mother/love 2 <br />2 shoulderlbicep <br />2 <br />heart & dagger 3 <br />3 forearm/hand <br />military insig 4 <br />4 fingers <br />mist pictures 5 <br />5 leg <br />3, <br />missing extremity 6 <br />6 chest/stomach <br />scar (Ig) (sm) 7 <br />7 back <br />5CD <br />birthmark 8 <br />8 other <br />4. <br />30. Intox <br />ALC <br />Narc 31. <br />Specify <br />32. Location where dri#rg <br />33. Blood <br />34. Method <br />35. Adm By <br />❑ <br />Drugs <br />Alcohol % <br />36. ❑ ILL 37. Treated at <br />38. <br />=;0escribe <br />❑ INJURED <br />39. Parent/Guardian <br />First <br />Middle AIRS# 40. <br />DDB <br />41. Age <br />42. Race/Sex <br />N <br />W <br />J <br />43. Address <br />City <br />State ZI <br />244. <br />Res Phone <br />45. Bus Ph 46. <br />Work Hours <br />Z <br />W <br />47. Notified by <br />Date & Tme;: _: `' <br />48. D ned 49. <br />Admit Person <br />50. R <br />51O <br />[ �] <br />52. WarranVCR# <br />53 C u D te/Time , <br />54. urt <br />55. B ' S -curity <br />J P <br />1. <br />0 <br />CJ. <br />U] <br />W <br />0 <br />2. <br />Q <br />= <br />L) <br />3. <br />4. <br />56 new <br />Middle AIRS# 57. DDB 58. Race/Sex 59. Work Hours <br />D <br />000 <br />i= <br />60. Address <br />City <br />State ZIP fit . Res Phone 6 ccupation/SchooVType of Business <br />C3 <br />oe <br />7 <br />63. Bus Address <br />City <br />State ZIP 64. Bus Ph ne 65. Injured 66. Where taken 67. NOT CONTD <br />Yes El <br />❑ Stolen ❑ Suspect Towed EV <br />AIRS LEDS NCIC REG CV AIRS LEDS NCIC REG fib. VIN# 69. Value <br />❑ Vict ❑ Loc ❑ Inv Veh <br />70. <br />71. Uc# <br />State Exp Yr Type Veh Yr Make Model Style <br />Z Color (Top) (Solid or Bottom) <br />0 01 black 05 green <br />Q <br />08 <br />72. SPECIAL VEHICLE FEATURES <br />1 i <br />02 blue lime <br />eige <br />1 keys in vehicle 1 delinquent payments sticker indow <br />aqua olive <br />white <br />2 not drivable 2 rust/primer spots 2 stic decal on bumper <br />p turquoise 06 grey <br />cream <br />3 stereo tape 3 level altered 3 erldecal on body <br />U. 03 brown silver <br />10 yellow <br />4 CB radio 4 decorative paint painted inscription on body <br />Z bronze 07 red <br />11 orange <br />5 special antenna 5 damage to front <br />UJ copper pi <br />gold <br />6 vinyl top 6 damage to rear F THER DESCRIPTION OF MARKED ITEMS <br />C] 04 purple aroon <br />12 unknown <br />7 loud muffler 7 damage to right VCD 73. <br />w <br />8 custom wheels 8 damage to le <br />74. Reg Owne r N e First <br />Middle <br />AIRS# Z 75. Phone <br />76. Address City <br />State <br />ZIP 77. DO 78. Notified Date/Time By Whom ID# <br />79. Re ing Officer ID# 80. Reporting Officer <br />• <br />ID# 81. Date & Time Prep red 82. ve By IN <br />C_ <br />21 i- 0 3 6 <br />�r <br />