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I of ,3 <br />12 -15786 <br />C ustody In formation <br />...... ...... ...................... ..... ....... ._._.._.._... ---.. ........ ........ ................. .................. <br />EUGENE POLICE <br />............................... _ _.- ...... ..... ......._..._............................ ...._ ........ ...... ............................... <br />Case Number <br />ao <br />DEPARTMENT <br />12-15786 <br />" <br />Custody Report <br />Incident Number <br />9 -11- 12/0138 <br />Passenger F Ped <br />80591 <br />Incident r Vehicle <br />Location Address West <br />Po ssess He /_Possess " Meth <br />2 40 W St <br />ICV Photos Reporting Officer _ Badge DPSST # <br />E !? r R. W olgamott ._......._..... 31 ............................. ............................... <br />Rept Date RRept Time Occurred Date/Time Source <br />9 10017 <br />- -12 9 -11 -12 0017 to Obs <br />Pat Assign <br />Business Address <br />City <br />State <br />Circ Muni <br />Other Address <br />Court City Pros ^ Court <br />Other: <br />Dis position: Ar <br />As sign to: <br />r CONFIDENTIAL <br />C ustody In formation <br />AIRS 8784 Kyvelo� <br />arles Step me (LaMiddle) y_ 73- B <br />119hen 20 -86 <br />AKA <br />FEmpl er /School <br />..._ ............. ...-.. ----- ._.._............_,........ _ ....... .................. T..............__..__..._._......._..,......._.....,.._....... ._........,.._. ..... ......_.._, __........-.__. ......._................__.____ ...--- ......_...._... <br />.. <br />Phone .i R C r B Phone f ° R r C B 'Phone R r C �- B <br />----....__..._._..___...,... ..................._.._._....__ ..... ._._.... -------- <br />... __ ..........._._ <br />r Driver Bike Booking Date/Time <br />( ) <br />9 -11- 12/0138 <br />Passenger F Ped <br />Residential Address <br />City <br />State <br />Zip <br />Transient <br />Business Address <br />City <br />State <br />Zip <br />Other Address <br />City _ <br />State <br />Zip <br />Race Sex <br />W M <br />Build <br />�—"-- --- --- -•- <br />Medi <br />Height Weight Halr <br />508 140 BRO <br />.. <br />Comple <br />1 — M — on Hair <br />?(Short <br />Eyes POB <br />BRO OR <br />Hair Sty <br />Straig ` <br />Speech u_ Facial Hair Glasses <br />'Nor <br />L -. -_ I None None <br />Teeth <br />c Decayed /Dirty <br />Driver's License <br />-__ -. _ _ <br />(State Social Security Email <br />Relationship <br />9731269 <br />FOR 542153241 <br />MT (Observed by Officer) Description SMT Location <br />Injury Description <br />_ ..... . .... ......._ ..................... ...................... . _ <br />- - -- ._....... ._._... . <br />In ur L <br />Location <br />Photos . <br />r <br />Transported to <br />Transported by crip <br />et, Blue leans <br />Armed <br />17 <br />Type of Weapon <br />*tion <br />nted <br />Palm <br />Interpreter? <br />Language <br />r <br />r Intox <br />r <br />SubstanceSpecify <br />here Drinking <br />BAC <br />Method — <br />Admin By _ <br />R. Wolgamott <br />#115 9 -11- 12/0453 Approved By: M. McAlpine 146 <br />