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I= <br />INCIDENT/INVESTIGATION cawt <br />14- 13r`i'9 Q <br />REPORT Date /I irate Veptmcd <br />08.11 18/?Wj ooqi) <br />Knov'n Sec;jrc <br />rac t , --Ul I � 1 7 ) I �-() 1) 1 M <br />Pat I -kv�)Ia ompid FP02 At Found <br />OR 9 Ygr <br />(com) Weapon Vtoohs Activ <br />Fntm Exit secul <br />Weapon "Tool", Activ <br />Entry <br />Weapon/ fook <br />11niry I L xi t security <br />4ofvictirils I I Type: SOCI EITY/PU III, IC <br />viclim/fiu%mos Name (Last, First, Middle) <br />v V1 State 0/ Orcgon <br />I — I <br />C I lome Address <br />I <br />I 1) 1 over N an e/A d d res q <br />VYR I Make [Model - StvlL Colol <br />COD FS: V- Victim (Deni)te V2, V3) 0 Owner (if other than vi. <br />I vpc <br />0 - I <br />T C Na ln e d , l as t, i rsi, M i d(j I c I <br />II <br />R B ime Address <br />S <br />Employer NanieAdttress <br />I <br />N TYpc-1 <br />v <br />C(ade, <br />Name (1,asa, first, Middle) <br />V <br />L AddrL!.s,,, <br />D <br />Ernpk)yur Name Address <br />I - Nook 2 '-- Burned 3 Countorf"eit Porgcd 4 = Damaged <br />("W" = Recovered for other Jurisdi <br />)T <br />c <br />V iy ' I Code F] In7c. I value i Uly plowrl <br />Injury; <br />AgellCy Mnle <br />victim of <br />Crinic 9 <br />Ez gene Police Doporlmenf <br />I <br />om <br />N <br />OR0200200 <br />C <br />I <br />Locatinn at' In x9calt <br />D <br />1688 Charnellon S1, Et; <br />L <br />Lic/Lis <br />Crime Incident(s) <br />N <br />41 <br />Violation Park Ruhw <br />T <br />D013 <br />Ap <br />D <br />Relationship <br />To <br />Crime Incidcat <br />A <br />2 <br />T <br />Phonc <br />A <br />victim of <br />Cri m e � <br />[)m <br />A g e <br />It -i <br />Crime Incident <br />I= <br />INCIDENT/INVESTIGATION cawt <br />14- 13r`i'9 Q <br />REPORT Date /I irate Veptmcd <br />08.11 18/?Wj ooqi) <br />Knov'n Sec;jrc <br />rac t , --Ul I � 1 7 ) I �-() 1) 1 M <br />Pat I -kv�)Ia ompid FP02 At Found <br />OR 9 Ygr <br />(com) Weapon Vtoohs Activ <br />Fntm Exit secul <br />Weapon "Tool", Activ <br />Entry <br />Weapon/ fook <br />11niry I L xi t security <br />4ofvictirils I I Type: SOCI EITY/PU III, IC <br />viclim/fiu%mos Name (Last, First, Middle) <br />v V1 State 0/ Orcgon <br />I — I <br />C I lome Address <br />I <br />I 1) 1 over N an e/A d d res q <br />VYR I Make [Model - StvlL Colol <br />COD FS: V- Victim (Deni)te V2, V3) 0 Owner (if other than vi. <br />I vpc <br />0 - I <br />T C Na ln e d , l as t, i rsi, M i d(j I c I <br />II <br />R B ime Address <br />S <br />Employer NanieAdttress <br />I <br />N TYpc-1 <br />v <br />C(ade, <br />Name (1,asa, first, Middle) <br />V <br />L AddrL!.s,,, <br />D <br />Ernpk)yur Name Address <br />I - Nook 2 '-- Burned 3 Countorf"eit Porgcd 4 = Damaged <br />("W" = Recovered for other Jurisdi <br />)T <br />c <br />V iy ' I Code F] In7c. I value i Uly plowrl <br />Injury; <br />victim of <br />Crinic 9 <br />DW3 <br />A-e <br />Race sex <br />Kvkflionship <br />T 0 Offcndcr <br />Rc Slatw <br />I�rlhl! t <br />13 ranm l III's <br />hmc 1 <br />Busmess Phone <br />Mobile 1 <br />Lic/Lis <br />VIN <br />R = Reporting person (irodwr dla131 via l) <br />of <br />D013 <br />Ap <br />Relationship <br />To <br />ResicentStaurN <br />Miljwrx <br />Phonc <br />Injury: <br />victim of <br />Cri m e � <br />[)m <br />A g e <br />Race <br />`cx <br />Relationqhip <br />ender <br />Re-sident SLilus <br />T=— <br />militaiv <br />BoanchJswtos <br />T I toinc <br />I'llorw <br />usmlS Vt1011c <br />5 = Recovered 6 . Seized 7 = Molen 9 <br />Offiur/110 LL�E }r LJ. � C EPA L) LEPD3991 <br />Invest 11)# (0) SUN�i`�C)r Aft-ALPINE, 11 (LTo, LTA) (EPD140) <br />5a tus Complainaw signaturc Case Slaw" CaIsc Dis ifiolv <br />CloarvdBV Arw,? 18�2014 <br />I ON <br />11ri nled By. Cf-1101 NN C1 'I P01-042 systi. 467485 091 P t)/21 i 14 1 1: 5:5 <br />