fl incident narrative form - city of holmes beach,...

25
Holmes Beach Police Department FL0410400 03 00 1256 01 01 01 01 00 EDGEWATER REAL ESTATE 104 BRIDGE ST BRADENTON BEACH 34217 VACATION RENTAL AGENCY TRANSIENT 34210 CORTEZ P-364-786-67-170-0 509 140 1256 1302 1430 1255 1305 50 20170467 CT 104 BRIDGE ST BRADENTON BEACH 34217 PROPERTY MANAGER / EDGEWATER REAL ESTATE FOUND TRESPASSER JENKINS ANDREW WADE TRESPASSING Thu Thu Thu 2 N N 0 0 0 00 00 00 1 1 V 4 C 3 FL FL 31 2 M W 1 1 0 00 00 00 PETRELLI SCOTT FRANCIS 1 2 A M W BLU SDY FL S S LT THN FL 09 1A1 9000 3 810 C TRESPASSING 778-8104 941 ___-__-____ ___ ___-____ 778-8104 941 407 223-9430 ___-____ ___ ___ ___-____ 34217 5th AVE HOLMES BEACH 4002 0 2 THE DEFENDANT WAS FOUND BY THE COMPLAINANT SLEEPING UNDER BUSHES IN THE NORTHWEST CORNER OF THE REAR YARD OF THE FENCED IN AREA OF THE UNOCCUPIED VACATION RENTAL HOME. AT FIRST, THE COMPLAINANT WANTED A TRESPASS WARNING, WHICH WAS COMPLETED IN TRACS, BUT DECIDED TO PURSUE CRIMINAL CHARGES AFTER HE LEARNED WHO THE DEFENDANT WAS AND HAD HIM ARRESTED BACK IN 2014 (SEE HBPD C#: 20142586). INITIALLY, I ARRESTED THE DEFENDANT FOR TRESPASSING BUT AFTER EMS AND I WERE UNABLE TO OBTAIN A GOOD BREATH TO DETERMINE HIS BAC, I UNARRESTED HIM AND COMPLETED A CAPIAS REQUEST. OFC HIGGINS OBTAINED A SWORN AFFIDAVIT FOR ME AND I PLACED IT AND THE CAPIAS PAPERWORK IN THE RECORDS BASKET. OGLINE SGT.COPEMAN 307 322 1 1 EVENT DATA NARRATIVE SUSPECT 00. N/A 01. Gunshot 02. Stabbed CODES ADM A-Attempted C-Committed A-Attempted C-Committed Area T y p e o f W e a p o n 01. Residence Single 02. Apartment/Condo 03. Residence-Other 04. Hotel/Motel Time (mil) Time Dispatched (mil) Primary Offense Description 21. Employer 22. Landlord/Tenant 23. Acquaintance 99. Other Known 5. Ordinance 9. Other Zone ) Agency Report Number 3. Misdemeanor 4. Traffic Misdemeanor OFF/INC # 2 OFF/INC # 1 Business Name/Area Identifier District NCIC/UCR Code 2. No L o c a t i o n T y p e V / W C o d e # Victims 00. N/A 01. Handgun 05. Knife/Cutting Instrument 06. Blunt Object 07. Hands/Fist/Feet 08. Poison 09. Explosives 10. Fire/Incendiary 11. Threat/Intimidation 12. Simulated Weapon V - Victim W - Witness C - Reporting Person O - Other R a c e N - N/A M - Male F - Female U - Unknown R e s i d e n c e T y p e 0. N/A 1. City 2. County E x t e n t o f I n j u r y R e s i d e n c e S t a t u s 03. Laceration 04. Unconscious 05. Poss. Broken Bones 06. Poss. Internal Injury V i c t i m R e l a t i o n s h i p T o O f f e n d e r 07. Loss of Teeth 08. Burns 09. Abrasions/Bruises 99. Other 06. Parent 07. Brother/Sister 08. Child 09. Step-Parent 10. Step-Child 11. In-Law 12. Other Family 13. Student V/W Code # Name (Last, First, Middle or Business) Residence Phone Business Phone Race Sex Injury Type(s) Relationship Ethnicity Will Victim prefer charge? Synopsis of Involvement Residence Phone Business Phone Juvenile Occupation Sex Date of Birth Height Weight Eye Color Hair Length Hair Style Nickname/Street Name Place of Birth Social Security Number SCIC/NCIC Employer/School Teeth Speech/Voice Special Identifiers Original Day Reported Date Time (mil) Time Arrived (mil) Time Completed (mil) 1. Felony 2. Traffic Felony To Time (mil) ( - Type 30. Other Mobile 99. Other 15. Industrial/Mfg. 16. Storage 17. Gov't/Public Bldg. 18. School/University 19. Jail/Prison 20. Religious Bldg. 21. Airport 22. Bus/Rail Terminal 23. Construction Site 24. Other Structure 25. Parking Lot/Garage 26. Highway/Roadway 27. Park/Woodlands/Field 28. Lake/Waterway 29. Motor Vehicle 10. Dept/Discount Store 11. Specialty Store 12. Drug Store/Hospital 13. Bank/Financial Inst. 14. Commercial/Office Bldg. S u s p e c t C o d e Incident Location (Street Number, Street, Apt,) Scars/Marks/Tatoos (Location/Describe) 0. N/A 1. Occupied E-Escapee Z-Other From Date of Supplement - ( 17. Friend 18. Neighbor 19. Sitter/Day Care 20. Employee V/W Code # Name (Last, First, Middle or Business) Residence Phone Business Phone Race Sex Injury Type(s) Relationship Ethnicity Will Victim prefer charge? Synopsis of Involvement V. Type O F F / I N C I n d i c a t o r OBTS Number (Arrested) Other I.D. Number Immigration and Naturalization Number I n c i d e n t T y p e Incident: Day Date 2. Unoccupied 3. Abandoned 05. Convenience Store 06. Gas Station 07. Liquor Sales 08. Bar/Nightclub 09. Supermarket Date Day 0. N/A 1. Yes F o r c e d E n t r y O c c u p a n c y Statute Violation Number - Chapter, Section, Sub Description Type Hair Color Race Facial Hair Build Complexion Driver's License Number/State Address Code Maiden Name Name (Last, First, Middle) Extent of Injury Res. Status Res. Type Zip State City Extent of Injury Res. Status Res. Type Zip State City 13. Drugs 88. Unknown 99. Other Grid V i c t i m T y p e 0. N/A 1. Juvenile 2. L.E. Officer 3. Adult 4. Business 5. Government 6. Church 9. Other S e x I - American Indian O - Oriental/Asian U - Unknown N - N/A W - White B - Black 3. Florida 4. Out-of-State 0. N/A 1. Full Year 2. Part Year 3. Non-Resident 0. None 1. Minor 2. Serious 3. Fatal 14. Teacher 15. Child of Boy/Girl Friend 16. Boy/Girl Friend 03. Spouse 04. Ex-Spouse 05. Co-Habitant 00. N/A 01. Undetermined 02. Stranger I n j u r y T y p e Clothing (Describe) Zip State City 02. Rifle 03. Shotgun 04. Firearm Susp. # VICTIM / WITNESS VICTIM / WITNESS # Prem. Ent. S-Suspect A-Arrestee Dom. Violence Dom. Violence Zip City # OFF/INC. # Offenders # Veh. Stolen 1.#1 2.#2 3.Both ) Age Date of Birth Age Date of Birth Age Address (Street, Apt. Number) Other Contact Info. (Time Available, Interpreter, etc.) Address (Street, Apt. Number) Other Contact Info. (Time Available, Interpreter, etc.) Last Known Address (Street, Apt. Number) V. Type O F F / I N C I n d i c a t o r If V/W Code is V, W or C Fill in this Line 1.#1 2.#2 3.Both O F F / I N C I n d i c a t o r If V/W Code is V, W or C Fill in this Line 1.#1 2.#2 3.Both Person/Unit Notified Case Status Time Routed To Referred Related Report Number(s) Unit of Page Number Arrested C l e a r a n c e T y p e E x c e p t i o n T y p e 2. Arrest on Primary Offense Secondary Offense Without Prosecution 3. Death of Offender 4. V / W Refused to Cooperate 3.Unfounded Page Date 5. Prosecution Declined 6. Juvenile/No Custody 1.Extradition Declined 1.Arrest 2.Exceptional Jail Number OBTS Number Date Cleared By Assigned To ADMINISTRATIVE A-Adult J-Juvenile Date Name of Officer Reporting Officer Reviewing (If Applicable) I.D. Number I.D. Number/Locator Code 1. Original 2. Supplement Juvenile in Report Juvenile Warn/Dismiss 1 __/__/____ 06/01/2017 06/01/2017 06/01/2017 __/__/____ 06/01/2017 __/__/____ 11/09/1985 05/10/1967 Signature of Officer Reporting Signature of Officer Reviewing Yes No Yes No 1 2 N OFFENSE-INCIDENT REPORT Gang Related C O P Y

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Holmes Beach Police Department FL0410400

0300

1256

01 01 01 01 00

EDGEWATER REAL ESTATE104 BRIDGE ST BRADENTON BEACH 34217

VACATION RENTAL AGENCY

TRANSIENT 34210CORTEZ

P-364-786-67-170-0

509 140

1256 1302 14301255 1305

50

20170467

CT

104 BRIDGE ST BRADENTON BEACH 34217PROPERTY MANAGER / EDGEWATER REAL ESTATE FOUND TRESPASSER

JENKINS ANDREW WADE

TRESPASSING

Thu ThuThu

2 NN 0 0 0 00 0000

1

1

V 4

C 3

FL

FL

312 MW 1 1 0 00 0000PETRELLI SCOTT FRANCIS1 2A

MW BLU SDY

FL

S SLT THN

FL

09 1A1 90003 810CTRESPASSING

778-8104941

___-__-____

___ ___-____

778-8104941407 223-9430

___-__________ ___-____

342175th AVE HOLMES BEACH40020 2

THE DEFENDANT WAS FOUND BY THE COMPLAINANT SLEEPING UNDER BUSHES IN THE NORTHWEST CORNER OF THE REARYARD OF THE FENCED IN AREA OF THE UNOCCUPIED VACATION RENTAL HOME. AT FIRST, THE COMPLAINANT WANTED ATRESPASS WARNING, WHICH WAS COMPLETED IN TRACS, BUT DECIDED TO PURSUE CRIMINAL CHARGES AFTER HELEARNED WHO THE DEFENDANT WAS AND HAD HIM ARRESTED BACK IN 2014 (SEE HBPD C#: 20142586). INITIALLY, IARRESTED THE DEFENDANT FOR TRESPASSING BUT AFTER EMS AND I WERE UNABLE TO OBTAIN A GOOD BREATH TODETERMINE HIS BAC, I UNARRESTED HIM AND COMPLETED A CAPIAS REQUEST. OFC HIGGINS OBTAINED A SWORNAFFIDAVIT FOR ME AND I PLACED IT AND THE CAPIAS PAPERWORK IN THE RECORDS BASKET.

OGLINESGT.COPEMAN 307

322

1

1

EVEN

TD

ATA

NA

RR

ATI

VESU

SPEC

T

00. N/A01. Gunshot02. Stabbed

CO

DES

AD

M

A-AttemptedC-Committed

A-AttemptedC-Committed

Area

Type of Weapon

01. Residence Single02. Apartment/Condo03. Residence-Other04. Hotel/Motel

Time (mil)

Time Dispatched (mil)

Primary Offense Description

21. Employer22. Landlord/Tenant23. Acquaintance99. Other Known

5. Ordinance9. Other

Zone

)

Agency Report Number

3. Misdemeanor4. Traffic Misdemeanor

OFF/INC# 2

OFF/INC# 1

Business Name/Area Identifier

District

NCIC/UCR Code

2. No

Location Type

V/W Code

# Victims00. N/A01. Handgun

05. Knife/Cutting Instrument06. Blunt Object

07. Hands/Fist/Feet08. Poison09. Explosives

10. Fire/Incendiary11. Threat/Intimidation12. Simulated Weapon

V - VictimW - WitnessC - Reporting Person

O - OtherRace

N - N/AM - MaleF - FemaleU - Unknown

Residence Type 0. N/A1. City2. County

Extent of Injury Residence Status

03. Laceration04. Unconscious05. Poss. Broken Bones06. Poss. Internal Injury

Victim Relationship To Offender 07. Loss of Teeth08. Burns09. Abrasions/Bruises99. Other

06. Parent07. Brother/Sister08. Child09. Step-Parent

10. Step-Child11. In-Law12. Other Family13. Student

V/W Code # Name (Last, First, Middle or Business) Residence Phone

Business Phone

Race Sex Injury Type(s) Relationship Ethnicity Will Victim prefer charge?

Synopsis of Involvement

Residence Phone

Business Phone

Juvenile

Occupation

Sex Date of Birth Height Weight Eye Color Hair Length Hair Style

Nickname/Street Name Place of Birth

Social Security Number

SCIC/NCIC

Employer/School

Teeth Speech/Voice Special Identifiers

Original DayReported

Date Time (mil) Time Arrived (mil) Time Completed (mil)

1. Felony2. Traffic Felony To

Time (mil)

(-

Type

30. Other Mobile99. Other

15. Industrial/Mfg.16. Storage17. Gov't/Public Bldg.18. School/University19. Jail/Prison

20. Religious Bldg.21. Airport22. Bus/Rail Terminal23. Construction Site24. Other Structure

25. Parking Lot/Garage26. Highway/Roadway27. Park/Woodlands/Field28. Lake/Waterway29. Motor Vehicle

10. Dept/Discount Store11. Specialty Store12. Drug Store/Hospital13. Bank/Financial Inst.14. Commercial/Office Bldg.

Suspect Code

Incident Location (Street Number, Street, Apt,)

Scars/Marks/Tatoos (Location/Describe)

0. N/A1. Occupied

E-EscapeeZ-Other

From

Date of Supplement

- (

17. Friend18. Neighbor19. Sitter/Day Care20. Employee

V/W Code # Name (Last, First, Middle or Business) Residence Phone

Business Phone

Race Sex Injury Type(s) Relationship Ethnicity Will Victim prefer charge?

Synopsis of Involvement

V. Type

OFF/INC Indicator

OBTS Number (Arrested)Other I.D. NumberImmigration and Naturalization Number

Incident Type Incident: Day Date

2. Unoccupied3. Abandoned

05. Convenience Store06. Gas Station07. Liquor Sales08. Bar/Nightclub09. Supermarket

DateDay

0. N/A1. Yes

Forced Entry Occupancy

Statute Violation Number - Chapter, Section, SubDescriptionType

Hair ColorRace

Facial HairBuildComplexion

Driver's License Number/State

Address

Code

Maiden Name

Name (Last, First, Middle)

Extent of InjuryRes. StatusRes. Type

ZipStateCity

Extent of InjuryRes. StatusRes. Type

ZipStateCity

13. Drugs88. Unknown99. Other

Grid

Victim Type 0. N/A1. Juvenile2. L.E. Officer3. Adult

4. Business5. Government6. Church9. Other

Sex I - American IndianO - Oriental/AsianU - Unknown

N - N/AW - WhiteB - Black

3. Florida4. Out-of-State

0. N/A1. Full Year2. Part Year3. Non-Resident

0. None1. Minor2. Serious3. Fatal

14. Teacher15. Child of Boy/Girl Friend16. Boy/Girl Friend

03. Spouse04. Ex-Spouse05. Co-Habitant

00. N/A01. Undetermined02. Stranger

Injury Type

Clothing (Describe)

ZipStateCity

02. Rifle03. Shotgun04. Firearm

Susp. #

VIC

TIM

/WIT

NES

SVI

CTI

M/W

ITN

ESS

# Prem. Ent.

S-SuspectA-Arrestee

Dom. Violence

Dom. Violence

ZipCity

# OFF/INC. # Offenders # Veh. Stolen

1.#12.#2

3.Both

)

Age

Date of Birth Age

Date of Birth Age

Address (Street, Apt. Number)

Other Contact Info. (Time Available, Interpreter, etc.)

Address (Street, Apt. Number)

Other Contact Info. (Time Available, Interpreter, etc.)

Last Known Address (Street, Apt. Number)

V. TypeOFF/INC Indicator

If V/W Code is V, W or CFill in this Line

1.#12.#2

3.Both

OFF/INC Indicator

If V/W Code is V, W or CFill in this Line

1.#12.#2

3.Both

Person/Unit Notified

Case Status

Time

Routed To Referred

Related Report Number(s)

Unit

ofPage

Number ArrestedClearance Type

Exception Type 2. Arrest on Primary Offense Secondary Offense Without Prosecution

3. Death of Offender4. V / W Refused to Cooperate

3.Unfounded

Page

Date

5. Prosecution Declined6. Juvenile/No Custody1.Extradition Declined

1.Arrest2.Exceptional

Jail Number

OBTS Number

Date Cleared

ByAssigned To

AD

MIN

ISTR

ATI

VE

A-AdultJ-Juvenile

Date

Name of Officer Reporting

Officer Reviewing (If Applicable) I.D. Number

I.D. Number/Locator Code

1. Original2. Supplement

Juvenilein Report

JuvenileWarn/Dismiss

1

__/__/____06/01/2017

06/01/2017 06/01/2017

__/__/____

06/01/2017__/__/____

11/09/1985

05/10/1967

Signature of Officer Reporting

Signature of Officer Reviewing

Yes No

YYeess NNoo

12 NOFFENSE-INCIDENT REPORTGangRelated

C O P

Y

Holmes Beach Police Department FL0410400

2600

1627

1 1 1 0 0

STATE

1113 23RD AVE. W. 34205BRADENTONLABORERM-620-670-71-227-0SHORTS AND NO SHIRT RANDOM TATTOOS

6-03 160

1627 1627 17001627 1627

45

20170468

OF FLORIDA

DRIVER LICENSE

Thu ThuThu

1V 5

MIRICK PETER JAMES1 2A

MW BRO BRO

FL

S SLT THN

FL

34 2B 90004 322ADRIVERS LIC

___-_______

___-__-____

___ ___-____

___-__________ ___-____

___-__________ ___-____

34217 W80MANATEE PUBLIC BEACH

GULF DRIVE HOLMES BEACH40000 1

I RAN TAG (AKXV08) THAT WAS AFFIXED TO A TURQUIOSE NISSAN ALTIMA. THE TAGRETURN SAID IT HAS BEEN REPLACED. I INITIATED TRAFFIC STOP ON VEHICLE AND RAN HISINFORMATION THROUGH FCIC/NCIC SYSTEM. IT SAID HE HAD MULTIPLE SUSPENSIONS FORFAILURE TO PAY TRAFFIC FINE, AND FAILURE TO APEAR ON SUMMONS, AND COURTOBLIGATIONS. SUMMONS ISSUED. CAR PARKED FOR PRIVATE TOW.

11

JASON HIGGINSSGT.COPEMAN 307

331

1

EVEN

TD

ATA

NA

RR

ATI

VESU

SPEC

T

00. N/A01. Gunshot02. Stabbed

CO

DES

AD

M

A-AttemptedC-Committed

A-AttemptedC-Committed

Area

Type of Weapon

01. Residence Single02. Apartment/Condo03. Residence-Other04. Hotel/Motel

Time (mil)

Time Dispatched (mil)

Primary Offense Description

21. Employer22. Landlord/Tenant23. Acquaintance99. Other Known

5. Ordinance9. Other

Zone

)

Agency Report Number

3. Misdemeanor4. Traffic Misdemeanor

OFF/INC# 2

OFF/INC# 1

Business Name/Area Identifier

District

NCIC/UCR Code

2. No

Location Type

V/W Code

# Victims00. N/A01. Handgun

05. Knife/Cutting Instrument06. Blunt Object

07. Hands/Fist/Feet08. Poison09. Explosives

10. Fire/Incendiary11. Threat/Intimidation12. Simulated Weapon

V - VictimW - WitnessC - Reporting Person

O - OtherRace

N - N/AM - MaleF - FemaleU - Unknown

Residence Type 0. N/A1. City2. County

Extent of Injury Residence Status

03. Laceration04. Unconscious05. Poss. Broken Bones06. Poss. Internal Injury

Victim Relationship To Offender 07. Loss of Teeth08. Burns09. Abrasions/Bruises99. Other

06. Parent07. Brother/Sister08. Child09. Step-Parent

10. Step-Child11. In-Law12. Other Family13. Student

V/W Code # Name (Last, First, Middle or Business) Residence Phone

Business Phone

Race Sex Injury Type(s) Relationship Ethnicity Will Victim prefer charge?

Synopsis of Involvement

Residence Phone

Business Phone

Juvenile

Occupation

Sex Date of Birth Height Weight Eye Color Hair Length Hair Style

Nickname/Street Name Place of Birth

Social Security Number

SCIC/NCIC

Employer/School

Teeth Speech/Voice Special Identifiers

Original DayReported

Date Time (mil) Time Arrived (mil) Time Completed (mil)

1. Felony2. Traffic Felony To

Time (mil)

(-

Type

30. Other Mobile99. Other

15. Industrial/Mfg.16. Storage17. Gov't/Public Bldg.18. School/University19. Jail/Prison

20. Religious Bldg.21. Airport22. Bus/Rail Terminal23. Construction Site24. Other Structure

25. Parking Lot/Garage26. Highway/Roadway27. Park/Woodlands/Field28. Lake/Waterway29. Motor Vehicle

10. Dept/Discount Store11. Specialty Store12. Drug Store/Hospital13. Bank/Financial Inst.14. Commercial/Office Bldg.

Suspect Code

Incident Location (Street Number, Street, Apt,)

Scars/Marks/Tatoos (Location/Describe)

0. N/A1. Occupied

E-EscapeeZ-Other

From

Date of Supplement

- (

17. Friend18. Neighbor19. Sitter/Day Care20. Employee

V/W Code # Name (Last, First, Middle or Business) Residence Phone

Business Phone

Race Sex Injury Type(s) Relationship Ethnicity Will Victim prefer charge?

Synopsis of Involvement

V. Type

OFF/INC Indicator

OBTS Number (Arrested)Other I.D. NumberImmigration and Naturalization Number

Incident Type Incident: Day Date

2. Unoccupied3. Abandoned

05. Convenience Store06. Gas Station07. Liquor Sales08. Bar/Nightclub09. Supermarket

DateDay

0. N/A1. Yes

Forced Entry Occupancy

Statute Violation Number - Chapter, Section, SubDescriptionType

Hair ColorRace

Facial HairBuildComplexion

Driver's License Number/State

Address

Code

Maiden Name

Name (Last, First, Middle)

Extent of InjuryRes. StatusRes. Type

ZipStateCity

Extent of InjuryRes. StatusRes. Type

ZipStateCity

13. Drugs88. Unknown99. Other

Grid

Victim Type 0. N/A1. Juvenile2. L.E. Officer3. Adult

4. Business5. Government6. Church9. Other

Sex I - American IndianO - Oriental/AsianU - Unknown

N - N/AW - WhiteB - Black

3. Florida4. Out-of-State

0. N/A1. Full Year2. Part Year3. Non-Resident

0. None1. Minor2. Serious3. Fatal

14. Teacher15. Child of Boy/Girl Friend16. Boy/Girl Friend

03. Spouse04. Ex-Spouse05. Co-Habitant

00. N/A01. Undetermined02. Stranger

Injury Type

Clothing (Describe)

ZipStateCity

02. Rifle03. Shotgun04. Firearm

Susp. #

VIC

TIM

/WIT

NES

SVI

CTI

M/W

ITN

ESS

# Prem. Ent.

S-SuspectA-Arrestee

Dom. Violence

Dom. Violence

ZipCity

# OFF/INC. # Offenders # Veh. Stolen

1.#12.#2

3.Both

)

Age

Date of Birth Age

Date of Birth Age

Address (Street, Apt. Number)

Other Contact Info. (Time Available, Interpreter, etc.)

Address (Street, Apt. Number)

Other Contact Info. (Time Available, Interpreter, etc.)

Last Known Address (Street, Apt. Number)

V. TypeOFF/INC Indicator

If V/W Code is V, W or CFill in this Line

1.#12.#2

3.Both

OFF/INC Indicator

If V/W Code is V, W or CFill in this Line

1.#12.#2

3.Both

Person/Unit Notified

Case Status

Time

Routed To Referred

Related Report Number(s)

Unit

ofPage

Number ArrestedClearance Type

Exception Type 2. Arrest on Primary Offense Secondary Offense Without Prosecution

3. Death of Offender4. V / W Refused to Cooperate

3.Unfounded

Page

Date

5. Prosecution Declined6. Juvenile/No Custody1.Extradition Declined

1.Arrest2.Exceptional

Jail Number

OBTS Number

Date Cleared

ByAssigned To

AD

MIN

ISTR

ATI

VE

A-AdultJ-Juvenile

Date

Name of Officer Reporting

Officer Reviewing (If Applicable) I.D. Number

I.D. Number/Locator Code

1. Original2. Supplement

Juvenilein Report

JuvenileWarn/Dismiss

1

__/__/____06/01/2017

06/01/2017 06/01/2017

__/__/____

06/01/2017__/__/____

06/21/1971

Signature of Officer Reporting

Signature of Officer Reviewing

Yes No

YYeess NNoo

12 NOFFENSE-INCIDENT REPORTGangRelated

C O P

Y

FL0410400

01

06

0548

04 01 02 01 00

SAMELAK JR

4302 80TH ST CORTEZ RD WEST 34209BRADENTON

S542821951310

604 170

Holmes Beach Police Department

0549 0550 0900

0530

22

20170472

FLORIDA

THOMAS ANTHONY

AGGRAVATED BATTERY

1

Sat

Sat Sat

1 JUDE

1009 57TH AVE WEST BRADENTON

29

01

1009 57TH AVE W BRADENTON 34207

30

CHRISTOPHER LEE

LABELLE JOSEPH ANTHONY

2

2

MW

W

MW

V 3

W 3

2A

BRO BRO

2

2

1

1

2

0

03

00

01

0200

06

FL

FL

FL

LT THN

FL

02

PATROL

1 ACA

J. PIERCE

SGT. M. PILATO 306

045 1A2 130A

01 5200CWEAPON

784

790

CBATTERY/AGG

___-_______

___-__-____

941 ___-____

___-_______

941 465-9647

___-_______

___ ___-____

S S

3421728TH STREET HOLMES BEACH405

0 1

3

1

3

3

309

3

WAS STRUCK IN THE HEAD BY THE BAT

NUMEROUS TATTOOS

WITNESS 1

M

SEE NARRATIVE

N2 1

00. N/A01. Gunshot02. Stabbed

OFF/INC Indicator

EVEN

TD

ATA

NA

RR

ATI

VESU

SPEC

TC

OD

ESA

DM

A-AttemptedC-Committed

A-AttemptedC-Committed

Area

Type of Weapon

01. Residence Single02. Apartment/Condo03. Residence-Other04. Hotel/Motel

Time (mil)

GangRelated

Time Dispatched (mil)

Primary Offense Description

21. Employer22. Landlord/Tenant23. Acquaintance99. Other Known

5. Ordinance9. Other

Zone

)

Agency Report Number

3. Misdemeanor4. Traffic Misdemeanor

OFF/INC# 1

Business Name/Area Identifier

District

NCIC/UCR Code

2. No

Location Type

V/W Code

# Victims00. N/A01. Handgun

05. Knife/Cutting Instrument06. Blunt Object

07. Hands/Fist/Feet08. Poison09. Explosives

10. Fire/Incendiary11. Threat/Intimidation12. Simulated Weapon

V - VictimW - WitnessC - Reporting Person

O - OtherRace

N - N/AM - MaleF - FemaleU - Unknown

Residence Type 0. N/A1. City2. County

Extent of Injury Residence Status

03. Laceration04. Unconscious05. Poss. Broken Bones06. Poss. Internal Injury

Victim Relationship To Offender 07. Loss of Teeth08. Burns09. Abrasions/Bruises99. Other

06. Parent07. Brother/Sister08. Child09. Step-Parent

10. Step-Child11. In-Law12. Other Family13. Student

Residence Phone

Business Phone

Juvenille

Occupation

Sex Date of Birth Height Weight Eye Color Hair Length Hair Style

Nickname/Street Name Place of Birth

Social Security Number

SCIC/NCIC

Employer/School

Teeth Speech/Voice Special Identifiers

Original DayReported

Date Time (mil) Time Arrived (mil) Time Completed (mil)

1. Felony2. Traffic Felony To

Time (mil)

(-

Type

15. Industrial/Mfg.16. Storage17. Gov't/Public Bldg.18. School/University19. Jail/Prison

20. Religious Bldg.21. Airport22. Bus/Rail Terminal23. Construction Site24. Other Structure

25. Parking Lot/Garage26. Highway/Roadway27. Park/Woodlands/Field28. Lake/Waterway29. Motor Vehicle

10. Dept/Discount Store11. Specialty Store12. Drug Store/Hospital13. Bank/Financial Inst.14. Commercial/Office Bldg.

Suspect Code

Incident Location (Street Number, Street, Apt,)

Scars/Marks/Tatoos (Location/Describe)

OFFENSE-INCIDENT REPORT

0. N/A1. Occupied

E-EscapeeM-Missing

From

Date of Supplement

- (

17. Friend18. Neighbor19. Sitter/Day Care20. Employee

OFF/INC Indicator

OBTS Number (Arrested)Other I.D. NumberImmigration and Naturalization Number

Incident Type Incident: Day Date

2. Unoccupied3. Abandoned

05. Convenience Store06. Gas Station07. Liquor Sales08. Bar/Nightclub09. Supermarket

DateDay

0. N/A1. Yes

Forced Entry Occupancy

Statute Violation Number - Chapter, Section, SubDescriptionType

Hair ColorRace

Facial HairBuildComplexion

Driver's License Number/State

Address

Code

Maiden Name

Name (Last, First, Middle)

13. Drugs88. Unknown99. Other

Grid

Victim Type 0. N/A1. Juvenile2. L.E. Officer3. Adult

4. Business5. Government6. Church9. Other

Sex I - American IndianO - Oriental/AsianU - Unknown

N - N/AW - WhiteB - Black

3. Florida4. Out-of-State

0. N/A1. Full Year2. Part Year3. Non-Resident

0. None1. Minor2. Serious3. Fatal

14. Teacher15. Child of Boy/Girl Friend16. Boy/Girl Friend

03. Spouse04. Ex-Spouse05. Co-Habitant

00. N/A01. Undetermined02. Stranger

Injury Type

Clothing (Describe)

ZipStateCity

02. Rifle03. Shotgun04. Firearm

# Prem. Ent.

S-SuspectA-Arrestee

ZipCity

# OFF/INC. # Offenders # Veh. Stolen

1.#12.#2 3.Both

)

If V/W Code is V, W or CFill in this Line

OFF/INC Indicator

V/W Code # Name (Last, First, Middle or Business) Residence Phone

Business Phone

Race Sex Injury Type(s) Relationship Ethnicity Will Victim prefer charge?

Synopsis of Involvement

V. Type

V/W Code # Name (Last, First, Middle or Business) Residence Phone

Business Phone

Race Sex Injury Type(s) Relationship Ethnicity Will Victim prefer charge?

Synopsis of Involvement

V. Type

Extent of InjuryRes. StatusRes. Type

ZipStateCity

Extent of InjuryRes. StatusRes. Type

ZipStateCity

VIC

TIM

/WIT

NES

SVI

CTI

M/W

ITN

ESS

Dom. Violence

Dom. Violence

1.#12.#2

3.Both

1.#12.#2 3.Both

Date of Birth Age

Date of Birth Age

If V/W Code is V, W or CFill in this Line

Address (Street, Apt. Number)

Other Contact Info. (Time Available, Interpreter, etc.)

Address (Street, Apt. Number)

Other Contact Info. (Time Available, Interpreter, etc.)

Last Known Address (Street, Apt. Number)

OFF/INC# 2

R-Rec. MissingZ-other

Age

Person/Unit Notified

Case Status

Time

Routed To Referred To

Related Report Number(s)

Unit

ofPage

Number ArrestedClearance Type

Exception Type 2. Arrest on Primary Offense Secondary Offense Without Prosecution

3. Death of Offender4. V / W Refused to Cooperate

3.Unfounded

Page5. Prosecution Declined6. Juvenile/No Custody1.Extradition Declined

1.Arrest2.Exceptional

Jail Number

OBTS Number

Date Cleared

AD

MIN

ISTR

ATI

VE

A-AdultJ-Juvenile

Name of Officer Reporting

Officer Reviewing (If Applicable) I.D. Number

I.D. Number/Locator Code

Signature of Officer Reporting

Signature of Officer Reviewing By DateAssigned To

30. Other Mobile99. Other

Susp.#

JuvenileWarn/Dismiss:

1. Original2. Supplement:

Juvenilein Report:

__/__/____

06/03/2017

06/03/2017 06/03/2017

06/03/2017

__/__/____

06/03/2017

USA Rev. 01/23/2003

11/03/1987

08/28/1986

04/11/1995

Date

Yes No

YYeess NNoo

C O P

Y

Holmes Beach Police Department 20170472

02 SCHWEITZER

6904 MANATEE AVE W APT 41D BRADENTON 34217

27

03

5719 3RD AVE W BRADENTON 34209

31

MICHAEL JOHN

HAMPTON ALICIA NICOLE

2

2

1120 17TH ST WEST APT B

O416540913860

507

34205BRADENTON

25 125

405 28TH ST

W420543699100

503

34217HOLMES BEACH

47

OLIVER MARJESTER

WELCH MONA CALHOON

MW

FW

FW

W 3

W 3

2 1 0 00 0200

2 1 0 00 0000

01 2Z

2 2A

FL

FL

FL

FL

MB

N 1

BRO BLK L A

MED

FL

FL

THN

___-_______

___-__-____

941 722-7342

___-_______

941 580-0543

___-_______

___ ___-____

___-__-____

___-_______

941 704-4769

3

3

1

1

AGGRAVATED BATTERY JUDE CHRISTOPHER LEE

WITNESS 2

WITNESS 3

CO

DES

AD

MJuvenilein Report:

Date of Supplement

Primary Offense Description

Victim Type Race

Victim Relationship To Offender

Agency Report Number

Residence Type Residence Status4. Business5. Government6. Church9. Other

SexN-N/AM-MaleF-FemaleU-Unknown

0. N/A1. City2. County

3. Florida4. Out-of-State

0. N/A1. Full Year2. Part Year3. Non-Resident

0. None1. Minor2. Serious3. Fatal

07. Loss of Teeth08. Burns09. Abrasions/Bruises99. Other

00. N/A01. Undetermined02. Stranger

03. Spouse04. Ex-Spouse05. Co-Habitant

06. Parent07. Brother/Sister08. Child09. Step-Parent

14. Teacher15. Child of Boy/Girl Friend16. Boy/Girl Friend

17. Friend18. Neighbor19. Sitter/Day Care20. Employee

21. Employer22. Landlord/Tenant23. Acquaintance99. Other Known

PERSON(S) REPORT

Injury Type00. N/A01. Gunshot02. Stabbed

Original Date

1. Original2. Supplement:

0. N/A1. Juvenile2. L.E. Officer3. Adult

N-N/AW-WhiteB-Black

I-American IndianO-Oriental/AsianU-Unknown

03. Laceration04. Unconscious05. Poss. Broken Bones06. Poss. Internal Injury

10. Step-Child11. In-Law12. Other Family13. Student

Victim #1 Name (Last, First, Middle)

V/W CodeV - VictimW - WitnessC - Reporting Person

O - Other

Will Victim prefer charge?

Will Victim prefer charge?

Extent of Injury

SUSP

ECT

OR

MIS

SIN

GPE

RSO

NS

If V/W Code is V, W or CFill in this Line

OFF/INC Indicator

OFF/INC Indicator V/W Code # Name (Last, First, Middle or Business) Residence Phone

Business Phone

Race Sex Injury Type(s) Relationship Ethnicity

Synopsis of Involvement

V. Type

V/W Code # Name (Last, First, Middle or Business) Residence Phone

Business Phone

Race Sex Relationship Ethnicity

Synopsis of Involvement

Extent of InjuryRes. StatusRes. Type

ZipStateCity

Extent of InjuryRes. StatusRes. Type

ZipStateCity

VIC

TIM

/WIT

NES

SVI

CTI

M/W

ITN

ESS

Dom. Violence

Dom. Violence

1.#12.#2

3.Both

1.#12.#2 3.Both

Date of Birth Age

Date of Birth Age

If V/W Code is V, W or CFill in this Line

Address (Street, Apt. Number)

Address (Street, Apt. Number)

Other Contact Info. (Time Available, Interpreter, etc.)

Other Contact Info. (Time Available, Interpreter, etc.)

SUSP

ECT

OR

MIS

SIN

GPE

RSO

NS

Hair Color

Suspect Code Code

Maiden Name

Occupation

Driver's License State/Number

Employer/School

Immigration and Naturalization Number Other ID. Number

Address

Place of Birth Residence Phone

Business Phone

Social Security Number

OBTS Number

Height

Complexion Facial Hair Teeth Speech/Voice Special Identifiers

Eye Color Hair Length Hair Style

Name (Last, First, Middle)

Clothing (Describe)

Last Known Address (Street, Apt. Number)

OFF/INC Indicator1.#12.#2

Sex

Nickname/Street Name

SCIC/NCIC

WeightRace

Juvenile

Build

3.Both

City

Maiden Name

Occupation

Driver's License State/Number

Employer/School

Immigration and Naturalization Number Other ID. Number

Address

Place of Birth Residence Phone

Business Phone

Social Security Number

OBTS Number

Height

Complexion Facial Hair Teeth Speech/Voice Special Identifiers

Eye Color Hair Length Hair Style

State Zip

Clothing (Describe)

Last Known Address (Street, Apt. Number)

Sex

Nickname/Street Name

SCIC/NCIC

Hair ColorWeightRace

Build

Code Name (Last, First, Middle)OFF/INC Indicator1.#12.#2

Juvenile3.Both

Susp. #

E-EscapeeM-Missing

Suspect CodeS-SuspectA-Arrestee

R-Rec. MissingZ-other

Susp. #

Age

V. Type

E-EscapeeM-Missing

S-SuspectA-Arrestee

R-Rec. MissingZ-other

Injury Type(s)

ZipStateCity

Scars/Marks/Tatoos (Location/Describe)

Scars/Marks/Tatoos (Location/Describe)

MIS

SIN

GPE

RSO

N/R

UN

AW

AY 7. Voluntary

Adult8. Unknown

1. Yes2. No8. Unknown

Incident Type 1. Runaway2. Parental3. Involuntary

Foul Play Suspected ?

1. Yes2. No

Missing Before ?

1. Yes2. No8. Unknown

1. Yes2. No8. Unknown

1. Yes2. No8. Unknown

MCIC Form Provided ? 4. Disabled5. Endangered6. Disaster Victim

Fingerprints Available? Dental Record Available

1. Yes2. No

Photo Available?

Date Last Seen Time Last Seen Accompanied By

Property Carried

Probable Destination

Medication Required/Type

ID. Type/Number

Recovery Information 7. Deceased9. Other

Doctor/Dentist (Name, Phone Number)

Transportation Mode

Location Last Seen (Address, City, St.)

5. Law Enforcement Custody6. Returned to Parent

3. Hospitalized4. HRS Custody

2. Located- Not Returned

0. N/A1. Voluntary

Name/Address

ID. Type/Number

Mental/Physical Condition

AD

MIN

ISTR

ATI

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ID. Number(s)/Locator code Unit

DateID. Number Routed To Referred To Assigned To

Officer(s) Reporting Date

By

of

PagePage

Officer Reviewing (If Applicable)

Signature of Officer Reviewing

Signature of Officer Reporting

__/__/____

06/03/2017

06/03/2017

__/__/____

USA Rev. 01/23/2003

__/__/____

04/28/1990

07/23/1985

10/26/1991

11/10/1969Date of Birth or Age

Date of Birth or Age

YYeess NNoo

YYeess NNoo

C O P

Y

Holmes Beach Police Department

AGGRAVATED BATTERY WITH WEAPON

FL0410400 20170472

2 1

02

PATROL

1 ACA

J. PIERCE

SGT. M. PILATO 306

309

ON 06-03-17 I RESPONDED TO 405 28TH ST IN REFERENCE TO AN AGGRAVATED BATTERY WITH A BRICK AND ABASEBALL BAT. DISPATCH ADVISED THAT THE SUSPECTS (WHITE MALE & BLACK MALE) WERE LEAVING THE SCENE IN ABLUE SILVERADO PICKUP TRUCK. OFFICER WALKER ADVISED HE OBSERVED THE VEHICLE LEAVING THE SCENE ANDPULLED OUT OF 28TH ST. OFFICER WALKER ADVISED HE WAS FOLLOWING THE SUSPECT VEHICLE. THE VEHICLE TURNEDON CORTEZ ROAD AND HE CONTINUED TO FOLLOW IT.UPON MY ARRIVAL TO THE RESIDENCE I INTERVIEWED WITNESS 1 (JOSEPH,ANTHONY,LABELLE). HE STATED HEOBSERVED HIS FRIEND, THE VICTIM (CHRISTOPHER,LEE,JUDE) GET HIT WITH A BASEBALL BAT IN THE FACE DURINGA FIGHT. HE HAD A FEMALE ON THE PHONE AND WAS ASKING THE "MIXED SKINS" NAME THAT IS ALSO NICKNAMED"SPECIAL" THAT LEFT THE SCENE IN THE SILVERADO PICKUP TRUCK. THE FEMALE STATED HIS NAME WAS (MARJESTEROLIVER). I THEN WALKED BACK TO THE BACKYARD OF THE RESIDENCE WHERE THE VICTIM (CHRISTOPHER,LEE,JUDE)WAS LAYING IN A POOL OF BLOOD. HE HAD A LARGE LACERATION TO HIS FOREHEAD AND BRUISING AND SWELLING TOHIS ENTIRE FACE. HE STATED THAT HE HAD BEEN HIT IN THE FACE WITH A BASEBALL BAT. WITNESS 2 (MICHAEL,JOHN,SCHWEITZER) STATED HE SAVED THE VICTIM'S LIFE BY INTERVENING AND "THROWING UPPERCUTS" AT THEMIXED SKIN MALE. WITNESS 3 STATED SHE OBSERVED THE TALL WHITE MALE WITH ALL THE TATTOOS HIT THE VICTIMWITH THE BASEBALL BAT.DURING THESE INTERVIEWS OFFICER WALKER CONDUCTED A TRAFFIC STOP ON THE VEHICLE AT 8604 CORTEZ RD. SGTPILATO RESPONDED TO HIM AND BACKED HIM UP.(DURING THIS TRAFFIC STOP THE CONCEALED WEAPON, MARIJUANA, AND PARAPHERNALIA WERE LOCATED IN THEVEHICLE. THE BASEBALL BAT WITH DENTS AND BLOOD WAS FOUND IN THE BED OF THE PICKUP TRUCK.)

DEPUTY KIERNAN ARRIVED AT MY SCENE AND ASSISTED ME BY TAKING PHOTOGRAPHS OF THE VICTIM WHILE HE WASAMBULATORY. I OBSERVED HIM USE MY CAMERA AND I PLACED THE PHOTOGRAPHS INTO THE SERVER AS EVIDENCE. ITHEN TRANSPORTED WITNESS 1 (JOSEPH,ANTHONY,LABELLE) TO THE SUSPECT LOCATION TO CONDUCT A SHOWUP ANDSEE IF WITNESS 1 COULD IDENTIFY THE PERPETRATORS AS THE MALES THAT WERE FIGHTING WITH THE VICTIM. UPONARRIVAL LABELLE IDENTIFIED (MARJESTER OLIVER) AS THE MIXED MALE THAT WAS PUNCHING THE VICTIM AND THENIDENTIFIED (THOMAS,ANTHONY,SAMELAK) AS THE MALE THAT STRUCK THE VICTIM WITH THE BASEBALL BAT IN THEFACE. I THEN DROPPED HIM BACK OFF AT THE ORIGINAL SCENE AND PICKED UP WITNESS 2 (MICHAEL SCHWEITZER).HE STATED HE COULD NOT FOR CERTAIN IDENTIFY (OLIVER MARJESTER)AS THE ONE PUNCHING THE VICTIM BUT HEWAS PRETTY SURE THAT WAS THE ONE HE HAD TO UPPERCUT TO STOP THE FIGHT. I THEN DROPPED HIM BACK OFF ATTHE ORIGINAL SCENE AND PICKED UP WITNESS 3 (ALICIA HAMPTON). SHE IDENTIFIED OLIVER MARJESTER AS ONE OFTHE SUSPECTS FIGHTING THE VICTIM BUT THAT IT WAS THE WHITE MALE WITH TATTOOS THAT HIT THE VICTIM WITHTHE BAT IN THE FACE. UPON PRODUCING (THOMAS ANTHONY SAMELAK) SHE IDENTIFIED HIM AS THE MALE THAT USEDTHE BASEBALL BAT TO STRIKE THE VICTIM IN THE FACE.I THEN SPOKE WITH THE HOME OWNER (MONA CALHOON WELCH). SHE STATED THAT SHE HAD A PARTY AT THERESIDENCE AND THAT MARJESTER "SPECIAL" OLIVER AND THOMAS SAMELAK WERE FRIENDS OF FRIENDS "CHRISCHAMBERLAIN" THAT SHE HAD INVITED. SHE KNEW WHO THE SUSPECTS WERE BUT DID NOT DIRECTLY INVITE THEM.SHE WAS UPSTAIRS WHEN THE INCIDENT OCCURRED.SGT PILATO WEIGHED AND TESTED THE MARIJUANA. THE PRESUMPTIVE TEST WAS POSITIVE. SGT PILATO SECURED ALLEVIDENCE AT THE STATION.

NA

RR

ATI

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Original Date Reported

NARRATIVE CONTINUATION

Case ReferenceAD

M

Date of Supplement Agency ORI Number

1. Offense2. Arrest

JuvenileWarn/Dismiss

1. Original2. Supplement

Agency Report Number

Case Status

Routed To Referred To

Related Report Number(s)

Unit

ofPage

Number ArrestedClearance Type

Exception Type 2. Arrest on Primary Offense Secondary Offense Without Prosecution

3. Death of Offender4. V / W Refused to Cooperate

3.Unfounded

Page

Date

5. Prosecution Declined6. Juvenile/No Custody1.Extradition Declined

1.Arrest2.Exceptional

OBTS Number

Date Cleared

ByAssigned To

AD

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A-AdultJ-Juvenile

Date

Signature of Officer Reviewing

Name of Officer Reporting

Officer Reviewing (If Applicable) I.D. Number

I.D. Number/Locator CodeReport Contains

Arrest Number

__/__/____

06/03/2017

06/03/2017

__/__/____

06/03/2017

USA Rev. 01/23/2003

Signature of Officer Reporting

C O P

Y

THEF

TA

DM

A. Auto Accessory/PartsB. BicycleC. Camera/Photo EquipmentD. Drug

T. TV/Video/VCRU. Currency/NegotiableV. Credit Card/Non-NegotiableW. Boat MotorX. Structure

Property Type O. Office EquipmentP. Art/CollectionQ. Computer EquipmentR. Radio/StereoS. Sports Equipment

E. Equipment/Tool. F. Food/Liquor/ConsumableG. GunH. Household Appliance/GoodsI. Plant/Citrus

J. Jewelry/Precious Metal K. Clothing/FurL. LivestockM. Musical InstrumentN. Construction Machinery

Date of Supplement

Original Date Reported Primary Offense Description Victim #1 Name (Last, First, Middle)

Agency Report Number

1. Original2. Supplement

Holmes Beach Police Department

PROPERTY REPORT

AGGRAVATED BATTERY20170472

Y. Farm EquipmentZ. Miscellaneous

JUDE CHRISTOPHER LEE

PRO

P.D

ETA

IL/N

AR

R.

CO

DES

09. From Vehicle10. Extortion

Theft Type Codes

04. Pocket Picking05. Purse Snatching

06. Embezzlement07. From Coin Oper. Machine

08. From Public Access Building

11. By Computer12. Fraud

99. Other00. N/A01. Burglary

02. Robbery03. Shoplifting

Theft Type

A - ArresteeO - Other

1. Stolen2. Recovered

V - VictimS - Suspect

5. Lost6. Found

Person Codes Status Codes3. Stolen and Recovered4. Recovered for Other Jurisdiction

2. Criminal Mischief3. During other Offense

7. Safekeeping8. Evidence/Seized

9. Other9. OtherDamage Codes0. N/A1. Arson

PRO

PER

TY

Serial Number

NameItem #

Type

Code Person Status Damage Property Type Quantity Brand Model Name/Number

Owner Applied Number Description (Size, Color, Caliber, Barrel Length, Etc. )

Value Value Recovered Date Recovered SCIC/NCIC

Property Stolen

PropertyRecovered

Change in PropertyStolen Value

Change in Property Recovered Value

Activity Type Unit

Activity Description Quantity Unit

P. PossessS. SellB. BuyT. Traffic

R. SmuggleD. DeliverE. UseK. Dispense/Distribute

M. Manufacture/Produce/CultivateZ. Other

A. AmphetamineB. BarbiturateC. CocaineE. Heroin

H. HallucinogenM. MarijuanaO. Opium/DerivativeP. Paraphernalia/Equipment

S. SyntheticU. UnknownZ. Other

1. Gram2. Milligram3. Kilogram4. Ounce

5. Pound6. Ton7. Liter8. Milliliter

Estimated Street Value

1SHORT ALUMINUM BAT COVERED WITH TAPE

1 BAT1

TOTA

LSC

OD

ESD

RU

GS

PRO

PER

TY

Serial Number

NameItem #Code Person Status Damage Property Type Quantity Brand Model Name/Number

Owner Applied Number Description (Size, Color, Caliber, Barrel Length, Etc. )

Value Value Recovered Date Recovered SCIC/NCIC

13 CUTTLERY BLADES ATTACHED TO WOOD

HOMEMADE2 WOLVERINE KNIFE1

PRO

PER

TY

Serial Number

NameItem #Code Person Status Damage Property Type Quantity Brand Model Name/Number

Owner Applied Number Description (Size, Color, Caliber, Barrel Length, Etc. )

Value Value Recovered Date Recovered SCIC/NCIC

1.7 GRAMS OF CANNABIS AND SEEDS

3 CANNABIS SEEDS1

PRO

PER

TY

Serial Number

NameItem #Code Person Status Damage Property Type Quantity Brand Model Name/Number

Owner Applied Number Description (Size, Color, Caliber, Barrel Length, Etc. )

Value Value Recovered Date Recovered SCIC/NCIC

1CANNABIS PIPE PACKED WITH CANNABIS

UNKNOWN4 CANNABIS PIPE1

PRO

PER

TY

Serial Number

NameItem #Code Person Status Damage Property Type Quantity Brand Model Name/Number

Owner Applied Number Description (Size, Color, Caliber, Barrel Length, Etc. )

Value Value Recovered Date Recovered SCIC/NCIC

1PACKAGE OF OPEN ROLLING PAPERS

5 ROLLING PAPERS1

TypeActivity Description Quantity Unit Estimated Street Value

TypeActivity Description Quantity Unit Estimated Street Value

A 3

A

A

A

A

3

3

3

3

Z

Z

D

D

D

1.00

1.00

1.00

1.00

1.00

8

8

8

8

8

00

SEE SUPPLEMENT

0.005.00

AD

MIN

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ID. Number(s)/Locator code Unit

DateID. Number Routed To Referred To Assigned To

PATROL306

SGT. M. PILATO

SGT. M. PILATO

306

Officer(s) Reporting Date

By

ofPagePage

Officer Reviewing (If Applicable)

1

9. Dose Unit/Item

06/03/2017

06/03/2017

06/03/2017

06/03/2017

06/03/2017

06/03/2017

__/__/____

USA Rev. 01/21/2003

__/__/____06/03/2017

Signature of Officer Reporting

Signature of Officer Reviewing

C O P

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NA

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Original Date Reported

NARRATIVE CONTINUATION

AGGRAVATED BATTERY

Holmes Beach Police Department

Case ReferenceAD

M

Date of Supplement Agency ORI Number

1. Offense2. Arrest

JuvenileWarn/Dismiss

1. Original2. Supplement

Agency Report Number

FL0410400 20170472

2 1

ON THIS DATE, I RESPONDED TO AN AGGRAVATED BATTERY IN THE 400 BLK OF 28TH STREET. WHILE IN ROUTE,OFFICER MIKE WALKER WAS ON HIS WAY HOME AND OBSERVED THE SUSPECT VEHICLE WITH THE MATCHING SUSPECTS INTHE CAB OF THE PICKUP. AFTER OFFICER WALKER RAN THE TAG, HE STOPPED THE VEHICLE IN THE 7/11PARKING LOTAT 8604 CORTEZ RD. I RESPONDED TO BACK HIM UP AS HE ADVISED THAT THE SUSPECTS WERE UNCOOPERATIVE. UPONARRIVAL, OFFICER WALKER WAS ADVISING BOTH SUSPECTS TO KEEP THEIR HANDS UP. OFFICER PIERCE ARRIVED ATTHE VICTIMS LOCATION AND GIVING US SUSPECT INFORMATION. MSO DEPUTIES ALSO ARRIVED TO ASSIST US AT THE7/11. AFTER I WAS ADVISED BY OFFICER PIERCE THAT BOTH SUSPECTS WERE PART OF THE ATTACK, DEPUTIESOBSERVED SAMELAK CONTINUE TO MOVE AROUND AND REMOVED SAMELAK FROM THE DRIVERS SEAT AND PLACED HIM INHANDCUFFS AND SECURED HIM IN ONE OF THE DEPUTIES VEHICLES. AFTER SAMELAK WAS REMOVED, THE OTHER DEPUTYREMOVED A WOLVERINE KNIFE FROM THE DRIVERS DOOR POCKET WITHIN REACH OF SAMELAK AS HE WAS IN THEVEHICLE AND PUT IT ON THE HOOD. OFFICER WALKER REMOVED MARJESTER FROM THE PASSENGER SEAT AND HE WASPLACED IN HANDCUFFS AND PUT IN THE BACK OF OFFICER WALKERS PATROL VEHICLE. AFTER OFFICER PIERCEADVISED THAT HE HAD TWO WITNESSES, WE SET UP SHOW UPS AT THE CIRCLE K IN BRADENTON BEACH. I BEGAN TOLOOK IN THE BACK OF THE VEHICLE AND OBSERVED AN ALUMINUM BAT THAT WAS WRAPPED WITH ELECTRICAL TAPE.THE BAT WAS DENTED. THERE WAS ALSO AN OPEN KNIFE AND A KAYAK AND FISHING POLE IN THE BACK OF THEPICKUP. I REMOVED THE WOLVERINE KNIFE OFF OF THE HOOD AND SPOKE WITH THE DEPUTIES. THEY ADVISED IT WASIN THE DRIVERS DOOR AND SHOWED ME. OFFICER WAKLER AND ONE OF THE MSO DEPUTIES TRANSPORTED THE SUSPECTSTO CIRCLE K AS I COLLECTED THE BAT FROM THE BACK OF THE SUSPECTS VEHICLE AND BEGAN TO DO AN INVENTORYOF THE VEHICLE FOR TOWING. I CONTACTED DISPATCH AND REQUESTED A WRECKER. I RAN THE SERIAL NUMBERS OFTHE KAYAK AND DISPATCH ADVISED THAT IT WAS NOT STOLEN. I THEN PUT THE CENTER CONSOLE DOWN AND OBSERVEDA CANNABIS PIPE, SMALL CIGARETTE BAG WITH CANNABIS SEEDS AND ROLLING PAPERS. I PHOTOGRAPHED THEM ANDTOOK THEM FOR EVIDENCE. UPON MATTS EXPRESS ARRIVAL, I DID THE TOW SHEET AND HE TOOK CUSTODY OF THEVEHICLE. I THEN DROVE BACK AND MET WITH OFFICER WALKER AND THE DEPUTY AT CIRCLE K. I PUT SAMELAK INTHE BACK OF MY PATROL VEHICLE AND DID TEMPORARY DETAINERS ON BOTH SUSPECTS FOR OFFICER PIERCE.SAMELAK CONTINUED TO SPEAK AND ASK QUESTIONS, I THEN READ HIM MIRANDA RIGHTS AND HE ADVISED THAT HEWOULD SPEAK TO ME. I ADVISED HIM HE WAS UNDER ARREST AND CHARGED WITH AGGRAVATED BATTERY AND THE OTHERCHARGES. HE CAME UP WITH A STORY OF BEING ATTACKED. DUE TO THE WITNESS INFORMATION GIVEN TO OFFICERPIERCE AS SAMELAK WAS THE AGGRESSOR WITH OLIVER. I TRANSPORTED SAMELAK AND OFFICER PIERCE TRANSPORTEDOLIVER TO THE OLD ALBERTSONS SO THAT MSO COULD TRANSPORT. I THEN TOOK THE EVIDENCE BACK TO THE PD ANDFIELD TESTED THE CANNABIS AND WEIGHED IT. THE CANNABIS FIELD TESTED POSITIVE AND THE WEIGHT OF THESEEDS AND CANNABIS WAS .7GRAMS. I ALSO PLACED THE WOLVERINE KNIFE AND BAT INTO EVIDENCE WITH THECANNABIS, CANNABIS PIPE AND ROLLING PAPERS. I DOWNLOADED THE PHOTOGRAPHS AND PLACED THEM IN THE CASEFOLDER. NFI

Case Status

Routed To Referred To

Related Report Number(s)

Unit

ofPage

Number ArrestedClearance Type

Exception Type 2. Arrest on Primary Offense Secondary Offense Without Prosecution

3. Death of Offender4. V / W Refused to Cooperate

3.Unfounded

Page

Date

5. Prosecution Declined6. Juvenile/No Custody1.Extradition Declined

1.Arrest2.Exceptional

OBTS Number

Date Cleared

ByAssigned To

AD

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ATI

VE

A-AdultJ-Juvenile

Date

Name of Officer Reporting

Officer Reviewing (If Applicable) I.D. Number

I.D. Number/Locator Code

02

PATROL

1 ACA

SGT. M. PILATO

SGT. M. PILATO 306

306Report Contains

Arrest Number

06/03/2017

__/__/____

06/03/2017

USA Rev. 01/23/2003

__/__/____

06/03/2017

Signature of Officer Reviewing

Signature of Officer Reporting

C O P

Y

NA

RR

ATI

VE

Original Date Reported

NARRATIVE CONTINUATION

AGG BATTERY/ WEAPON

Holmes Beach Police Department

Case ReferenceAD

M

Date of Supplement Agency ORI Number

1. Offense2. Arrest

JuvenileWarn/Dismiss

1. Original2. Supplement

Agency Report Number

FL0410400 20170472

2 2

ON 06/03/2017, AT APPROX 0558 HOURS, WHILE TRAVELING SOUTH BOUND IN THE 2800 BLOCK OF GULF DRIVE, IOBSERVED A BLUE CHEVY PICKUP TRUCK TRAVELING WEST BOUND ON 28TH STREET APPROACHING GULF DRIVE. THEVEHICLE PULLED DIRECTLY BEHIND MY VEHICLE AS WE CONTINUED SOUTH BOUND ON GULF DRIVE. WHILE HEADINGEAST BOUND OVER THE CORTEZ BRIDGE, DISPATCH ADVISED A BATTERY JUST OCCURRED AT 405 28TH STREET AND THESUSPECTS LEFT IN A BLUE CHEVY PICKUP TRUCK HEADING TOWARDS THE CORTEZ BRIDGE. I ADVISED DISPATCH THATI WAS BEHIND THE SUSPECTS VEHICLE WHICH I OBSERVED LEAVE 28TH STREET. THE VEHICLE THEN ENTERED THEPARKING LOT OF 8604 CORTEZ ROAD. I ACTIVATED MY EMERGENCY LIGHTS IN AN ATTEMPT TO CONDUCT A TRAFFICSTOP. UPON STOPPING THE VEHICLE, THE DRIVER IMMEDIATELY EXITED THE VEHICLE. THE PASSENGER ALSO OPENEDTHE PASSENGER DOOR AND BEGAN TO GET OUT OF THE VEHICLE. I GAVE VERBAL COMMANDS FOR BOTH SUBJECTS TOGET BACK INTO THE VEHICLE. THE DRIVER, LATER IDENTIFIED AS (THOMAS SAMELAK JR), WAS EXTREMELYUNCOOPERATIVE. I APPROACHED THE VEHICLE AND CONTINUED TO GIVE VERBAL COMMANDS FOR THE SUSPECTS TO STAYIN THE VEHICLE AND KEEP THEIR HANDS WHERE I COULD SEE THEM WHILE I WAITED FOR BACKUP TO ARRIVE.

SGT. PILATO AND MSO DEPUTIES ARRIVED AND ASSISTED IN TAKING THE SUBJECTS OUT OF THE VEHICLES. IDETAINED OLIVER AND PLACED HIM INTO MY PATROL VEHICLE. I THEN TRANSPORTED OLIVER TO 2500 GULF DRIVEFOR A SHOW UP. I THEN TURNED OLIVER OVER TO OFFICER PIERCE ONCE HE COMPLETED HIS INVESTIGATION ONSCENE.

Case Status

Routed To Referred To

Related Report Number(s)

Unit

ofPage

Number ArrestedClearance Type

Exception Type 2. Arrest on Primary Offense Secondary Offense Without Prosecution

3. Death of Offender4. V / W Refused to Cooperate

3.Unfounded

Page

Date

5. Prosecution Declined6. Juvenile/No Custody1.Extradition Declined

1.Arrest2.Exceptional

OBTS Number

Date Cleared

ByAssigned To

AD

MIN

ISTR

ATI

VE

A-AdultJ-Juvenile

Date

Name of Officer Reporting

Officer Reviewing (If Applicable) I.D. Number

I.D. Number/Locator Code

PATROL

WALKER

SGT. M. PILATO 306

312Report Contains

Arrest Number

06/04/2017

__/__/____

__/__/____

USA Rev. 01/23/2003

06/04/2017

06/03/2017

Signature of Officer Reviewing

Signature of Officer Reporting

C O P

Y

509MW 4902/02/1968 165 BRO BRO S S

FL0410400

01

00

2349

01 01 01 00 00

KOBLER

3 SEEPLANTAWEG 6402SWITZERLAND

004187799002

Holmes Beach Police Department

2349 2355 0039

2349 0039

20170474

SWITZERLAND

ALEXANDER

COV NOISE COMPLAINT

01

Sun

01 HOLMES BEACH

2 NN

V 5

S

0 0 0 00 0000

FF

THN

FF

PATROL

L. DIEHL

SGT. V. MCGOWIN 304

MCGOWINCODE

0 0 00000CCOV/NOISE

___-_______

___-__-____

___ ___-____

___-_______

___ ___-____

___-_______

___ ___-____

34217AVENUE F HOLMES BEACH3103

0

5

1

333

1

WHITE T-SHIRT, SHORTS

SEE NARRATIVE ON OTHER PAGE.

N2 1

00. N/A01. Gunshot02. Stabbed

OFF/INC Indicator

EVEN

TD

ATA

NA

RR

ATI

VESU

SPEC

TC

OD

ESA

DM

A-AttemptedC-Committed

A-AttemptedC-Committed

Area

Type of Weapon

01. Residence Single02. Apartment/Condo03. Residence-Other04. Hotel/Motel

Time (mil)

GangRelated

Time Dispatched (mil)

Primary Offense Description

21. Employer22. Landlord/Tenant23. Acquaintance99. Other Known

5. Ordinance9. Other

Zone

)

Agency Report Number

3. Misdemeanor4. Traffic Misdemeanor

OFF/INC# 1

Business Name/Area Identifier

District

NCIC/UCR Code

2. No

Location Type

V/W Code

# Victims00. N/A01. Handgun

05. Knife/Cutting Instrument06. Blunt Object

07. Hands/Fist/Feet08. Poison09. Explosives

10. Fire/Incendiary11. Threat/Intimidation12. Simulated Weapon

V - VictimW - WitnessC - Reporting Person

O - OtherRace

N - N/AM - MaleF - FemaleU - Unknown

Residence Type 0. N/A1. City2. County

Extent of Injury Residence Status

03. Laceration04. Unconscious05. Poss. Broken Bones06. Poss. Internal Injury

Victim Relationship To Offender 07. Loss of Teeth08. Burns09. Abrasions/Bruises99. Other

06. Parent07. Brother/Sister08. Child09. Step-Parent

10. Step-Child11. In-Law12. Other Family13. Student

Residence Phone

Business Phone

Juvenille

Occupation

Height Weight Eye Color Hair Length Hair Style

Nickname/Street Name Place of Birth

Social Security Number

SCIC/NCIC

Employer/School

Teeth Speech/Voice Special Identifiers

Original DayReported

Date Time (mil) Time Arrived (mil) Time Completed (mil)

1. Felony2. Traffic Felony To

Time (mil)

(-

Type

15. Industrial/Mfg.16. Storage17. Gov't/Public Bldg.18. School/University19. Jail/Prison

20. Religious Bldg.21. Airport22. Bus/Rail Terminal23. Construction Site24. Other Structure

25. Parking Lot/Garage26. Highway/Roadway27. Park/Woodlands/Field28. Lake/Waterway29. Motor Vehicle

10. Dept/Discount Store11. Specialty Store12. Drug Store/Hospital13. Bank/Financial Inst.14. Commercial/Office Bldg.

Suspect Code

Incident Location (Street Number, Street, Apt,)

Scars/Marks/Tatoos (Location/Describe)

OFFENSE-INCIDENT REPORT

0. N/A1. Occupied

E-EscapeeM-Missing

From

Date of Supplement

- (

17. Friend18. Neighbor19. Sitter/Day Care20. Employee

OFF/INC Indicator

OBTS Number (Arrested)Other I.D. NumberImmigration and Naturalization Number

Incident Type Incident: Day Date

2. Unoccupied3. Abandoned

05. Convenience Store06. Gas Station07. Liquor Sales08. Bar/Nightclub09. Supermarket

DateDay

0. N/A1. Yes

Forced Entry Occupancy

Statute Violation Number - Chapter, Section, SubDescriptionType

Hair Color

Facial HairBuildComplexion

Driver's License Number/State

Address

Code

Maiden Name

Name (Last, First, Middle)

13. Drugs88. Unknown99. Other

Grid

Victim Type 0. N/A1. Juvenile2. L.E. Officer3. Adult

4. Business5. Government6. Church9. Other

Sex I - American IndianO - Oriental/AsianU - Unknown

N - N/AW - WhiteB - Black

3. Florida4. Out-of-State

0. N/A1. Full Year2. Part Year3. Non-Resident

0. None1. Minor2. Serious3. Fatal

14. Teacher15. Child of Boy/Girl Friend16. Boy/Girl Friend

03. Spouse04. Ex-Spouse05. Co-Habitant

00. N/A01. Undetermined02. Stranger

Injury Type

Clothing (Describe)

ZipStateCity

02. Rifle03. Shotgun04. Firearm

# Prem. Ent.

S-SuspectA-Arrestee

ZipCity

# OFF/INC. # Offenders # Veh. Stolen

1.#12.#2 3.Both

)

If V/W Code is V, W or CFill in this Line

OFF/INC Indicator

V/W Code # Name (Last, First, Middle or Business) Residence Phone

Business Phone

Race Sex Injury Type(s) Relationship Ethnicity Will Victim prefer charge?

Synopsis of Involvement

V. Type

V/W Code # Name (Last, First, Middle or Business) Residence Phone

Business Phone

Race Sex Injury Type(s) Relationship Ethnicity Will Victim prefer charge?

Synopsis of Involvement

V. Type

Extent of InjuryRes. StatusRes. Type

ZipStateCity

Extent of InjuryRes. StatusRes. Type

ZipStateCity

VIC

TIM

/WIT

NES

SVI

CTI

M/W

ITN

ESS

Dom. Violence

Dom. Violence

1.#12.#2

3.Both

1.#12.#2 3.Both

Date of Birth Age

Date of Birth Age

If V/W Code is V, W or CFill in this Line

Address (Street, Apt. Number)

Other Contact Info. (Time Available, Interpreter, etc.)

Address (Street, Apt. Number)

Other Contact Info. (Time Available, Interpreter, etc.)

Last Known Address (Street, Apt. Number)

OFF/INC# 2

R-Rec. MissingZ-other

Person/Unit Notified

Case Status

Time

Routed To Referred To

Related Report Number(s)

Unit

ofPage

Number ArrestedClearance Type

Exception Type 2. Arrest on Primary Offense Secondary Offense Without Prosecution

3. Death of Offender4. V / W Refused to Cooperate

3.Unfounded

Page5. Prosecution Declined6. Juvenile/No Custody1.Extradition Declined

1.Arrest2.Exceptional

Jail Number

OBTS Number

Date Cleared

AD

MIN

ISTR

ATI

VE

A-AdultJ-Juvenile

Date

Name of Officer Reporting

Officer Reviewing (If Applicable) I.D. Number

I.D. Number/Locator Code

By DateAssigned To

30. Other Mobile99. Other

Susp.#

JuvenileWarn/Dismiss:

1. Original2. Supplement:

Juvenilein Report:

__/__/____

06/04/2017

06/05/2017

06/05/2017

USA Rev. 01/23/2003

Sun Mon06/04/2017 06/05/2017

Sex Date of BirthRace Age

__/__/____

Yes No

YYeess NNoo

0

Signature of Officer Reporting

Signature of Officer Reviewing

C O P

Y

Holmes Beach Police Department

COV NOISE

1 1

CODE MCGOWIN

PATROL

L. DIEHL

SGT. V. MCGOWIN 304

333

ON 06/04/2017 AT 2349 HOURS I WAS DISPATCHED TO THE ABOVE LOCATION IN REFERENCE TO A NOISE COMPLAINT.THE DISPATCHER ADVISED THE COMPLAINANT STATED A LARGE POOL PARTY WAS OCCURRING AT THE ADDRESS. THECOMPLAINANT WISHED TO REMAIN ANONYMOUS.

UPON MY ARRIVAL I COULD HEAR SEVERAL PEOPLE YELLING AS WELL AS LOUD AMPLIFIED MUSIC WHILE I WASAPPROACHING THE RESIDENCE. I STOOD OUTSIDE THE RESIDENCE ON AVENUE F AND CONTINUED TO LISTEN ANDOBSERVE. WHILE ON SCENE, THE LOUD MUSIC AND YELLING CONTINUED. I COULD HEAR SEVERAL PEOPLE IN THE BACKOF THE RESIDENCE BY THE POOL. THE MUSIC AND YELLING WAS EXTREMELY LOUD AND CONSISTENT. THE NOISE COULDBE HEARD FROM SEVERAL HUNDRED FEET DOWN THE ROAD. I CONTINUED TO LISTEN FOR APPROXIMATELY TEN MINUTESAND DURING THAT TIME THE MUSIC AND YELLING REMAINED AT AN EXCESSIVE AND UNREASONABLE LEVEL. WHILE ILISTENED, I OBTAINED A READ OUT ON THE DECIBEL READER THAT READ 62 DECIBELS.

THIS NOISE WOULD NOT BE CONSIDERED TO BE USUAL NOISE FOR A RESIDENTIAL NEIGHBORHOOD SUCH AS THIS FORTHIS TIME OF NIGHT. THE NORMAL SURROUNDINGS OF THIS AREA ARE OF A VERY QUIET RESIDENTIAL NEIGHBORHOOD.I FIND THIS NOISE TO BE EXCESSIVE AND UNREASONABLE NOISE AND A VIOLATION OF THE CITY OF HOLMES BEACHNOISE ORDINANCE WHICH STATES IN PART, (IT IS HEARBY DECLARED THAT THE MAKING, CREATION OR MAINENANCEOF EXCESSIVE OR UNREASONABLE NOISE WITHIN THE CITY AFFECTS AND IS A DETRIMENT TO PUBLIC HEALTH,COMFORT, CONVENIENCE, SAFETY, WELFARE, ON THE PROPERTY OF THE PEOPLE OF THE CITY OF HOLMES BEACH.EXCESSIVE AND UNREASONABLE NOISE CAN CAUSE ADVERSE EFFECTS ON HUMANS AND DEPRIVE PEOPLE OF THEPEACEABLE ENJOYMENT OF THEIR PRIVATE PROPERTY.

THE VIOLATOR, ALEXANDER KOBLER IMMEDIATELY COMPLIED AND TURNED THE MUSIC DOWN AS WELL AS BROUGHTEVERYONE INSIDE THE HOUSE. THE VIOLATOR ADVISED THEY BEGAN RENTING THE PROPERTY ON 06/03/2017. IEXPLAINED THE NOISE ORDINANCE TO THE VIOLATOR AND ISSUED THE VIOLATOR A CITATION.

OFFICER WALKER AND OFFICER LABRANCHE WERE PRESENT AT THE SCENE AS WELL.

PLEASE FORWARD TO CODE ENFORCEMENT.

NA

RR

ATI

VE

Original Date Reported

NARRATIVE CONTINUATION

Case ReferenceAD

M

Date of Supplement Agency ORI Number

1. Offense2. Arrest

JuvenileWarn/Dismiss

1. Original2. Supplement

Agency Report Number

Case Status

Routed To Referred To

Related Report Number(s)

Unit

ofPage

Number ArrestedClearance Type

Exception Type 2. Arrest on Primary Offense Secondary Offense Without Prosecution

3. Death of Offender4. V / W Refused to Cooperate

3.Unfounded

Page

Date

5. Prosecution Declined6. Juvenile/No Custody1.Extradition Declined

1.Arrest2.Exceptional

OBTS Number

Date Cleared

ByAssigned To

AD

MIN

ISTR

ATI

VE

A-AdultJ-Juvenile

Date

Name of Officer Reporting

Officer Reviewing (If Applicable) I.D. Number

I.D. Number/Locator CodeReport Contains

Arrest Number

__/__/____

06/04/2017

06/05/2017

06/05/2017

__/__/____

USA Rev. 01/23/2003

20170474FL0410400

Signature of Officer Reviewing

Signature of Officer Reporting

C O P

Y

FL0410400

0800

1952

01 01 00 0 0

Holmes Beach Police Department1952 1955 2026

20170478 TRESPASSMon

1 ANCHOR INN3007 GULF DR HOLMES BEACH 34217

16512 48TH AV DR E BRADENTON 34203

REMSNYDER KEVIN2

2

NN

W

V 4

O 31

1

1

1

0

0

00

00

00

0000

00

FL

FL

SGT. COPEMANSGT.COPEMAN 307

0 0 00000CTRESPASS/WARN

___-_______

___-__-____

941 778-0385

___-__________ ___-____

___-__________ ___-____

34217ANCHOR INN

GULF DR HOLMES BEACH30072

9

1

1

307

CUSTOMERM

ON LISTED DATE AND TIME I RESPONDED TO 3007 GULF DR (ANCHOR INN) DUE TO A TRESPASS. UPON ARRIVAL ISPOKE TO THE BAR TENDER (TINGLER) WHO STATED THAT HE WANTED THE CUSTOMER (REMSNYDER) TRESPASSED BECAUSEHE WAS ARGUING WITH OTHER CUSTOMER AND CAUSING A SCENE. REMSNYDER WAS RUN THROUGH FCIC/NCIC AND CAMEBACK CLEAR.REMSNYDER STATED THAT THE BAR TENDER OWNED HIM $4.75 FOR A DRINK. THE BAR TENDER ADVISEDTHAT HIS TAB WAS ALL PAID UP AND HE NOR THE BAR OWED EACH OTHER MONEY. REMSNYDER WAS ADVISED THAT HE ISNO LONGER ALLOWED AT THE BAR AND HE SIGNED HIS TRESPASS WARNING AND LEFT THE AREA. NFA

N2 1

00. N/A01. Gunshot02. Stabbed

OFF/INC Indicator

EVEN

TD

ATA

NA

RR

ATI

VESU

SPEC

TC

OD

ESA

DM

A-AttemptedC-Committed

A-AttemptedC-Committed

Area

Type of Weapon

01. Residence Single02. Apartment/Condo03. Residence-Other04. Hotel/Motel

Time (mil)

GangRelated

Time Dispatched (mil)

Primary Offense Description

21. Employer22. Landlord/Tenant23. Acquaintance99. Other Known

5. Ordinance9. Other

Zone

)

Agency Report Number

3. Misdemeanor4. Traffic Misdemeanor

OFF/INC# 1

Business Name/Area Identifier

District

NCIC/UCR Code

2. No

Location Type

V/W Code

# Victims00. N/A01. Handgun

05. Knife/Cutting Instrument06. Blunt Object

07. Hands/Fist/Feet08. Poison09. Explosives

10. Fire/Incendiary11. Threat/Intimidation12. Simulated Weapon

V - VictimW - WitnessC - Reporting Person

O - OtherRace

N - N/AM - MaleF - FemaleU - Unknown

Residence Type 0. N/A1. City2. County

Extent of Injury Residence Status

03. Laceration04. Unconscious05. Poss. Broken Bones06. Poss. Internal Injury

Victim Relationship To Offender 07. Loss of Teeth08. Burns09. Abrasions/Bruises99. Other

06. Parent07. Brother/Sister08. Child09. Step-Parent

10. Step-Child11. In-Law12. Other Family13. Student

Residence Phone

Business Phone

Juvenille

Occupation

Height Weight Eye Color Hair Length Hair Style

Nickname/Street Name Place of Birth

Social Security Number

SCIC/NCIC

Employer/School

Teeth Speech/Voice Special Identifiers

Original DayReported

Date Time (mil) Time Arrived (mil) Time Completed (mil)

1. Felony2. Traffic Felony To

Time (mil)

(-

Type

15. Industrial/Mfg.16. Storage17. Gov't/Public Bldg.18. School/University19. Jail/Prison

20. Religious Bldg.21. Airport22. Bus/Rail Terminal23. Construction Site24. Other Structure

25. Parking Lot/Garage26. Highway/Roadway27. Park/Woodlands/Field28. Lake/Waterway29. Motor Vehicle

10. Dept/Discount Store11. Specialty Store12. Drug Store/Hospital13. Bank/Financial Inst.14. Commercial/Office Bldg.

Suspect Code

Incident Location (Street Number, Street, Apt,)

Scars/Marks/Tatoos (Location/Describe)

OFFENSE-INCIDENT REPORT

0. N/A1. Occupied

E-EscapeeM-Missing

From

Date of Supplement

- (

17. Friend18. Neighbor19. Sitter/Day Care20. Employee

OFF/INC Indicator

OBTS Number (Arrested)Other I.D. NumberImmigration and Naturalization Number

Incident Type Incident: Day Date

2. Unoccupied3. Abandoned

05. Convenience Store06. Gas Station07. Liquor Sales08. Bar/Nightclub09. Supermarket

DateDay

0. N/A1. Yes

Forced Entry Occupancy

Statute Violation Number - Chapter, Section, SubDescriptionType

Hair Color

Facial HairBuildComplexion

Driver's License Number/State

Address

Code

Maiden Name

Name (Last, First, Middle)

13. Drugs88. Unknown99. Other

Grid

Victim Type 0. N/A1. Juvenile2. L.E. Officer3. Adult

4. Business5. Government6. Church9. Other

Sex I - American IndianO - Oriental/AsianU - Unknown

N - N/AW - WhiteB - Black

3. Florida4. Out-of-State

0. N/A1. Full Year2. Part Year3. Non-Resident

0. None1. Minor2. Serious3. Fatal

14. Teacher15. Child of Boy/Girl Friend16. Boy/Girl Friend

03. Spouse04. Ex-Spouse05. Co-Habitant

00. N/A01. Undetermined02. Stranger

Injury Type

Clothing (Describe)

ZipStateCity

02. Rifle03. Shotgun04. Firearm

# Prem. Ent.

S-SuspectA-Arrestee

ZipCity

# OFF/INC. # Offenders # Veh. Stolen

1.#12.#2 3.Both

)

If V/W Code is V, W or CFill in this Line

OFF/INC Indicator

V/W Code # Name (Last, First, Middle or Business) Residence Phone

Business Phone

Race Sex Injury Type(s) Relationship Ethnicity Will Victim prefer charge?

Synopsis of Involvement

V. Type

V/W Code # Name (Last, First, Middle or Business) Residence Phone

Business Phone

Race Sex Injury Type(s) Relationship Ethnicity Will Victim prefer charge?

Synopsis of Involvement

V. Type

Extent of InjuryRes. StatusRes. Type

ZipStateCity

Extent of InjuryRes. StatusRes. Type

ZipStateCity

VIC

TIM

/WIT

NES

SVI

CTI

M/W

ITN

ESS

Dom. Violence

Dom. Violence

1.#12.#2

3.Both

1.#12.#2 3.Both

Date of Birth Age

Date of Birth Age

If V/W Code is V, W or CFill in this Line

Address (Street, Apt. Number)

Other Contact Info. (Time Available, Interpreter, etc.)

Address (Street, Apt. Number)

Other Contact Info. (Time Available, Interpreter, etc.)

Last Known Address (Street, Apt. Number)

OFF/INC# 2

R-Rec. MissingZ-other

Person/Unit Notified

Case Status

Time

Routed To Referred To

Related Report Number(s)

Unit

ofPage

Number ArrestedClearance Type

Exception Type 2. Arrest on Primary Offense Secondary Offense Without Prosecution

3. Death of Offender4. V / W Refused to Cooperate

3.Unfounded

Page5. Prosecution Declined6. Juvenile/No Custody1.Extradition Declined

1.Arrest2.Exceptional

Jail Number

OBTS Number

Date Cleared

AD

MIN

ISTR

ATI

VE

A-AdultJ-Juvenile

Date

Name of Officer Reporting

Officer Reviewing (If Applicable) I.D. Number

I.D. Number/Locator Code

By DateAssigned To

30. Other Mobile99. Other

Susp.#

JuvenileWarn/Dismiss:

1. Original2. Supplement:

Juvenilein Report:

__/__/____06/05/2017

06/05/2017__/__/____

USA Rev. 01/23/2003

Mon Mon06/05/2017 06/05/2017

36

Sex Date of BirthRace Age

03/13/1981

__/__/____

Yes No

YYeess NNoo

2

Signature of Officer Reporting

Signature of Officer Reviewing

C O P

Y

Holmes Beach Police Department1 1

SGT. COPEMANSGT.COPEMAN 307

307

NA

RR

ATI

VE

Original Date Reported

NARRATIVE CONTINUATION

Case ReferenceAD

M

Date of Supplement Agency ORI Number

1. Offense2. Arrest

JuvenileWarn/Dismiss

1. Original2. Supplement

Agency Report Number

Case Status

Routed To Referred To

Related Report Number(s)

Unit

ofPage

Number ArrestedClearance Type

Exception Type 2. Arrest on Primary Offense Secondary Offense Without Prosecution

3. Death of Offender4. V / W Refused to Cooperate

3.Unfounded

Page

Date

5. Prosecution Declined6. Juvenile/No Custody1.Extradition Declined

1.Arrest2.Exceptional

OBTS Number

Date Cleared

ByAssigned To

AD

MIN

ISTR

ATI

VE

A-AdultJ-Juvenile

Date

Name of Officer Reporting

Officer Reviewing (If Applicable) I.D. Number

I.D. Number/Locator CodeReport Contains

Arrest Number

__/__/____

06/05/2017

06/05/2017__/__/____

__/__/____

USA Rev. 01/23/2003

20170478FL0410400

Signature of Officer Reviewing

Signature of Officer Reporting

C O P

Y

Holmes Beach Police Department FL0410400

2600

2354

01 01 01 00 00

CITY OF HOLMES BEACH

4210 KINGSFIELD DR 34219PARRISH

D520548988810

503 120

2354 2354 0020

18

20170479

CONNECTICUT

COV ALCOHOL

Mon MonMon

2 NN 0 0 0 00 0000

01V 0

DENNIS MICAELA HUNTER01 2A

FW BRO

FL

L SLT MED

FL

6 6-3A 00005 0ACOV/ALCOHOL

___-_______

___-__-____

___ ___-____

___-__________ ___-____

___-_______941 993-0915

34217GULF DRIVE HOLMES BEACH65000 0

ON 06/05/2017, AT 2354 HOURS, I WAS DISPATCHED TO 6501 GULF DRIVE, IN REFERENCE TO A NOISE COMPLAINT.UPON ARRIVAL I OBSERVED A PICKUP TRUCK SITTING ACROSS THE STREET WITH THE PASSENGER DOOR OPEN. UPONAPPROACHING THE VEHICLE I OBSERVED (MICAELA DENNIS), DRINKING FROM AN OPEN MILLER LIGHT BEER CAN ONTHE PASSENGER SIDE OF THE VEHICLE. I ISSUED DENNIS A CITY ORDINANCE CITATION FOR POSSESSION ORCONSUMPTION OF ALCOHOL.

WALKERSGT.COPEMAN 307

312

1

EVEN

TD

ATA

NA

RR

ATI

VESU

SPEC

T

00. N/A01. Gunshot02. Stabbed

CO

DES

AD

M

A-AttemptedC-Committed

A-AttemptedC-Committed

Area

Type of Weapon

01. Residence Single02. Apartment/Condo03. Residence-Other04. Hotel/Motel

Time (mil)

Time Dispatched (mil)

Primary Offense Description

21. Employer22. Landlord/Tenant23. Acquaintance99. Other Known

5. Ordinance9. Other

Zone

)

Agency Report Number

3. Misdemeanor4. Traffic Misdemeanor

OFF/INC# 2

OFF/INC# 1

Business Name/Area Identifier

District

NCIC/UCR Code

2. No

Location Type

V/W Code

# Victims00. N/A01. Handgun

05. Knife/Cutting Instrument06. Blunt Object

07. Hands/Fist/Feet08. Poison09. Explosives

10. Fire/Incendiary11. Threat/Intimidation12. Simulated Weapon

V - VictimW - WitnessC - Reporting Person

O - OtherRace

N - N/AM - MaleF - FemaleU - Unknown

Residence Type 0. N/A1. City2. County

Extent of Injury Residence Status

03. Laceration04. Unconscious05. Poss. Broken Bones06. Poss. Internal Injury

Victim Relationship To Offender 07. Loss of Teeth08. Burns09. Abrasions/Bruises99. Other

06. Parent07. Brother/Sister08. Child09. Step-Parent

10. Step-Child11. In-Law12. Other Family13. Student

V/W Code # Name (Last, First, Middle or Business) Residence Phone

Business Phone

Race Sex Injury Type(s) Relationship Ethnicity Will Victim prefer charge?

Synopsis of Involvement

Residence Phone

Business Phone

Juvenile

Occupation

Sex Date of Birth Height Weight Eye Color Hair Length Hair Style

Nickname/Street Name Place of Birth

Social Security Number

SCIC/NCIC

Employer/School

Teeth Speech/Voice Special Identifiers

Original DayReported

Date Time (mil) Time Arrived (mil) Time Completed (mil)

1. Felony2. Traffic Felony To

Time (mil)

(-

Type

30. Other Mobile99. Other

15. Industrial/Mfg.16. Storage17. Gov't/Public Bldg.18. School/University19. Jail/Prison

20. Religious Bldg.21. Airport22. Bus/Rail Terminal23. Construction Site24. Other Structure

25. Parking Lot/Garage26. Highway/Roadway27. Park/Woodlands/Field28. Lake/Waterway29. Motor Vehicle

10. Dept/Discount Store11. Specialty Store12. Drug Store/Hospital13. Bank/Financial Inst.14. Commercial/Office Bldg.

Suspect Code

Incident Location (Street Number, Street, Apt,)

Scars/Marks/Tatoos (Location/Describe)

0. N/A1. Occupied

E-EscapeeZ-Other

From

Date of Supplement

- (

17. Friend18. Neighbor19. Sitter/Day Care20. Employee

V/W Code # Name (Last, First, Middle or Business) Residence Phone

Business Phone

Race Sex Injury Type(s) Relationship Ethnicity Will Victim prefer charge?

Synopsis of Involvement

V. Type

OFF/INC Indicator

OBTS Number (Arrested)Other I.D. NumberImmigration and Naturalization Number

Incident Type Incident: Day Date

2. Unoccupied3. Abandoned

05. Convenience Store06. Gas Station07. Liquor Sales08. Bar/Nightclub09. Supermarket

DateDay

0. N/A1. Yes

Forced Entry Occupancy

Statute Violation Number - Chapter, Section, SubDescriptionType

Hair ColorRace

Facial HairBuildComplexion

Driver's License Number/State

Address

Code

Maiden Name

Name (Last, First, Middle)

Extent of InjuryRes. StatusRes. Type

ZipStateCity

Extent of InjuryRes. StatusRes. Type

ZipStateCity

13. Drugs88. Unknown99. Other

Grid

Victim Type 0. N/A1. Juvenile2. L.E. Officer3. Adult

4. Business5. Government6. Church9. Other

Sex I - American IndianO - Oriental/AsianU - Unknown

N - N/AW - WhiteB - Black

3. Florida4. Out-of-State

0. N/A1. Full Year2. Part Year3. Non-Resident

0. None1. Minor2. Serious3. Fatal

14. Teacher15. Child of Boy/Girl Friend16. Boy/Girl Friend

03. Spouse04. Ex-Spouse05. Co-Habitant

00. N/A01. Undetermined02. Stranger

Injury Type

Clothing (Describe)

ZipStateCity

02. Rifle03. Shotgun04. Firearm

Susp. #

VIC

TIM

/WIT

NES

SVI

CTI

M/W

ITN

ESS

# Prem. Ent.

S-SuspectA-Arrestee

Dom. Violence

Dom. Violence

ZipCity

# OFF/INC. # Offenders # Veh. Stolen

1.#12.#2

3.Both

)

Age

Date of Birth Age

Date of Birth Age

Address (Street, Apt. Number)

Other Contact Info. (Time Available, Interpreter, etc.)

Address (Street, Apt. Number)

Other Contact Info. (Time Available, Interpreter, etc.)

Last Known Address (Street, Apt. Number)

V. TypeOFF/INC Indicator

If V/W Code is V, W or CFill in this Line

1.#12.#2

3.Both

OFF/INC Indicator

If V/W Code is V, W or CFill in this Line

1.#12.#2

3.Both

Person/Unit Notified

Case Status

Time

Routed To Referred

Related Report Number(s)

Unit

ofPage

Number ArrestedClearance Type

Exception Type 2. Arrest on Primary Offense Secondary Offense Without Prosecution

3. Death of Offender4. V / W Refused to Cooperate

3.Unfounded

Page

Date

5. Prosecution Declined6. Juvenile/No Custody1.Extradition Declined

1.Arrest2.Exceptional

Jail Number

OBTS Number

Date Cleared

ByAssigned To

AD

MIN

ISTR

ATI

VE

A-AdultJ-Juvenile

Date

Name of Officer Reporting

Officer Reviewing (If Applicable) I.D. Number

I.D. Number/Locator Code

1. Original2. Supplement

Juvenilein Report

JuvenileWarn/Dismiss

1

__/__/____06/05/2017

06/05/2017 06/05/2017

__/__/____

06/06/2017__/__/____

10/21/1998

Signature of Officer Reporting

Signature of Officer Reviewing

Yes No

YYeess NNoo

12 NOFFENSE-INCIDENT REPORTGangRelated

C O P

Y

FL0410400

0100

0004

01 01 01 00 00

NEIHEISEL

2800 DUNAWAY AVE 45211CINCINNATI

RH863595

Holmes Beach Police Department0004 0006 0030

55

20170480

PAUL J

COV/NOISE

1

TueTue Tue

1 CITY OF HOLMES BEACH5801 MARINA DR HOLMES BEACH 34217

15702 MARINA DR #108 HOLMES BEACH 34217

ANNA MARIA VACATION2

2

NN

N

MW

V 5

O 4

2A

1

1

1

0

0

0

00

00

00

0000

00

FL

FL

OH

OH

SGT.COPEMANSGT.COPEMAN 307

SGT.COPEMANCODE

0 0 00000CCOV/NOISE

___-_______

___-__-____

941 708-5804

737-8855800941 778-4178

___-_______513 478-9851

3421755TH ST HOLMES BEACH3022 1

5

1

1

307

1

RENTAL AGENCYN

N2 1

00. N/A01. Gunshot02. Stabbed

OFF/INC Indicator

EVEN

TD

ATA

NA

RR

ATI

VESU

SPEC

TC

OD

ESA

DM

A-AttemptedC-Committed

A-AttemptedC-Committed

Area

Type of Weapon

01. Residence Single02. Apartment/Condo03. Residence-Other04. Hotel/Motel

Time (mil)

GangRelated

Time Dispatched (mil)

Primary Offense Description

21. Employer22. Landlord/Tenant23. Acquaintance99. Other Known

5. Ordinance9. Other

Zone

)

Agency Report Number

3. Misdemeanor4. Traffic Misdemeanor

OFF/INC# 1

Business Name/Area Identifier

District

NCIC/UCR Code

2. No

Location Type

V/W Code

# Victims00. N/A01. Handgun

05. Knife/Cutting Instrument06. Blunt Object

07. Hands/Fist/Feet08. Poison09. Explosives

10. Fire/Incendiary11. Threat/Intimidation12. Simulated Weapon

V - VictimW - WitnessC - Reporting Person

O - OtherRace

N - N/AM - MaleF - FemaleU - Unknown

Residence Type 0. N/A1. City2. County

Extent of Injury Residence Status

03. Laceration04. Unconscious05. Poss. Broken Bones06. Poss. Internal Injury

Victim Relationship To Offender 07. Loss of Teeth08. Burns09. Abrasions/Bruises99. Other

06. Parent07. Brother/Sister08. Child09. Step-Parent

10. Step-Child11. In-Law12. Other Family13. Student

Residence Phone

Business Phone

Juvenille

Occupation

Sex Date of Birth Height Weight Eye Color Hair Length Hair Style

Nickname/Street Name Place of Birth

Social Security Number

SCIC/NCIC

Employer/School

Teeth Speech/Voice Special Identifiers

Original DayReported

Date Time (mil) Time Arrived (mil) Time Completed (mil)

1. Felony2. Traffic Felony To

Time (mil)

(-

Type

15. Industrial/Mfg.16. Storage17. Gov't/Public Bldg.18. School/University19. Jail/Prison

20. Religious Bldg.21. Airport22. Bus/Rail Terminal23. Construction Site24. Other Structure

25. Parking Lot/Garage26. Highway/Roadway27. Park/Woodlands/Field28. Lake/Waterway29. Motor Vehicle

10. Dept/Discount Store11. Specialty Store12. Drug Store/Hospital13. Bank/Financial Inst.14. Commercial/Office Bldg.

Suspect Code

Incident Location (Street Number, Street, Apt,)

Scars/Marks/Tatoos (Location/Describe)

OFFENSE-INCIDENT REPORT

0. N/A1. Occupied

E-EscapeeM-Missing

From

Date of Supplement

- (

17. Friend18. Neighbor19. Sitter/Day Care20. Employee

OFF/INC Indicator

OBTS Number (Arrested)Other I.D. NumberImmigration and Naturalization Number

Incident Type Incident: Day Date

2. Unoccupied3. Abandoned

05. Convenience Store06. Gas Station07. Liquor Sales08. Bar/Nightclub09. Supermarket

DateDay

0. N/A1. Yes

Forced Entry Occupancy

Statute Violation Number - Chapter, Section, SubDescriptionType

Hair ColorRace

Facial HairBuildComplexion

Driver's License Number/State

Address

Code

Maiden Name

Name (Last, First, Middle)

13. Drugs88. Unknown99. Other

Grid

Victim Type 0. N/A1. Juvenile2. L.E. Officer3. Adult

4. Business5. Government6. Church9. Other

Sex I - American IndianO - Oriental/AsianU - Unknown

N - N/AW - WhiteB - Black

3. Florida4. Out-of-State

0. N/A1. Full Year2. Part Year3. Non-Resident

0. None1. Minor2. Serious3. Fatal

14. Teacher15. Child of Boy/Girl Friend16. Boy/Girl Friend

03. Spouse04. Ex-Spouse05. Co-Habitant

00. N/A01. Undetermined02. Stranger

Injury Type

Clothing (Describe)

ZipStateCity

02. Rifle03. Shotgun04. Firearm

# Prem. Ent.

S-SuspectA-Arrestee

ZipCity

# OFF/INC. # Offenders # Veh. Stolen

1.#12.#2 3.Both

)

If V/W Code is V, W or CFill in this Line

OFF/INC Indicator

V/W Code # Name (Last, First, Middle or Business) Residence Phone

Business Phone

Race Sex Injury Type(s) Relationship Ethnicity Will Victim prefer charge?

Synopsis of Involvement

V. Type

V/W Code # Name (Last, First, Middle or Business) Residence Phone

Business Phone

Race Sex Injury Type(s) Relationship Ethnicity Will Victim prefer charge?

Synopsis of Involvement

V. Type

Extent of InjuryRes. StatusRes. Type

ZipStateCity

Extent of InjuryRes. StatusRes. Type

ZipStateCity

VIC

TIM

/WIT

NES

SVI

CTI

M/W

ITN

ESS

Dom. Violence

Dom. Violence

1.#12.#2

3.Both

1.#12.#2 3.Both

Date of Birth Age

Date of Birth Age

If V/W Code is V, W or CFill in this Line

Address (Street, Apt. Number)

Other Contact Info. (Time Available, Interpreter, etc.)

Address (Street, Apt. Number)

Other Contact Info. (Time Available, Interpreter, etc.)

Last Known Address (Street, Apt. Number)

OFF/INC# 2

R-Rec. MissingZ-other

Age

Person/Unit Notified

Case Status

Time

Routed To Referred To

Related Report Number(s)

Unit

ofPage

Number ArrestedClearance Type

Exception Type 2. Arrest on Primary Offense Secondary Offense Without Prosecution

3. Death of Offender4. V / W Refused to Cooperate

3.Unfounded

Page5. Prosecution Declined6. Juvenile/No Custody1.Extradition Declined

1.Arrest2.Exceptional

Jail Number

OBTS Number

Date Cleared

AD

MIN

ISTR

ATI

VE

A-AdultJ-Juvenile

Name of Officer Reporting

Officer Reviewing (If Applicable) I.D. Number

I.D. Number/Locator Code

Signature of Officer Reporting

Signature of Officer Reviewing By DateAssigned To

30. Other Mobile99. Other

Susp.#

JuvenileWarn/Dismiss:

1. Original2. Supplement:

Juvenilein Report:

__/__/____06/06/2017

06/06/2017 06/06/2017

06/06/2017__/__/____

__/__/____

USA Rev. 01/23/2003

07/06/1962

Date

Yes No

YYeess NNoo

C O P

Y

Holmes Beach Police Department 20170480N 1

___-_______

___-__-____

___ ___-____

___-__________ ___-____

___-__________ ___-____

___-__-_______-_______

___ ___-____

SGT.COPEMANCODE

307

SGT.COPEMAN

SGT.COPEMAN

307

COV/NOISE CITY OF HOLMES BEACH

CO

DES

AD

MJuvenilein Report:

Date of Supplement

Primary Offense Description

Victim Type Race

Victim Relationship To Offender

Agency Report Number

Residence Type Residence Status4. Business5. Government6. Church9. Other

SexN-N/AM-MaleF-FemaleU-Unknown

0. N/A1. City2. County

3. Florida4. Out-of-State

0. N/A1. Full Year2. Part Year3. Non-Resident

0. None1. Minor2. Serious3. Fatal

07. Loss of Teeth08. Burns09. Abrasions/Bruises99. Other

00. N/A01. Undetermined02. Stranger

03. Spouse04. Ex-Spouse05. Co-Habitant

06. Parent07. Brother/Sister08. Child09. Step-Parent

14. Teacher15. Child of Boy/Girl Friend16. Boy/Girl Friend

17. Friend18. Neighbor19. Sitter/Day Care20. Employee

21. Employer22. Landlord/Tenant23. Acquaintance99. Other Known

PERSON(S) REPORT

Injury Type00. N/A01. Gunshot02. Stabbed

Original Date

1. Original2. Supplement:

0. N/A1. Juvenile2. L.E. Officer3. Adult

N-N/AW-WhiteB-Black

I-American IndianO-Oriental/AsianU-Unknown

03. Laceration04. Unconscious05. Poss. Broken Bones06. Poss. Internal Injury

10. Step-Child11. In-Law12. Other Family13. Student

Victim #1 Name (Last, First, Middle)

V/W CodeV - VictimW - WitnessC - Reporting Person

O - Other

Will Victim prefer charge?

Will Victim prefer charge?

Extent of Injury

SUSP

ECT

OR

MIS

SIN

GPE

RSO

NS

If V/W Code is V, W or CFill in this Line

OFF/INC Indicator

OFF/INC Indicator V/W Code # Name (Last, First, Middle or Business) Residence Phone

Business Phone

Race Sex Injury Type(s) Relationship Ethnicity

Synopsis of Involvement

V. Type

V/W Code # Name (Last, First, Middle or Business) Residence Phone

Business Phone

Race Sex Relationship Ethnicity

Synopsis of Involvement

Extent of InjuryRes. StatusRes. Type

ZipStateCity

Extent of InjuryRes. StatusRes. Type

ZipStateCity

VIC

TIM

/WIT

NES

SVI

CTI

M/W

ITN

ESS

Dom. Violence

Dom. Violence

1.#12.#2

3.Both

1.#12.#2 3.Both

Date of Birth Age

Date of Birth Age

If V/W Code is V, W or CFill in this Line

Address (Street, Apt. Number)

Address (Street, Apt. Number)

Other Contact Info. (Time Available, Interpreter, etc.)

Other Contact Info. (Time Available, Interpreter, etc.)

SUSP

ECT

OR

MIS

SIN

GPE

RSO

NS

Hair Color

Suspect Code Code

Maiden Name

Occupation

Driver's License State/Number

Employer/School

Immigration and Naturalization Number Other ID. Number

Address

Place of Birth Residence Phone

Business Phone

Social Security Number

OBTS Number

Height

Complexion Facial Hair Teeth Speech/Voice Special Identifiers

Eye Color Hair Length Hair Style

Name (Last, First, Middle)

Clothing (Describe)

Last Known Address (Street, Apt. Number)

OFF/INC Indicator1.#12.#2

Sex

Nickname/Street Name

SCIC/NCIC

WeightRace

Juvenile

Build

3.Both

City

Maiden Name

Occupation

Driver's License State/Number

Employer/School

Immigration and Naturalization Number Other ID. Number

Address

Place of Birth Residence Phone

Business Phone

Social Security Number

OBTS Number

Height

Complexion Facial Hair Teeth Speech/Voice Special Identifiers

Eye Color Hair Length Hair Style

State Zip

Clothing (Describe)

Last Known Address (Street, Apt. Number)

Sex

Nickname/Street Name

SCIC/NCIC

Hair ColorWeightRace

Build

Code Name (Last, First, Middle)OFF/INC Indicator1.#12.#2

Juvenile3.Both

Susp. #

E-EscapeeM-Missing

Suspect CodeS-SuspectA-Arrestee

R-Rec. MissingZ-other

Susp. #

Age

V. Type

E-EscapeeM-Missing

S-SuspectA-Arrestee

R-Rec. MissingZ-other

Injury Type(s)

ZipStateCity

Scars/Marks/Tatoos (Location/Describe)

Scars/Marks/Tatoos (Location/Describe)

MIS

SIN

GPE

RSO

N/R

UN

AW

AY 7. Voluntary

Adult8. Unknown

1. Yes2. No8. Unknown

Incident Type 1. Runaway2. Parental3. Involuntary

Foul Play Suspected ?

1. Yes2. No

Missing Before ?

1. Yes2. No8. Unknown

1. Yes2. No8. Unknown

1. Yes2. No8. Unknown

MCIC Form Provided ? 4. Disabled5. Endangered6. Disaster Victim

Fingerprints Available? Dental Record Available

1. Yes2. No

Photo Available?

Date Last Seen Time Last Seen Accompanied By

Property Carried

Probable Destination

Medication Required/Type

ID. Type/Number

Recovery Information 7. Deceased9. Other

Doctor/Dentist (Name, Phone Number)

Transportation Mode

Location Last Seen (Address, City, St.)

5. Law Enforcement Custody6. Returned to Parent

3. Hospitalized4. HRS Custody

2. Located- Not Returned

0. N/A1. Voluntary

Name/Address

ID. Type/Number

Mental/Physical Condition

AD

MIN

ISTR

ATI

VE

ID. Number(s)/Locator code Unit

DateID. Number Routed To Referred To Assigned To

Officer(s) Reporting Date

By

of

PagePage

Officer Reviewing (If Applicable)

Signature of Officer Reviewing

Signature of Officer Reporting

__/__/____06/06/2017

06/06/2017

__/__/____

USA Rev. 01/23/2003

__/__/____

Date of Birth or Age

Date of Birth or Age

YYeess NNoo

YYeess NNoo

C O P

Y

Holmes Beach Police DepartmentFL0410400 20170480

1 1

CODE SGT.COPEMAN

SGT.COPEMANSGT.COPEMAN 307

307

I was dispatch to the above location for a noise complaint. The dispatcher advised the followinginformation as relayed by the complainant. I have been listening to the noise from the house next doorfor the past hour, they have been yelling for an hour, it is now past 10 pm and I would like you to takesome action as this is disturbing us inside of our residence.

Upon my arrival I could hear the following ( yelling and screaming coming from the back pool area. )from my vehicle prior to approaching the residence. I listened to this noise for about 3 minutes whichany person affected would consider to be excessive or unreasonable and a noise disturbance due to thevolume of the noise which could be heard from a distance of ( 50 ft in front of the house ). It should benoted that the noise was coming from the back of the house and was louder at the rear of the home.

This noise would not be considered to be usual noise for a residential neighborhood such as this for thistime of day. The street was very quit expect for the lite wind blowing through the trees, a decibel readingcould not be taken because of this . I find the this noise to be excessive and unreasonable noise and aviolation of the City of Holmes Beach noise ordinance which states in part, (It is hereby declared that themaking, creation or maintenance of excessive or unreasonable noise within the city affects and is adetriment to public health, comfort, convenience, safety, welfare on the prosperity of the people of theCity of Holmes Beach. Excessive and unreasonable noise can cause adverse effects on humans anddeprive people of the peaceable enjoyment of their private property.)

NA

RR

ATI

VE

Original Date Reported

NARRATIVE CONTINUATION

Case ReferenceAD

M

Date of Supplement Agency ORI Number

1. Offense2. Arrest

JuvenileWarn/Dismiss

1. Original2. Supplement

Agency Report Number

Case Status

Routed To Referred To

Related Report Number(s)

Unit

ofPage

Number ArrestedClearance Type

Exception Type 2. Arrest on Primary Offense Secondary Offense Without Prosecution

3. Death of Offender4. V / W Refused to Cooperate

3.Unfounded

Page

Date

5. Prosecution Declined6. Juvenile/No Custody1.Extradition Declined

1.Arrest2.Exceptional

OBTS Number

Date Cleared

ByAssigned To

AD

MIN

ISTR

ATI

VE

A-AdultJ-Juvenile

Date

Signature of Officer Reviewing

Name of Officer Reporting

Officer Reviewing (If Applicable) I.D. Number

I.D. Number/Locator CodeReport Contains

Arrest Number

__/__/____

06/06/2017

06/06/2017__/__/____

__/__/____

USA Rev. 01/23/2003

Signature of Officer Reporting

C O P

Y

5-08MW 4902/02/1968 150 S S

FL0410400

01

00

2212

01 01 01 00 00

KOBLER

3 SEEPLANTAWEG

004187799002

Holmes Beach Police Department

2212 2215 2247

20170482

SWITZERLAND

ALEXANDER

COV NOISE

01

Tue

01 CITY OF HOLMES BEACH

2 NN

V 5

2A

0 0 0 00 0000

CH

LT THN

CH

PATROL

WALKER

SGT. M. PILATO 306

CODE

0 0 00000ACOV/NOISE

___-_______

___-__-____

___ ___-____

___-_______

___ ___-____

___-_______

___ ___-____

34217AVENUE F HOLMES BEACH3103

0

5

1

312

1

COV NOISE

N2 1

00. N/A01. Gunshot02. Stabbed

OFF/INC Indicator

EVEN

TD

ATA

NA

RR

ATI

VESU

SPEC

TC

OD

ESA

DM

A-AttemptedC-Committed

A-AttemptedC-Committed

Area

Type of Weapon

01. Residence Single02. Apartment/Condo03. Residence-Other04. Hotel/Motel

Time (mil)

GangRelated

Time Dispatched (mil)

Primary Offense Description

21. Employer22. Landlord/Tenant23. Acquaintance99. Other Known

5. Ordinance9. Other

Zone

)

Agency Report Number

3. Misdemeanor4. Traffic Misdemeanor

OFF/INC# 1

Business Name/Area Identifier

District

NCIC/UCR Code

2. No

Location Type

V/W Code

# Victims00. N/A01. Handgun

05. Knife/Cutting Instrument06. Blunt Object

07. Hands/Fist/Feet08. Poison09. Explosives

10. Fire/Incendiary11. Threat/Intimidation12. Simulated Weapon

V - VictimW - WitnessC - Reporting Person

O - OtherRace

N - N/AM - MaleF - FemaleU - Unknown

Residence Type 0. N/A1. City2. County

Extent of Injury Residence Status

03. Laceration04. Unconscious05. Poss. Broken Bones06. Poss. Internal Injury

Victim Relationship To Offender 07. Loss of Teeth08. Burns09. Abrasions/Bruises99. Other

06. Parent07. Brother/Sister08. Child09. Step-Parent

10. Step-Child11. In-Law12. Other Family13. Student

Residence Phone

Business Phone

Juvenille

Occupation

Height Weight Eye Color Hair Length Hair Style

Nickname/Street Name Place of Birth

Social Security Number

SCIC/NCIC

Employer/School

Teeth Speech/Voice Special Identifiers

Original DayReported

Date Time (mil) Time Arrived (mil) Time Completed (mil)

1. Felony2. Traffic Felony To

Time (mil)

(-

Type

15. Industrial/Mfg.16. Storage17. Gov't/Public Bldg.18. School/University19. Jail/Prison

20. Religious Bldg.21. Airport22. Bus/Rail Terminal23. Construction Site24. Other Structure

25. Parking Lot/Garage26. Highway/Roadway27. Park/Woodlands/Field28. Lake/Waterway29. Motor Vehicle

10. Dept/Discount Store11. Specialty Store12. Drug Store/Hospital13. Bank/Financial Inst.14. Commercial/Office Bldg.

Suspect Code

Incident Location (Street Number, Street, Apt,)

Scars/Marks/Tatoos (Location/Describe)

OFFENSE-INCIDENT REPORT

0. N/A1. Occupied

E-EscapeeM-Missing

From

Date of Supplement

- (

17. Friend18. Neighbor19. Sitter/Day Care20. Employee

OFF/INC Indicator

OBTS Number (Arrested)Other I.D. NumberImmigration and Naturalization Number

Incident Type Incident: Day Date

2. Unoccupied3. Abandoned

05. Convenience Store06. Gas Station07. Liquor Sales08. Bar/Nightclub09. Supermarket

DateDay

0. N/A1. Yes

Forced Entry Occupancy

Statute Violation Number - Chapter, Section, SubDescriptionType

Hair Color

Facial HairBuildComplexion

Driver's License Number/State

Address

Code

Maiden Name

Name (Last, First, Middle)

13. Drugs88. Unknown99. Other

Grid

Victim Type 0. N/A1. Juvenile2. L.E. Officer3. Adult

4. Business5. Government6. Church9. Other

Sex I - American IndianO - Oriental/AsianU - Unknown

N - N/AW - WhiteB - Black

3. Florida4. Out-of-State

0. N/A1. Full Year2. Part Year3. Non-Resident

0. None1. Minor2. Serious3. Fatal

14. Teacher15. Child of Boy/Girl Friend16. Boy/Girl Friend

03. Spouse04. Ex-Spouse05. Co-Habitant

00. N/A01. Undetermined02. Stranger

Injury Type

Clothing (Describe)

ZipStateCity

02. Rifle03. Shotgun04. Firearm

# Prem. Ent.

S-SuspectA-Arrestee

ZipCity

# OFF/INC. # Offenders # Veh. Stolen

1.#12.#2 3.Both

)

If V/W Code is V, W or CFill in this Line

OFF/INC Indicator

V/W Code # Name (Last, First, Middle or Business) Residence Phone

Business Phone

Race Sex Injury Type(s) Relationship Ethnicity Will Victim prefer charge?

Synopsis of Involvement

V. Type

V/W Code # Name (Last, First, Middle or Business) Residence Phone

Business Phone

Race Sex Injury Type(s) Relationship Ethnicity Will Victim prefer charge?

Synopsis of Involvement

V. Type

Extent of InjuryRes. StatusRes. Type

ZipStateCity

Extent of InjuryRes. StatusRes. Type

ZipStateCity

VIC

TIM

/WIT

NES

SVI

CTI

M/W

ITN

ESS

Dom. Violence

Dom. Violence

1.#12.#2

3.Both

1.#12.#2 3.Both

Date of Birth Age

Date of Birth Age

If V/W Code is V, W or CFill in this Line

Address (Street, Apt. Number)

Other Contact Info. (Time Available, Interpreter, etc.)

Address (Street, Apt. Number)

Other Contact Info. (Time Available, Interpreter, etc.)

Last Known Address (Street, Apt. Number)

OFF/INC# 2

R-Rec. MissingZ-other

Person/Unit Notified

Case Status

Time

Routed To Referred To

Related Report Number(s)

Unit

ofPage

Number ArrestedClearance Type

Exception Type 2. Arrest on Primary Offense Secondary Offense Without Prosecution

3. Death of Offender4. V / W Refused to Cooperate

3.Unfounded

Page5. Prosecution Declined6. Juvenile/No Custody1.Extradition Declined

1.Arrest2.Exceptional

Jail Number

OBTS Number

Date Cleared

AD

MIN

ISTR

ATI

VE

A-AdultJ-Juvenile

Date

Name of Officer Reporting

Officer Reviewing (If Applicable) I.D. Number

I.D. Number/Locator Code

By DateAssigned To

30. Other Mobile99. Other

Susp.#

JuvenileWarn/Dismiss:

1. Original2. Supplement:

Juvenilein Report:

__/__/____

06/06/2017

06/07/2017

__/__/____

USA Rev. 01/23/2003

Tue Tue06/06/2017 06/06/2017

Sex Date of BirthRace Age

__/__/____

Yes No

YYeess NNoo

0

Signature of Officer Reporting

Signature of Officer Reviewing

C O P

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Holmes Beach Police Department1 1

CODE

PATROL

WALKER

SGT. M. PILATO 306

312

ON 06/06/2017 AT 2212 HOURS I WAS DISPATCHED TO THE ABOVE LOCATION IN REFERENCE TO A NOISE COMPLAINT.DISPATCH ADVISED THE COMPLAINANT STATED THERE WAS A LARGE PARTY OCCURRING AT THE ADDRESS. THECOMPLAINANT WISHED TO REMAIN ANONYMOUS.

UPON MY ARRIVAL I COULD HEAR SEVERAL PEOPLE BEING LOUD IN THE BACK OF THE RESIDENCE BY THE POOL. ISTOOD OUTSIDE THE RESIDENCE ON AVENUE F AND CONTINUED TO LISTEN AND OBSERVE. WHILE ON SCENE, THE LOUDNOISE AND OCCASIONAL YELLING CONTINUED. THE NOISE WAS LOUD AND CONSISTENT AND COULD BE HEARD FROM THEROADWAY IN FRONT OF THE RESIDENCE. I CONTINUED TO LISTEN FOR APPROXIMATELY TEN MINUTES AND DURING THATTIME THE NOISE AND OCCASIONAL YELLING REMAINED AT AN EXCESSIVE AND UNREASONABLE LEVEL. I WAS UNABLE TOGET AN DECIBEL READING DUE TO THE WIND SPEED BEING AROUND 18 MPH WHICH CAUSED THE READING TO BE ACONSTANT 83-85 DECIBELS.

THIS NOISE WOULD NOT BE CONSIDERED TO BE USUAL NOISE FOR A RESIDENTIAL NEIGHBORHOOD SUCH AS THIS FORTHIS TIME OF NIGHT. THE NORMAL SURROUNDINGS OF THIS AREA ARE OF A VERY QUIET RESIDENTIAL NEIGHBORHOOD.I FOUND THIS NOISE TO BE EXCESSIVE AND UNREASONABLE NOISE AND A VIOLATION OF THE CITY OF HOLMES BEACHNOISE ORDINANCE WHICH STATES IN PART, (IT IS HEARBY DECLARED THAT THE MAKING, CREATION OR MAINTENANCEOF EXCESSIVE OR UNREASONABLE NOISE WITHIN THE CITY AFFECTS AND IS A DETRIMENT TO PUBLIC HEALTH,COMFORT, CONVENIENCE, SAFETY, WELFARE, ON THE PROPERTY OF THE PEOPLE OF THE CITY OF HOLMES BEACH.EXCESSIVE AND UNREASONABLE NOISE CAN CAUSE ADVERSE EFFECTS ON HUMANS AND DEPRIVE PEOPLE OF THEPEACEABLE ENJOYMENT OF THEIR PRIVATE PROPERTY. A COV CITATION WAS ISSUED FOR THE RENTER (SECONDOFFENSE).

NA

RR

ATI

VE

Original Date Reported

NARRATIVE CONTINUATION

Case ReferenceAD

M

Date of Supplement Agency ORI Number

1. Offense2. Arrest

JuvenileWarn/Dismiss

1. Original2. Supplement

Agency Report Number

Case Status

Routed To Referred To

Related Report Number(s)

Unit

ofPage

Number ArrestedClearance Type

Exception Type 2. Arrest on Primary Offense Secondary Offense Without Prosecution

3. Death of Offender4. V / W Refused to Cooperate

3.Unfounded

Page

Date

5. Prosecution Declined6. Juvenile/No Custody1.Extradition Declined

1.Arrest2.Exceptional

OBTS Number

Date Cleared

ByAssigned To

AD

MIN

ISTR

ATI

VE

A-AdultJ-Juvenile

Date

Name of Officer Reporting

Officer Reviewing (If Applicable) I.D. Number

I.D. Number/Locator CodeReport Contains

Arrest Number

__/__/____

06/06/2017

06/07/2017

__/__/____

__/__/____

USA Rev. 01/23/2003

20170482FL0410400

Signature of Officer Reviewing

Signature of Officer Reporting

C O P

Y

2. No

FL0410400

02

00

0003

1 0 1 0 0

Holmes Beach Police Department

0003 0003 0300

0003 0300

20170483 SUSPICIOUS CIR

Wed

Wed Wed

1 HUGHES

202A HAVERKOS CT HOLMES BEACH 34217

47

1

202A HAVERCOS CT HOLMES BEACH 34217

34

WINDSOR K

SOBR NICHOLE RENEE

2

2

FW

W

C 3

O 3

1

1

1

1

0

0

00

00

01

0600

00

FL

FL

PATROL

BORES

SGT. M. PILATO 306

PATROLDET SGT

0 0 00000CSUSP/CIRCUMSTAN

___-_______

___-__-____

985 320-7074

___-_______

___ ___-____

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34217HAVERKOS CT UNIT A HOLMES BEACH202

9

1

1

326

CALLER

F

SEE NARRATIVE PAGE..

Y2 1

00. N/A01. Gunshot02. Stabbed

OFF/INC Indicator

EVEN

TD

ATA

NA

RR

ATI

VESU

SPEC

TC

OD

ESA

DM

A-AttemptedC-Committed

A-AttemptedC-Committed

Area

Type of Weapon

01. Residence Single02. Apartment/Condo03. Residence-Other04. Hotel/Motel

Time (mil)

GangRelated

Time Dispatched (mil)

Primary Offense Description

21. Employer22. Landlord/Tenant23. Acquaintance99. Other Known

5. Ordinance9. Other

Zone

)

Agency Report Number

3. Misdemeanor4. Traffic Misdemeanor

OFF/INC# 1

Business Name/Area Identifier

District

NCIC/UCR Code

Location Type

V/W Code

# Victims00. N/A01. Handgun

05. Knife/Cutting Instrument06. Blunt Object

07. Hands/Fist/Feet08. Poison09. Explosives

10. Fire/Incendiary11. Threat/Intimidation12. Simulated Weapon

V - VictimW - WitnessC - Reporting Person

O - OtherRace

N - N/AM - MaleF - FemaleU - Unknown

Residence Type 0. N/A1. City2. County

Extent of Injury Residence Status

03. Laceration04. Unconscious05. Poss. Broken Bones06. Poss. Internal Injury

Victim Relationship To Offender 07. Loss of Teeth08. Burns09. Abrasions/Bruises99. Other

06. Parent07. Brother/Sister08. Child09. Step-Parent

10. Step-Child11. In-Law12. Other Family13. Student

Residence Phone

Business Phone

Juvenille

Occupation

Sex Date of Birth Height Weight Eye Color Hair Length Hair Style

Nickname/Street Name Place of Birth

Social Security Number

SCIC/NCIC

Employer/School

Teeth Speech/Voice Special Identifiers

Original DayReported

Date Time (mil) Time Arrived (mil) Time Completed (mil)

1. Felony2. Traffic Felony To

Time (mil)

(-

Type

15. Industrial/Mfg.16. Storage17. Gov't/Public Bldg.18. School/University19. Jail/Prison

20. Religious Bldg.21. Airport22. Bus/Rail Terminal23. Construction Site24. Other Structure

25. Parking Lot/Garage26. Highway/Roadway27. Park/Woodlands/Field28. Lake/Waterway29. Motor Vehicle

10. Dept/Discount Store11. Specialty Store12. Drug Store/Hospital13. Bank/Financial Inst.14. Commercial/Office Bldg.

Suspect Code

Incident Location (Street Number, Street, Apt,)

Scars/Marks/Tatoos (Location/Describe)

OFFENSE-INCIDENT REPORT

0. N/A1. Occupied

E-EscapeeM-Missing

From

Date of Supplement

- (

17. Friend18. Neighbor19. Sitter/Day Care20. Employee

OFF/INC Indicator

OBTS Number (Arrested)Other I.D. NumberImmigration and Naturalization Number

Incident Type Incident: Day Date

2. Unoccupied3. Abandoned

05. Convenience Store06. Gas Station07. Liquor Sales08. Bar/Nightclub09. Supermarket

DateDay

0. N/A1. Yes

Forced Entry Occupancy

Statute Violation Number - Chapter, Section, SubDescriptionType

Hair ColorRace

Facial HairBuildComplexion

Driver's License Number/State

Address

Code

Maiden Name

Name (Last, First, Middle)

13. Drugs88. Unknown99. Other

Grid

Victim Type 0. N/A1. Juvenile2. L.E. Officer3. Adult

4. Business5. Government6. Church9. Other

Sex I - American IndianO - Oriental/AsianU - Unknown

N - N/AW - WhiteB - Black

3. Florida4. Out-of-State

0. N/A1. Full Year2. Part Year3. Non-Resident

0. None1. Minor2. Serious3. Fatal

14. Teacher15. Child of Boy/Girl Friend16. Boy/Girl Friend

03. Spouse04. Ex-Spouse05. Co-Habitant

00. N/A01. Undetermined02. Stranger

Injury Type

Clothing (Describe)

ZipStateCity

02. Rifle03. Shotgun04. Firearm

# Prem. Ent.

S-SuspectA-Arrestee

ZipCity

# OFF/INC. # Offenders # Veh. Stolen

1.#12.#2 3.Both

)

If V/W Code is V, W or CFill in this Line

OFF/INC Indicator

V/W Code # Name (Last, First, Middle or Business) Residence Phone

Business Phone

Race Sex Injury Type(s) Relationship Ethnicity Will Victim prefer charge?

Synopsis of Involvement

V. Type

V/W Code # Name (Last, First, Middle or Business) Residence Phone

Business Phone

Race Sex Injury Type(s) Relationship Ethnicity Will Victim prefer charge?

Synopsis of Involvement

V. Type

Extent of InjuryRes. StatusRes. Type

ZipStateCity

ExtenRes. StatusRes. Type

ZipStateCity

VIC

TIM

/WIT

NES

SVI

CTI

M/W

ITN

ESS

Dom. Violence

Dom. Violence

1.#12.#2

3.Both

1.#12.#2 3.Both

Date of Birth Age

Date of Birth Age

If V/W Code is V, W or CFill in this Line

Address (Street, Apt. Number)

Other Contact Info. (Time Available, Interpreter, etc.)

Address (Street, Apt. Number)

Other Contact Info. (Time Available, Interpreter, etc.)

Last Known Address (Street, Apt. Number)

OFF/INC# 2

R-Rec. MissingZ-other

Age

Person/Unit Notified

Case Status

Time

Routed To Referred To

Related Report Number(s)

Unit

ofPage

Number ArrestedClearance Type

Exception Type 2. Arrest on Primary Offense Secondary Offense Without Prosecution

3. Death of Offender4. V / W Refused to Cooperate

3.Unfounded

Page5. Prosecution Declined6. Juvenile/No Custody1.Extradition Declined

1.Arrest2.Exceptional

Jail Number

OBTS Number

Date Cleared

AD

MIN

ISTR

ATI

VE

A-AdultJ-Juvenile

Date

Name of Officer Reporting

Officer Reviewing (If Applicable) I.D. Number

I.D. Number/Locator Code

By DateAssigned To

30. Other Mobile99. Other

Susp.#

JuvenileWarn/Dismiss:

1. Original2. Supplement:

Juvenilein Report:

06/07/2017

06/07/2017 06/07/2017

__/__/____

06/07/2017

06/07/2017

__/__/____

USA Rev. 01/23/2003

06/11/1969

11/30/1982

Signature of Officer Reviewing

Signature of Officer Reporting

YYeess NNoo

YYeess NNoo

C O P

Y

Holmes Beach Police Department 20170483

2

2

O 1

1 1 0 00 0800

Y 1

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1

PATROL

PATROL

DET SGT

326

SGT. M. PILATO

BORES

306

SUSPICIOUS CIR HUGHES WINDSOR K

CO

DES

AD

MJuvenilein Report:

Date of Supplement

Primary Offense Description

Victim Type Race

Victim Relationship To Offender

Agency Report Number

Residence Type Residence Status4. Business5. Government6. Church9. Other

SexN-N/AM-MaleF-FemaleU-Unknown

0. N/A1. City2. County

3. Florida4. Out-of-State

0. N/A1. Full Year2. Part Year3. Non-Resident

0. None1. Minor2. Serious3. Fatal

07. Loss of Teeth08. Burns09. Abrasions/Bruises99. Other

00. N/A01. Undetermined02. Stranger

03. Spouse04. Ex-Spouse05. Co-Habitant

06. Parent07. Brother/Sister08. Child09. Step-Parent

14. Teacher15. Child of Boy/Girl Friend16. Boy/Girl Friend

17. Friend18. Neighbor19. Sitter/Day Care20. Employee

21. Employer22. Landlord/Tenant23. Acquaintance99. Other Known

PERSON(S) REPORT

Injury Type00. N/A01. Gunshot02. Stabbed

Original Date

1. Original2. Supplement:

0. N/A1. Juvenile2. L.E. Officer3. Adult

N-N/AW-WhiteB-Black

I-American IndianO-Oriental/AsianU-Unknown

03. Laceration04. Unconscious05. Poss. Broken Bones06. Poss. Internal Injury

10. Step-Child11. In-Law12. Other Family13. Student

Victim #1 Name (Last, First, Middle)

V/W CodeV - VictimW - WitnessC - Reporting Person

O - Other

Will Victim prefer charge?

Will Victim prefer charge?

Extent of Injury

SUSP

ECT

OR

MIS

SIN

GPE

RSO

NS

If V/W Code is V, W or CFill in this Line

OFF/INC Indicator

OFF/INC Indicator V/W Code # Name (Last, First, Middle or Business) Residence Phone

Business Phone

Race Sex Injury Type(s) Relationship Ethnicity

Synopsis o olvement

V. Type

V/W Code # Name ( siness) Residence Phone

Business Phone

Race Sex Relationship Ethnicity

Synopsis of Involvement

Extent of InjuryRes. StatusRes. Type

StateCity

Extent of InjuryRes. StatusRes. Type

ZipStateCity

VIC

TIM

/WIT

NES

SVI

CTI

M/W

ITN

ESS

Dom. Violence

Dom. Violence

1.#12.#2

3.Both

1.#12.#2 3.Both

Date of Birth Age

Date of Birth Age

If V/W Code is V, W or CFill in this Line

Address (Street, Apt. Number)

Address (Street, Apt. Number)

Interpreter, etc.)

Other Contact Info. (Time Available, Interpreter, etc.)

SUSP

ECT

OR

MIS

SIN

GPE

RSO

NS

Hair Color

Suspect Code Code

Maiden Name

Occupation

Driver's License State/Number

Employer/School

Immigration and Naturalization Number Other ID. Number

Address

Place of Birth Residence Phone

Business Phone

Social Security Number

OBTS Number

Date of Birth or Age Height

Complexion Facial Hair Teeth Speech/Voice Special Identifiers

Eye Color Hair Length Hair Style

Name (Last, First, Middle)

Clothing (Describe)

Last Known Address (Street, Apt. Number)

OFF/INC Indicator1.#12.#2

Sex

Nickname/Street Name

SCIC/NCIC

WeightRace

Juvenile

Build

3.Both

City

Maiden Name

Occupation

Driver's License State/Number

Employer/School

Immigration and Naturalization Number Other ID. Number

Address

Place of Birth Residence Phone

Business Phone

Social Security Number

OBTS Number

Date of Birth Height

Complexion Facial Hair Teeth Speech/Voice Special Identifiers

Eye Color Hair Length Hair Style

State Zip

Clothing (Describe)

Last Known Address (Street, Apt. Number)

Sex

Nickname/Street Name

SCIC/NCIC

Hair ColorWeightRace

Build

Code Name (Last, First, Middle)OFF/INC Indicator1.#12.#2

Juvenile3.Both

Susp. #

E-EscapeeM-Missing

Suspect CodeS-SuspectA-Arrestee

R-Rec. MissingZ-other

Susp. #

Age

V. Type

E-EscapeeM-Missing

S-SuspectA-Arrestee

R-Rec. MissingZ-other

Injury Type(s)

ZipStateCity

Scars/Marks/Tatoos (Location/Describe)

Scars/Marks/Tatoos (Location/Describe)

MIS

SIN

GPE

RSO

N/R

UN

AW

AY 7. Voluntary

Adult8. Unknown

1. Yes2. No8. Unknown

Incident Type 1. Runaway2. Parental3. Involuntary

Foul Play Suspected ?

1. Yes2. No

Missing Before ?

1. Yes2. No8. Unknown

1. Yes2. No8. Unknown

1. Yes2. No8. Unknown

MCIC Form Provided ? 4. Disabled5. Endangered6. Disaster Victim

Fingerprints Available? Dental Record Available

1. Yes2. No

Photo Available?

Date Last Seen Time Last Seen Accompanied By

Property Carried

Probable Destination

Medication Required/Type

ID. Type/Number

Recovery Information 7. Deceased9. Other

Doctor/Dentist (Name, Phone Number)

Transportation Mode

Location Last Seen (Address, City, St.)

5. Law Enforcement Custody6. Returned to Parent

3. Hospitalized4. HRS Custody

2. Located- Not Returned

0. N/A1. Voluntary

Name/Address

ID. Type/Number

Mental/Physical Condition

AD

MIN

ISTR

ATI

VE

ID. Number(s)/Locator code Unit

DateID. Number Routed To Referred To Assigned To

Officer(s) Reporting Date

By

of

PagePage

Officer Reviewing (If Applicable)

Signature of Officer Reporting

__/__/____

06/07/2017

06/07/2017

06/07/2017

USA Rev. 01/23/2003

__/__/____

Signature of Officer Reviewing

YYeess NNoo

YYeess NNoo

C O P

Y

Activity

Activity

Activity

Type

Type

Type

Holmes Beach Police Department 20170483

MARIJUANA .9

0

MARIJUANA

1 MARIJUANA1 0 D

P 1M

1.00

6

0.00

1.00

PATROL

PATROL

DET SGT

326

SGT. M. PILATO

BORES

306

1

SUSPICIOUS CIR HUGHES WINDSOR K

O

THEF

TA

DM

A. Auto Accessory/PartsB. BicycleC. Camera/Photo EquipmentD. Drug

T. TV/Video/VCRU. Currency/NegotiableV. Credit Card/Non-NegotiableW. Boat MotorX. Structure

Property Type O. Office EquipmentP. Art/CollectionQ. Computer EquipmentR. Radio/StereoS. Sports Equipment

E. Equipment/Tool. F. Food/Liquor/ConsumableG. GunH. Household Appliance/GoodsI. Plant/Citrus

J. Jewelry/Precious Metal K. Clothing/FurL. LivestockM. Musical InstrumentN. Construction Machinery

Date of Supplement

Original Date Reported Primary Offense Description Victim #1 Name (Last, First, Middle)

Agency Report Number

1. Original2. SupplementPROPERTY REPORT

Y. Farm EquipmentZ. Miscellaneous

PRO

P.D

ETA

IL/N

AR

R.

CO

DES

09. From Vehicle10. Extortion

Theft Type Codes

04. Pocket Picking05. Purse Snatching

06. Embezzlement07. From Coin Oper. Machine

08. From Public Access Building

11. By Computer12. Fraud

99. Other00. N/A01. Burglary

02. Robbery03. Shoplifting

Theft Type

A - ArresteeO - Other

1. Stolen2. Recovered

V - VictimS - Suspect

5. Lost6. Found

Person Codes Status Codes3. Stolen and Recovered4. Recovered for Other Jurisdiction

2. Criminal Mischief3. During other Offense

7. Safekeeping8. Evidence/Seized

9. Other9. OtherDamage Codes0. N/A1. Arson

PRO

PER

TY

Serial Number

NameItem #Code Person Status Damage Property Type Quantity Brand Model Name/Number

Owner Applied Number Description (Size, Color, Caliber, Barrel Length, Etc. )

Value Value Recovered Date Recovered SCIC/NCIC

Property Stolen

PropertyRecovered

Change in PropertyStolen Value

Change in Property Recovered Value

Activity Type Unit

Description Quantity Unit

P. PossessS. SellB. BuyT. Traffic

R. SmuggleD. DeliverE. UseK. Dispense/Distribute

M. Manufacture/Produce/CultivateZ. Other

A. AmphetamineB. BarbiturateC. CocaineE. Heroin

H. HallucinogenM. MarijuanaO. Opium/DerivativeP. Paraphernalia/Equipment

S. SyntheticU. UnknownZ. Other

1. Gram2. Milligram3. Kilogram4. Ounce

5. Pound6. Ton7. Liter8. Milliliter

Estimated Street Value

TOTA

LSC

OD

ESD

RU

GS

PRO

PER

TY

Serial Number

NameItem #Code Person Status Damage Property Type Quantity Brand Model Name/Number

Owner Applied Number Description (Size, Color, Caliber, Barrel Length, Etc. )

Value Value Recovered Date Recovered SCIC/NCIC

PRO

PER

TY

Serial Number

NameItem #Code Person Status Damage Property Type Quantity Brand Model Name/Number

Owner Applied Number Description (Size, Color, Caliber, Barrel Length, Etc. )

Value Value Recovered Date Recovered SCIC/NCIC

PRO

PER

TY

Serial Number

NameItem #Code Person Status Damage Property Type Quantity Brand Model Name/Number

Owner Applied Number Description (Size, Color, Caliber, Barrel Length, Etc. )

Value Value Recovered Date Recovered SCIC/NCIC

PRO

PER

TY

Serial Number

NameItem #Code Person Status Damage Property Type Quantity Brand Model Name/Number

Owner Applied Number Description (Size, Color, Caliber, Barrel Length, Etc. )

Value Value Recovered Date Recovered SCIC/NCIC

Description Quantity Unit Estimated Street Value

Description Quantity Unit Estimated Street Value

AD

MIN

ISTR

ATI

VE

ID. Number(s)/Locator code Unit

DateID. Number Routed To Referred To Assigned To

Officer(s) Reporting Date

By

of

PagePage

Officer Reviewing (If Applicable)

Signature of Officer Reviewing

Signature of Officer Reporting

9. Dose Unit/Item

__/__/____

06/07/2017

06/07/2017

__/__/____

__/__/____

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06/07/2017

06/07/2017

USA Rev. 01/23/2003

C O P

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AD

M

Holmes Beach Police Department

SUSPICIOUS CIRCUMSTANCE

FL0410400 20170483

1 1

DET SGT PATROL

PATROL

BORES

SGT. M. PILATO 306

326

ON 06/07/2017 AT 00:03HRS I WAS DISPATCHED TO 202A HAVERCOS CT FOR A REPORT OF DRUG ACTIVITY. THECALLER ADVISED THAT THERE WERE JUVENILES INSIDE HER HOUSE AND WOULD NOT LEAVE. THE CALLER (WINDSORHUGHES) FURTHER STATED THAT THERE WAS MARIJUANA INSIDE THE HOUSE LEFT BY THE JUVENILES.

UPON MY ARRIVAL I MET WITH MS. HUGHES AND A WHITE FEMALE JUVENILE WHO WAS LATER IDENTIFIED AS. THERE WERE NO OTHER JUVENILES AT THE RESIDENCE WHEN I ARRIVED. MS. HUGHES ADVISED THAT SFRIEND NICHOLE SOBR, AND STAY AT HER APARTMENT DUE TO NICHOLE GETTING

EVICTED FROM A MOTEL. MS. HUG HAS BEEN STAYING WITH HER FOR THREE WEEKS ANDTHAT HAS ALSO BEEN STAYING AT THE APARTMENT FOR TWO DAYS. MS. HUGHES FURTHER STATED THATWHEN BACK HOME SHE NOTICED MULTIPLE JUVENILES INSIDE HER APARTMENT AND THAT THERE WASMARIJUANA ALL OVER AND EMPTY BEER CANS. I ASKED MS. HUGHES WHERE WAS NICHOLE AT WHICH SHE STATED THATSHE WAS AT WORK AT TOMMY KNOCKERS IN BRADENTON BEACH. I ASKED HER TO CALL HER AND HAVE HER RESPOND.MS. HUGHES ADVISED THAT MS. SOBR WOULD NOT RESPOND BACK FOR .

I MADE CONTACT WITH WHO APPEARED TO BE UNDER THE INFLUENCE OF MARIJUANA. I ASKED WHATHAPPENED TONIGHT WHI E STATED NOTHING AND THAT SOME FRIENDS CAME OVER. I ASKED IF T WAS ANYILLEGAL DRUGS AT THE RESIDENCE WHICH SHE STATED NO. I ASKED HOW LONG SHE HAS BEEN STAYING HEREWHICH SHE STATED TWO DAYS. I ASKED HER IF WAS STAYIN E FOR THREE WEEKS WHY WAS SHE ONLYHERE FOR TWO DAYS. STATED THAT SHE S TH FRIENDS IN BRADENTON AND THAT LETS HER. IASKED TO CALL AND HAVE HER RESPOND. LATER ADVISED THAT SHE HAD TEXT MESSAGE, BUT NEVER ED BACK. THERE WAS NO R VES OR GUARDIANS FOR .

I WENT INSIDE THE APARTMENT TO TALK TO MS. HUGHES. I ASKED MS. HUGHES IF THERE WAS ANY CONTRABANDINSIDE WHICH SHE STATED THAT SHE DIDN'T LOOK. MS. HUGHES DID NOT APPEAR TO BE CONCERNED ABOUT ANYCONTRABAND. MS. HUGHES BEGAN TO BECOME ARGUMENTATIVE AND STATED THAT SHE ONLY CALLE DTO HAVE THE KIDSREMOVED FROM HER APARTMENT. AS I WALKED BY THE BED NEXT TO THE FRONT DOOR I NOTICED THE ODOR OFMARIJUANA. I OBSERVED A WHITE BOOK BAG ON THE BED. I NOTICED THE ODOR OF MARIJUANA ON/OR ABOUT THEBOOK BAG. I ASKED MS. HUGHES IF THE BAG WAS HERS WHICH SHE STATED THAT THE BAG BELONGS TO . MS.HUGHES AGAIN BECAME ARGUMENTATIVE ABOUT MY CONCERN OVER THE BAG. BASED OFF MY OBSERVATIONS THEBEHAVIOR OF I LOCATED .9 GRAMS OF MARIJUANA INSIDE THE BAG. MS. HUGHES CONTINUED TO BEUNCOOPERATIV STATED AGAIN THAT SHE ONLY WANTED THE POLICE TO GET THE KIDS OUT OF HER UNIT.

I PLACED IN THE REAR OF MY PATROL VEHICLE WHILE I MADE CONTACT WITH MANATEE COUNTY CPS. ICONTACTED INVESTIGATOR (MARK #177) AND ADVISED OF THE INVESTIGATION. MS. SOBR WAS NOT CONCERNEDAND SENT A FRIEND TO THE SCENE. AFTER MULTIPLE ATTEMPTS I WAS UNABLE TO CONTACT MS. SOBR. CPS ADVISEDTHAT AN INVESTIGATOR WOULD RESPOND FOR . I TRANSPORTED TO HBPD STATION FOR CPS TO ARRIVE.WHILE AT THE STATION I MADE CONTACT WIT SOBR WHO WAS AT BAR WORKING AND STATED THAT SHE WOULDCME TO THE STATION AFTER SHE CLOSES THE BAR. I ADVISED HER THE CPS WAS ENROUTE AND THAT SHE NEEDED TORESPOND. AFTER ADVISING HER OF CPS MS. SOBR LEFT THE BAR AND ARRIVED AT HBPD STATION. CPS ARRIVED ANDTHE INVESTIGATION WAS TURNED OVER TO THEM. THE MARIJUANA WAS PLACED INTO HBPD PROPERTY. NO FURTHERACTION TAKEN

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NARRATIVE CONTINUATION

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1. Offense2. Arrest

JuvenileWarn/Dismiss

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Case Status

Routed To Referred To

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Unit

ofPage

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508MW 5103/03/1966 155 BRO BLN S S

FL0410400

11

00

1426

01 01 01 00 00

GIESKE

10205 CORTEZ RD 34210BRADENTON

UNEMPLOYED

G200420660830

Holmes Beach Police Department

1427 1429 1454

1420 1454

20170484

JERRY L

OPEN CONTAINER

01

Wed

01 STATE OF FLORIDA

2 NN

V 5

2S

0 0 0 00 0000

FL

LT THN

FL

1

PATROL

1 ACA

L. DIEHL

SGT. M. PILATO 306

6 6-3A 00000CCOV/ALCOHOL

___-_______

___-__-____

___ ___-____

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___ ___-____

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___ ___-____

34217

SMOOTHIE KING

EAST BAY DRIVE HOLMES BEACH3248

0

3

1

333

1

TIE DYE SHIRT, SHORTS

SEE NARRATIVE ON OTHER PAGE.

N2 1

00. N/A01. Gunshot02. Stabbed

OFF/INC Indicator

EVEN

TD

ATA

NA

RR

ATI

VESU

SPEC

TC

OD

ESA

DM

A-AttemptedC-Committed

A-AttemptedC-Committed

Area

Type of Weapon

01. Residence Single02. Apartment/Condo03. Residence-Other04. Hotel/Motel

Time (mil)

GangRelated

Time Dispatched (mil)

Primary Offense Description

21. Employer22. Landlord/Tenant23. Acquaintance99. Other Known

5. Ordinance9. Other

Zone

)

Agency Report Number

3. Misdemeanor4. Traffic Misdemeanor

OFF/INC# 1

Business Name/Area Identifier

District

NCIC/UCR Code

2. No

Location Type

V/W Code

# Victims00. N/A01. Handgun

05. Knife/Cutting Instrument06. Blunt Object

07. Hands/Fist/Feet08. Poison09. Explosives

10. Fire/Incendiary11. Threat/Intimidation12. Simulated Weapon

V - VictimW - WitnessC - Reporting Person

O - OtherRace

N - N/AM - MaleF - FemaleU - Unknown

Residence Type 0. N/A1. City2. County

Extent of Injury Residence Status

03. Laceration04. Unconscious05. Poss. Broken Bones06. Poss. Internal Injury

Victim Relationship To Offender 07. Loss of Teeth08. Burns09. Abrasions/Bruises99. Other

06. Parent07. Brother/Sister08. Child09. Step-Parent

10. Step-Child11. In-Law12. Other Family13. Student

Residence Phone

Business Phone

Juvenille

Occupation

Height Weight Eye Color Hair Length Hair Style

Nickname/Street Name Place of Birth

Social Security Number

SCIC/NCIC

Employer/School

Teeth Speech/Voice Special Identifiers

Original DayReported

Date Time (mil) Time Arrived (mil) Time Completed (mil)

1. Felony2. Traffic Felony To

Time (mil)

(-

Type

15. Industrial/Mfg.16. Storage17. Gov't/Public Bldg.18. School/University19. Jail/Prison

20. Religious Bldg.21. Airport22. Bus/Rail Terminal23. Construction Site24. Other Structure

25. Parking Lot/Garage26. Highway/Roadway27. Park/Woodlands/Field28. Lake/Waterway29. Motor Vehicle

10. Dept/Discount Store11. Specialty Store12. Drug Store/Hospital13. Bank/Financial Inst.14. Commercial/Office Bldg.

Suspect Code

Incident Location (Street Number, Street, Apt,)

Scars/Marks/Tatoos (Location/Describe)

OFFENSE-INCIDENT REPORT

0. N/A1. Occupied

E-EscapeeM-Missing

From

Date of Supplement

- (

17. Friend18. Neighbor19. Sitter/Day Care20. Employee

OFF/INC Indicator

OBTS Number (Arrested)Other I.D. NumberImmigration and Naturalization Number

Incident Type Incident: Day Date

2. Unoccupied3. Abandoned

05. Convenience Store06. Gas Station07. Liquor Sales08. Bar/Nightclub09. Supermarket

DateDay

0. N/A1. Yes

Forced Entry Occupancy

Statute Violation Number - Chapter, Section, SubDescriptionType

Hair Color

Facial HairBuildComplexion

Driver's License Number/State

Address

Code

Maiden Name

Name (Last, First, Middle)

13. Drugs88. Unknown99. Other

Grid

Victim Type 0. N/A1. Juvenile2. L.E. Officer3. Adult

4. Business5. Government6. Church9. Other

Sex I - American IndianO - Oriental/AsianU - Unknown

N - N/AW - WhiteB - Black

3. Florida4. Out-of-State

0. N/A1. Full Year2. Part Year3. Non-Resident

0. None1. Minor2. Serious3. Fatal

14. Teacher15. Child of Boy/Girl Friend16. Boy/Girl Friend

03. Spouse04. Ex-Spouse05. Co-Habitant

00. N/A01. Undetermined02. Stranger

Injury Type

Clothing (Describe)

ZipStateCity

02. Rifle03. Shotgun04. Firearm

# Prem. Ent.

S-SuspectA-Arrestee

ZipCity

# OFF/INC. # Offenders # Veh. Stolen

1.#12.#2 3.Both

)

If V/W Code is V, W or CFill in this Line

OFF/INC Indicator

V/W Code # Name (Last, First, Middle or Business) Residence Phone

Business Phone

Race Sex Injury Type(s) Relationship Ethnicity Will Victim prefer charge?

Synopsis of Involvement

V. Type

V/W Code # Name (Last, First, Middle or Business) Residence Phone

Business Phone

Race Sex Injury Type(s) Relationship Ethnicity Will Victim prefer charge?

Synopsis of Involvement

V. Type

Extent of InjuryRes. StatusRes. Type

ZipStateCity

Extent of InjuryRes. StatusRes. Type

ZipStateCity

VIC

TIM

/WIT

NES

SVI

CTI

M/W

ITN

ESS

Dom. Violence

Dom. Violence

1.#12.#2

3.Both

1.#12.#2 3.Both

Date of Birth Age

Date of Birth Age

If V/W Code is V, W or CFill in this Line

Address (Street, Apt. Number)

Other Contact Info. (Time Available, Interpreter, etc.)

Address (Street, Apt. Number)

Other Contact Info. (Time Available, Interpreter, etc.)

Last Known Address (Street, Apt. Number)

OFF/INC# 2

R-Rec. MissingZ-other

Person/Unit Notified

Case Status

Time

Routed To Referred To

Related Report Number(s)

Unit

ofPage

Number ArrestedClearance Type

Exception Type 2. Arrest on Primary Offense Secondary Offense Without Prosecution

3. Death of Offender4. V / W Refused to Cooperate

3.Unfounded

Page5. Prosecution Declined6. Juvenile/No Custody1.Extradition Declined

1.Arrest2.Exceptional

Jail Number

OBTS Number

Date Cleared

AD

MIN

ISTR

ATI

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A-AdultJ-Juvenile

Date

Name of Officer Reporting

Officer Reviewing (If Applicable) I.D. Number

I.D. Number/Locator Code

By DateAssigned To

30. Other Mobile99. Other

Susp.#

JuvenileWarn/Dismiss:

1. Original2. Supplement:

Juvenilein Report:

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Sex Date of BirthRace Age

06/07/2017

Yes No

YYeess NNoo

0

Signature of Officer Reporting

Signature of Officer Reviewing

C O P

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Holmes Beach Police Department

OPEN CONTAINER

2 1

1

PATROL

1 ACA

L. DIEHL

SGT. M. PILATO 306

333

ON 06/07/2017 AT 1427 HOURS I WAS DISPATCHED TO SMOOTHIE KING IN REFERENCE TO A SUSPICIOUS PERSON.UPON ARRIVAL I MADE CONTACT WITH A WHITE MALE MATCHING THE DESCRIPTION PROVIDED BY DISPATCH. THECOMPLAINANT ADVISED THE WHITE MALE WAS ACTING AGGRESSIVE AND HAD AN OPEN CONTAINER OF ALCOHOL. I LATERIDENTIFIED THE WHITE MALE BY HIS ID AS JERRY GIESKE. THE DEFENDANT WAS CARRYING TWO BOTTLES OF VODKA,ONE BOTTLE WAS OPENED. WHEN ASKED TO DISPOSE OF THE OPENED BOTTLE OF VODKA, THE DEFENDANT WOULD NOTCOMPLY. BOTH BOTTLES OF VODKA WERE REMOVED FROM THE SUBJECT AND CONFISCATED. THE DEFENDANT WAS ISSUEDA NOTICE TO APPEAR AND ADVISED WHEN HIS COURT DATE WILL BE. I INFORMED THE DEFENDANT HE WILL NEED TOTAKE THE NEXT BUS AND LEAVE THE CITY.

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Case ReferenceAD

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Date of Supplement Agency ORI Number

1. Offense2. Arrest

JuvenileWarn/Dismiss

1. Original2. Supplement

Agency Report Number

Case Status

Routed To Referred To

Related Report Number(s)

Unit

ofPage

Number ArrestedClearance Type

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3. Death of Offender4. V / W Refused to Cooperate

3.Unfounded

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OBTS Number

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__/__/____

06/07/2017

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USA Rev. 01/23/2003

20170484FL0410400

Signature of Officer Reviewing

Signature of Officer Reporting

C O P

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NARRATIVE CONTINUATION

COV/ALCOHOL

Holmes Beach Police Department

Case ReferenceAD

M

Date of Supplement Agency ORI Number

1. Offense2. Arrest

JuvenileWarn/Dismiss

1. Original2. Supplement

Agency Report Number

FL0410400 20170484

2 2

ON 06-07-17 I RESPONDED TO THE 3400 BLOCK OF EAST BAY DR IN REFERENCE TO AN INTOXICATED MALE WITH ANOPEN CONTAINER OF ALCOHOL THAT WAS BEING AGGRESSIVE TO PEOPLE PASSING BY. UPON ARRIVAL OFFICER DIEHLWAS SPEAKING WITH (JERRY GIESKE). I OBSERVED GIESKE TO BE INTOXICATED. I ADVISED HIM TO GET RID OF THEOPEN CONTAINER OF VODKA HE HAD. HE ASKED IF HE COULD DRINK IT FAST AND THEN TOOK IT OUT OF HIS BAG ANDATTEMPTED TO DRINK IT IN MY PRESENCE. I CONFISCATED THE BOTTLE OF VODKA AND THE OTHER GLASS BOTTLE OFALCOHOL AND GAVE IT TO OFFICER DIEHL. HE THEN ISSUED GIESKE A NOTICE TO APPEAR FOR THE OPEN CONTAINEROF ALCOHOL.

Case Status

Routed To Referred To

Related Report Number(s)

Unit

ofPage

Number ArrestedClearance Type

Exception Type 2. Arrest on Primary Offense Secondary Offense Without Prosecution

3. Death of Offender4. V / W Refused to Cooperate

3.Unfounded

Page

Date

5. Prosecution Declined6. Juvenile/No Custody1.Extradition Declined

1.Arrest2.Exceptional

OBTS Number

Date Cleared

ByAssigned To

AD

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A-AdultJ-Juvenile

Date

Name of Officer Reporting

Officer Reviewing (If Applicable) I.D. Number

I.D. Number/Locator Code

01

PATROL

1 ACA

J. PIERCE

SGT. M. PILATO 306

309Report Contains

Arrest Number

06/07/2017

__/__/____

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USA Rev. 01/23/2003

06/07/2017

06/07/2017

Signature of Officer Reviewing

Signature of Officer Reporting

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