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PoliceReport .pdf


Original filename: PoliceReport.pdf

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I
N
C
I
D
E
N
T
D
A
T
A

Agency Name

INCIDENT/INVESTIGATION
REPORT

CHAPEL HILL POLICE
NC 0680100
Crime Incident(s)

Information

#2

Crime Incident

#3

Crime Incident

How Attacked or Committed
MO

V
I
C
T
I
M

Forcible
Yes
X No

Possible Drug Use Contributed To Threats
# of Victims Type
Person
Business
Society
Government
Financial Institute
0
L.E. Officer Line of Duty
Other/Unknown
Religious
Victim/Business Name (Last, First, Middle)

Injury

V1
Home Address

O
T
H
E
R
S

Make

Model

Style

Color

Lic/Lis

Mobile Phone

Vin

CODES: V- Victim (Denote V2, V3) O = Owner (if other than victim)
R = Reporting Person (if other than victim)
Type: X Person
Business
Society
Government
Financial Institute
Religious
L.E. Officer Line of Duty
Other/Unknown
Victim of DOB / Age 18 Race Sex
Code Name (Last, First, Middle)
Crime #

RP

HIRASAWA, EMILY ROSE

F
Home Phone

Home Address

175 Sprunt St Chapel Hill, NC 27517
Business Phone

Type: X Person
Business
Society
Code Name (Last, First, Middle)

RP

Government

Financial Institute

Religious

CHAN, KOBI JAMES

Mobile Phone

L.E. Officer Line of Duty
Other/Unknown
Victim of DOB / Age
Crime #

22

Race Sex

M
Home Phone

Home Address

4709 Timberwood Trl Efland, NC 272439787
Employer Name/Address

Status
Codes

Not Applicable/none

Business Phone

Employer Name/Address
I
N
V
O
L
V
E
D

Weapon / Tools
N/A

Drug/Alcohol Use:
None
Minor
Loss of Teeth
Broken Bones
Yes
Unknown
Severe Lacerations
Unconscious
Other Major
No
Internal
N/A
Victim of DOB / Age
Race Sex Relationship Resident Status
To Offender
Resident
Crime #
Non-Resident
Unknown
Home Phone

Employer Name/Address
VYR

1401875

Date / Time Reported =S M T W T F S
Month
Day
Yr
Time
02
16 2014 09:29 Hrs.
S
M
T
W
T
F
S
S
M
T W T F =S
At Found
Last Known Secure
=
Att
Month Day
Yr
Month Day
Yr
Time
Time
X Com 02
16 2014 04:00 Hrs. 02 15 2014 22:00 Hrs.
Offense Tract
Att Location of Incident
Com 84 Maxwell Rd, Chapel Hill NC 27517
Victim Residence Type
Att Premise Type
Com HOME OF VICTIM - OTHER
Single Family XMulti Family

ORI

#1

OCA

Business Phone

L = Lost S = Stolen R = Recovered D = Damaged
(Check "OJ" column if recovered for other jurisdiction)
Victim
DCI Status
Value
OJ
QTY
#

Z = Seized

B = Burned

C = Counterfeit / Forged

Property Description

Mobile Phone

F = Found
Make/Model

Serial Number

P
R
O
P
E
R
T
Y

Number of Vehicles Stolen
Officer
ID

LLOYD, B. R. (7579)

Complainant Signature
Status
DCI-600F

0

Number Vehicles Recovered
0
ID#
Officer Signature
Case Status
Further Investigation
Inactive
Closed/Cleared
X Closed/Leads Exhausted

Supervisor Signature

TAYLOR, D. S. (3914)

Case Disposition:
Unfounded
Located
Extradition Declined
Cleared by Arrest
Refuse to Cooperate
Cleared by Arrest by Another Agency
Page 1
Death of Offender
Prosecution Declined
Rev.3/92


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