PoliceReport .pdf

File information


Original filename: PoliceReport.pdf

This PDF 1.4 document has been generated by , and has been sent on pdf-archive.com on 20/02/2014 at 19:19, from IP address 76.182.x.x. The current document download page has been viewed 3139 times.
File size: 16 KB (1 page).
Privacy: public file


Download original PDF file


PoliceReport.pdf (PDF, 16 KB)


Share on social networks



Link to this file download page



Document preview


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


Document preview PoliceReport.pdf - page 1/1


Related documents


policereport
22689
smcr013495
summer 2012 newsletter final
fmack application
document

Link to this page


Permanent link

Use the permanent link to the download page to share your document on Facebook, Twitter, LinkedIn, or directly with a contact by e-Mail, Messenger, Whatsapp, Line..

Short link

Use the short link to share your document on Twitter or by text message (SMS)

HTML Code

Copy the following HTML code to share your document on a Website or Blog

QR Code

QR Code link to PDF file PoliceReport.pdf