3 19 10 Albany TASER UOF Reports (2007)

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  • 8/3/2019 3 19 10 Albany TASER UOF Reports (2007)

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    Albany Police Dept Subject Resistance ReportDaylDatefTime ,OfIncidntBcm.J1Jcrr' Inc,ident#: C:il .--C"0&,(r ILocation of Incident_. . - - - - - - - - - - ~ - - - - - - - - - - - - -.'-::S=-u-p-e-rv--:-s-o-r-:"f\otified:~:t31 D c c kQ .\

    Officens) Deploying Force:Interviewing/Filing Officer (if Different): - - ~ - - - - - - - - - - - - ~ - - - - - - ~ - - - - - - - - - - ~

    .OnScene? @ - J N o

    Subject's Name:Sex: ffi 'Height: IR .'

    c : : : .i- "I II -. " , e-:-( ~\ ~

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    O.C. Administrative QuestionsTO BE ASKED OF ANY PERSON EXPOSED TO O.C.1. Are you currently under the influence of Cocaine, Amphetamines, Barbiturates, PCPor otherHallucinogens, Heroine or other Opiates, or Alcohol?Yes__ No __ If yes, Which One(s)? --:--:-::---:-----. Refused to Answer: Date/Time: Initials _2. Haveyou taken Cocaine, Amphetamines, Barbiturates, PCPor other Hallucinogens, Heroine or.other Opiates, or Alcohol in the LAST 8 HOURS?

    Yes__ No__ If Yes, Which One(s}? '-- _Refused to Answer: Date/Tme: Initials _:3. Doyou normally take any illegal or prescrlptiondrugs>Yes__ No_._ If Yes, Which One(s)? --:-:-::--:-- ~Refused to Answer:_-__ Daterfim: __ ,--_.,,--__ Initials _

    . , .4" Do you have heart problems, lung problems, diabetes, high blood pressure, or any other medicalcondition?Yes__ No __ If Yes, Which One(s)? -t-r- _Refused to Answer: DateITime: Initials _-'- __5. Doyou have any allergies? < . ,

    Yes__ No__ !f Yes, Which One(s)? -:-~_:_-'-\~---Refused to Answer: Dateffime: Initials-------l, ~ _ __,_---the undersigned officer, have completed the above Intervlew.wlth :_________________ onthis day of - ,20_.

    Officer Signature Witnessed ByTaser Use Repoli, TO BE COMPLETED EVERY TIME THE TASER IS USED

    T~Jer Serial #: Cartridge Serial #(s): :~rnber of Cartridges Ire : Number of Probe Contacts: _'---c_'_' --:;:=;----:--:- _Number of Stun Contacts: Number of probes pentratinq skin: --,:z.:,,:~ ,-- _Laser,sight activated only: --Lo(;at,lon of each probe contact: _ - " C . . : ' L l ? l , - f~ ) u . \ - - , -i O " ' 1 + < - r . . J . . ., : . _ " " ,~ J , " " - , s , - ? , , " ,, - \ " !" \ .>.'f-----------~-----Qistrhcebetween probes (ih inches): H-Ii J.,-:~'i."',:'" , .

    J\P.proximate distance of probe launch: --:--::-'-"""'-...L.>-,.,'-'-I----7""'"'~:__-:-::-----,-.Did the application cause injury to the subject and/or others? YesrNo If yes, explain:. ' " , ' ' r i" - , r _ c \ " , . " \ . ' . " . D .. - / " ) ; . j" ff' -:)(;\hl'fC+) , ""Did the application of the Taser gain compliance from the subject? ~NODescribe the subject's demeanor after the Taserwasdisplayed or deployed: --=.l....:.;::C::...: _

    Where were the probes disposed of? P . 0\.,.-.,.". j page2of21l APD #422 I

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    Albany Police Dept.Bub] ectResistance ReportDayIDaterrime of Incident:p 1/ . 0 1 : ; , / ,hiind : G?'1-C,zc;IYlocation of Incident" v r ' : . ~ ' ~ ' : ,,

    Supervisor. Netified: .%l0jYy/~:.'."Ofcerts) Deploying' Force:~nterviewing/Filing Officer (I

    .. "'~Scnei 'Ye~~~, - , - } : - ,- " " ' , .. . . .' : , . .. . . ,. , ;. : ~ " . . ,. , ': ', .. .. ., ." .. ,. ,' _ _ " -: -; - ' : , , . .. . . L ' i C 7 . : : } . ~ : ; ; ' , - , - , . . , - . : = - " ; ", : :: ; - ,: " " " ,. , ,. ' " ,- : : --:"'~'7'' ' T " " "

    ":,,,~,:~ . .,i:"~.~'"",'._~,:;': :!:. ~ < , : : ~ " ; , , , > : , : . Y " \ i " ,~'"~'- . '',u"'' ~~:,o:'.;,''~;:

    }->~':,~,~':;;.~, ; . , ~ ~ . : , ; r : : / \. Subject's Name:'Sex:.!!L Height,S '9 " 1Ct---~- Age:.',' ~:-;:t?i< DOB :l11l1\.{f r:~:'::;.: ".'..... .eIght: /10 Race: .,~; Charge(s):,~d6:l'5':iJ'b;~+dC'S:)(!' o, , : " : \ ' ~ i . ' ~ ~ ! ; ' ; ' i G 3 " ; : ';fi i ' I:":{ ,,;f~Force Used/Displayed by Subject: ({clt,iIS 1\)5 ,CjaLf.l'ln5~j'd(U~",-tS. 9l f{~t/~,~S .Injuries to Subject: . e s : .:;"\",;'.:!,,'. ; ' : . ' - v , ' ; ' , , - ' ; ) ; , (ri: ; : l , S : ; : : " " " " " , . ) " , , ; ,Treated by: - /V. ~ Hos ital.Admission?:''"''''':''':'/i;;/:/l-'''~~'''~"~''"'':'''~'''~_._~.o.

    ~~~~der. ~fl~~nc:iof ..~!ug . Icoh~n ,re~~i~~)"f ~9~~.~/1.. . e[, '..;.C1" .., ,_,;Ai'Narrativ Description of Incident (Includ'aetionstkr{hy'b'oththe';Subjt:'n~;'m'gT:ti;'"T:,;~"o;",.:.:::':o ~ r ~ : ) :(If.

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    . - : ~ . 1 1 . _ ' 04.; _ ,,:" ,,,,,: ,,," '': ''~~ . _ 1i',1'-'ll.Ii~"" '_:lo2_ Haveyou taken Cocaine, AmphetamineS, Ba" iturates, PC..roother-Opiates, or Alcohol in th L A S T :8 -" H O U R S ? ~ : : " - . . ' . ';~'""' \ '~i~:iui~do~~sw~r: _ . I f Y es,~~c~,~~~~~?i'~.'c ",., ,.. ;I~'itiai~ . , , / " - : ; ; t : ' , 2 ' ~ < , r > - ~ : , , : : ; X ' "r, ..' ,.,:".,,:.::,:,,,., , . ,. '.' ."::.- , .. .:,", ";,.,),,, " .,",,',,- -:.;',;;:,:,;;'~~~'i~~~~~~I~~~"r~Y:~~~~~~~~,~!~~.;",","';';. i T ; , , ; ; ~ ( w : t " ; 0 ; ''\::,:Refusedto Answer. "; Dteffime: -. : . H.:, :,:.. :. ..... '; .... .. ..:,.: , < ; : . : ; ; } ; ; ' ~ i ; ; : : " " ' ; : ; ' > " ' . : " " . . .: : < ~ 1 $ , : : ~4 7 : ; . l > o y o u 'havehearfproblms, BungprObirns;dibetes,higlt bloodpi'es~ure/or a i l y 'thE'mediCai'condition? ..

    Yes__ N__ fYes, Which On~{s}? --'-'7------~--"-"'".j,;;;4-:--"'~-. '~.:.:__:_-.;:::.\~_~ - - " , : ~ ; ; - , - /Refused to Answer: Datmme: --:':"_ :nitl.al:- _..\

    ,~-:

    1. Are you curr ; ,., G . "el'fi-e;" ~- . ' mes, Barbiturates, PCPor otherHallucinogens, Heroine or other Opiates, or AlCohol?Yes__ No_._ If Yes. WhichOne{s)? -,-',_---'. --:-_~_--'-'-'- ~ __Refused to Answer: D" 'u '" " * ' < 1 ' i!1I.W,,'~:~ r~ .. is --'-~ _. \ 1 ti: ; : /

    . . , - ~O.C.Administrative Qu~sti()nsTOHEASKEDOF NYPERSON EXPOSED TO O,C.. .--.. - - . ',' -'r~ - -. --\ .. Jo':'"

    a l~dnogns,;Hrl~r/;';

    ~ _ - lo I. ,..J . , i , ;

    5_ D o you ha,veany allergies?-Yes_"_ No __ It Yes, Which One(s)?~ --'-_~ .j,,:,.. . Refus~ to Answer: Daterrime: . Initials _--'--_---'":~,

    Offic~~~~gn.~~l.V.re\ Witnessed By

    '".>.,',", '~:\:\~:',,.)~ :~;:':::.~'.- , ' ,~.,:

    I,_._-,--_;-:--'--.,.,.--,..,.... the undersig'~e~oili~:"av~C()mPlt~dthe aboveiotervie~'with, "~---' ~--'--;:---"---"------~_~ on this ' day of " :20,: .s. . ' . ' , ; : - : . - > \ , ; . ~ ~ - . '

    :'~.~:T '. ....

    TO BE COMPLETED EVERY TIME TH~if\SER hJ".1YL;l:J'-';''':~''''::"'';''Taser Serial#: .CartridgeSerial #(5):,.'" ''f-Ju.fl"lber~fartn.ges red: I NL.imberifPtobe.Cohh.lc $:' _...N(Jm~ef 'o ' fstun Contacts: Ci Number ofprobes pnettatio9~,l; :. -r ~ .. , ~.':' ',', ~ - ""'_,-. '\

    " R~~,the~pplicatt~m of the Taser g,aiocompliance from the subject? , y~~t~c : : . w B i , , ~ : , ~ t ~ . ' ~ :~~ ; }~ i ( "h1[)~~Cf~be'~eSUbje~t's demeanor after the Taser was displayed or dePloy~~':',' ; k ; ; ; i ' f J ' ~ d i t t , f ; . ,,i;.~o' '.' : ~ ; 1 C', ; r j'~1 J "" -1 " - . ,,; re vn . .fr I t < /// c/z~-; ;1; ..'. ,; ... ..,'. .' \:l ;..~

    ~rM:!le robes disposed of? V . : t - ~'~:~~-: ; : ~~.~?~:!:~~~~~~.:~~::s. : ~ i ~ ; : ~ ~ . : . ' ~ ? ; ; ~ ~ : Y I.....~e(.W .~:,..

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    1. Are you currently under the lnuenHallucinogens, Heroine or other Opiates, or Alcohol?Yesl . No __ ._ B f Yes,Which One(s)? ~..,.,.....,~~~M~T{_':' ~-:-:-:-::----=~~Refused to Answer: __ Date/Time: ~::-c-:~~ ..~n~wer: - - r v - ae Ifn~:' ,,{U.f1I.,({a ...:.~;:;,~:~.........,....,~,};!}j;j~" " . '. ,3 / ' '3.. t~Yo(J. n0m:'ally take any illegal or p~escription' drugs> .,:", \ .." : j " " " . . ~ " : " " " " " " ' . " ; : ' , . ; ; ( : ~ { ~ { / : J : ! ; J ! ; ~ t : k4 1 ~ f u l r : ~ ~ t ~ e ! : : : : : : : b : ; e S . h g ~ b l o ~ ~ ~ ~ i ~ ~oditin? . .' ".:e~~sed to ~~swer: )(Jes, w~~~~~~)? . Uitiat~" 'r~, , ;

    . , ' , " _ : :> ~ ' : . < : . \ ~ ; ;' ,i ": " , . ~ ' .: : i _ _ . ' : ~ ' : ~ " . ~ ; < ;'C ~a .d~~9~fB~~,~~I~~f!e?r, .),j',,,t;. ':,:

    5. Doyou have any allergies? ,Yes__ No __ IfVes, WhichOne(s}? . : s " 'c -Refused to Answer: E-- Datefffme: Initials.\ 7Q(AC- - - - - - - - - - - " - - - ' - ~ ' - - - ~ - - - ~ - - " - - - ' - - - - - - - - ' - - , , , ' , ; " - - - ' - - - - - - - - ; . , , ' : _ - " " " ' , , ) 1 : J : : . ~ h , _ : I , ; : : ; } \ ~

    ."';;\-;'

    I, S(d; . ' W r ft/-h5 the undersigned officer, havecomPlete~heabov'inte~;w1.Jtt"j= - = = ~ _ l i l i l i l i . i ' i ~ I - I I i .L=~==-=on this ar day of '.,~ '_d ;2(f$"""~':"-'".." ' ) / '\ " . 4 . ~ " 3 , .:",i~:'.' i ~i:'.,~ ; , . ; , ; > ; U ' ' . < ; : " ' ' ; A i ' l " ' i d " "l. J" : - : : ~ . : : _ , < ; : ~ . ? / . : ~ , . ~ ( , ,_ . _ , , }~Witnessed By . TIme o~~~~~~~3~g~;A:'~:.: ~ ; . ; ~ : ; ; : ~ : 3 3 t : . , . , J ; i ~ : 4~

    '(');, ".-' ': Y~k~;_~\ ":~\....., ~'....:-(, ' : : > ' , ~ . . , L . , f ~ 3 ; , ~ ~ ~ h ~ >()ffic~r.Signature, c;~~" -,;:-"'::-4oIOl::4"---4-"..q........;"Injuries to Sub ct: '"";.~..I-..:~~~~:---:---~~-:---:-_~ __ -.;.--,-~_-.:.......:::.-~ __.'Treated by: '. Hospital Admission?:,"SUbje~ ~nder In ence o f; Drugs/AlcoholfOther L i s t , if K C - - n o - w - .-n-:" ( ; ' - ' 1 1 - 1 1 - : { f 1 - - . ~ " " '.~ - ' - - ' : ' _ ~ _ . .

    "~ ~

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    '" 'l': -',.1 _ '~.' . . . . . .- -~-~.. . .,.Q,C.Administrative QuestionsTO BE A SKED OF ANYPER$ON EX POSED TO O.C .1_ Are you cu ntly under the influence of Cocaine,Amphetamines, Barbiturates, PCP or otherHallucinoqen Heroine or other Opiates, r Alcohol?Yes . If Yes , Which One{s)? __ ~ ,-'-:-- __ -'-- __Refused to An wer. __ Oa~emme; ......= - - '- '- - '" '- - . _ Initials _2_ Have you taken Cocain Amphetamnesj Barbiturates, PCP or other Halluclnoge , Heroine orother Opiates, or Alcohol I the LAST 8 HOURS?Yes__ No__ If ,Which One{s)? --:....:.....------~-,4---Refused to Answer. __ DatefTime: (nitial3 _ 1)0 you normally take any iIIegalOl: pr .criptlondnrqs>. Ye$__ No __ If Yes, Which e(s)? -'----""""7~~-:-::--::----~-Refused to Answer: ~~ Datem. e: ~......,.,::__ rnti~l.!s ,.-.......

    .,-:--~~

    5. Do you have any allergies?Y!S__ No__ IfYeRefused to Answer: hch One{s}? ~_..,_--'-- _DateITime; _---'---' _

    . .Igil bloodpressure, orny othermedical. DO you have heart problems, lung problems, diacondition?Yes No If-Yes,Which Ohe(sRefused to Answ;r: Dateffi ---~o,,---- tnittals _--.:....,;..--;.... /

    1,__. _--:- ~~-_-the undersigned officer, hal( competedthe a . veinterviewwith. . . . . . . -_ - . - Z - . _ . - ..,..::::....----:'----~onthS day of ,..20_ ..~ .. . :. .na_ t_ u_ te ~W_ it_ nes s ed _ .. _ B ,,- _ y~ T i ~ . l m . . . . . . e _ O . : . . f - , - - c . . : . . o _ r n _ , _ 'P..t - " , t _ " " 0 . . c . tl_ . _ ,- ' -4" - - - . , - - .

    TaserUse Report ,TO BE COM PLETED EVRY TIM El"HE: TA GER IS USEDt~~rSeria,l #; Cartlidge Serial #(s)~. - - - N r : n b r t) f C~rtrldges Fired: f Number of Probe Contacts: .~~~--'-~~_~~ ____Nl!OtJrer of Stun Contacts; f Number of probes pel)etrating skin: '--';"=__ ~--,- __t ~ ~ ~ ~ ~ ~ : ~ ~ ~ a ; ~ : ~ n ~ ~ ~ c t : ~ ~ . ~ a ~ ~ n , ~ ~ ~ ~ 0 ~- " -, ~ _[).l~~~.nceetween probes (io inches): -1J~' "l'. /: t~hSth qfTime for Electrical curren t Application: () Programmed 5 sec. tf rongerfsnorter, or more than'ori~app~ation, e x : p 1 a l n total time frame involved; d - 5 )es c.~:)\ . - - " ' - . . '

    Itar$_~ __

    Approxirrtate distance of probe laUnCh;_ -- l. . .2 . .J. . ;;r;,.L '~ "" ':- . . . ,. . ,. . . . . . " . ._ ~OldthaprlicatiQn cause injury to the subject and/or others? Ye o If yes, explain: _qihe application of tile Taser gain compliance from the subject? @J.o

    , p e $ . : ~ _ \ l l e the sU~lect'Sdeme ,mo r . after th~ Taser was displayed o~deployed: - - .. . ;: ; ( ~ O : : ' :' I' -. ~ f ~ I r ; < .L " ' ~ ; L ! :" '( l I f - k . . : . ~ _ _~ h c A O C t f ' " J ' \ . - . =- J -'lIIere were the pt:Obes disposed of? p J r IAb o e VJ t " 1 c e . . .Report ing Officer:jAPD ;-:;; Supervisor Approving:,_~F;z~~~;;:=):;--ll.'!Page 2 of2

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    Albany Police Dept.Sub"e 'fRslstanceReport . .DaylDatefTime of lncid t: -- . J Z : k J Inc' :07-O 0 ,\~S:hLocationonncident., .' 'c. ',", :.' .:; '...\1.

    upervisor Notified: - = : : r - - = ; t . . . : . . . . . . : . . . - , - l . . . ; . . ; . L . : : : l < . . L J . . : . O f : : . . : ~ - 1 ' : : : : ~ = i 'L . . : . , ,Officerts) Deploying Force:Interviewing/Filing Officer (i f Different): _ . . . ; . ' = < : . . . : : : : 4 : = ; '.L:...!.~=-.-=-",--,'--..o...:...:-'-=7--'.""'" -----7:..,,--~

    )~": , . : . , , , .

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    ~. ~e.:jLlt.2f.S:.:l._~~--1!:::!:.~y~;"'!.:v'\L' - - - L 2 : - i z . ! d ~ k ' ) . : , l" - : : ;" ' ;. . : L " . ~. . .~o.~'4" -F"~'U',,;;Z ; ~ , ( ~ ; , \ : , . ; : q ' V i , ~~D~~UL~~kdI~~~h~~~,~~~,I ~ ~ ) ~ b ~ h t i ~ < k ~ ~ - ~ b ~ \ " ~ ~ : d ~ . ,--~.'8.0~~~~~'~Jt8~~I 'L8 C>M(I1a.() S O.C. Administrative Warniflg">'.:' '" ;~

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    1. Are you currently unHallucinogens, Heroin ."Yes__ No__Refused to AnsWer:

    ",:,,-,.,:" Barbiturates"PCPorother' , ~ . , o; :. ', . . . ' . . i: '.T . : ; : : ; : " : < " " . : r , j : i ' , / ) i ! ' . '.c ;. >.:: ,.,,'r-,.-:.If';~' ],J h lJ" ',,:,'" ~C' ;''i.' ';:;;,:> . i ; ; " " i : ' ~ \, . i ? j . . . i ; " . i ; ' . : ~ i( t : ; \ I ~ ~ l t ~ ~ . ~ ~ t ~ ~ ~ - ~ + - 4 ' " " " : ~ , : n , . u .., ' . ''''{'ii\;.,.;"

    Yes__ IfYes, Which One(s)? ------c--"'3 '~+--f;,_": ': ' ,: .. , , ' '' :: '; '' 'H'';,-'- + " , + , " ' < r .Refused~~,~r~0vvr: ... DatelTim:'~ __ ~_""';"':'-:,.'-,-';il.i~i~~~/;:ij/;: , ; , > y : ; '..y5. Do you have any allergies? 'Yes__ No__ IfYes, Which One(s)? - __ -----,-;-,-- :-:--:;:-;: '-:-- '-7-/-,\ --"'7"''''''''''Ref~secf ~-9.An~wer: DatelTime: 'nillais', "'- - - ~ = = ~ = = ~ ~ = = = = ~ = = = = ~ ~ ~ . ~ ~ ~r'... ". .'~~d':":(,i:"')/'./ttI, ~~_~~~ the undersgn~d officer~have completedfbe ci.boyeinfeYieV\f i.t'(:';,:; ':~j ' f : ; > ~ l ; r . ? ' . . ' . " : : '________________ _~~this dayof'_'" :,~O~'N" .. , ,',

    .. i!. ~.~.

    Time.pfC,pmpJetion' . " ~ \ i ~ ': ~ ' _ ~ ; ~ ; ; ~ ~ ' : ~ : ~ , : , . , : t A : ' : ~ ~ : - > ~ ~ f i .' ; . ~ ' : : ~ \Officer Sig. Witnessed By\ "TOBECO ~ t r~lt ~.. t" - If:~''~ 'g'

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    Ta~erUseReport,HETASERIS'SED'; . ! ;: ~ :". . ': < I I . ~-. Taser Serial.#:' Cadridge.$erial #(s): . --,," , ; : , , } X . . . \ : . ": , ; , : : . { \ ' . .

    ~~:~:~':~,;~:ut~~~:aii~d: '~~:~:~~}:~~~:sC;:~;~r~t~ng ~kin;~ '-'"-: " ..... . , : ~ ) : ~ ; ' , : i : f i ; ~ ;Laser si911t~tiYatd,only: . _ ",' . " . . ." .' ....... ",. ""~~s.c,:tin'~~~:~,a~=:pr.ortbe~o(~~a_lcn~h-e-S-)-.__ - -=".:=-',-.".----..-..,..,~~--'-'~\ ............'_..........- ' . ~ ." , ,' -r . ~ . : : _ . . ~ " : : ' , . .

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    -: ,Albany Police Dept.Suj ctResistance-ReportDaylOatelTimeof Incident1h :, S " D " t - inije{1t#:Q] - O ' < 1 a l { p ,Locationo(fncident:, "o',,, '00,, '0; ,,' "'~."',''(\

    ----_1

    Ofcer(s) Deploying Force:InterviewingfFiling Officer (i f Different):

    .S;

    t ; ,

    : ' : ?_ ?~ ' , ~ ' 1 : ' ~ '- ' " . ' . ~ . ; . , \) ( : { ~ ; j r ; / : r : : : ;Subject's Name., .. Ag~?!;'3(;;: :>bosSex: M Height: t eight: Race: \ C 1 \ C Charge(s}:"g,., ,:""ij'[ ,.'.;~ E ~ ~ E ~ E ; ; ; ~ ; e c t . 5 = ~ ~ ~ ~ d : : ~ : ? : :. ' : b 'W" '~~ : ,~ :~ " ,~ : !~ ,Subject Under Inf~nc of: Drugs/AfcohplfOthr 'U~t,lfKown':' ~ In::.;.:;:"'

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    1. Are.yu-currentty under the infl. lIucinogens, Heroineor others__ No_._'_'_,." I f Yes,WhichOne(s)? -----;_"----;----;---""".." . ...(,'Re sed toAnswer:' Oaternme: ~~_ .......... ..Initials,':...'_ ".,.../",,"-"-...',., ':o. ...... "7!

    l. :. ,O.C.Administrative Questions .TO BE ASKED OF ANY PERSON EXPOSED :r.O.;: : '.'- ~ - . ,'>'; '8~jiturates, pp b r '~her ;"V.{'0r';;-'.i.

    1 ~~"":. ..~: ~-~j,:;t,.,,::~,~"~>i~.~ &} . ~".-I;' !~J! , :! .J I . .. ~~.a ~.. .J :~ ,A .:~': ..~ ~ .'~ ~ .

    2. Have you take Cocaine,Amphetami1es,l8arbother Opiates, o ,.,--,..> ., " . , . . . . .. "'>~:',':c':>P' ,.'.-Yes_o_

    > ,3,

    4 .

    Refused to AnsWer: If Yes,Wh"Date/Time: ~ S = = = = = = : ~ ~ ? : = : ; 7 R ' { ; ~ : ' ,,. ~\ -':~~'..k:.\5. Doyou have anyallergies? '\

    Yes__ No If Yes,Which One(s)?~ __ ~--,,~~ \-',-\_ '""'-Refused to Ans' Dateffime: Initials '-:...'" , - i , - , , ' ' ' ; ; : . . . ' . _ _ . ' ;, . , '.>/

    I,---_----,,L------- the undersigned officer, havecompleted tli b~:ntef.ViWvVitl1-----~"L---------_ on this . day of -,-_---="c- ,20 ". . . . \._,,' , - < w . ' ,- " ' , , . . .. .~ ; . -: - ;Time of Completionfficer Ignature Witnessed By

    raser Use ReportTO BE GOMPLETED EVERY TIME THE TASERIS_ Taser Serial#: Cartridge Serial #(s):Number of Cartridges Ire :. I Number of Probe Contacts: --='==~~-"2-;-'-:-:---'-'----:---"----:--:-7----"Number of StnCntacts: '3 Number of probes pen~tr.tingskin:~/r:I""...... J . , ; -r-r-Laser sight activated only: ~_ _ . '~'- ~,-.' .._,~:'Lo~~tion ofeachprobe contact: ---.. i~ : : : : 'u , . (~~ .~ . :L '~~~~L~~~""'~~.:::.-'-- __ '---' --' '-:-'_'Di~tance between probes (in inches]: V' ...,'-'~ .Lngth of Tlrne.for Electrical Current Application: () Programmed5 sec. Ifiongerlihort;>J?r more thanone application, explain total time frame involved: ~ 2 ; ' , : : , - - , 2 L - . . > X c : : : .w c " " " , u ; .> . . ~ _ ~ _ - - - : - - : - - _Approximate distance of probe launch: _\.l''''''':'.!.!,.!,~~~_~~..."...,.,~~~~ __Did tile application',?

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    Albany Police Dept Subject.Resistance Report .~::~~~~~~:;:~~~~' ......~~i.d,~.~t: ,~gJj1\ ' ; o,...Supervisor Notified: ~ h.L .'.. " '9 ~ ~ :~ 'i i '@ , " ~ 'C " .d'"

    ----

    fficerts] Deploying Force:Interviewing/Filing Officer (i f Different):

    , - , : , , )

    \: t:: ' ::"P'd;:D;,! ' !:.J:r;l(,) , : , : " , 'Subject's Name:__ --'-'-_-'-"-- --' Age: ..-...,,-_' :"\:;::)008:"., '... : : v ; : i ; ; : , : , n ' i : "Sex:_ Height: Weight: Race: Charge(s): ---:";~~~~~-;-;:-v., .. ~"~'ForceUsed/Displayedhy Subject:Injuries to..Subject;Treated by: ~-:-- __~ Hospital Admission?: ~ ;:::-- -_Subject Under lnunce f: Drugs/Alc>hoIlOther List; ifKnown:';, ~ : i > . . .C':: .. ,. ~ _ .. ' {::~. , ;).:;. r~))"} " '"- __ --::-_---= -------'-----.....,;..- --'-__ -=- ' "- - - ' " = ' . ~ - --=- - . . . . :==="~.=.- .="-" ",,,,~"'--:",,'~;.!:,:

    . . , . " " , ' ." , _ ~ : ,: .' ,. "' ,: f ;\ ' t~.:- ! ! \ . .7 , _ ~ ~ ~ , ~ ' ; ) ' ~ 1 i $ : ~ . .M ' , __~"'"c.,,.., ,. .., , , :v . < ;, ; . . . - , : , ,, : , ,, , . . , . , , ~ . ~ r . - _ , , , , . . . . , , . ~ ~ , , . , , , ,

    .. ""' .. . .'. -'\--'. '"~~"".-'''''' . - . - " ~ _ " - ' . ,

    Narrative Description of Incident (Include actions taken both the ~ . I J ' O J I ~ ~ " ~ : , , . ~ ~ ~ ~ , ~ g : : ' " ; i ; ~ ? j ; ) ~ ; ; t ~ Offieer( ): . .".. ""'~:-''''''''''''-''':''''':':':'.

    7:)U; ';:,.1., ~ f " : J3. I am going to ask you 5 questions for your own safety. Not answering my questions, withholdingntormaton; or giving false or misleading answers could delay rnedical.reatrnent andmay.se(ously',z'.' . ,. , "';:;" :1)jeopardize your health and safety.4. 00you understnd everything I have told you? Yes/No

    . - :' , 'f . ,' , ) : ; " . . " . ' . : -; , ,~ . , , . ", ;"i',',.,'.," '." ' , l > " ' ,

    Revised 312004 . j ' . . . " , . ' \ . (over)." ., , :~. .,J ~ ;. -, '1" : . ; : , < : :". ~ >{.' J

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    1. Are you currently under the influence o'Hallucinogens, Heroine or other Opiate 1 .Yes_._ No __ If Yes, Which One(s)? __ o _. ~~:___":....",..,.~'-! ~Refused to Answer: __ Dateffime: --~-7--~.::-;. _:-::...~nitials :', i I:: ~ '~:HI~.- ;' '' :~ :.- ~i.,mt~~;, " - o : . ,

    > " i " : ; i " ' ; : ' ~ : ' V . G C i

    .r~

    o.c~Administrative QuestionsTO BEASKED OF A NY PERSON EXPOSEDTO o.c,arbturats, PCP orother. :. '; .:-',-,:"'. ',I:.

    2. Have you takeg,pq,JQ .other Opiate . ,)",;:./\)Yes__ o'~ 1 _~ ---::--:- _.RefusedoAnswer: Oatefrime: .. Initials .

    .- '::~':; t.: \ < . ' . ' . : > . : . ' : - - . . et 'i...C ; . : i ;~. c ; : :'~~!i;!.j!'f!,,:r'f:.;: 3. DO ' o ut 'l( )r rn y l i

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    Albany P?lice D.~e.t~,Su j~~tReslst~nceRef~oDay/DatelTlme of lncldenn . - - .: f-:::c:~,. .-L-L.J. . . . .>..~Treated by:w< J A M ii .. Hospital Admisstonv: "0" . ( : 3 \< , ,,'-,Subject Under rntruence of: Drugs/AlcohOl/Other Ust, if Know' . ' '< _ ' c . ~ " , . . , : ' ' : ' ; : : : " ' ~ ' . " ; " t : ;, ~ , ' , : :' : ' ~ " . : , : 'lNarrativeescription oftncident (lncliide actns'takn byboth'tOffice:(~):

    ~~~~~~~~::3~j}~:~:~~S~;~::;;,,;>gd~:~{f----~------'---:---,--------'------"~..:...---~""f:e-;;;;,;;. . "' . < . . : . - .. . , c : " ' . :; :, :. ,~ " ",. . . . . . . ' ,, !. '. '. ': .' :. , :~ . ,: ". '. '. '/ :" \ ," :, . : .. ; : . :: .: :. 'i .~ ' ' : ' ' : ' : : . ' . f ' , ~ . ' : , . ' , , ~ : k ~ .,.,..

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    ,. ',~" ~#~"#"..

    ,J

    ,O.C. dmnistrtiv~ Questions'TO BE ASKED POSED TO O_O.: 'J_ ; , ,I \ \ ,:, .i."' ._ ,) ;t. Are you currently underlhe nu "ines, Bamitrktes, PCP or

    Hal l~~~noge'~~N~eroi e, ()jrherOp~ates, or AIC,,~~~~t ~ ; , ; i ' , ~" ' " j , : ; , } , " , " "Refused to An "., : : - n t - : : : ::-ia~ls-'--~-~ < . : . ; ~ : P ? } ,: ' : ; , : ~ y ~ . ' : ' ( " , : , : ' ; ~ : C 0 1 ; } , \ : ~

    2. Have you taken Co ine; 'Wpl-(~ 'fii'tnes/ ' ' ' u ' N i ' f e s ' ; ' P ; e ; p ' ' ' f "i;:~II~~IJ.,g~~7;,I;I~roi!1e"or'f"";i} ,'other Opiates, or AI'.}'lr'

    . : ~ '.'r, ", _ ::~,~.:/ S ~ , . : : . " . ' . :. < r .: ;: , ' " - . i- _ .~ \ . , . , - ~ ' .~ " " ~ , . " ; ~ ; ' : ~ " " "Taser Use R:e'po rt . . > ' ,. ' i 'V" ,0TO BE COMPLETED EVERY TIME THE TASER IS USED

    ''''; . ~;

    .l,

    ."~,,r,J at~~" i : , > : ) , :' 1 , \ . ;: " . '{ ~ , : , . _ . ; .; , : : ;~. ; , . _ : : . : ' : " _ " , ; } , " ' : . " : , ,'>,'~~'

    .... ' , : : ~ ,I' .... , .... :' ~ '.,:. - ~ ; ' } F . : : ; ~ ~ A : ~ ; l ; ~ : : : ~{}r'~~-:';:..~",~.~:.,~~\~:~,~,::.:'~. ~R ~ ~ ~ ' M . W L r ..-;~.: ' . 'I APn # 422 I

    " Spt:visor AP~~iiil i ;7 ; . . . . .= t P ~ ~ ' O : ; ~ ' , : - : ' , " = ' . = ; i = : = } : i , : , ! ; '= ; ~ ~ : = ; : ~ ; . . . : ; ' ; : .I pag(!20~/ I

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    I~bAlbany Police Dept. SubjectResistance ReportQay/OatelT~me of Incident: F'0 ~ 03 l ( ., IDl (')?,o Inide{1t#: 01- & 8 " G C o 3 .-.: ..jLocation of Incident: "',' " ii """...... .

    ~~~.?ene(@No.,::,Supervisor Notified: ~ t - C k -s \ kOfficer{s) Deployinq'Frcer .Interviewing/Filing Officer (i f Different): -'-:,.;..,-,--..,-. - , -' - ', - '" , : ,' ; ': ' F " '; ~ - " " ', , .. . ;; " o . . ,. ' . . . . 2 ; . ; - : , ' " . . . ' _~,+",_';'."...;',:."...;." ' :. ,. ,' ,~ " J ': - , . : .

    , " , , ;. :: :> ~ ' ;. : i ;..; ;. , :: . .' . : " '; '. ( ', ) ': ,~ i ; ." ; ;. : :: : :' . ~ : > , :1:"" . i \ j ; ' : , \ ! !~ :>~~ '< ~ ; ' : : " I , . " ,

    c-

    Subject's Name. .-.. Age:- 3l-\,n;;,jOB:~'(~~\:&;~:;J,:i~~~;*Sex: M Height: 5' ' 6 " \ . " Weight: \ . , : ; . ; " Race: \tJ Charge(s):~~.Cl"'; ,':, .., ; ; . ~ " tDe i :;

    "~ o ' " ~ '~ ,~ \ ",',f ;3 . ,:,':.,_,~;/,;:}1:'Force Used/Displayed bSllpject: AC"l-k.-l , ~ "h ; b ( \ R ; ; ,k : ;~ , , ; ~ .Injuries to Subject: 'N;';;'" '" .., -,.,,~_.-...'_d "" ._~, ,,Treated by: Af\:)- .AmCH ." . '. '. Hospitatf\dITli~sio~?:"",' . , . . . , . ' ~ : ' c i. . . .~~5'7-.'-.,."'-- ~-,.SUb~~tl!rd~ln~~n~?~f~ D ~ , , ~ ! ( ~ ~ ~ h O ~ ~ e r ~ ~ ~ j t ~ f M ~ L g ~ ~ ~ t ~ ~(A o~~~ \~~p;.,,edvJ~ ~ ~ ! 1 r s b ~ : V \ ~ d ~ " k ~ w e ~ h ~ ~ ; S i l c ~ d l ~ d C ? t ~ ~ S ~ ~ ~ ~ ' ~ :_,",,r ..,Al . .)?~..."

    L~'-;,:~:;'\'i' - : : ': : ' i~ ' . . ' , '~ > .

    '- ."

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    .,. , . ., " . ,. - . , ' . , ....:,

    .O.C.Administrative Questions "TO HE ASKED OF ANY PERSON EXPOSED TO O.C.1. Are you currently under th influenceHallucinogens, Heroine or other OpiatYes__ No_. _. _. If Yes, Which One(s)? ---Refused to Answer: DateITime: Initial~

    , :,:' . ,' .; " :,,; i . : , '.':,~~.n~}}~~,r,Bamiturate.~,PCF':Or otler ,~-,--;:. .,.

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    ~ . -;. ~:;. ,.- '; ~~~: (:7Albany Police Dept Su ject Resistance Report ..DaylDaterTmeofine - - O~, "o " .Jt; !dc i~ntIf:Q2-D?J&YI.,y,/;:;'Location of Inciden _.,.,". ,,,' d"' .. . " " . : : ~ ' : : : : . ; . ; ~ J ) : ; ; . ; ;upervisor Notified: . ~ . + - : \ ~ .--':::::::...1.:';9'~' .'f-

    Officers] Deploying Force:, '-" ,' "Interviewing/Filing Officer (if I erent): .:::-.~.~.,D~~.:-':':':":'::..:' ~S':::..,~~...",."=.".=."",,, ........2L,-::-=~'.

    ; < , .

    , , ' . , . , : ' : . ~ ~ ' o ' . ; ,/ : ; : , ~ : ~ j } ; \ : : ; t ' : {Subject's. Name: .A ~ ~ ; ' ; ; 'Q{ihi;:,~i))OB: "'i~)Sex:.1!1. Height: .....'- o ' ' ' ' - < - - _ . .t.reight~~~_ Race: m~f"':';~}("G '. ; ..... ","i f \;

    w~. ~~-~\~U~~ .. ~. ~"~~~~~.,.~. ~ ~ ~ : ~ ~ ;~""' .,i';" ." X_ , 0" , ._ _:~. . \. : ... ~ __ . o " ' ; " . : , " ; ' ' ' ' , . : ' ::,;""i:~'';'

    ."~ .. .-.'". ~:'C:'\~:.~:;,;;:,~;:~,~ ' i~~:.!) ,:" .:.~ n'::'''~;'(:;,"':. ,' l : . ' : ~ ' . h . J . , t ~ : ~ , ? ~ ~~ : ~ : ; : I" .., ..~""~':+.~~,:-'. ~ -~

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    1.

    ,.~~=- ~.~=_ ..-=-,.,-=-""=O.C.Administrative QuestionsTO BEASKED OF ANY PERSON EX~OSED TOD.C. . , ' - 'ou currently under the influence of Cac 'Hallu ogens, Heroine or other Opiates, or ".;,Yes No__ ._.. If Yes, Which One(s)? -------~ -'-'--'--------:rRefuse Answer: ,_,'__ -',: Dateffrne: ---~..,..,.-------c-~., ....tnitials '.--,---4,.",.,.

    1"-' ' : ' ; . ~ ' - , ' , L / " ; ~ " ' ,2. Have you taken Coc "e,Amphetamines, Barblturatother Opiatesor Alcoho ln the LST8 HOURS? .Yes_._ No __ IRefused to Answer: __

    ~ . ~ > ; - : ~ ~"":':ii i: ......~:, .': 0'_ ,,,h_""~ ':,''_ .. ,

    Officer nature t,:",} t :,~:~-::~. f;~;:::,~(~_c:\. , . ,} ';~';~..~;:~r~,t;:~Witnessed By Time of CompletionrL..------~-_---~-..-:.------'-~~~-'--~.,..",_'__:_:'_..:.......,..._+4~'-'; ._~.-_.'_.'"'".~ - " : - : . .. , . ; .. : ' , O - c ; . . ; .. : . ." " F ~ > : ' _ _ ' l' - . . . , . . . . . X-,i.",," ,,;,,'A',",-j.'".' '. .s. . . . .. , , . : i : ~ , ~ } m' : : ~ , J j : S ~ i } . ; t f : ~ . ; ! ; ~ ; ~ ~ y , : : : ~ : g , : ~ ~ r , ; , :Jaser __se Report"", ",.,'",,,,,,,'",TO,BECOMPLETED EVERY TIME THETASER ISOSED',Tasersril #: " Cartridge Serial #(5):--.Numb~r of Cartridges . _...J\~_ Number ofProbe Cont~f$':" ,Number of Stun Contacts: _ , - l f l f b - l r - , ' - - - _ Number of probes penetratih;;;9t.:'!~'~;::k:ih;7}~,~:-S-:;::::;;:;::::;:::07~~i~,,,~,,;,,,\,;-,,~,,,:::"p:),, '"~~~rr~~Ef:;~t.~~=~c...Jf~~h~-e=';-O~):: = - : ~ s . . ~ . ~ ; . : ~ ~ ? s . L . ' / _ ' - - " - . ' . _ ' . . . ; . _ ' : . : . . ~ _, - 2 . . : : . . ' _ L. . : - " - , - , - - , - - , " _ _ , - , - " - ' . " - - , . , , , - - , , , - - , - . , , _ ., ' - , - ' " _ ' . 'l~ngth of Time for Electrical Current Application: () Programmed 5sec, Iflonger'/shorter,,,of ,rllQreJtt.an".ohe application, explain total time frame involved: . ,,"-"- ..,Approximate distance of probe launch: ~ ' ' . ,Did the application cause injury tq,the subject andlot others? .y~&yes" e ~ p , ~ ~ W ~ ' - - , - ' - , - ' - ~ ' = ' , ; ~' = , . - - . , - , _ " ' " , , : ' _ N ~ : ! \ ~ : ' ;

    ____ D_i~d-",.~h-"-,e_a-=-p-=-p_li,_c_a_ti_o_n_o~f~t-he-'T~a_se_r_g=-a_i~n_co_'.,..:I!I",",p:...l_ia,-n_c-,-e-,-J-,-r0.:...c'..::..:'.Js.h,,,,-,~-,---s~u-,-b.::.le..::.;c..::..:',t-,"?.::.',,.-,Y..::..:i-(e::=:'; . . N : . . . c ' , " , ' ' ' . ' . c . ' ~~-"--'-"::"::~;::J"\'-:;_". . .: :i ~~ :: .: .. :: -, -- -; :' -, - ' ~ ~, , :: ,, : '- '. : ." '; ' '' - :' ' ' '' : ' . ~ ... ;o ~ 'o') . " < ~:,

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    - Albany Police Dept..>SubjectResi$ti)~J{eportDayfDatelTime of Incident: Sa . . - \ ' L f y 0'1- - hlcidnt #:1-1; ; > 1 P - 5 " " 2 ?location of Incident: "':",,..:~"""; .~":~~2\f,~\,IP~: : : : : ; : : ; ~ ; n : : ~ e ! ~~ : ~~nterviewing/Filing_ Officer ( .., , - " - . : : , " ' . - , , , ' ; > , - : ( :' "c::-,:-', ' ",: .".. ~:: !; ".; :,' " .,', ' " , r: ;;" .~

    ~J"'Officer Signature Witnessed By Time of Corrtpletion ."\:r '. ':.,,".; ; :/ ,0" . " , " " " . " " , . , . ; , ' c ., f.S,(- : . .. .. . ,~ , ' :~ " -, ; .; ;; ~.. , ' " .. ., : . 0 ,_ : ~ ~~ _ , : " ,_ ~, _ , , " - i > : . - , . . . ; , , , , , r'. ~ ..J.~'.~.,~_., . : " : ' _ " : ' : ' ~ ' ( ; ~ - ~ ~ ~ ' ; ) ~ ~ ~ : ~ ~ " : .~;>~'''~-,. .TaserUse R . e p o r t , , : . '. .;.,',: ;;' .:;:~.:,:,;'; .::p ' " " o : ' ~ ' : , , , .,f.;~,;;Jv',;;,; ;~J: .~ .TO BECOMPLETEDEVRY TIMETHE TASER IS USED,'" . ,

    . , - "-. 't. : -~__ : , _ _ _ . - . . , : . : . . . _ " ~ _ : " . : : ' : : " ' . " . , . '

    Taser Seri~. ~:_.r'lll'.,CartriJgeSrial#(s): .. ~;>: I v , . " , . " : " " , """''h. ~ j : . , , ; : ; ' ' . ; i , ~ ; . ; ; ; : : 2 . " ' , ~ ' ; ' i : ; ; ; ; J..-Numlj~r ofGahridgs Fired: (6 ",,'Number of prbe Contacts::...'-':'';''';'''',.:.'~'J . f J .1 . : . :: = ; ' :' - -= ~ 2 + :; 2 : ' ; I : .: . . . ~ \ , i , ( . , : . , , , ? , ~ , ' ' ; ; ! LNumbe'r o(Stun Contacts: < I Number of probes penetratirigskin~. ;.. . ' . ." o ' , < olaser sight activated only: . '. . '...,. .:t.:'J',~:~; '. ',> ' .. :}i '.. .., , V~ < ' 0 . ; ; '

    ;,::,.'...;;..'. """':'.:'," ~ .~ . ~. " . ; ~~:, .;:~ ",.".- j"; ', '; .",

    Did the application of ~~eTaserga~n compiance,Jrom t~e s:~bjd:? '~IN? ;,c'. , '.. ,",. . . ,' ";;.-,::1.'. ;, SS;'r' .'p\Desc;ibe the subject's demeanor after the Tasrwas displayed ordeployed: . : ( " , S : l 6 . . * ' v ' ,/:,,~~;j(;~-' -. -- .. : . " : , " , , ' , ' c '< , ..-:",I ';-("

    . O

    Where w~re the robes disposed of? : .< ~ : . ; : -. : ; . :; ! : :; > ~ " ' ": " : :. ' . ~ ~ " ~ ~ ' . . . .'t:)~~;,;;,. : , ~ . " , ' " :' '~~I '.: :. ::: , : : : : ~ : : r ~ o'~ ; ~ ~ ~ ~ ~ - ~ : ~ ~ ~ ; ; { : o : : ~ ~ : ~ ~ ~ ~ ; .~ K j. : ~ ; r : ~ ~ ; ~ ; ,: ; ; . : ; :

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    t{v 'Albany Police Dept, SubjeDaylDateITime of Incident . . 1location of incident:Supervisor Notified: 5t. 7 0 1 f s o t JOffice.r(s ).I?~Il~~~ingt==.rc~:;,:.... .'~~IIntervsewmg/Fdmg Officer(I f Different):

    Resistance Reportc J V f 7 J n c d e ' n t # : 07 -2/0 366 .~.n Sne? Yes No

    . . . . ' C : . :.). ",'::~;i ; : : ~ ; : ( : _ t : L : Y : ': :: \ '{ ; "l ': ;~ J ' .~ ~ - ~ ; - ,~ ; , ; ' , , : i ~-, ., ., .~,/" ', ;- " , ...,~." '. . :"" ,: .:.~'~:. 7: -.,~~~!t1s~~~~. Wig t (5 R ~ ! ~ : m f c ~ ~ : l ( ~ l .o f'b .' .'fn j :~:~~~:redh~u~t&fk' I # ~ ( r f : 6 ~ ~ ~ ~ ; ! t I ; ~ ' ~Treated by: . HospitalA dmis s i()n'?: -" .- ,~ - . .. ,- - _ _Subject Under Influence < ; > f : Dru9s/Alcof101lQ.th~I;.;,li~.tif.K~P\Nn~5%dt O O { c " . . . . . . " C. " . .; ;:, ). . " . ""----------.,------.:....,.-.:....,.--------'-+~-.....-., - o . . -' - . - . -. : - :. . : : 7 '. - : ; - , =. " ' " : " ; . : = " . : =. , , C : : : :. ,.=..=... ,=.=..=.." ' , " , =. . . . " . ; .. " , . , . . ' ~ " ' '' '' '' . .'

    o ""-"'f""""~"l'fI s'vj'li\ In v e '

    ()./ ~ o"1 Q : , 0 : ~r

    . ,'/- :E :; ::

    a QJ. ' 5 j + - 7'hlli\ljeSO +knqcj'V11/V115-k 'C c. Jes-/" on:,ifV/o?:;;;i.r:;-!i;:t; " .. 'I C, . cJ6, \< -fi MfL , le fi r: ' .(;1,-.... , ". : .~~yfwe;y~ d e J J T O ~ E G ~ ~ ~ : ~ I ! ~ ~ ~:~~f : to i~:~;~:"~&~~

    1. You have been contaminated with Oleoresin Capsicum {OC)T a natural prductde~~ ( r 9 m 9 : ! Y ~ i i ( l e , ; 1 , : : ; : . i ' ~ : ; A ' . ; ' \ 1 ( ) i { : , ~ ; 0 ,peppers. I am going to treat you to reduce the discomfgrtyoua-e.f~eling,'as long:sY9~f(>Ope(lt~:,,:\y;:!~;.::,r~fib i . C i2. OC is non-toxic and the effects will dissipate in a short time. The effects of OC may, however, mask orcover other medical conditions, including overdoses or toxic levels of drugs like cocain;arnphetarnines;barbiturates, PCP and other hallucinogens, heroine and other opiates, or al

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    o~c.dministrative QuestionsTO BE A SKED OF A NY PERSON EXPOSED TO O_C_ " , , ;1_ Are you currently under the infl,ueHaucinoqens, Heroine or other OYes__ No_.__ if Yes, Which One(s)? __::-----~-,,'-7"" ..'"7'7..,..;""'::': ; = c ' " - , < ' - " : " , - , - ' . ;;',}~'hRefused t Ahswer:_' __ Datemme: ....;--,_ --.-' ' InitialS\

    tes, P C P ~ ~ ~ ~ ~ f ; ' ~ ~ ~ 1 ~ ~ ~ J - r ~ ' ? - ; ~ ~ - : ~ - : 5 =o. mines, BarbitraH~i':'PCPbr other

    2 _ Have you taken Cocaother Opiates, or AleYes__ No__ IC t l n { s ) ?Refused to Answer: es, Ot11me:'" . ..... ,:,:"'lnitilS ' ;"> i ' ;" i ; ~ ' ; . j , . N . : : 3 U ~ ' : , ; : : f , i } ' : ; : {: ' . i ~ . " h : . : . . . ' - - " ~ oc ,- . ',"""

    ~ '~ U~ :- ', " . - ". . " -, :.--, ., .: ' ... , > , ' - . , \ . :. < , ': _ ,: ; , . ' : " .; , -, ; .. . . ' < ' ~ : _ ~ ; i ~,, :. . ...~ . : , . l . { -. .~ . ~ . ; . t. . .i . & . , . ' I . \ . t . ' , : . .f . ; . [ . ~ : . l . : . _ l , ; . ; ' : ' ; i : : ; , ; / ; ; , ~ i ; ; t ~,~YOl1or;mallytake a n y legalorpfescriptindrng$>' . ..iJ, ".""." d , : : ; ' . " ' ".i.,',';' ' ; . " X e s ' . :;No., .,:lf yes,V\,1i;h.(ln(s)?'" -' . ,..," " ........;': : , ; : i ; i H : i ! 1 } ; ' . j ; ;i:;)Refusedto.Answer: ':Da:ternme~'lnitl~ls,:!;';:.,:i'!;;'D. ; : - : { = ; ' ~ - . ' " '> - ,- : '; ',. ' -_ . ~ '. :- - " - ;< ' > ; ,,_,0," ~-:.: ' . : . : ~ \ < : - : ' ' ; ~ ' : - ~ ; ) ' : ; . : i : , : , : ~ . : ; , , : ; , . , - ~ -;:,i~.. . : : : - : : ~ : " : _ : _ - ' ; . . . - . . ~ f J ! ~ ~ ~ ~ e h : : ~ ~ ~ ~ ~ : : . g : : : : : ( : : ~ ~ J e S ; . M ~ ,: ~ ; : )' b t t ; + ~

    Refusd t o A(1swer; __ Datemme: ;'Irtltia~s .~, ,,? ' '".; ~ .' ':"::' .a , .'~L

    5 _ Do you have any allergies?. c ' " v.v Yes __ .No__ !fVes.Which one(s)? ~~.='=.., " " . : " - ' ; . ( - ' ) _ '; \ - _ _ ~ . - , , _ . ; . i , N : ; , , , . . . "l , , - \ , , \ : . 'n , , ;C ' .Refused to Answer: __ OatefTime: __ ~ __ "- __ Intil$'~\,.....-,~~~ ",\.\ : ' : ' ; } ' : ~ . t ; . i: : ; , ' ~ ! ~ ? f f~.'-." , . . . . . -.

    . : _ __ _ f ' - : , _ ~ ': f " _ _ _ : : .-" -c ' :, ;), : /_": , :c ,' _~:J~i!.\;~,J ;' . " " ' ; " " ' i , < , : , , \ , i " l ,I. the undersigned officer, haVe completed the' above ntI'Vivlwitb--;--------~~--- on this day of .. .. :"; 2~. ",~,""'~'~':'~. ." ~ , . ~ r ,.. . . '~ ~ '~ ,\ , ; i . ~ ) . ' i \ r { t : ~ ' t ~ ~ \ ' . : ~ , ~ , " . : : ( ~ ' r i r . \ . 3:;~~l\l\k.;~}~t}~~Yme1i?Z~~~~~~{;r.;~;:~~'~9fficer'Signaturet:~;';:. . ' ( ~ J . , r , . : ~ . . ~ } ~ ~ : ' ~

    Aplfximate distance of probe launch: __-:--~--:-:-"'---'-_'-:----:--:-:---:::-:-~-__:"_7. "....-,Didlliapplication cause injury to the subject and/or others? YeslNo. I f ye$.~~.Ia,~O; .,\;:'." " "~ : , ' ! ,~ ,5 : J ' l t i : " . \v 1 O ' . . . ' , ' . ' . . ,.:> "',,,c- i" .~_ ,,;;: ''':;-;;,'.';->,i-:'." Q ; : ' : ' A ~ ~ ; , ~ ~ ~ ' A ~ ' , ' , ~ ~ ~ p I

    () pr.,cw._ramttl~.d.,s.ec. lfl ..?n..e . ; . r ~ . ' ~ ~!!~r; or mo. re~~n ".,''W I : ; ! ? , "I l f f - a r 3-$ 5(:J~dS .'.,,'.". :. . ~ ' . , . < ." '< ; . .. .- : . , ' Y c>. ~ . ~ ; ' ' /l ;, ; F > :: :; E -l . :\ :; i) ;: O

    Didthe a(lpiication ofthe Taser gain com liance front the sub'ect?Desrib the subject's demeanor after the Taser was displayed or depoyd:,,, . . . ' . ~ : :.',"',' " ,. , " ,; .; ., ;l1:, ;..1~~~. . , < ~ \ :- ~ ~ ': : ; : '; - ~ . ; - , < y . . } : ~ ' : ' ~

    '~,iY~; . , , - . ; t"Where were e Il~obes~is osed of? ~-

    . - ;~' :~~: ; ."~ i l " : .: ' . -: .- ; i' . , .: . .; . . . - ~ ., . . " .-- .

    . ;t~'~:~;.~-.;':"'- -. : : : \ ) } ~ ~ J : : = : " ~ . : { : ~ . ~ . ~ ~= = .. ~ : - .'I APf)#422 I Page 2 of2

    !

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    Supervisor Notified:Sn ''fmfl.,,'S--g..:0s.\ ~ . ' " . . - ~ .'. :\.1.":6~Scene? ~IN~; ..; , ! : : ; : " ~ : " ~~ ; ":::':i~~i~~\~~~~~':~_I.,.""......"..... ~ ! .:

    ., .. :-.[; ..:.- .. -,.,:-,:,0""-' "." "

    ::t:)~ I : ~ : : ~ \ ~ : ; ~ : T > T : f ! ~ : : . fAge: ;g:::)" ';"f 0013:, 'Race: ~ Charge(~l:. -' - , ' , ' ; , ~ . i r , . ' . , v t ' ; . I , ' .2"~ . -: '. 1 " \ : ?;~;,' . " -s.: < , ' , ; -~c:, , :~. : :C . ' , , ' . ' c , : , : , . " ' ~ , _ "Force Used/D. splayed by Sb.ject: ~hO~ ) '.s'nw~'..i~-{,.~\~ \i~~~::i:;~'~Y\cL. T'.dmlnistrative"Waming;"\sS&~'i8f(k::';S([~~iS,~"--%;.",,,

    TO BEGIVENTOANYPERSONEXPOSEDTOO'G~.~"~~~~c$mp"~~(\1. You have beeo,contaminated with Oleoresin Capsicurn(OC),a natural prcidud-deiivecffronh:;yen~~0-~

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    i. Are you currently under the influerteHlllucinogel1ls,Heroine or other bpiYes__ No .~ IfYes, Which One{s)?---~-f-~------;-::- ...:;.Refused to Answer: . Datemme: -~~-~f---'- .Initais_~.;::;. ....;:...._

    s, arbiturates, lPG>wptherO.C. Adlmnis"ative QuestionsTO BEASKED OF ANY PERSON EXPOSED TOo.C~

    o .Mr rQges jHro i91~ ;Q i ) :'.'iit,(,;~.\;~\;.;:';.... ,,,-." ',;,::-. - ",":- -. ::;:. ~. .J~~~~:;~.);~\~~~r~~~~t:~ ; : ~ , . ' \ ; , it~':~:?,;\ ; . r : ; ~ ; . ~ ; '. : . ' J2 .

    '-es__ NoRefused to Answer: , Which One(s)? ~_-:-- _Datemme: ~""'--,'- -- .Initials..:...:......,,;.'-',.,-'.:';-:-::','-'->;'--,:.:-.-'. .:~{i'~/!l~s. Do you have any aile . _ ,'oYes__ No ItYes, Which One(s}? ~,-- __ ~_-:--_--,--_'-,;-' _--'--,-- ___Refused to An er: __ Dateffime: ~----'-=- Initials_\_-,---,-__::','i"-!; , :r.:. .~.:- .. ~~'> ' " . . . ~ ~ J, . .r! - " \ ' " , ' ~ , . u . : f ; ~>:;~r({!{,rli,';:I,- - : - ' ~ I ,L !~~ -r - the undersigned officer, hav~ completed the abveint~.yiew:Wi.!tii) ; ; ; ~ , , ~ : ; , i A . ~ ~ , l - :_____ ,,------r---__._-------on this day of : . ',20...,,-_

    _" ' : ,1< ' :"

    o,ffi"irSignature. ~ ; ' . '~ ~ ~ j i ~ ~ ; ; : ! ; ~ ~ : : ,' ~ ~ h c_ _ _ o . 'f .' ,; ": .~ -

    rser Use 'ReportTUBE COMPLETED EVERY TIME THE TASER ~SUSED. 'Witnessed By Time of Completion~gl~:-~L~~~~~~~~~ ..~;~~.I-.~ , , : ; :' . : '~ : ' : ' ; i . : ' .~ ~ },' : ~ : } ;j ; ;' < ; - :: ::tf;- '. . , . : . ,.. . , - " " . =.,-,-,-,-_",,;;~Number of probesp~netrating S~yl:__ -'-"-.".-,-~-+-' " - - , f f+ ' " : - , - : : -, -

    , ;" . . . , ; . ' " " " ;' :; , . < : _ : , ;, :. '; .i ~ ~ : ;~::":

    -:;-. " ,o: ~"~:,;~~::>'-

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    ~:~~~t~~~~~~~fn!:;~e~:~~,~~. /Supervisor Notified:.. 7 z & ' . ~ 7 tt1~-:y..;" ~~ '~~M~?~'N

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    ,,il . . l1. J i : . you currently unde"{l'tarnines, Barbiturates PCP~rot!;ler, " . " < . - '0 "- ' .... ',.: .. :".Hall [noqens, Heroin "d. Y N . ,es 0__ ._. IfYes,Which,Pne(s)? ~-::-'----.-,--:--: ::---,'-----, .Refus to Answer: __ .,.: Dt[nme: .. . .: .: .'T ' ; "~ : ;: ,' - ., -' . .. .. -. .: .: .. :. : _ _ . . Initials -7'--''/ ..f'1tt~~j!',n.,"";'.'';',,,',

    ~, ~

    .: '"~' .. (- . ~,O.C.Administrative QuestionsTO BE ASKED OF ANYPERSON EXPOSED TO O.C.

    2. Haveyou taken caine,other Opiates, or A I hol in t -eVes__ No__ ItVes, WhitiO

    .;.?~efuse~:g~~swer: ~ ~ ~ ~ ~ I ~ l l i i ~ I I I I I I I I I , i 3 Q ? i y o u : r l o rm a H y t ~ k e a n y m e g a ~ ' ~ I ~ t ~ ~ ~ ~ ~ ! ~ ' ~ i g , ~ t ~ f - P ~ ~ ; 0 : ' . ' /." ' > ' : }. ;>: ;J~",!j'~~tu~~~swel"t' If Yf!s~ .n......IT_ ... " .: i: ; : :: l: '> " " . ' & . " . 6 ' . -Number of'Cartridges Fired: Number of Probe Contacts: ,,4!(!f, .LNumber of Stun Contacts: / NUmber of probes pentratnq skin: .h"/4-Laser/slqht activated only: . . . - v 74 : : I ., .Location of each probe contact: ~ / / _ . : : _ 4 . ! ~ f - f - - - - - - - - - - ~ - - - - - - - -Distance between probes (in inches): -lE }:. __

    ~.' ~"",.,

    ",;~~~::

    Length of Time for Electrical CurrentApplic on: rogrammed 5 s If 19nger/shorter-;0("more thanone application, explain total time frame inv~or.cv;-;::e:;:;:~=:.=:.-:.~;~=:::.=:_--- - - - - - - -Approximate distance of probe launch:Did the application cause injury to the subject and/or others?

    '\., "

    s, ex:plain:e-'-,-'~~_...--'-'-

    --DIenne aplJlicatlon onne Taser gautcompliance from the sUJect?~o . - - - c - ; ; ; : ! '- , ' - ' - , - , ~ ' - - ' - - . ~ . .; ~ " " - ; ' ~ - - - ' - ' - - - 'Describe the su~ect's dem.:;nor after the Taser was displayed or deployed: _ 6 = : c . _ , J o n o " " :m c : . : ' -' , t" ' '- . = i . L C Z 4 i Q : : ; =. = = . , . ' - . , c " , ~ ' - ' . : . . . / 7 ? / ' - ' q ' -. ~ { : ' -; : -. ,

    ,',

    VVher.ewere the robes dis osed of? :

    I APD #422 Ii

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    0 7 / 2 8 / 2 0 0 7 1 8 : 3 9 5 1 8 4 4 7 7 8 9 5 S S T A P A G E 0 r / 0 Z

    ,....-~~---

    Officer(s) Deploying Force:InterviewinglFiling Officer (i f Differ flt ~__ = - ' ; - :- - - ' . . :. : . ., - - - ~ - -~ , - - - .. . . .. : .. , - - "" ' - "; _ : " -" , . .- . , ' " ' . ' ' - .~: , ~,::. ' - ' . . > :', ' i - ' , ' , - ' , . , : - ' ; , . '

    Resistance Re ort/ . f . J f 2 < .oJ"L - -Il' r-lbany Police Dept. Subj CDayfDatelTime of Incident:c.Wr O?,tgLocation of lncldent:. supervsorNotified: ---,~...::....!...-~- .'OnS~~ne?~~ .

    .- ' .

    Subject!:s Name: Age: &I 008:Sex: . a z . . Height: el .. 1''1if Race: Charge(s): ~~" ~~~ :AS tz l :MSJForce Used/Displayed by Subject: C iE ttr t Z k ' 1 4 f . l I ! ;py .~;;. ~Injuries to Subject: . . NE "Treated by: Hospital Admission?:./0 F ~Subject Under Influence of: Drugs/AlcoholfOther 'Llst, if Known: - - = = = - : : : : . . . . . : . . ; , , ' - . - - . .- .)"Narrativ. Description of Incident ~clude acfions taken by both f u e $ ; t i ~ ~ ~ P d ' ~ ~ i ~ : , ~ :o~~ /~ A!L~ (Y#z.=4&

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    ,:

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    07/2 8/2 807 1 8: 39 5 1 8 4 4 . 7 7 8 9 5 SSTA PAGE 02/02~' ..:~.

    O.C. Administrative QuestonsTO BE ASKED 'OF ANY P~RSON EXPOSED TO o .c . "

    1. Are you rrently under th influence of Cocaine, Amphelamines, Barbiturates,PCP or otherHaUucinog s, Heroine or ather Opiates, or Alcohol?Ys~ 0__ UYes, Which One(s)? ~-.,--.....---~~~--~~Refused to . swer:__ Date/Time: ..__ -lnitJals ----2. Have you t aken Cae' , Amphetamines, Barbiturates, PCP or other Hallucinogens, Hero i n e . o rother Opiates, or Alco t in the LAST 8 HOURS?Yes__ No __ f Yes, Which One{.s}1 --..------:-----R.efused to Answer: Oatemm~; Initials ----.3. Do you normally take any illega orprescriptlan druqs>Yes~_ No ltVes, lch Ot'l~s)? _~ __ ---....,.,-:---'-----Refused to Answer: ~ a,tefTirrie: --- Initials ------,.4. D< I you have heart problems, lung probtcondition?Yes__ No _. _ If Yes, Which One )1 __ --'----~------,----~Refused to Answer: __ DateITime. ;\,-._~-~-- Initials ----

    s,diabetes, hghblood pressure, or any other rl1(.!dlcal

    5. Doyou have ally allergies?Yes__ . No __ If Yes, Which One(s)? _~_-~ =--~-'---~Refused to Answer; __ Oate/Time: Initials -'-----I,~ __ ._---~-----'- the undersigned officer, have mpleted the. above in tervIew with____ .:.... ~---_-_--.;...- on this day of ,2{)~,

    Witnessed B y T im e . f Co ro pf E! ~io,.{O,.,t., .._..-ffj:,:rSignature, ' , - i , ; , ;. ~ ,, ' ~,~?,\.,,; ' : " , ' 1e :, >: !, :. :~ .

    Taser Use RegortTO BE COMPLETED EVERY TIME THE TASERIS ljSED-TaSrSet'ial #: Cartfdg~S~rlal#(s)!Number of Cartridges Fired: Number of Probe Con : :::2~29~1!!l~=-~i..~r~~~gO~~:~~v;~e~~~~~:Number OfP.rObZ'H n~.~ S k l " . : . . . . ~L09tion of each probe contact A b ~ _ ~ L

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    08/09/2007 00:53 5184477895 SSTA PAGE 01105"/ .

    A~~~!~~~ln~~fn~~';~.~: ; ! !~ ;~_~~~0locationoflncrdent_. .~ .. "-~-'. . .. '---- .. _. ' '.: . .

    SupervhorNotified: 0 C ; r : \LZofJ:..ro \-~r~'I\l+~n Scen~?~No" ..Officer(so) Deploying Foree:' ._Interviewing/Filing Officer (i '.

    I\IIIII!::.. Age: ~- : .'ight: \'-\E Race: ';L. . .

    OOB:~"'"Charge{s): :R;.'- '..

    Subject's Name:.Sex:nHeight: $S:~6'Force UsedlDisplayed bYSUb.ject: ?-! .~e& o' ,";"!)uJJ o CCv% cl;SJ

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    0 8 / 0 9 / 2 0 0 7 0 0 : 5 3 5 1 8 4 4 7 7 8 9 5 SSTA P A G E 0 4 / 0 5

    O.C.AdmInistrative Questions.TO BE A SKED OF A NY PERSON EX POSED TO O.C.1. Are yo u currently under the influence of Cocaine, Amphetamines, Barbiturates, PCPor otherHallucinogens, Herone or other Opiates, or Alcohol? .'- ....oYes__ No__ IfYes, WhIch One(s}? .; --'-' --;-:::-;----Refusedto Answer: Datemme: Initials _ 0 _2. Have you taken Cocaine, Amphetamines, Barbiturates, PCP or other Hallucinogens, HerQine orother Opiates, or Alcohol in the LAST 8 HOURS?Yes__ No~ rf Yes, WhIch One(s)7 __ ~ -_~-~Refused to Answer: ~ DatefTIme! lnmaJs ----.S.Dc< you normally take an y !Uegal or prescrlption drugs>Yes__ No__ If Yesj WhIch One(s)1~_ --'-__ ---- .......__.,..--,--'-'-....;;.;..,--Refused to Answer: __ Datemme~ --- Initlals __ .,....---4. Do you have heart problems, lung problems. diabetes. hig!, blood pressure; or anyother medicalcondItion?Yes_~ No ff Yes,Which One(s)? _------:-~_:__.:.----Refused to Answer: DatefTime: - Initials ---'~."-.---

    r \5. Do you have any allergies?Yes__ No__ If Yes,Which One{s)? ---''-'----:--:-.--:------Refused to Answer: __ DatefTlOle: Initials; ', .. "'-'lIIilIJilll, : :' -' :" ; '. ': '" ~

    '-"

    " I. ~heundersigned officer, have camp etedthe" - - - _ . : : . . " . . . - - - , - , - _ - _ - _ - _ . . . . . r . r ! > da y -o f . - 1 3 . . ~ . .s s , . ~ .-~~7 - ;Z: ; l~~~~] ;" ; ' ' ; i' , : ,} , ! , : y , : M : : ' ,'i.. " . ',.\.Offlc~r:,~i9n~re

    ' ' :' -" " " ': - '; " ;' :' ;' :, :' /, :: ,: :. :: :- . '1 " " :' :: " -- : :' " , '; '- " " , 'Witnessed ..~~~'.'

    ' ; " ; : ; - - > " ' ; - : \ . : : ! ' ' ; : TaserUse.ReportTOBE COM PL ETED EVERY TIM E THE-rASER1S U15ED

    Taser:;;eriaf#: ~ co- ~o:r:?,NUIl1~r of Cartridges Fired: - - ,=-__N4~~rofStun Con tac t s : :. . . .. - - - ' .1 ,; ,\ _ _La~~rsight ~ctIvated only! _~\---,_~:~~9Clfj()Il'of ach prob contact ~l) i;~yr:\J :Cl;::""'- -.-'-"""':-------'-_~_.-'------P!~~.J1S~etween pr0b.es (in inches}: zz: _

    Cartridge Serial #(s). ",:u;Cnu&::;' > ' ') , , ~ .i : i e ) s ; , , . , - - ~ .. . . . , . . . . . . , . . .Number of ProbQCQntabts: ~ . : ! . { ? lQ f I . ! I ..!l. l . : ~ : : = . =- ~_."......,-:-Number of "robes pnetr~tngskin: ~ O J ! i , ~ n . 2 .. : ; : e : . . .- : : : : : : . ~ - . . : . - - . . .. : : . ,~~.,

    ~~. . . . .~ ~~ f ub fTime for Eiecbical Current Application: {} programmed 5 sec. If longerfshortef,or more thanQn~application, explain total time frame Involved: .APp.-oxlrriate distance Qfprobe launch: ------.,,...,......,...,..:---~-Did >theapplicatIon cause injury to the subject and/or others? Yes/No If yes, explain: _~.,-----

    .._-------,-----".- ...... . .. C i d thilPptlcation of the Tasar gain compliance from the sub ject? Yes/NoOes~r1be the subject's demeanor after the Taser was displayed or deployed: __ .:..- ----

    Wherewere the abes dis sed of? a \

    . Page2of2.. jAPDi22l

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    0 8/ 09/ 280 7 00 :5 3 5 18 4 4 7 7 8 9 5 SSTA P A GE 0 2i 0 5.

    Albany Police D~Pt subtect Resistance Report .., .'D a y m . atelTime of InCidentw~ " / o~ ~ incldefl.t #. ~O~ ~;: ; - ; 3 - o ..location of Incident: ~ . . .. .

    Supervisor Notified: Q . . ; \ ' 'o~'scene@oOfficet(s} Deploying force:InterviewinglFiling Officer (i . ent): _. ---~ _

    Subject's Name:Sex: b_ Height:'s~ '

    Age: 'l-.-:,'Weight: - t j.r Race: ft b

    DOB:Charge(s):,....-'-..;-'-- ---::,-_Force Used/Displayed by SUbjc t~ }>'vl.sW , . , 1 -T< -1 -e.J. jR t J 1:/. S s Q ! ~ f { )~v .Yc: .~Injuries. to Subject: ...; '. '.' . .Treated by: .-,.. Hospital Admission?: ~~~ --....,--,.,.--Subjec~ Under Influence of: Drugs/Alcohol/other list, if Known; .;= = ~ ' - - , - - ~ : ' " : . '

    . " . ;, ~ ' . " " :, : . > . ' , " ' , ; ': : ', ; : . : cNarrative Description of incident (Include actions taken by both. the'Subjectandtlig>"'" . . . . . : , g , . .Officer(s}: . .' . ' ..( : . 4 - : ."\\>9Q

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    88/09/2007 00:53 5184477895 SSTA PAGE 03/05

    O.C. Administrative QuestionsTO BE ASKED OF ANY PERSON EXPOSED TO O_C.1. Are you currently under the influence of Cocaine, Amphetamines, Barblturates, PCP or other .Hallucinogens, Herorne or ather Opiates. or Aleonol? .. _Yes__ No_f Yes, Which One(s}? _---,- ......... _Refusedto Answer: Datemme: _.p:....._-~.....,..- Inifials __ --2. Have you taken Cocatn~%Amphetamines, B,adl,it rates, PCP or other Hallucinogens, Heroine orother Opiates, or Alcohol In the LAST 8 HOURYes__ No__ ':\~WhiCh One(s"{Refused to Answer. DatefTr : -- Initials _3.00 you normally take any iIlegYes_o _ No __ IfYes, Whl n~{s)? ---,-:-:-.--:--:-:,.---.,.-----Refused to Answer: __ Da rna: .In'fiIs --'-4. 00 you have haart problems, h":Z9 Oblems. ' betes, high blood pressure, or any other medical4;(lOdition?Yes__ No__ ff Ye WhichOoe{s)1_.l,,----_----=-:-~ __ --Refused to Answer: ""---I DatefTirne~__ -:I,-_~__ loitials -':"'\.,-\--"/ \t '\5. Do you have anyallergie.s1Yes__ No__ Yes, Which One{s)?-------\--""""---:--::-:::--:-0-----Rfusoo to Answer: .L:~ Oaternme: Initials

    , ':'D#42~ ,,-r1 page1-of.2-! ...

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    '.' ~/ ' . , . , . ;

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    r','l~,,}: :':',v'\{iik.', ;'"ji; n"K",.,'.: ft';' : . i < . : , ,~ . . {~. ,_.~.~. .~...".-."~,.>,,,,~. ;1,- ~:-~"'""~,-,,."~' ,.~, .. . ;:. ,"-

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    SupervisorNotified: SG :: ~ .... .. ..' " ~ ; : ; d h : ~ ~ ~ ~ ~ Z ~ ; ~ s ; ~- .~:~i~::h~:~~~~~::~(if Diffe~e~ ~ :: .,q ::; ~; ,'~ ':; '; :,:' ~ :" ; " . J ~ ': '- '~ ~ , : " ~! ~;. .~..,.,.~,..,~..... '" " " r r _ .~" ' " ~ :, /

    Albany PoliceD.ept.S_pj.qf;f{~i;s~~J1Ce Report . 'Day/Date'Tlrneof Incident: '/;ft 'oY, . ..' Incident #: C : : : : - ? 7 / ' 1 ; ; < (p..Location of .Incldentr. : - ; "1 : , .: : r : , ~ ' ~ : ' ; ; " , , ;. ~ . . : ' J ,~ ' : : , ; ; . .U!~:~.~,:.,~(,~,~:~:: ':~7:~:~7., '".

    < , ! I " u,. ' . ~ ~ ; : : ; ~ ;~ v ! . , ; . i k : ~ ~ ~ . ; ;eight: '.::3'00 Race: Wo / CP/rge(s): : , cz>c /}."".';List, ifKn9w.:n:, "~

    Subject~s N~rne:Sex: fl'.'l~Elight:...:::.-...::......_'

    Narrtive Description of Incident (Include'~ctions taken b y b ~ t h t h ~ " S ' O b j ; ; t ~ h ~ t l 1 ~ ~ ' " ~ " ~ " ; " " ' ~ ':;:~~~s-::~~~~~~:. 07~ '/c. " '< : / . s ~ ~ . Si; ~w/17/

    ~SH??'.. . ~4'~ :&4;S~ ,/ly; ~ -~Z71b..L ~'J:';ff~/rVr;,.& '~~J' 4 r v : x > c V r i s " > 7 ! i " , : d ~?,:~;,:~~~;~)"~'.:"';~.:;~:;a"".d~ .."":,'; .. ....',"" ,':,(g3.t.; ,:;: . " " , : ; : , , 1 ' . 1;'!'~~. . " :t ,, ' : _ . ,, " ' ~ . ' '< _ _ ' '.,.:;"""".1

    .~'.:'~,:';'';~.'i):",':';. :: i ~ ~ ~ . . t : : : _ d ' ~ , ;; , :; ;: , ;! ,, : :: ~ ~ - ; ~ ' . ' t : , : ~ ' ; ~~j+ - ~ : ; ; v . ; :,::-S~,~~:\,\~>:,-:!..~,;j~;:;);"':'~ < i ; : : ; t , S { t

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    " " " ' , : " 3 ~ ~ E ~ ; D A g ~ 1 . ~ ~ ~ ~ ~ k v ~ N ~ ~ ~ ~ ~ i ~ \ ? } ~ ; r $ . " ' i : ; r ; ' " . : , , ~ '1. Are u.currently und ~.t~mines;Barbltura siPCR.or other'Halluc .'ogens;'Heroineor other Opiates,'orAlcohol? , lYes.~9_ __ IfY~s,Which One(s)?" , : , ~ - ; "

    n. Did the application~~the Tase~,~incomPliancefrom'th,subject?C@lN...,:;Z:H, ....:'--"~ri~~.the subjet~-demea~~rafter t - T ~~~wasdi~ed.or deplciyed:~"'''--:~ '~~~ '~~1 ; j~ s: .?7n~ ~ . t: ..c;:;~/.

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    Supervisor Notified:SG: r Wf " r (['Q WI.SOfficer(s) Deploying Force: t---nterviewing/Filing Officer (it. ifferent): .

    Albany Police Dept. Subiect Resistnce Report .DaylDaelTime of Incident: S < . ' ;(9 /ss-?Location of Incident: ";;::;: :~; ,"< ' c . ' ' ; . ; : ,: ', " :~: , ,' ,,' ./ : ,.l :.~,, ,,, '" ;" .': ; , : : ' , : { > : : ; . ; : i " ' ~ , . ! , ; ~ t r J t : . : , > :

    . " . : . : .o ~.\ n : . : .s 'ce.'n:"."e'? ' . . .'..'~.y~e: . ' , ' ~ ., . : : :~.:.:- ,.., , . , : , , < . , : , , : : ; , ._ ,,' " ,_ ', '" ' -~ '" ~ '~ '~~ ;:~ ':~ :1 :( ,':) : 'C '~ :'~-".""":';'''::"'. : ', : , 1 J :~ ; ~~ " ' : : : ~ '~: ' : : /7~; '; . : ' ~ ~ . ' , < ' :} (~'.' t r . : : ~ % ? i : ; : : ; ':}':'~'~~::~~"j. ;U:t)} q ' ;'~ ,~?~:.;~~;; ';: F'i"~1~~)'\~;~'-;:'~~:,,.~t.-------~----,-~-------------c:c-'----___:___,_-,;._;,_. ~.f;;, , ,, H f i: > 7 ;. ~ - :- . ~ . ~ . ' 7 ' : ' . , . { " r : - " "':"",j-,>;tf,~A:J~~';~~~~.~.'.

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    3.4.

    O.C. Administrative Warning.';;, ,:: ..TO BEGIVEN TO ANY PERSON EXPOSED TO O.c. . ....... . ,. '"You have been contaminated with Oleoresin Capsicum (OC), natural produdderivedfrOinYrine , ,{ i ' ., 'f'peppers. I am going to treat you to reduce the discomfort you arefee!ing; as langas yOucOciptat ':, DiUOC .is n.on-toxic and the effects wiJIdissipate in a short time. The effets of QC may, how~x~r"fl1~.~9r. .. , "., "."H . 9 . Y . ! ? r . g t b . ? i ~dical conditjo!l~,jncluding oven!oses or toxic. illyels of drugJlke cQcaine. amRh~mines, .. ....~.. ._ ...barb itu ra tes , PC P a nd o th er h allu cin ogen s, h ero in e an d o th er o p i a t e s ' " : o c - a l c o h o J - : . ;

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    1. Are youcurrHallucinogens, ,Yes__ No__ If Yes, Which One(s}? .....,:....-_ ~~--.....,:.........,:....--'Refused to Answer: __ Datemme:' ".J ..JnHi~ls _-..:..__. . : f !2. Have you taken Cocaine, Amphetamines, Barbiturates, PCP ,cinogens, tletoin.9r~tother Opiates, or Alcohol in the LAST 8 HOURS? 'je 'j" R " A P :3 '6 1 l1 ; : :}' / '>'1I f1{Ul ..'. f d' '.. > ; ; < ~ i ; ~ ' . { . U ~ ' ; ) . ; ; ; ; C ; : { ; . . . ' . , . . . . . . . ." l ~ i ~ 0 t ~ ~ ; p r ~~ ~ , w t ~ } ~ ~ ~ f , i ; ' ~ ~ . r ': , : . ' : s : n ~ ; w ~ ~ ' " ; ; : ! ; ; , . ( ; ; ; : ! " u : F I ~4. g@~\~~i:~heartpr;()b,I~ms, lung problms, di~bt~, tiigh bIOdpt~~,~~~;,:~~.arj~.~~~~r.~'~~~~~!;; . ~ j ; ' ; ;

    Yes__ No __ If Yes, Which One(s)? ~ -,,L.""'----'-~"'_+_~~++Refused to Answer: __ DatelTime: ....'~lniti~I ..~...; ' : C ' ; / : : ; t i i ; ' ; : , , ;: '~ : '- ,. ,Y ,"";- '.

    ,.lO.C. Administrative QuestionsTO BE ASKED OFANY PERSON EXPOSED TO O.c. " " ' ! "

    s.Barbtturates; :PC~or other" -,

    \.;":-'."'.5.' Do you have any allergies?\Yes__ ' No_. _._ If Yes, Which One(s)? --'~...,-.-,'~~--'-~~~'-;-\"-' '--'---'--'---"'-.,....,..,..,Refused to Answer: . DateTime:lnitials .,. \) > X , : _ _ _ _ . . . . . : - = = = ~ . . : . : : = = : . : . . : = = = - - - - ' - = = . . : . : : = : . . : : = = = = = = = ~ = = : . : - - = - = : : : : : : i = = = - - - '~ h . " . i . . ' ~ , ~ ' 4 . . .~ : . . . ; < ~ : ~ ~ ~

    } J ~ ' , ' ~ , ~ < ~I, - the urderslqned officer, have cornplefed . t hbov 'ntep{iw~it9n' ... ; :i!d;,~________ --------_onthis day.ef . ,}O=",,: .

    ,, ',.c

    - TaserSerial#:Number of Clrtria,gesFired: _....:/~._N~mber ~f.Stun Contacts: __ , _L;lsersight activated only: _ - - - = , _ _ - .lbcationof each probe contact: _ . . , ! : , L _ ....:.:>.:e'::;s-::4-.--:rI_.....,.,._~~~~~-----~~~-~~~~~--~ '''-,Oistance between probes (in inches): l C $ . - ;fr'~ength of Time for Electrical Current Application: ~ammed 5 sec.one application, explain total time frame involved: __ ~~-""'-----'_~~-~--------

    Cartridge Serial#(s): ___Number of Probe Contacts:",:.:~~.::..I--o-.t:...:..~""'-----~'-:";': ;,:;,('~.,~rl;Number of probes lenetrating.~.~!!l:.,.,---,::-:-"",--,,,,,,,,,-:----;-,,,,,,,,,,,~...."i '~(::Y~:L

    .Offi;er Sigflature Witnessed By:. -. ' . - ~____--...::.-~~~~~-------_.,..._~-~~~~~~~~~;.;::.....-:.::;::.".h''''':"'---Taser Use RportBECOMPLETED EVERY TIMETHE TABERIS

    Iflongerlsrter, or more than

    Approximate distarlceofprobe launch: (5 .Ce. _Did the application cause injury to the subjectandfor o~hers? Yes o I f , ye,s, .~xplin:,,-,+_-"""-,. --.. :.~~. , ',--";.~.;;~;

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    ._ tJ{ tJI (L:tJtJ ( LI:Lb 4!JtJ!JbbL: C::;IA rf4

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    Subject's Name 'Age:: , L f t \ ')~:,~'6BE:Sex:~ Height: .

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    . . - ; ~ . . . . ....-;"."; '''-''':'('''''_-~., ..,~i . , ' : '"O.C.Administrative Questions"!.TO BE ASKED OF ANY PERSON EXPOSED TO O.C.

    i. Are ou currently under the in.HalBue gens, Heroine or other Opiates, or Alcohol? , .,Yes__ No__ . If Yes.WhichOne(s)? -~L'. ,=., ""(, ~,~Ji. ':~~~0i;j;'~t g 'm . :, _ . . -c.,__~_/,.ilffial'I--_'-"7"--

    , ,.,:';-, ~:. .' ' . ' ," .' .: ,'" .'es;'B~tbitJrate~; PP-brtoth~r2.

    4.Yes__ No__ fYes, Which ne(s)? -~,

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    IAlbany Police Dept-Subject Resistance Reporti.:E~~~~~~:'%:~fel~~i~ .. Incide~t~: ()~~~.~,:~~:" ".'.\ .. :'

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    1. Are you currently under theinuencHallucinogens, Heroine or other Opiates, or Alcohol?Yes_o _ N G _ _ _ . I f Ves, Which One(s)? ~~_-'- __ .' ...".".....:,.Refused to Answer: __ Date/Time: _---'._~_~---'-t, Barbiturates, PCPorther'

    p.C. Administrative Question?TO BE ASKED OFANY PERSON EXPOSED TO O.C.

    2. Have you taken Cocaine, Amphetamines, Barbituratother Opiates, r Alcohol in the LASTa HQURS?Yes __ No __ UVes, Which One{s}?_~ ~-,- --:-,.,.-,-}"Refused to Answerf__ Daterfime;'," ...Jriitials ,: .. ;,:.;: ' .: ,~ ':" ,!: " . . . \ : : \ , t 'l i '

    , : { . . . . . . ' . , > " . . : ' . . . . ' . . . . \ . , " ' : , ' : ; . , . . . ' . ' . . . . \ , 'Y 'h " , . , , ' ' , ' ' : " " " ; " ' R ' ~ i 3. o j ' ; y J 1 r m I y t c i k - a t & illegal or prsCtiptidndrllgs> ....... "".~ .. ~,',''.' ",1{.

    f, the undersigned officer, have completed the aboveinter:viewwitttlcn, ,___ ~ __ ~-,--,,-__,,---,--,----,-_~_on this day of ,,:;,ZOZ". .,:~~:.,.:~;;-~\:;,' ,'~~!,',"

    Ot'fierSignature -,'. _:., ",.' O , _ H l l 1 R .W tnessed By _. le,tion, . . '. ~ ',':11 :'. ~~J:'r~~' ~- . "' 4, ~ , ~" N~ ~~ l~~~Iii(; .J ~ N ~ _ . , : i / , r : : . : . ' : " " - 0 . : " "-------.;.;";.-, ..""+;.;..=.i..:..-': '--.;... '- '--.,.,.~--------'-~~-'---:-,.__-....._.....-.,"""':.-..,......,--'.,..:. ' - : : - : . . " i .....-4-..,.,~"'--':-:' ",:-.".,..:'rr--"',i"''':"{, ..:.,~. ;5 ". : ,oC,,:, . . ,_. , _",_,_, ;~'~'._-,,?,~:,,~,:~TaserUse Report' .TO BE COMPLETED EVERY TIME THE TASER IS DSED ;.

    Taser Serlal,#: 3~.II' e S('Number of. Cartridges Fired: _ ', 0: :0 ,- ' ~ _ r of Pr '~-,_-,---'- __ - - + ' . ' . , . , . . : ..,----~7,..,."'..;; . ," oNUPlber of Stun Contacts: ~..::....:I~ ,-= Number of probe? 'penetrating ski.ll: ~ - = , - . ~ _ . : " ' : . : . . : c . . . . : : . : : , , , , _ " . . . : ' : : . . " ' L ' < > - - . . . . . c . ' , - " , : : : . .: : ; , : ,La,ser sight a,ctiVa,te

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    : , . j - : ~ - - ~~lb~~~- 'P8- IT~~:D~~{~: :c. ,jS~:~~:~ta~~;;~~b..~~ . r - I ! J . .r ..DY/eat1Timi...v~nN:!\,:mY,~~:,.;.~ , : " , . t , \ . \ ~ ~. " \ . .f . ' S " i : . . : ': n ' . c id . e n Y . # . ' .: . . . 'q~;!c;~~oo....\." "'::" ! .'. Location o f !n d~ :'s) i"t :-- . - ~ . '-: ..:~;"J;.'::.':::'; " c ' ~

    ~ ' .~ " 00 .~ - '" _ "o' '~'~\ ''''~. __ .:''"S '-' ... '~~~:.::" .' . ; ' ,.' ",, '" ',,"LSup-~~y~rN'oified: t-s ~ ' ; < f ' : ' -t , ~ < ; > < : , , ; ~. ; . ,

    ':(~~'H":":~t ; " ' ' ' . : ' ; { : < :; \ ; : : ' ~ :' " . k, = . \ " " - ' ~ . ; . : ; ' ~ ~ > E . < ; t : ' : \ : , : ) t , , , , ; "Force Used/Displayed by.Sbject: Y\>' ".~~,~'~/.if"l(riown:.".~.",.~ .. -"'-';'"~.~-~":~'',;':"""'~'''~"".~.,,;~-,:,.

    Subject's Name:.Sex: ~ Height:. ,s-\\

    - - , - - - - - - - - . . . . . . . . . ; ; . ; . - ' - - - - - - ' - ' - - " - ' - - - - - - - . . . . , ; , ; . , . , ; . - - - - - - - - , ; " . . . . . ; . . . . . . ; . . . . , . " . : , , = . . . . . . . . . . . . . . . . . . . =......-----..;................7""___:__ . . .. .. . . . : , .". ., ,".Narrative Description of Incident (Include actions taken byboth the S(Jbj~ct~fld~~.; ~ k : ; ; . ' _ : ~ : ; : , ; :Officer(s): .. ..',:", i'~ . ' " " ' - ' ; ; : f i = ; \ ; ' ! ~ ; ; ; ~ ; ; ; ; ; ; i ' : ~ : ; ; i " , " T " ' - ---c ." " '< ~: ; : ' : ; : i ; ; : . ' " ~ - : : ; : : 7 ' . . .

    ~ .. \A\(L~ o'tynJeJ In-fu.m\ e=fr--\ 'ce 0:-')~bU,h ((6)rd:C5'O'~;.~l'~m~D[6\o' Ofu\e;j" = X r , " '6\< : ~ ' 1 i _ - ~ f f i ~ ~ : ~ " p r - ~ " ~ \ ~ & Y q ; ( S . M ' ' ' _ " ' .-="~Et;~.$.iZ~{).Cl (bO'.' ,. kV ,?

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    . : . . . o ~ _ . ~ " ~ ' ~ ~ " . .~~'''T~:~~~~~~~~'~~f~~;~i~f:~~~)J~{~~} ~ ( ) ~ o ; : ' ( o ~ ~ " > " = ', ; ~ ~ ~. : ' . '.; : : . ! : ~ ! ~ . ;. '~ \ t : ~ ~ ~ i ; ; : ,~ . : ~. : . ~ == .= . . . . : ~ - \.. .. -: :. :: - . .. . .. , ., : :: .. - = , '. . . . o -_ -~~ ~ ::_, "~-~ ..;.~ .=r: ._~._:.:.~...............::..__:........,..........~__- ' - " '" " ,= - .:. . . . . . . .~ :.\ ' :. . :' . . ,,

    oo.; . 0 . _ " , . . ' . " " , . , : : - ~ - ~ ~ , ; . ~ ; " ' . - - . . . : r : , _ . . . - . _ _ ~ , - " ~ ~ ' ' ' ' ' ' : - ~ ' ' . . , . . . ' 0 - ' - . ,' . ; ' ~ ( > . ; ; f ; : I k , l l f : ' : B 1 : b tilUd'i:t. '.. .. - ',. .,'. " ._ - ~ ~ ~ ~ ~ i ~ 1 ; ~ : ~ ~ ~ f / : ~ : ~ 1 . . . : ~ ~ 'k ) ! J ~ ' :_ : : . . [ . o : o o : , : . : ,. ! : r . . ' O ~ , D . : . . . ! . : . : . r : ' - ' d.r.~t5!rA~en"rs?w'~ e ~ r . : - Q . -.T f Y e S , v ( h j D ~ ' ; l ' _ e , G : f I 1 ; : . \ . : e } . " ~ t . ' ~ / ' . / . " " / . . ' . - . : . . _ . . : . : . . : . ; ~ . ' . . '_0 o : ~ . ' o . . , : . ~ : . " , . , ~ : . .t,

    - '. :..... v < ~ ~ : fI,.~------------,..."- the undersigned officer,have cQmpltedthe~boxe ipterV'l,'o.V,wit,h".: , ; ; . , , j h " . ~ : \ \_--.,.,.""....,.,..,.;""".----,----,--_,--_~----.---,---.-,-._ on this' .. .daY,.()f .. .. . . . .. . "',"'~,~~::':;;::,:.~~:~':.:~:;::

    - [ : , f , 2 : ~ : : . : ~ : ~ ? ; ,~';ii~~~r.Serial #:.:':"Nufl1,b~rof Cartridges Fired: .'N\Jim~.i:rof!3tun Contacts;.. ~l

    "" ~ . . . . ",;

    Time ofCompletioqfficerSi .na.ture Witnessed By:.:i~/~ .\l~)~~.-t;;;> ;:.L _ _ J ~ H ~ & \ 1 ~ ~ ~ 1 C i . s r ~ J ..

    q Ts~fu .SRepdt t '~ ' : 'TO BECOMPlTEDEVcRYTIMETl-lETAS'" Cartridge Serial#(s):; .N l ! m ber.9f ProbeCpntc,.;.' .....' - = ' . = . : " - . " ~ : ~ . ~ - " " . . - , . . . . . ~ . " " , " , . - 'Number of p'robespentratin~l,skin: "\.,. ."

    ..j, ',. ""y ~r"~:~i,i.;.. : . : ; .c ", ~ '" " ' . . . . . . ' . , _ . --+--===-'-++:f-".,, ,i -: :, :7,., , , , ., ."j

    'Approxim~tEf~js~ance ofprbeaunch: S : (c.:. . . ..... '.' . ,Di(j the appliati()ncauseinjury to the subJect and/or others?, Yes~._)f yes, explain: "".,-_~-,-,-."......~'J~'..l, _".~:,.:'

    Did the apPIi~~.~~~;n.ofhe Taser gainc~m~l~nc~'fro~-the ~~~j:~~:, ;~~~~-. .r , :~\~~ , , 7 ~ ; ~ ~D7 scribe th~ subject's demeanorafter the Taser was displayed or dePloyed:t>:.e~'

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    Albany Police Dept. Sub] et R istance ReportDay/Date/fime of incident: - -\ '0 -_.(5t- Incident #:CJ}-3=t2:,\~'6Location ofJncident: -::\ .~..... Supervisor Notified: :&C G=e.q..,=, OnScene?'~.hio ' .,,e70 of 3\~ ?oCC5-~ fbT. T C-~~qO&~~::~'(%b~:-=::~~~;~~;j~~;~:;:~. ..>.:>I=--- '- '=-.: :. ..=... .. .c::I.~->.:J~~~",.. ..~' .! :: :~~.->..! :i ' ~' '- '- ' . .. .,. . : : . : l . ; : . c....::s:5.!..b.-->;~~ ~ . : G . . I . - . . , . . ~k.&~.".- ",."";,.~., " , . . . " " _ , ,. , . . . . , , . " . . .- \ : . . : a J . r . ~ ~ \ ~'-~;i::'"J. : ~ : ' ' .= = ~ ~ " , -~ < '~..h~ cM ... 'r I:..-y c- >se... ~. ...........A-Y ' \ .S~'

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    1. Are you currentlyHallucinogens, Her e or other Opiates, or Alcohol?Yes__ No __ If Yes,Which One(s)? ---"..",.-.,,--.,----d-'~".c"'..-..::~.-.---"-'Refused to Answer: __ Date/Time: -,._~~./ hitials _

    es, BarbitutkMs, PCPorother

    d..Administrative Questions ,"TO BE ASKED OF ANY PERSON EXPOSED TO O.C.

    other Opiates, or Alcohol Inthe l. No __ IfYes, WhichOne(s)?,--_"L.._---.",-:-=--,,-,-~= _ _;j:_:_.,__t ..,:.:.;};;Ref'Us~d _ _ Date/Timet E ' . ~ , ,2 i----2---1~- '}~ma. l ;? .~-$SSf" ' , : } i ; ; : ~ " l ; ) : i ; ; ) ; ! ; } ( / ; . ~ ' : ; . ;

    ~~'g~r(~; .~~t~ l r i~ . ,p t :; : i ~ : , : ' 1 ' ; f ; , , : : :',3.

    4. ~g~~tV(~~_'{"h!artroblems, lu ~

    {;1~~~;~erial#:Numb~ofCartn gs Fired: Number of Stun Contacts: _ - - - > - , _ _Laserfs~gQtaevated only: __ \"---__loca~tonOf each probe contact: -1N~\:tc\Q~S= --, ~ __ --,-,-,-",_Distance between probes (in inches): - - 1N ", ,\ ts " " - _ _

    Taser Use RportTO BE COMPLETED EVERY TIME THE TASER IS USED " , ; . " ~ ~ ~ ~ : : : ~ , , , J ~ ; ~. . " ' ; : : ' :; ~ 7 . ! : ~ h i ; . i ' . ~Cartridge Serial #(s): --.!:N~\.1I;fu,5_'----,,.- ~~--:-_Number of Probe Contacts: _ '_ ~ . l : : " : : : ' \ . l , . " " '' '' - - ' - - - . - - - : - - - : - : -Number of probes prietratlnqskln: --.!:::N::!..\.w""~~_~_,:-"~-

    ,.;:~.~".~_ ;;, lf - , . ~ ,

    :-'>~,,:(:,:? : ' ~ ;.t~

    ; - - ' -Length of Time for Electrical Current Application: t!rrogrammed 5 sec." If IOriger/short;: or more thanotre-apptlcaton, explain total time frame involved: ------.. ~ J{ :l~ t.' .'Approximate distance of probe launch: - - : - ~ N : : : . l ~ '.l.:f>,,~:-:--_::--~=--:-:--;:-=--_:_:_---Dithpplication cause injury to the subject and/or others? Yes/No If yes, explain: _

    r ,

    D id the application of the raser gain"~~mpliancef~o"~ the subject? G I N o Qi . ' \ . ~ ' ~~ , ' +~~e..d. 'p~.(~""cc.o,,,,,h,....,\.v

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    Albany Police Dept Subject ResistanceReport .e:~~~~~~ ;7 :,:~e~~""""",~.< lept t; f :CSupervisor Notifiedi SGT HQr0;~o ' ,. Ofl~'~:~~;~Nd".'

    .;

    Officers] DeplYlii~f'Fo'rce:InterviewingfFiling Officer {if Different}: ..===,,---,""""';;..;.,i...:..;"'''.;;.;.' .;.....;;.;...."....;...:..;.....:..;.,'--.. . . . : : . < _ _i " " . . , -=~~. _~=="".\,.. . . . . - . - ' ~ ? : : r - , ; . , . . . . , . . , ~ : : ~

    ";'~")\>:.'~T ..- " ,: , : :,,:". Age: z$"" ,'." DOB: " '"Weight: I ''s Race: LuHI Charge(s): ':..ll':' . .o..,f?d'ii '3'8s;f.30. ~ ;. ;. : . . . : :;> :" :;~ ' ,~ \:~ I~\.~.::.,._.,.._,L ' ; < ; "~ . . . . _ . . . , . ' _ _ " " ~ :.~;:,:~\f

    in~:~~~~:~~~j~!~r_e_dl'>1...:b:c::,r::..;.;..:..:~::::u=-bJ_e_c_t_:.S _ h _ . _ 0 _ " ; _ ; _ I ' \ _ j _ . _l _ e _ l . ? _ . . 5 _ , . \ j _ _ ' i _ 9 _ ! ~ ~ _ ~ ~ ; ' - , _ : : f _ ; _ ~ . Y . _ . ' ? - _ . ~ _ . - ~ _ : : ~ _ ~ _ 3 _ . ; ~ _ : ~ _ : , : : _ . ~ _ 0 _. " _ ~ _ . : . _ " , . ~ _ ; :. - , - . ~ . :. : . : , " ~ . ." . . . , , , . _ . . . .. , . , '"Treated by: Aff) ..... .' '"Hospital Admis~iolJ?: J.A~t-\.:,.;C.:::...tt""i':--=-=_~ j.Subject Under Influence of: DrugsfAlcohoIIQther ..~!~t;f Known:,'."'" .,-_.... ...,,:.. : : , : : , ~ : ~ ' ~ ~ ~ : : ~ " : : ~ ~ : : : , "

    Subject's Name:.Sex: M. Height: 5 I"1

    ;" ./: rNarrative Description of Incident (Include actions.taken,by-.bqthjheSubj,cJa.n,tbg"l,L,:,~0i,i~~, i ' ! i:~e~\53"d pos dq =pg"9 kr 9 \ ~ O ' : : : : Ca b b J i f ~ ~ ~ ~

    '{" ~ ~L>' e.cJ- Cl ~ 'kJ. ' ~'6rd..s 1 - h . :. ''-.{iCh 'fY\ ;::'::~~E:;:~e..cj':';L~:'!I~ ' le. .

    o e . Sb .. .. & -> e L.Ou\dc,vero ' < : :,- " - " " ,-,.,.-,.,."',,,'" ' ... - .. " " - " " , ,o s,Bed1:c"~;':";"'~C: \-' e:;:;'"s,e" e eib=ll "Vb~2a"'G . , . : . ' ; ~ ~ : : ~ ~ ~o - - . S o \ - I ,-,"e' V " . . ;ds,V\O>-lE:: . ; : - , \ , \ , j " ; : ; ; ; ; z " ;

    li --ec.J- clid. + \ t \,"0, -.c'-r-::-:-'i;~,;i,,;,id;;;iJ'b- ' ~\,' o. di VW - f e n er Of\e. Mott::' h'i10,e;1:;;:iij':~~fc!i;;~.~ ; : : : ; i r d d ; : ; I ?~~~d~ : r t~~~\!;:~riJ(\~t":y~i~} lJ,;~~j/~$:~;:;i~ :~iJ".. O.C. AdministrativeWarnillg'" " y . ,.." . ' F,H,c" :~ ; ,> ' , : _ _1~~ ~ :}:~ > , ? > ' ' ,~ ,~ :.,"" : ~ ~ : { .' r> ' t. 7 " ~ :' .: 'J ! ;, : ~ ~ :, ,[ 1 : ,: :1. You have been contaminated with Oleoresin Capsicum (OC), a Tlatwal pr~clqctd.flved't[orn..~Ynr~":;".~':':"."~'~\:".:~;''':i;:peppers. Im going to treat you to reduce the discomfort youare feeling, slrig 'sYQo'Operate. __'o "' ,.,., "'' ''",-.",2 _ OC is non-toxic and the effects will dissipate in a short time, The effects ofOCinay;-however;mask Of--"""-" "., ..~",;,.cover other medica! condi~i9I1s,inc.!lJQ!Qgverqos?!?,()r toxic' levE?l$ofclrlJg~!iJ

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    O.C.Administrative QuestionsTO BE ASKED OF ANY PERSON EXPOSED TO O.C. ","Ii"~,-

    1. Are you 'currently under the infloHallucinoqens, Heroine or otherYes__ No_._ IfYes,WhichOne(s}? ~ _Refused to Answer: DateITime: -----,---,7 .. ....,.c:-. ---,'..,;.

    '"";,~ ..~::~,. ~:." .- '>:~ft~~.~".~;.( ...BarbiNftes, pCP 'rther, " ~ ~ ' > ~ _, ' I>~ f ; , : : . . o , - - "' ~ ~ }

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    'I"/ j b >Albany Police Dept. Subject Resistance ReportDayfDate/Time of Incident:_12/04/07 @1935hrs Incident #:_07-414239Location of Incident: 518 Second St 1st Floor Albany, NY'--- ---'otfled: _D/Sgt Quinn On Scene? Yes/No

    Officer(s} Deploying Force: Det. John Mosctello .,.---_interviewing/Filing Officer (i f Different): _NIA

    Subject's Name: - Age: DOB:~ ___,--Sex: _._ Height: Weight: Race: Charge(s): .. _\.

    Force Used/Disp!ayedby Subject: _ - . ; ; s ; . . . . e = _ _G__ . n / - - - - ' ~ . . . ; ; . r _ r _ 4 _ . . J - . . : . . I . . : . . . i " ' _ ' , _ \ ' - - - ~ - - - - ~Injuries to Subject: -'- _Treated by: Hospital Admission?: _Subject Under Influence of: Drugs/Alcohol/Other List, if Known: ----Narrative Description of Incident (Include actions taken by both the Subject and theOfficer(s): _While executing a search warrant at the above address reportingdet~sti,,1:!'did deploy the taser at an aggressive dog. After the first deployment the do.g'becm< .agitated and continued to be aggressive. Upon the third deployment of the tser.theaggressive dog went into a seizure like state and was able to be cornered into a backroom. Animal control was contacted and did respondand was able toremove the now compliant dog and move it to another room. The taser probes fell outof

    _ the dog while in the back room and the dog did not show any sign of injury. ./

    to .C. Administrative WarningTO 8E GIVEN TO ANY PERSON EXPOSED TO O.C.1. You have been contaminated with Oleoresin Capsicum (OC), a natural product derived from cayennepeppers. I am going to treat you to reduce the discomfortyou are feeling, as long as you cooperate.2. OC is non-toxic and the effects wiWdissipate in a short time. The effects of OC may, however, mask orcover other medical conditions, including overdoses or toxic levels of drugs like cocaine, amphetamines,barbiturates, PCP and other hallucinogens, heroine and other opiates, or alcohol.3 .1 am going to ask you 5 questions-for your own safety. Not-answering my questions, withholdinginformation, or giving false or misleading answers could delay medical treatment and may seriouslyjeopardize your health and safety.4_ Do you understand everything I havetold you? Yes/No

    ~'.

    til(over)"I Revised 3/2004 _

    O.c. Administrative QuestionsTO BE ASKED OFANY P::RSONEXPOSED TO O.C.I Page 1o f 2. I

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    ';~~ '~" .,:. ?"

    ,,'i;, \ \"..: ,'l,-" 'r ~ >' 1 ' : . \ (

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    1. Are you currently under the influence of Cocaine,Amphetamines, Barbiturates, PCPor otherHallucinogens, Heroineor other Opiates, or Alcohol? .Yes__ No__ ffYes,WhichOne(s)? _Refusedto Answer: Date/Time: _ Initials~ _2. Haveyou takenCocaine,Amphetamines, Barbiturates, PCPor other l-:Iallucinogens;Heroine'or.other Opiates, or Alcohol in the.LAST8 HOURS? .Yes__ No__ p I f Yes,Which One(s)? _Refusedto Answer: Date/Time: Initials _3. Doyou normally takeany illegal or prescription drgs>Yes__ No__ If Yes,Which One(s)? --------Refused to Answer: Date/Time: _ Initials _---.:.__4. Doyou haveheart problems, lung problems, diabetes, high blood pressure, or any other medicalcondition? .Yes__ No__ If Yes,Which One(s)?_.,--- __ ........., -'- __ ..,.-_Refused to Answer: Date/Time: Initials _5. Doyou haveany allergies?'Yes__ No__ lf Yes,WhichOne(s)?_' ---.:.---'_ ---.:. _Refusedto Answer: Date/Time: Initiala _

    -:{,

    ,\I, the undersigned officer, have completed the above interview with_---' on this day of ,20,-...

    .,.-. __ --:--------------------------------:-~---~~~. 'j ,; . < ' , ; ; < ,..-,.::.::.,'.'. '.' __"./:;_," ,.':,",'::.'. ;'.:-'~...,. . . . . . . - : : . ~ - < , : : : , : ,Officer.Signature WitnessedBy Time of Completion

    TasetUse ReportTO BE COMPLETED'EVRYTIMETHE TASER ISUSED '.'TasjSerlal #: ~ !Q~ Cartridgeserial.#(s}:;~'Nti~.~er of Cartridges Fired: _1__ Number of Probe.Contacts: 3.__N.tlm.berofStun Contacts: __ 0 Number of probes.penetrating skin: 1 _.".. . J"?.{rsight activated only: _Loctln of each probe contact: _head ....,-----.......,------Di~tnce between probes (in inches): If: .

    l".~enQthof Time for Electrical Current Application: (3) Programmed 5 sec. If longerlshorter, or morethan,oqeapplication, explain.total time frame involved: -'-- ~ --____.,_. /" :; '" " ';

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    Albany Police Dept. Su je t Resistance ReportDaylOatefTimeof Incident; /,'7 al ;)001 .: . . - 3f5D/location of Ineident:Supervisor Notified: 0 + J . l a m f a i1 . . On Scene?eoOfcers] Deploying Force: .. _. . .... ...InferviewinglFiling Officer (if Differ~

    . . . , ~ : /~":-

    DOB: ,Charge(s: F L '-/O '; s{,;: / ; is

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    )'.. o S'1 _ Are you currently under the influenc of Cocaine, Amphetamines, ;:=~~;I;ff I __ , or other.Hallucinogens,. Heroine or other Opiates, or Alcohol? .. .Yes__ No_.__ ItVes, Which One(s)? _-...,.. _Refused to Answer: Dateffime: . Initials--------- ------

    O.C.Administrative Ques~TO BE ASKED OF ANY PERSON EXPOS~

    2. Haveyou taken Cocaine, Amphetamines, Barbiturates, PCP (ii" other Hallucinogens, Heroine orother Opiates, or Aleohoi in the LAST 8 HOURS?Yes__ No If Yes, Which One(s)? _Refused to Answer: DatefTime: Initials __

    3~' Ooyounonnally take any illegal or prescription drugs>, Yes__ No If Yes, Which One(s)? ~ ____'___,_--'------Refusedto Answer: Otemme: initials __4 _ Doyou have heart problems, lung problems, diabetes, high blood pressure, or any other medicalcondition? '.

    Yes__ No If Yes,Which One(s)? _Refused to Answer: DatefTime: lnals- _5 _ Doyou have any allergies? \es__ No __ ff Yes,Which One(s)? . . . , . . . + . - ' - _

    Refused to Answer: __ Dateffime: -----_ initials _\__ ~_I, ~ . the undersigned officer, have completed the above interview with----'----- on this day of ,20_.

    Taser Use ReportTO BE COMPLETED EVERY TIME THE TASER IS USED

    '.Officer Signature"~" . " .. Witnessed By Time of Completion

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