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509MW 5404/08/1963 160
FL0410400
2600
1145
01 01 01 00 00
PORTALATIN
5218 6TH AVE DR W 34209BRADENTON
P-634-160-63-128-0
Holmes Beach Police Department1145 1145 1206
20170294
DAVID
DRIVERS LICENSE
01
Thu
01 STATE OF FLORIDA
2 NN
V 0
2A
0 0 0 00 0000
FL
MED THN
FL
01
PATROL
1 ACA
J. PIERCESGT. V. MCGOWIN 304
201 2 9000324CDRIVERS LIC
___-_______
___-__-____
___ ___-____
___-__________ ___-____
___-__________ ___-____
3421750TH ST HOLMES BEACH1000
4
1
309
1
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:
__/__/____04/13/2017
04/13/2017__/__/____
USA Rev. 01/23/2003
Thu Thu04/13/2017 04/13/2017
Sex Date of BirthRace Age
04/13/2017
Yes No
YYeess NNoo
0
Signature of Officer Reporting
Signature of Officer Reviewing
C O P
Y
Holmes Beach Police Department
DRIVERS LICENSE
2 1
01
PATROL
1 ACA
J. PIERCESGT. V. MCGOWIN 304
309
ON 04-13-17 WHILE ON PATROL I OBSERVED A BLUE DODGE SUV BEARING FL TAG #CBKI48 TRAVELING SOUTH ON GULFDR. UPON RUNNING THE TAG AND REGISTERED OWNER/DRIVER THROUGH FCIC/NCIC THE DRIVER'S LICENSE WASSUSPENDED AS OF 04/11/2017 FR-SUSP NON-JUDGEMENT SUSPENSION. I CONDUCTED A TRAFFIC STOP ON THE VEHICLEAT THE 100 BLK OF 50TH ST FOR THE DRIVER BEING SUSPENDED. UPON SPEAKING WITH THE DRIVER (DAVID,PORTALATIN) HE PROVIDED A PAPER FROM HIS INSURANCE THAT ADVISED HIS INSURANCE HAD LAPSED AND WASTEMPORARILY REINSTATED AS OF 03-16-17. IT INSTRUCTED HIM TO PROVIDE PROOF OF INSURANCE TO THE DHSMV.HE WAS UNABLE TO PROVIDE ME WITH PROOF OF INSURANCE ON THE VEHICLE. I ISSUED HIM A SUMMONS FOR DRIVINGON A SUSPENDED LICENSE UNDER THE FR SUSPENSION AS HIS INSURANCE HAD LAPSED.CITATION: A2H5L3E
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
__/__/____
04/13/2017
04/13/2017__/__/____
04/13/2017
USA Rev. 01/23/2003
20170294FL0410400
Signature of Officer Reviewing
Signature of Officer Reporting
C O P
Y
Holmes Beach Police Department FL0410400
26
00
1431
01 01 01 00 00
STATE OF FLORIDA
520 13TH ST W APT 24A 34221PALMETTO
HOUSE CLEANER
V622544817960
500
1431 1431 1530
35
20170295
MEXICO
520 13TH ST WEST APT A24 PALMETTO 34221
OWNER
RAMIREZERRAS LUIS DANIEL
DRIVER LICENSE
Thu Thu
Thu
2 NN 0 0 0 00 0000
1
1
V 5
O 3
FL
VARGAS MARIA DELCARMEN1 2A
FW BRO BRO
FL
M W
MED THN
FL
03 1 90004 322CDRIVERS LIC
___-_______
___-__-____
___ ___-____
___-_______
___ ___-____
___-_______
___ ___-____
34217SR 64 HOLMES BEACH700
0 1
THE DEFENDANT WAS STOPPED FOR DRIVING IN A BIKE LANE TWICE AND WHEN STOPPED STATED THAT SHE DID NOTHAVE A DRIVERS LICENSE. DEFENDANT WAS ISSUED A NOTICE TO APPEAR ON NO DRIVERS LICENSE AND CITATIONSFOR DRIVING IN A BIKE LANE AND NO PROOF OF INSURANCE. VEHICLE WAS IMPOUNDED BY TOW COMPANY.
01
PATROL
1 ACA
SGT. M. PILATO
SGT. M. PILATO 306
306
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
__/__/____
04/13/2017
04/13/2017 04/13/2017
04/13/2017
04/13/2017
__/__/____
08/16/1981
Signature of Officer Reporting
Signature of Officer Reviewing
Yes No
YYeess NNoo
12 NOFFENSE-INCIDENT REPORTGangRelated
C O P
Y
AD
M
1100.. OOtthheerr -- SSppeecc..66.. TTrraannss..
77.. EEnnggiinnee PPaarrttss
1. Key
11.. KKeeyy
3. Hot Wire
6. Trans.
7. Engine Parts
8. Major Body Parts
VEH
ICLE
/VES
SEL
1. Original2. Supplement
Date of Supplement
Reg. State
Date Recovered
LengthVessel Name
StyleModelStatusPerson #
1. Local / Local2. Local / Other3. Other / Local
Tag Type
Primary Offense Description Victim #1 Name (Last, First, Middle)
Person Code Status Code Damage Code Type Recovery Location Recovery Code Stolen / Recovered
Holmes Beach Police Department
1. Stolen2. Recovered3. Stolen and Recovered4. Suspicious
5. Impounded6. Abandoned7. Fail Return8. Seized9. Other
0. N / A1. Arson2. Criminal Mischief3. During Other Offense
1. Auto2. Truck / Van3. Motorcycle4. Camper / RV5. Bus
6. Trailer7. Boat8. Aircraft9. Other
VEHICLE REPORT
Original Date Reported
Agency Report Number
Description (Identifying Characteristics, Noticeable Damage, Interior Color, etc)
Tag Reg./Doc. # Reg. Year Decal Number
VIN/Hull/FAA Estimated Value
Propulsion
Insurance Company Lien HolderCondition
Hull Material Boat Type
Recovery Address/Geographic Indicator
Recovery Loc. Recovery Code Original Reporting Agency Report Number Reason/Authority
SCIC/NCIC Location of Original Theft
Value Recovered
1. Window Closed
HGSQ831G2HZ5417Y4256329
2. Locked 3. Keys in Ignition
SILVER Color (Top/Bottom)
Towed By
Components Stripped
0. N/A 5. Interior 9. Tag/Decal Stolen
10. Other - Spec.0. N/A 8. Unk.2. Tow Truck 4. Steering
5. Ignition 1. VIN Plt.
4. Battery
Person Code Damage Type Year Make
2000 PONTAC GRAN P 4DSD
Storage Location
V- VictimS- SuspectA- ArresteeO- Other
5. Park / Playground6. Shopping Mall7. Woods8. Water9. Other
1. Family Residence2. Apt. Complex3. Housing Project4. Commercial / Industrial
4. Stripped / Theft From9. Other
CO
DES
VEH
ICLE
/VES
SEL
VEH
ICLE
INV.
/NA
RR
ATI
VE
Person Code Person # Status Damage StyleModelType Year Make
Reg. State Tag TypeTag Reg./Doc. # Reg. Year Decal Number
VIN/Hull/FAA Estimated Value
Insurance Company Lien HolderCondition 1. Window Closed 1. Window Closed 2. Locked 2. Locked 3. Keys in Ignition 3. Keys in Ignition
Description (Identifying Characteristics, Noticeable Damage, Interior Color, etc) Color (Top/Bottom)
LengthVessel Name PropulsionHull Material Boat Type
Date RecoveredRecovery Address/Geographic Indicator Value Recovered
Recovery Loc. Recovery Code Original Reporting Agency Report Number Reason/Authority
Methodof Theft
00.. NN//AA 88.. UUnnkk..22.. TTooww TTrruucckk
33.. HHoott WWiirree
44.. SStteeeerriinngg
55.. IIggnniittiioonn
Components Stripped
00.. NN//AA 55.. IInntteerriioorr
88.. MMaajjoorr BBooddyy PPaarrttss
99.. TTaagg//DDeeccaall SSttoolleenn11.. VVIINN PPlltt..
44.. BBaatttteerryy
Location of Original TheftTowed By Storage Location SCIC/NCIC
Vehicle #
HoldY - YesN - No
HoldY - YesN - No
Vehicle #
Methodof Theft
2. Tires/Wheels
3. Radio/CB
22.. TTiirreess//WWhheeeellss
33.. RRaaddiioo//CCBB
FL
Case Status
Routed To Referred To
Unit
of
Page
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
01
PATROL
ACA
SGT. M. PILATOSGT. M. PILATO 306
306
Arrest Number
20170295DRIVERS LICENSE STATE OF FLORIDA
11 05O 1
1
2017
1
__/__/____
__/__/____
04/13/2017__/__/____
04/13/2017
USA Rev. 01/21/2003
__/__/____
04/13/2017
Signature of Officer Reporting
Signature of Officer Reviewing
C O P
Y
600MW 5507/07/1961 200 BLU BRO M
FL0410400
12
00
0207
01 01 01 00 00
GEE
1911 70TH ST CT E 34208BRADENTON
NA NA
G000799612470
Holmes Beach Police Department
0207 0207 0240
20170297
UNKNOWN
NA
SHERMAN W
COV/OTHER
01
Fri
01 CITY OF HOLMES BEACH
5801 MARINA DR HOLMES BEACH 34217
2 NN
V 5
A
0 0 0 00 0000
FL
FL
LT THN C
FL
PATROL
C.LABRANCHE
SGT. V. MCGOWIN 304
0 0 00000CCOV/OTHER
708-5804941
___-__-____
___ ___-____
___-_______
___ ___-____
___-_______
___ ___-____
34217
WALGREENS
E BAY DR HOLMES BEACH3200
0
5
1
318
1
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:
__/__/____
04/14/2017
04/14/2017
__/__/____
USA Rev. 01/23/2003
Fri Fri04/14/2017 04/14/2017
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/OTHER
1 1
PATROL
C.LABRANCHE
SGT. V. MCGOWIN 304
318
ON 4/14/17 AT 0207 HRS I OBSERVED SHERMAN GEE SLEEPING ON A BENCH AT WALGREENS, 3200 E BAY DR. INHOLMES BEACH. GEE HAD HIS HEAD PROPPED UP ON A TRASH BAG, WAS COVERED IN A BLANKET, AND DID NOT AWAKEFOR APPROXIMATELY 10 MIN WHILE I HAD MY VEHICLE RUNNING NEARBY. HE WAS ISSUED A NOTICE TO APPEAR FORCOV CAMPING AND WAS GIVEN A COURT DATE OF 5/16/17 AT 8:30HOURS IN COURTROOM 6-C. I EXPLAINED THETICKET TO GEE AND HE REFUSED TO SIGN. HE WAS ISSUED THE NOTICE TO APPEAR AND LEFT THE AREA. ICLEARED WITH NO FURTHER ACTION.
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
__/__/____
04/14/2017
04/14/2017
__/__/____
__/__/____
USA Rev. 01/23/2003
20170297FL0410400
Signature of Officer Reviewing
Signature of Officer Reporting
C O P
Y
6-00MW 6907/20/1948 180 BRO GRY S
FL0410400
26
00
0937
1 1 1 00 00
LINDSEY
2010 MANATEE AVE. E. 34208BRADENTON
UKNOWN UNKNOWN
L-532-724-48-260-0
Holmes Beach Police Department
0937 0937 0947
0937 0937
20170299
RONNIE DAWSON
COV/ALCOHOL
1
Fri
1 CITY OF HOLMES BEACHV 9
2Z
FL
LT THN B
FL
PATROL
1
JASON HIGGISN
SGT. V. MCGOWIN 304
6 6-3A 00000ACOV/ALCOHOL
___-_______
___-__-____
___ ___-____
___-_______
___ ___-____
___-_______
___ ___-____
3417 W80MANATEE AVE. W. HOLMES BEACH600
0
5
1
2
331
1
SHORT/SHIRT
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:
__/__/____
04/14/2017
04/14/2017
__/__/____
USA Rev. 01/23/2003
Fri Fri04/14/2017 04/14/2017
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 Department1 1
PATROL
22
JASON HIGGISN
SGT. V. MCGOWIN 304
331
I MADE A RIGHT TURN ONTO 6TH AVE. FROM MANATEE AVE. AT THE BUS STOP, I OBSERVED A WHITE MALE INMID SWIG OF A GLASS BOTTLE OF LANDSHARK BEER. AS SOON AS SUBJECT SAW THAT THE VEHICLE THAT WAS SLOWINGDOWN TO LOOK AT HIM WAS A MARKED PATROL TRUCK, HE TRIED TO CONCEAL THE BOTTLE BACK INTO ONE OF THE TWOSIX PACKS THAT WERE SITTING NEXT TO HIM. I APPROACHED SUBJECT AND OBSERVED 3 OTHER EMPTY BEER BOTTLESNICELY PLACED BACK INTO ONE OF THE SIX PACKS.
SUBJECT WAS GIVEN A CITY ORDINANCE TICKET AND SIGNED UPON RECEIPT OF IT. NO FURTHER ACTION TAKEN.
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
__/__/____
04/14/2017
04/14/2017
__/__/____
__/__/____
USA Rev. 01/23/2003
20170299FL0410400
Signature of Officer Reviewing
Signature of Officer Reporting
C O P
Y
Holmes Beach Police Department FL0410400
29
00
0020
01 01 01 00 00
STATE OF FLORIDA
2209 9TH AVE E 34208BRADENTON
M650-280-80-207-0
WHITE TSHIRT BLUE JEANS
55 160
0020 0020 0100
0020 0100
36
20170301 LICENSE
Sat Sat
Sat
2 NN 3 0 0 00 0000
1V 5
FL
MORENO GABRIEL1 2A
MW BLK BLK
FL
S S
MED MED
FL
34 10b1 90004 322CDRIVERS LIC
___-_______
___-__-____
___ ___-____
___-_______
___ ___-____
___-_______
___ ___-____
0034217 00 00 00
ROADWAY
MANATEE AVE HOLMES BEACH800
0 0
VEHICLE STOPPED AT THE ABOVE LOCATION FOR SPEEDING, 51 MPH ON A 35 MPH ROADWAY. FCIC SHOWED ABOVEDRIVERS LICENSE WAS SUSPENDED ON 01-29-2007. THE TAG ON THE VEHICLE, TX #DBF9159 IS REGISTERED TOABOVE, DOES NOT BELONG ON VEHICLE. 1997 FORD EXPLORER, VIN #1FMCU22X6VUA28582 OWNED BY CRUZ TOWING,4900 15TH ST E , BRADENTON, BUT NOT REGISTERED. MALE ISSUED 3 VIOLATIONS.
11
FRASER
SGT.COPEMAN 307
323
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
__/__/____
04/15/2017
04/15/2017 04/15/2017
__/__/____
04/16/2017
__/__/____
06/07/1980
Signature of Officer Reporting
Signature of Officer Reviewing
Yes No
YYeess NNoo
12 NOFFENSE-INCIDENT REPORTGangRelated
C O P
Y
2501/18/1993
FL0410400
26
05
1338
1 1 1 1 0
HERNANDEZ
104 59TH ST. E. APT B 34203BRADENTON
Holmes Beach Police Department
1338 1338 1440
1338 1338
20170302
LEONARDO GARCIA
CRIMINAL TRAFFIC
1
Sun
Sun Sun
1 STATE OF FLORIDA
2 NN
MW
V 5
2A
0 0 0 00 0000
FL
01
PATROL
1
1 ACA
JASON HIGGINS
SGT. M. PILATO 306
03 1 9000322CDRIVERS LIC
___-_______
___-__-____
___ ___-____
___-_______
___ ___-____
___-_______
___ ___-____
34217 W8036TH ST. HOLMES BEACH400
0 0
4
1
3
331
1
DRIVER OF VEHICLE
0
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
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:
__/__/____
04/16/2017
04/16/2017 04/16/2017
04/16/2017
04/16/2017
__/__/____
USA Rev. 01/21/2003
Signature of Officer Reporting
Signature of Officer Reviewing
Yes No
YYeess NNoo
C O P
Y
Type
Type
Type
Holmes Beach Police Department 20170302
N/A N/A
1
STANDARD FLORIDA TAG (Y93LZL)
ALUMINUM1 FLORIDA TAG1
N/A N/A
1
PLASTIC, TEXAS STATE ID CARD.
GOVERNMENT2 TEXAS ID CARD1
0
A 0
A
Z
8
8
00
ORANGE AND ORANGE BLOSSOM STANDARD FLORIDA TAG.
TEXAS IDENTIFICATION CARD.
0.00
0.00
PATROL331
SGT. M. PILATO
JASON HIGGINS
306
32
1
CRIMINAL TRAFFIC STATE OF FLORIDA
A
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
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
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
Activity Description Quantity Unit Estimated Street Value
Activity 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
__/__/____
04/16/2017
04/16/2017
04/16/2017
__/__/____
__/__/____
__/__/____
04/16/2017
__/__/____
USA Rev. 01/21/2003
C O P
Y
Holmes Beach Police DepartmentFL0410400 20170302
1 1
01
PATROL
33
1 ACA
JASON HIGGINS
SGT. M. PILATO 306
331
I RAN FLORIDA TAG (Y93LZL) ON IN-CAR COMPUTER. THE FCIC/NCIC RETURN DISPLAYED THAT IT HAD EXPIRED01/18/2017. I INITIATED A TRAFFIC STOP ON WHITE FORD TRUCK THAT IT WAS ATTACHED TO AND MADE CONTACTWITH DRIVER, LEONARDO HERNANDEZ. HERNANDEZ SPOKE LIMITED ENGLISH AND WAS UNABLE TO PROVIDE ME WITH AFLORIDA LICENSE OR IDENTIFICATION CARD. HERNANDEZ HANDED ME A PASSPORT, AN EXPIRED TEXASIDENTIFICATION CARD, AND A MEXICAN CONSULAR PLASTIC CARD WITH UNLEGIBLE WORDING PRINTED UPON IT.HERNANDEZ ALSO COULD NOT PROVIDE INSURANCE INFORMATION. NEITHER OF HIS 2 PASSENGERS HAD FLORIDALICENSES OR SPOKE ENGLISH. I RAN HERNANDEZ THROUGH IN-CAR D.A.V.I.D. AND OTHER PROGRAMS TO OBTAINADDITIONAL INFORMATION ABOUT HIM. I WAS ABLE TO PULL UP AN ADMINISTRATION NUMBER ASSIGNED TO HIS NAMEAND IT DISPLAYED THAT HE WAS NEVER ISSUED A DRIVER'S LICENSE.
D.A.V.I.D. RETURN ALSO DISPLAYED IF DRIVER IS OWNER -- SEIZE TAG. TAG WAS PLACED INTO PROPERTY ATPOLICE DEPT. A CRIMINAL TRAFFIC TICKET WAS GIVEN TO HERNANDEZ AND I TRANSLATED COURT DATE USING ASMART PHONE SO HE COULD UNDERSTAND DATE AND TIME. HERNANDEZ WAS ALSO GIVEN 2 CIVIL INFRACTIONS. U.S.A.TOWING ARRIVED ON SCENE AND TOOK CUSTODY OF TRUCK. HERNANDEZ AND FRIENDS LEFT SCENE ON FOOT AND WENTTO THE BEACH. NO FURTHER ACTION TAKEN.
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
__/__/____
04/16/2017
04/16/2017
__/__/____
04/16/2017
USA Rev. 01/21/2003
Signature of Officer Reporting
Signature of Officer Reviewing
C O P
Y
Holmes Beach Police Department FL0410400
2700
1515
01 01 01 00 00
SGT MCGOWIN5801 MARINA DR HOLMES BEACH 34217
WITNESSED BOTH VIOLATIONS
713 BLUBILL PLACE 34759KISSIMMEE
A416620888770
1515 1515 1525
32
20170305
CITY OF HOLMES BEACH
COV ALCOHOL
Sun SunSun
2 MW 1 1 0 00 0200
1
1
W 2
V 5
FL
2 NN 0 0 0 00 0000ALVAREZ NATHALIE1 2A
FW
FL
FL
6 6-3A 00005 0CCOV/ALCOHOL
___-_______
___-__-____
___ ___-____
___-__________ ___-____
___-_______863 242-4462
34217PUBLIC BEACH
GULF DR HOLMES BEACH40002 1
DEFENDANT HAD BUDWEISER LIME A RITA AND HAD A GRILL ON THE BEACH IN PUBLIC VIEW. DEFENDANT WAS CITEDFOR THE LIME A RITA AND A WARNING ON THE GRILL. SHE WAS RELEASED ON SCENE. NFI
01
PATROL
1 ACA
SGT. M. PILATOSGT. M. PILATO 306
306
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
__/__/____04/16/2017
04/16/2017 04/16/2017
04/16/2017
04/16/2017__/__/____
10/17/1984
Signature of Officer Reporting
Signature of Officer Reviewing
YYeess NNoo
Yes No
12 NOFFENSE-INCIDENT REPORTGangRelated
C O P
Y
FL0410400
2700
1530
01 01 03 00 00
HERNANDEZ LORA
4505 N ROME AVE #1305 33603TAMPA
H655436931770 187201300 40
Holmes Beach Police Department1530 1532 1547
1530 1530
23
20170306
CUBAJOSE RAUL
COV/ALCOHOL
1
SunSun Sun
1 CITY OF HOLMES BEACH5801 MARINA DR HOLMES BEACH 34217
15801 MARINA DRIVE HOLMES BEACH 34217
PILATO MIKE2
2
NN
W
MW
V 5
W 2
2A
0
1
0
1
0
0
00
00
00
0000
00
FL
FL
FL
FL
01
PATROL
1 ACA
OGLINESGT. M. PILATO 306
6 6-3A 00000CCOV/ALCOHOL
708-5800941
___-__-____
___ ___-____
708-5804941___ ___-____
___-_______813 778-9735
34217ON BEACH
GULF DR HOLMES BEACH49000 0
5
1
1
322
1
PATROL SERGEANTM
SGT'S PILATO AND McGOWIN WERE ON BEACH PATROL AND OBSERVED 3 SUBJECTS CONSUMING CORONA BEER FROMBOTTLES ON A PUBLIC BEACH AT LISTED LOCATION. I ISSUED COV CITATIONS TO 2 OF THE SUBJECTS (HERNANDEZLORA AND LEON) AND SGT PILATO ISSUED GONZALEZ A COV CITATION. I TURNED ALL 3 SIGNED COV CITATIONS IN TODISPATCH FOR ENTRY INTO THE DATABASE. ALL 3 SUBJECTS WERE VERBALLY WARNED ABOUT HAVING GLASS ON THEBEACH AND I COUNSELED LEON ABOUT UNDERAGE DRINKING.
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:
__/__/____04/16/2017
04/16/2017 04/16/2017
04/16/2017__/__/____
04/16/2017
USA Rev. 01/23/2003
05/17/1993
Date
Yes No
YYeess NNoo
C O P
Y
Holmes Beach Police Department 20170306
2 McGOWIN5801 MARINA DR HOLMES BEACH 34217
VERN
2
6207 TADPOLE LN #201
A062595422A264620955250
33614TAMPA
20
CUBA
1106 BLANKENSHIP RD
1112479025
33527DOVER
23
COLUMBIA
LEON NATHALIE AGUIRRE
GONZALEZ SEBASTIAN MEJIA
MW
MW
W 2
1 1 0 00 0000
3 2A
2 2A
FL
FL
FL
FW
N 1
FL
708-5804941
___-__-____
___ ___-____
___-__________ ___-____
___-_______786 759-9860
___-__-_______-_______
___ ___-____
1
1
1
PATROL322
SGT. M. PILATO
OGLINE
306
COV/ALCOHOL CITY OF HOLMES BEACH
PATROL SERGEANT
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
__/__/____04/16/2017
04/16/2017
__/__/____
USA Rev. 01/23/2003
__/__/____
01/25/1997
06/17/1993Date of Birth or Age
Date of Birth or Age
YYeess NNoo
YYeess NNoo
C O P
Y
Holmes Beach Police DepartmentFL0410400 20170306
2 1
01
PATROL
1 ACA
OGLINESGT. M. PILATO 306
322
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
__/__/____
04/16/2017
04/16/2017__/__/____
04/16/2017
USA Rev. 01/23/2003
Signature of Officer Reporting
C O P
Y
FL0410400
9900
1559
1 0 2 0 0
Holmes Beach Police Department1559 1601 1616
1559 1559
20170307 COV/ALCOHOLSun
1 BICKEL1758 MALVERNM HILL CELEBRATION 34747
1141 WILDWOOD DRIVE EATONTON 31024
ROBERT STEPHEN
HOPPER JOHN DANIEL2
2
MW
W
O 3
O 33
4
1
1
0
0
00
00
00
0000
00
FL
GA
1
JASON HIGGINSSGT.COPEMAN 307
6 6-3A 00000ACOV/ALCOHOL
___-_______
___-__-____
___ ___-____
___-__________ ___-____
___-__________ ___-____
34217 W80ON BEACH
GULF DRIVE N. (BEACH) HOLMES BEACH51001
5
1
1
2
331
SGT. PILATO OBSERVED HIM CONSUMING BEER.
SGT. PILATO OBSERVED HIM CONSUMING BEER.M
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:
__/__/____04/16/2017
04/17/2017__/__/____
USA Rev. 01/23/2003
Sun Sun04/16/2017 04/16/2017
29
26
Sex Date of BirthRace Age
05/12/1990
02/17/1988
__/__/____
YYeess NNoo
YYeess NNoo
0
Signature of Officer Reporting
Signature of Officer Reviewing
C O P
Y
Holmes Beach Police Department1 1
22
JASON HIGGINSSGT.COPEMAN 307
331
SGT. MIKE PILATO AND SGT. VERN MCGOWIN WERE ON THE SIDE-BY-SIDE BEACH PATROL VEHICLE AND OBSERVEDAFOREMENTIONED SUBJECTS CONSUMING BEER ON THE BEACH WHERE IT'S PROHIBITED. SUBJECT 1, LATER IDENTIFIEDAS ROBERT BICKEL WAS CONSUMING STELLA ARTOIS. SUBJECT 2, LATER IDENTIFIED AS JOHN HOPPER WAS CONSUMINGBUD LIGHT. BOTH SUBJECTS WERE BROUGHT TO THE 5200 BLOCK BEACH ACCESS WHERE WE GAVE THEM BOTH CITYORDINANCE TICKETS. I PHYSICALLY ISSUED SUBEJCT BICKEL HIS, AND SGT. PILATO PHYICALLY ISSUED HOPPERHIS. NO FURTHER ACTION TAKEN.
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
__/__/____
04/16/2017
04/17/2017__/__/____
__/__/____
USA Rev. 01/23/2003
20170307FL0410400
Signature of Officer Reviewing
Signature of Officer Reporting
C O P
Y
NA
RR
ATI
VE
Original Date Reported
NARRATIVE CONTINUATION
COV ALCOHOL
Holmes Beach Police DepartmentCase ReferenceA
DM
Date of Supplement Agency ORI Number
1. Offense2. Arrest
JuvenileWarn/Dismiss
1. Original2. Supplement
Agency Report Number
FL0410400 20170307
2 1
ON THIS DATE, SGT MCGOWIN AND I WERE ON BEACH PATROL WHEN I OBSERVED THE DEFENDANT (HOPPER) WITH ADARK BLUE BEER CAN IN A COOZIE. I OBSERVED THE CAN TO BE A BUD LIGHT CAN. AS WE BEGAN TO TURN AROUND,HE PUT THE BEER CAN DOWN IN FRONT OF HIM AS HE WAS SITTING AWAY FROM US. SGT MCGOWIN AND I GOT OUT TOSPEAK WITH HIM WHEN WE OBSERVED THE OTHER SUSPECT (BICKEL) WITH TWO CANS OF STELLA ARTOIS. AS I ASKEDBICKEL FOR HIS ID, I DUMPED HIS CANS AND WENT BACK TO HOPPER. I WALKED AROUND FRONT WHERE HOPPER HADHIS CAN OF BEER AT HIS FEET IN PLAIN VIEW AND PICKED IT UP AND REMOVED THE COOZIE AND DUMPED THE BEER.HOPPER WAS ARGUMENTATIVE DURING THE ENTIRE ENCOUNTER AND I ISSUED HIM A COV CITATION AND OFFICERHIGGINS ISSUED BICKEL A COV CITATION. 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
MIN
ISTR
ATI
VE
A-AdultJ-Juvenile
Date
Name of Officer Reporting
Officer Reviewing (If Applicable) I.D. Number
I.D. Number/Locator Code
01
PATROL
1 ACA
SGT. M. PILATOSGT. M. PILATO 306
306Report Contains
Arrest Number
04/16/2017__/__/____
04/16/2017
USA Rev. 01/23/2003
__/__/____
04/16/2017
Signature of Officer Reviewing
Signature of Officer Reporting
C O P
Y
2. No
FL0410400
2500
0109
1 1 2 0 0
SCROCCO
1205 BALLARD GREEN PLACE 33511BRANDONUNEMPLOYED N/AS620433892150
6 150
Holmes Beach Police Department0109 0600 0600
0109 0600
27
20170310
NEW YORKJONATHAN MICHAEL
POSSESSION
1
MonMon Mon
1 STATE OF FLORIDA
2 NN
MW
V 5
2A
BRO BLK
0 0 0 00 0000
FL
LT THN
FL
BORESSGT.COPEMAN 307
147 1 350B893CDRUG EQUIP-POSS
___-_______
___-__-____
___ ___-____
___-__________ ___-____
___-_______813 758-1650
S S
34217COUNTY BEACH ACCESS
GULF DR HOLMES BEACH40000 0
3
1
326
1
JEANS AND SHIRT TRACK MARKS LEFT HAND AND BOTH ARMS
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
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
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:
04/17/201704/17/2017 04/17/2017
__/__/____
04/19/2017__/__/____
__/__/____
USA Rev. 01/23/2003
06/15/1989
Signature of Officer Reviewing
Signature of Officer Reporting
SEE NARRATIVE PAGE..
Yes No
YYeess NNoo
C O P
Y
Holmes Beach Police Department 20170310
2110 CLIFTON DR. UNEMPLOYEDT642785969411
504
33594VALRICO
20 134
FLORIDATERWILLIGER SELENA ELAINE2 2A
FL
FW
N 1
HAZ BRO L SLT
FL
THN
___-_______
___-__-____
___ ___-____
___-__________ ___-____
___-__________ ___-____
___-__-_______-_______
___ ___-____
1
326
SGT.COPEMAN
BORES
307
POSSESSION STATE OF FLORIDA
JEANS AND SHIRT
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
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
__/__/____
04/19/2017
__/__/____
04/17/2017
USA Rev. 01/23/2003
__/__/____
12/01/1996
Signature of Officer Reviewing
YYeess NNoo
YYeess NNoo
C O P
Y
Type
Type
Type
Code Person
Code Person
Code Person
Code Person
Code Person
Holmes Beach Police Department 20170310
HYPODERMIC NEEDLES 8
8HYPODERMIC NEEDLES
11
1GLASS PIPE
1 GLASS PIPE1
1GLASS PIPE
1 GLASS PIPE2
16.7 GRAMS SPICE
1 SPICE2
GLASS PIPE 2SPICE 6.7
0
A
A
A
0
0
0
D
D
D
D
P 9P 9P S 1
PP
8
8
8
8
00
0.000.00
326
SGT.COPEMAN
BORES
307
1
POSSESSION STATE OF FLORIDA
A
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 # 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
TOTA
LSC
OD
ESD
RU
GS
PRO
PER
TY
Serial Number
NameItem # 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 # 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 # 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 # 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
Activity Description Quantity Unit Estimated Street Value
Activity 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
__/__/____
04/17/2017
__/__/____
__/__/____
__/__/____
__/__/____
__/__/____
04/19/2017
__/__/____
USA Rev. 01/23/2003
C O P
Y
AD
M
1100.. OOtthheerr -- SSppeecc..66.. TTrraannss..
77.. EEnnggiinnee PPaarrttss
1. Key
11.. KKeeyy
3. Hot Wire
6. Trans.
7. Engine Parts
8. Major Body Parts
VEH
ICLE
/VES
SEL
1. Original2. Supplement
Date of Supplement
Reg. State
Date Recovered
LengthVessel Name
StyleModelStatusPerson #
1. Local / Local2. Local / Other3. Other / Local
Tag Type
Primary Offense Description Victim #1 Name (Last, First, Middle)
Person Code Status Code Damage Code Type Recovery Location Recovery Code Stolen / Recovered
Holmes Beach Police Department
1. Stolen2. Recovered3. Stolen and Recovered4. Suspicious
5. Impounded6. Abandoned7. Fail Return8. Seized9. Other
0. N / A1. Arson2. Criminal Mischief3. During Other Offense
1. Auto2. Truck / Van3. Motorcycle4. Camper / RV5. Bus
6. Trailer7. Boat8. Aircraft9. Other
VEHICLE REPORT
Original Date Reported
Agency Report Number
Description (Identifying Characteristics, Noticeable Damage, Interior Color, etc)
Tag Reg./Doc. # Reg. Year Decal Number
VIN/Hull/FAA Estimated Value
Propulsion
Insurance Company Lien HolderCondition
Hull Material Boat Type
Recovery Address/Geographic Indicator
Recovery Loc. Recovery Code Original Reporting Agency Report Number Reason/Authority
SCIC/NCIC Location of Original Theft
Value Recovered
1. Window Closed
ESPD755NPDH4AE2EH495100 $5,000
2. Locked 3. Keys in Ignition
RED Color (Top/Bottom)
Towed By
Components Stripped
0. N/A 5. Interior 9. Tag/Decal Stolen
10. Other - Spec.0. N/A 8. Unk.2. Tow Truck 4. Steering
5. Ignition 1. VIN Plt.
4. Battery
Person Code Damage Type Year Make
2014 HYUNDA 4DR 4DR
Storage Location
V- VictimS- SuspectA- ArresteeO- Other
5. Park / Playground6. Shopping Mall7. Woods8. Water9. Other
1. Family Residence2. Apt. Complex3. Housing Project4. Commercial / Industrial
4. Stripped / Theft From9. Other
CO
DES
VEH
ICLE
/VES
SEL
VEH
ICLE
INV.
/NA
RR
ATI
VE
Person Code Person # Status Damage StyleModelType Year Make
Reg. State Tag TypeTag Reg./Doc. # Reg. Year Decal Number
VIN/Hull/FAA Estimated Value
Insurance Company Lien HolderCondition 1. Window Closed 1. Window Closed 2. Locked 2. Locked 3. Keys in Ignition 3. Keys in Ignition
Description (Identifying Characteristics, Noticeable Damage, Interior Color, etc) Color (Top/Bottom)
LengthVessel Name PropulsionHull Material Boat Type
Date RecoveredRecovery Address/Geographic Indicator Value Recovered
Recovery Loc. Recovery Code Original Reporting Agency Report Number Reason/Authority
Methodof Theft
00.. NN//AA 88.. UUnnkk..22.. TTooww TTrruucckk
33.. HHoott WWiirree
44.. SStteeeerriinngg
55.. IIggnniittiioonn
Components Stripped
00.. NN//AA 55.. IInntteerriioorr
88.. MMaajjoorr BBooddyy PPaarrttss
99.. TTaagg//DDeeccaall SSttoolleenn11.. VVIINN PPlltt..
44.. BBaatttteerryy
Location of Original TheftTowed By Storage Location SCIC/NCIC
Vehicle #
HoldY - YesN - No
HoldY - YesN - No
Vehicle #
Methodof Theft
2. Tires/Wheels
3. Radio/CB
22.. TTiirreess//WWhheeeellss
33.. RRaaddiioo//CCBB
FL
Case Status
Routed To Referred To
Unit
of
Page
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 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
BORESSGT.COPEMAN 307
326
Arrest Number
20170310POSSESSION STATE OF FLORIDA
11 09A 1
1
2017
__/__/____
__/__/____
04/19/2017__/__/____
__/__/____
USA Rev. 01/21/2003
__/__/____
04/17/2017
Signature of Officer Reporting
Signature of Officer Reviewing
C O P
Y
1. Offense2. Arrest
JuvenileWarn/Dismiss
1. Original2. Supplement
AD
M
Holmes Beach Police Department
POSSESSION
FL0410400 20170310
2 1
BORESSGT.COPEMAN 307
326
ON 04/17/2017 AT 01:09HRS I WAS ON PATROL IN THE PARKING LOT AT 4000 GULF DR.(COUNTY BEACH ACCESS). WHILE ON PATROL I NOTICED A RED HYUNDAI 4DR PARKED INTHE PARKING LOT. I PULLED UP BEHIND THE RED HYUNDAI BEARING FLORIDAREGISTRATION (FL,ESPD75).
I APPROACHED THE RED HYUNDAI ON THE DRIVER'S SIDE AND OBSERVED THE DRIVER WASPASSED OUT BEHIND THE WHEEL. THE KEYS WERE IN THE IGNITION AND THE VEHICLE WASRUNNING AND THE DRIVER HAD FULL CONTROL OF THE VEHICLE. I NOTICED THAT THEREWAS A WHITE FEMALE ALSO PASSED OUT IN THE PASSENGER SEAT. THE PASSENGER WASHOLDING A CLEAR PLASTIC BAG WITH A GREEN LEAFY SUBSTANCE AND A GLASS PIPE.(PHOTO WAS TAKEN AND ATTACHED). I MADE CONTACT WITH THE DRIVER WHO WASIDENTFIED AS JONATHAN M. SCROCCO BY HIS FLORIDA DL (S620433892150). I ADVISED HIMTHAT THE PARK WAS CLOSED AT 10PM AND HE WAS NOT ALOUD TO BE HERE. AS I WASCOMMUNICATING WITH MR. SCROCCO I OBSERVED FRESH TRACK MARKS ON HIS LEFTHAND.
I APPROACHED THE PASSENGER SIDE AND MADE CONTACT WITH THE WHITE FEMALE WHOWAS IDENTIFIED AS SELENA E. TERWILLIGER BY HER FLORIDA DL (T642785969411) AND HERSTEP OUT OF THE VEHICLE. AS I MADE CONTACT WITH HER SHE WAS ATTEMPTING TO HIDETHE CLEAR PLASTIC BAG AND PIPE BETWEEN HER LEGS. MS. TERWILLIGER STATED THATTHE GREEN LEAFY SUBSTANCE WAS “SPICE”. I PLACED MS. TERWILLIGER IN CUSTODY ANDPLACED HER IN THE REAR OF MY PATROL VEHICLE. I ASKED MR. SCROCCO TO STEP OUT OFTHE VEHICLE AND WALK TO THE FRONT OF MY PATROL VEHICLE FOR SFST'S. MR. SCROCCOAGREED TO PARTICIPATE IN SFST'S.
AFTER PARTICIPATING IN SFST'S I ASKED MR. SCROCCO IF HE HAD ANY CONTRABAND INTHE VEHICLE. MR. SCROCCO GAVE CONSENT TO SEARCH THE VEHICLE. I LOCATED EIGHTHYPODERMIC NEEDLES IN THE TRUNK WHICH HAD FLUID INSIDE. I FURTHER LOCATED AGLASS PIPE, AND CLEAR PLASTIC BAG WITH WHITE RESIDUE INSIDE. I ALSO LOCATED ANOPEN VODKA BOTTEL BEHIND THE REAR PASSENGER SEAT. MR. SCROCCO WAS PLACEDINTO CUSTODY.
I LATER TRANSPORTED BOTH MR. SCROCCO AND MS. TERWILLIGER TO MCSO JAIL.
NA
RR
ATI
VE
Original Date Reported
NARRATIVE CONTINUATION
Case Reference
Date of Supplement Agency ORI Number 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
__/__/____
04/17/2017
04/19/2017__/__/____
__/__/____
USA Rev. 01/23/2003
Signature of Officer Reviewing
Signature of Officer Reporting
C O P
Y
2312/11/1993
FL0410400
27
00
0109
01 01 01 00 00
MACNEEL
929 GILMORE AVE 33801LAKELAND
HOSTESS WINGHOUSE
M254104939510
508 120
Holmes Beach Police Department
0109 0109 0530
20170311
FLORIDA
COURTNEY D
DRUGS
01
Mon
Mon Mon
01 STATE OF FLORIDA
2 NN
FW
V 5
2A
BRO BLN
0 0 0 00 0000
FL
MED THN
FL
02
PATROL
1 ACA
WALKER
SGT. M. PILATO 306
13 6B 350A
147 1 350BADRUG EQUIP-POSS
893
893
ADRUG LT 20 GRAM
___-_______
___-__-____
___ ___-____
___-_______
___ ___-____
___-_______
813 285-8019
L S
34217GULF DRIVE HOLMES BEACH4000
0 0
3
3
1
312
1
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
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:
__/__/____
04/17/2017
04/17/2017 04/17/2017
04/17/2017
04/17/2017
__/__/____
USA Rev. 01/21/2003
Signature of Officer Reporting
Signature of Officer Reviewing
Yes No
YYeess NNoo
C O P
Y
Type
Type
Type
Holmes Beach Police Department 20170311
MARIJUANA 3.9
1
CANNABIS GRINDER
1 GRINDER01
1
CANNABIS
1 CANNABIS01
$5
$0
0
A 0
D
D
P 1M
5.00
1.00
8
8
00
0.00
6.00
PATROL312
SGT. M. PILATO
WALKER
306
1
DRUGS STATE OF FLORIDA
A
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
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
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
Activity Description Quantity Unit Estimated Street Value
Activity 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
__/__/____
04/17/2017
04/17/2017
04/17/2017
__/__/____
__/__/____
__/__/____
04/17/2017
__/__/____
USA Rev. 01/21/2003
C O P
Y
Holmes Beach Police Department
20170310
FL0410400 20170311
1 1
02
PATROL
1 ACA
WALKER
SGT. M. PILATO 306
312
ON 04/17/2017, AT 0109 HOURS, I RESPONDED AS A BACK UP OFFICER TO 4000 GULF DRIVE, IN REFERENCE TO 4SUSPICIOUS VEHICLES. UPON ARRIVAL I OBSERVED A BLACK SUV BEARING FLORIDA TAG (#DRRX36) WHICH WASPARKED IN THE CLOSED COUNTY PARK. I THEN SPOKE WITH THE DRIVER COURTNEY MACNEEL, WHO APPEARED TO BENERVOUS. I COULD SMELL THE ODOR OF BURNT CANNABIS EMITTING FROM THE VEHICLE. I ASKED MACNEEL IF THEREWAS ANYTHING ILLEGAL INSIDE THE VEHICLE TO WHICH SHE REPLIED "NO". I THEN ASKED IF SHE MINDED IF ICHECKED. SHE STATED "YES", I COULD DO WHAT I NEEDED TO DO. UPON SEARCHING THE FRONT DRIVERS SIDE, IOBSERVED A SILVER OBJECT WHICH APPEARED TO BE A MARIJUANA GRINDER. UPON OPENING IT, I OBSERVED A GREENLEAFY SUBSTANCE, WHICH FIELD TESTED POSITIVE FOR MARIJUANA. I THEN OBSERVED A CIGARETTE BOX IN THECENTER CONSOLE. UPON OPENING THE BOX, I OBSERVED 3 BURNT MARIJUANA CIGARETTES. I ISSUED MACNEEL ANOTICE TO APPEAR FOR POSSESSION OF CANNABIS(LESS THAT 20 GRAMS), AND POSSESSION OF DRUG PARAPHERNALIA.I TOOK PICTURES OF THE EVIDENCE AND PLACED IT INTO THE HOLMES BEACH POLICE DEPARTMENTS EVIDENCE LOCKERNUMBER 2.
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
__/__/____
04/17/2017
04/17/2017
__/__/____
04/17/2017
USA Rev. 01/21/2003
Signature of Officer Reporting
Signature of Officer Reviewing
C O P
Y
506FW 4507/30/1971 GRN BLN
FL0410400
0100
0026
01 01 01 00 00
KIER
193 KEMP DR 14502MACEDON
972872612
Holmes Beach Police Department0026 0034 0102
20170314
STEPHANIE L
COV/NOISE
1
Tue
01 ANONYMOUS203 73RD ST HOLMES BEACH 34217
2 UU
V 3
2A
0 0 0 00 0000
FL
NY
NY
PATROLC.LABRANCHE
SGT. M. PILATO 306CODE
0 0 00000CCOV/NOISE
___-_______
___-__-____
813 241-5368
___-__________ ___-____
___-_______585 420-8219
3421772ND ST HOLMES BEACH2040
5
1
318
1
UNITS RESPONDED TO 703 73RD ST REGARDING A COMPLAINT OF LOUD TALKING COMING FROM BEHIND THAT RESIDENCE.I ARRIVED AND COULD HEAR SOME SHOUTING FROM THE ROADWAY. I COULD HEAR MUSIC, LOUD TALKING, LAUGHING ANDOCCASIONAL SHOUTING COMING FROM THE SOUTH EAST CORNER OF THE CALLER'S BACKYARD WHICH WAS ADJACENT TOTHE NOISE SOURCE. THE dB READING FROM THIS AREA WAS AT 55dB PEAKING AT 67dB. WHILE INVESTIGATING THISCOMPLAINT, A SECOND NOISE COMPLAINT FROM AN ANONYMOUS MALE ADVISING LOUD NOISE IN THE SAME AREA. ILOCATED THE SOURCE OF THE NOISE AT 204 72ND ST. KIER ADVISED SHE WAS IN CHARGE OF THE RENTAL PROPERTYAND WAS ISSUED A COV CITATION FOR 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:
__/__/____04/18/2017
04/18/2017__/__/____
USA Rev. 01/23/2003
Tue Tue04/18/2017 04/18/2017
00
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
2 1
CODEPATROL
C.LABRANCHESGT. M. PILATO 306
318
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
__/__/____
04/18/2017
04/18/2017__/__/____
__/__/____
USA Rev. 01/23/2003
20170314FL0410400
Signature of Officer Reviewing
Signature of Officer Reporting
C O P
Y
509MW 3211/27/1984 BRO BLK S S
FL0410400
26
00
0743
01 01 01 00 00
BRUNO VASQUEZ
608 22ND PL E 34208BRADENTON
PREMIUM PAINTERS
B-651-720-84-427-0
Holmes Beach Police Department
0743 0743 0835
20170315
MEXICO
RAFAEL
DRIVERS LICENSE
01
Tue
01 STATE OF FLORIDA
2 NN
V 0
2A
0 0 0 00 0000
FL
MED THN
FL
01
PATROL
1 ACA
J. PIERCE
SGT. M. PILATO 306
03 1 9000
02 1 9000CVEHICLE
322
320
CDRIVERS LIC
___-_______
___-__-____
___ ___-____
___-_______
___ ___-____
___-_______
___ ___-____
34217MARINA DR HOLMES BEACH5400
0
4
4
1
309
3
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:
__/__/____
04/18/2017
04/18/2017
__/__/____
USA Rev. 01/23/2003
Tue Tue04/18/2017 04/18/2017
Sex Date of BirthRace Age
04/18/2017
Yes No
YYeess NNoo
0
Signature of Officer Reporting
Signature of Officer Reviewing
C O P
Y
Holmes Beach Police Department
NO DL NO MOTO REG
2 1
01
PATROL
1 ACA
J. PIERCE
SGT. M. PILATO 306
309
ON 04-18-17 WHILE OBSERVING TRAFFIC I OBSERVED A GREY LINCOLN TOWN CAR BEARING FL TAG #DAZR82TRAVELING NORTH ON GULF DR. UPON RUNNING THE TAG THROUGH FCIC/NCIC IT RETURNED ON A RED FORD STATIONWAGON. I CONDUCTED A TRAFFIC STOP ON THE VEHICLE AT THE 5400 BLOCK OF MARINA DR. UPON SPEAKING WITHTHE DRIVER (RAFAEL BRUNO VASQUEZ) HE DID NOT HAVE A DRIVERS LICENSE AND HANDED ME A MEXICAN ID CARD.HE IS NOT A US CITIZEN AND STATED HE WORKED FOR PREMIUM PAINTERS. UPON RUNNING THEVIN#1LNLM82W4SY657370(IL) THROUGH FCIC/NCIC IT SHOWED EXPIRED 09-15-15. SGT PILATO SPOKE WITH THEGIRLFRIEND OF (RAFAEL BRUNO VASQUEZ). SHE HELPED TRANSLATE OVER THE PHONE THAT HE PUT THE LICENSEPLATE FROM THEIR OTHER VEHICLE ON THIS ONE AND THEY BOUGHT IT BUT HAD NOT REGISTERED IT YET. THERE WASALSO NO INSURANCE ON THIS VEHICLE. I VERIFIED (RAFAEL BRUNO VASQUEZ) IDENTITY AND ISSUED HIM NOTICESTO APPEAR FOR NO VLID DL AND OPERATING AN UNREGISTERED MOTOR VEHICLE. ELMERS RESPONDED (ROTATION) TORETRIEVE THE VEHICLE.
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
__/__/____
04/18/2017
04/18/2017
__/__/____
04/18/2017
USA Rev. 01/23/2003
20170315FL0410400
Signature of Officer Reviewing
Signature of Officer Reporting
C O P
Y
2912/03/1987
FL0410400
25
00
0938
01 01 01 00 00
CONTRERAS CEJA
611 22ND PL E UNIT 212 34208BRADENTON
PANTER PREMIER PAINTER
C-536-060-87-943-0
502 140
Holmes Beach Police Department
0938 0938 1148
20170316
MEXICO
BERENICE
DRIVERS LICENSE
01
Tue
Tue Tue
01 STATE OF FLORIDA
2 NN
FW
V 0
2A
BRO BLK
0 0 0 00 0000
FL
MED THN
FL
01
PATROL
1 ACA
J. PIERCE
SGT. M. PILATO 306
34 5 9000
02 1 9000CVEHICLE
322
320
CDRIVERS LIC
___-_______
___-__-____
___ ___-____
___-_______
___ ___-____
___-_______
___ ___-____
M S
34217EAST BAY DR HOLMES BEACH3260
0 0
4
1
1
309
1
TATTOO HAND GRIM REAPER
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
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:
__/__/____
04/18/2017
04/18/2017 04/18/2017
04/18/2017
04/18/2017
__/__/____
USA Rev. 01/21/2003
Signature of Officer Reporting
Signature of Officer Reviewing
Yes No
YYeess NNoo
C O P
Y
Type
Type
Type
Holmes Beach Police Department 20170316
1
FL TAG 477NJS
1 FL TAG #477NJS01 0 Z8
00
FL TAG #477NJS
0.00
0.00
PATROL309
SGT. M. PILATO
J. PIERCE
306
1
DRIVERS LICENSE STATE OF FLORIDA
A
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
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
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
Activity Description Quantity Unit Estimated Street Value
Activity 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
__/__/____
04/18/2017
__/__/____
__/__/____
__/__/____
__/__/____
__/__/____
04/18/2017
__/__/____
USA Rev. 01/21/2003
C O P
Y
Holmes Beach Police Department
DRIVERS LICENSE
FL0410400 20170316
2 1
01
PATROL
1 ACA
J. PIERCE
SGT. M. PILATO 306
309
ON 04-18-17 WHILE ON ROUTINE PATROL I OBSERVED A WHITE HONDA CIVIC BEARING FL TAG #477NJS IN THEPARKING LOT IN FRONT OF THE DOLLAR TREE. THE VEHICLE WAS OCCUPIED BY A FEMALE. UPON RUNNING THE TAGTHROUGH FCIC/NCIC IT RETURNED AS NOT REGISTERED AND HAD EXPIRED AS OF 12-20-12. IT DID NOT BELONG ONTHE VEHICLE. THE EXPIRATION STICKER ON THE PLATE WAS ALSO IMPROPER AND READ 11-16. I NOTIFIED SGTPILATO OF THE VEHICLE AND UPON SEEING IT LEAVE THE AREA I CONDUCTED A TRAFFIC STOP ON IT AS ITTRAVELED SOUTH THROUGH THE PLAZA. THE FEMALE DRIVER (BERENICE,,CONTRERAS CEJA) HANDED ME HER PASSPORTAND STATED SHE DID NOT HAVE A DRIVERS LICENSE. UPON RUNNING HER LICENSE THROUGH FCIC/NCIC SHE WASSUSPENDED AS OF:01/29/2013 CANC-INDEF DL EXPIRED-F.S. 322.08 (6)06/09/2009 REV-60.0 MOS HABITUAL TRAFFIC VIOLATOR10/26/2016 REV-60.0 MOS HABITUAL TRAFFIC VIOLATOR10/26/2016 FR-SUSP SR-26 RECEIVEDTHE VIN# 1HGES16542L028895 OF THE HONDA SHOWED IT AS UNREGISTERED. THE DEFENDANT ALSO HAD 5 PRIOR DWLSCONVICTIONS. I PLACED HER IN HANDCUFFS FOR DRIVING ON A REVOKED LICENSE AS A HABITUAL TRAFFIC OFFENDERAND OPERATING AN UNREGISTERED MOTOR VEHICLE. HER HUSBAND RESPONDED TO RETRIEVE HER BELONGINGS. MATT'SEXPRESS RESPONDED (ROTATION) TO RETRIEVE THE UNREGISTERED MOTOR VEHICLE. I TRANSPORTED (BERENICE,,CONTRERAS CEJA) TO THE STATION TO COMPLETE PAPERWORK. UPON COMPLETING PAPERWORK I DELIVERED HER TOMCSO TRANSPORT AT 75TH ST AND MANATEE WITHOUT INCIDENT.CITATIONS: A2H5LSE A2H5LTETHE LICENSE PLATE WAS PLACED IN PROPERTY AS SEIZED TO BE TURNED OVER TO DHSMV.
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
__/__/____
04/18/2017
04/18/2017
__/__/____
04/18/2017
USA Rev. 01/21/2003
Signature of Officer Reporting
Signature of Officer Reviewing
C O P
Y
411FW 5912/05/1957
FL0410400
0300
1343
01 00 01 00 00
COBLENTZ
308 60TH ST 34217HOLMES BEACH
C145110579450
Holmes Beach Police Department1343 1343 1449
20170317
CHERYL JEAN
BAKER ACT
01
Tue
01 COBLENTZ308 60TH ST HOLMES BEACH 34217
LUCAS MICHAEL TRENTAL
2 MW
C 3
2A
1 1 0 00 0000
FL
FL
LT THN
FL
PATROLJ. PIERCE
SGT. M. PILATO 306
467 9000394CBAKER ACT
___-_______
___-__-____
___ ___-____
___-__________ ___-____
___-__________ ___-____
3421760TH ST HOLMES BEACH3080
9
1
309
1
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:
__/__/____04/18/2017
04/18/2017__/__/____
USA Rev. 01/23/2003
Tue Tue04/18/2017 04/18/2017
18
Sex Date of BirthRace Age
10/09/1998
__/__/____
YYeess NNoo
YYeess NNoo
0
Signature of Officer Reporting
Signature of Officer Reviewing
C O P
Y
Holmes Beach Police Department
BAKER ACT
1 1
PATROLJ. PIERCE
SGT. M. PILATO 306309
ON 04-18-17 I RESPONDED TO 308 60TH ST IN REFERENCE TO A POSSIBLE DOMESTIC RELATED BAKER ACTSITUATION. UPON ARRIVAL I OBSERVED (CHERYL JEAN COBLENTZ) THROWING FURNITURE FROM THE BALCONY OF THERESIDENCE. THE COMPLAINANT(LUCAS COBLENTZ)WALKED UP TO THE SCENE. LUCAS COBLENTZ ADVISED HIS MOTHERHAS GONE CRAZY AND HAD THROWN HIS GUITAR CASE AND BROKE IT AND ALSO TAKEN HIS DOOR FROM THE HINGES ANDTHROWN IT OUTSIDE OFF THE BALCONY AND BROKEN IT. UPON TRYING TO MAKE CONTACT WITH CHERYL COBLENTZ SHELOCKED THE DOOR ON ME AND WENT INSIDE THE RESIDENCE. SHE THEN WALKED OUT THE BACK DOOR WHERE SGTPILATO WAS. ONCE ESTABLISHING THAT THE DOOR WAS HER SONS PROPERTY AND THE GUITAR CASE SHE DESTROYEDWAS ALSO HIS AND THAT LUCAS WANTED TO PURSUE CHARGES, SGT PILATO AND I PLACED CHERYL COBLENTZ INHANDCUFFS (DOUBLE LOCKED). SHE ACTIVELY RESISTED THE ENTIRE TIME AND HAD TO BE WALKED OUT TO THE FRONTYARD AND THEN FAKED THAT SHE PASSED OUT IN THE ROADWAY. SGT PILATO THEN NOTIFIED EMS AND THEYRESPONDED TO THE SCENE TO CHECK ON HER. UPON SECOND INTERVIEW WITH HER SON LUCAS HE ADVISED THAT HEWALKED INTO THE HOUSE AND FOUND HIS MOTHER CUTTING HERSELF WITH GLASS. CHERYL HAD CUTS ALL OVER HERARM AND THERE WAS BLOOD IN THE HOUSE. UPON EMS ARRIVAL I ADVISED THAT COBLENTZ WOULD BE PLACED UNDER ABAKER ACT. I FOLLOWED EMS TO THE HOSPITAL AND FILLED OUT THE PAPER WORK FOR THE BAKER ACT AS COBLENTZWAS IN FACT A DANGER TO HERSELF.
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
__/__/____
04/18/2017
04/18/2017__/__/____
__/__/____
USA Rev. 01/23/2003
20170317FL0410400
Signature of Officer Reviewing
Signature of Officer Reporting
C O P
Y
Holmes Beach Police Department FL0410400
08
00
0041
01 00 00 00 00
CARTER
201 HARVERKOS CT UNIT A HOLMES BEACH 34217
0041 0041 0203
20170319
CRISTIN MARIE
MARCHMAN
Wed Wed
Wed
2 FW 1 1 0 00 0000
01O 3
FL
0 0 00009 0AMARCHMAN ACT
___-_______
___-__-____
___ ___-____
___-_______
___ ___-____
___-_______
___ ___-____
34217MARINA DRIVE HOLMES BEACH5410
0 0
ON 04/19/2017, I WAS DISPATCHED TO 5410 MARINA DRIVE, IN REFERENCE TO AN ASSIST EMS WITH A UNCONSCIOUSFEMALE. UPON ARRIVAL I OBSERVED THE SUBJECT PASSED OUT AT A BOOTH. I ATTEMPTED SEVERAL TIMES TO WAKEHER UP BUT WAS UNSUCCESSFUL. I THEN LAID THE FEMALE ON THE GROUND AND WAITED FROM EMS. WE ATTEMPTED TOCONTACT SOMEONE TO TAKE RESPONSIBILITY FOR HER BUT WERE UNABLE TO MAKE CONTACT. DUE TO HER BEINGEXTREMELY INTOXICATED AND NOT HAVING ANYONE TO CARE FOR HER I COMPLETED A MARCHMAN ACT FORM AND EMSTRANSPORTED HER TO BLAKE. I ALSO RESPONDED TO BLAKE AND TURNED IN MY PAPERWORK. I FELT THE SUBJECTWOULD BE UNABLE TO CARE FOR HERSELF IF LEFT UNATTENDED.
WALKER
SGT.COPEMAN 307
312
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
36
__/__/____
04/19/2017
04/19/2017 04/19/2017
__/__/____
04/19/2017
__/__/____
05/07/1980
Signature of Officer Reporting
Signature of Officer Reviewing
YYeess NNoo
YYeess NNoo
12 NOFFENSE-INCIDENT REPORTGangRelated
C O P
Y
Holmes Beach Police Department FL0410400
2600
1900
1 1 1 0 0
CITY OF HOLMES BEACH
2358 E HAYES ST 34453IVERNESSLABORER IMGS400555753410SHORTS AND TEE SHIRT
510 200
1900 1900 19301900 1930
41
20170324 COV ALCOHOL
Wed WedWed
2 NN 0 0 0 00 0000
1V 5
SOLLEY MATTHEW PAUL1 2A
MW BRO BRO
FL
S SLT MED
FL
6 6-3A 00005 0CCOV/ALCOHOL
___-_______
___-__-____
___ ___-____
___-__________ ___-____
___-_______352 287-4341
34217GULF DR HOLMES BEACH50000 0
DEFENDANT WAS WALKING ON GULF DR IN THE 5000 BLK CONSUMING ALCOHOL (BUDWEISER)IN A BROWN PAPER BAG. IMADE CONATCT WITH HIM AND ISSUED A COV CITATION FOR ALCOHOL.
BORESSGT.COPEMAN 307
326
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
__/__/____04/19/2017
04/19/2017 04/19/2017
__/__/____
04/20/2017__/__/____
09/21/1975
Signature of Officer Reporting
Signature of Officer Reviewing
Yes No
YYeess NNoo
12 NOFFENSE-INCIDENT REPORTGangRelated
C O P
Y