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GO# 2020-57578 DISCLQS~ URE Puose: DISCLOSURE Date Released: Thursday, 2021-Sep-09 Time Released: 08:47 C GENERAL OCCURRENCEHARDCOPY Authorized by: C278-ZDEBIAK, WENDY Released by: C288-BROWN, LYNN RELEAS.ED_TO MISSING PERSON Business: PUBLIC INQUIRY SUMMON TO PRODUCE EVIDENCE RE: BURTON INQUIRY ••• CONFIDENTIAL For: C288 Printed On: Thursday, 2021-Sep-09 Page 1 of 17 Exhibit P-185 Page 1

RNC GENERALOCCURRENCEHARDCOPY

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Page 1: RNC GENERALOCCURRENCEHARDCOPY

GO# 2020-57578

DISCLQS~URE

Purpose: DISCLOSURE Date Released: Thursday, 2021-Sep-09 Time Released: 08:47

RNC

GENERAL OCCURRENCEHARDCOPY

Authorized by: C278-ZDEBIAK, WENDY Released by: C288-BROWN, LYNN

RELEAS.ED_TO

MISSING PERSON

Business: PUBLIC INQUIRY SUMMON TO PRODUCE EVIDENCE RE: BURTON INQUIRY

••• CONFIDENTIAL •••

For: C288 Printed On: Thursday, 2021-Sep-09 Page 1 of 17

Exhibit P-185 Page 1

Page 2: RNC GENERALOCCURRENCEHARDCOPY

Main offence: MISSING PERSON - COMPLETEDOperational status: INVESTIGATION PENDINGLocation: , CONCEPTION BAY SOUTHDistrict: K Zone: 40 Atom: 150666Approved on: Wednesday, 2020-Oct-28 by: C361 HENLEY, CHRISTINEReported on: Tuesday, 2020-Oct-27 08:48Occurred on: Tuesday, 2020-Oct-27 08:48Submitted by: 568 COLLETT, HARVEY Org unit: Si COMMUNICATIONS TRCDowntime in minutes: 0

CCJS InformationCCJS Status: STILL UNDER INVESTIGATIONOffences committed: MISSING PERSON - COMPLETED

MENTAL HEALTH ACT INC SUIC ATT - COMPLETEDLocation type: DWELLING UNIT

Related Event(s)CP 2020-57578

ReIatedfcrsns

1. COMPLAINANT I - (Case-specific)Sex: FEMALE, Born on:Residing at:

NEWFOUNDLAND & LABRADOR

Phone numbers

Type Phone # Ext.HOME (Primary)

BUSINESS (Priman’)

Particulars

Employer address:Ethnicity: CAUCASIANRemarks:

Linkage t

Ethnicity: CAUCASIAN, NO conditionResulting in: NO INJURIESResident status: RNC JURISDICTIONStatement taken: NONE

Master Name Summaiw

Name:Sex: FEMALE, Born on:Residing at: CONCEPTION BAY SOUTH

*** CONFIDENTIAL ***

General Occurrence Information

For: C288 Printed On: Thursday, 2021-Sep-09 Page2ofl7j

Exhibit P-185 Page 2

Page 3: RNC GENERALOCCURRENCEHARDCOPY

Phone numbers

Type Phone #HOME (Primary)

BUSINESS (Primary)

2. MISSING PER 1 - (Case-specific)Sex: MALE, Born on:Residing at: . CONCEPTION BAY SOUTH

NEWFOUNDLAND & LABRADORParticulars

Ethnicity: CAUCASIAN

Linice factors

Ethnicity: CAUCASIAN , NO conditionResulting in: NO INJURIESResident status: RNC JURISDICTIONStatement taken: NONE

Master Name SummaryName:Sex: MALE, Born on:Residing at: ST JOHNS

NEWFOUNDLAND & LABRADOR

Missing Pnwi Details

OTHER - (SPECIFY IN REMARKS), MISSINGYoung offender: NO Photo: NOProbable cause: OTHER - (SPECIFY IN REMARKS)History: REPEATMissing from: OTHER - (SPECIFY IN REMARKS)Dental chart: UNAVAILABLEDisability: DEPENDENT ON MED FOR PHYSICAL I MENTAL HEALTHMissing Pchills

Missing since: Tuesday, 2020-Oct-27 08:48Last seen on: Tuesday, 2020-Oct-27 07:40 Place: HOME

HiMciy Information

Missing before: NORemarks: MISSING FROM , THIRD INCIDENT.Case status: OPEN (NOT LOCATED) CPIC status: NOT ENTEREDMarks available: NOClothes description: NO

3. GUARDIAN-P 1 -

Sex: MALE, Born on:

NEWFOUNDLAND & LABRADOR

CONFIDENTIAL

NEWFOUNDLAND & LABRADOR

Ext.

For: C288 Printed On: Thursday, 2021-Sep-09 Page 3 of 17

Exhibit P-185 Page 3

Page 4: RNC GENERALOCCURRENCEHARDCOPY

Type Phone #CELLULAR

HOMEBUSINESS

Particulars

Occupation: LANDLORDRemarks: , NL

4. EDP 1 - (Case-specific)Sex: MALE, Born on:Residing at: , CONCEPTION BAY SOUTH

NEWFOUNDLAND & LABRADOR

Master Name Sumrn’

Name:Sex: MALE. Born on:Residing at: , CONCEPTION BAY SOUTH

NEWFOUNDLAND & LABRADOR

Complaint InformationIncident LocationAddress:Zone: 40 Telephone no:

General Information

Type: FOLLOWUPCase type: MISSING PERSON - IN PROGRESS Priority: 1Time received:Dispatched: Enroute:Scene:Cleared: 18:21:52liow received: TELEPHONEUnit ids: #1 -251 #2-209Call taker LD: CT2 SLANEY, SAMANTHA

corn pJainant Thf2rmation

Name:Home telephone:Business telephone:

Clearance Information

Remarks: REPORT TO FOLLOWFinal Case type: MISSING PERSON - IN PROGRESSReporting offlcierl:818- BURRY, JOSEPHReport expected: YESFounded: YESCleared by: NO FURTHER ACTION INOTES I REMARKS REQUI

CONFIDENTIAL ***

Phone numbers

Ext.(Primary)(Primary)(Primary)

For: C288 Printed On: Thursday, 2021-Scp-09 Page 4 of 171

Exhibit P-185 Page 4

Page 5: RNC GENERALOCCURRENCEHARDCOPY

cm RNC

0 GENERAL OCCURRENCE HARDCOPY

G0# 2020-57578 MISSING PERSON

Additional Remarks

2199292 10/27/2020 LAST TIME WAS HANGING OUT IN THE WOODS BEHIND TINYS BAR ANDGRILL CT2 C227 085204 SLANEY, SAMANTHA

CONFIDENTIAL ***

For: C288 Printed On: Thursday, 2021-Sep-09 Page 5 of 17

Exhibit P-185 Page 5

Page 6: RNC GENERALOCCURRENCEHARDCOPY

RNC

a GENERAL OCCURRENCE HARICOPY

CO# 2020-57578 MISSING PERSONn

Narrative: SYNOPSIS OF CASE - I

Author: 818 BURRY, JOSEPHRelated date/time: Tuesday, 2020-Oct-27 10:51

Synopsis of Case

[2020-10-27

0852Hrs Unit 251, Cst J. Burry #818 responded to Hy, CBS to a report ofa missing person. Complainant, , called the police to report that

was for the third time from the . He often goes into thewoods and stays there. is 51 years old, last seen around O73OHrs thismorning wearing dark blue jeans, black T-shirt, grey sneakers, zip up PUMAhoodie grey with orange trim and he does not have a cell phone.

0858Hrs Cst Hurry arrived in the area and spoke with CN on the phone. CNadvised that she received a call from night staff around 0744Hrs this morningadvising that had left, no where to be seen on the property. CN saidthat he was in a good mood, he ate his breakfast and too his medications. CNadvised that does walk to the Orangestore, Pipers and Tim Hortons. CstBurry advised that he would search around for prior to obtaining astatement and a missing persons report.

0905-0938Hrs Cst Hurry searched around the around, checking side roads andbusiness with negative results.

O95OHers Cst Hurry completed a missing persons report and obtained a writtenstatement from CN, .

lOO3Hrs Cst Hurry called Sgt Deacy and advised him of teh missing person. SgtDeacy advised taht he would speak with the duty officer and get back to me.

lO4OHrs Sgt Deacy advised that ROVERS have been requested and will be attendedto conduct a search.

Rovers arrived onscene and setup command post at the old RONA parking lot onCBS HY. Rovers members as well as RNC members were searching for .

At approximately l6lOHrs the ROVERS located hiding in a wooded area offPond Rd, CBS near the ROVERS command post. was hiding in a sitting hutalong the river.

told police that he will not go back to the , he doesn’t feelcomfortable there and would rather die than go back. said that he wantsto go to to live where he ha family.

CONFIDENTIAL ***

For: C288 Printed On: Thursday, 2021-Sep-09 Page 6 of 171

Exhibit P-185 Page 6

Page 7: RNC GENERALOCCURRENCEHARDCOPY

ra RNC‘‘ GENERAL OCCURRENCE HARDCOPY

GO# 2020-57578 MISSING PERSON

lE57Hrs Cst Burry conveyed to the PAU of the Waterford Hospital. Theowner advised that he would attend also, .

l7l6Hrs Cst Burry arrived at the PAt) with and staff were familiar withhim and his situation.

EDP completed, File concluded.]

++÷Officer Reminders÷++=> Missing Person Report: Complete the Missing Person Detail Page=> Theft of Motorized Vehicle: Complete the Stolen Vehicle Detail Page=> Seized Vehicle:

Complete paper forms - R12 Property Form AND Impounded Vehicle Form

*** CONFIDENTIAL ***

For: C288 Printed On: Thursday, 2021-Sep-09 Page 7 of 171

Exhibit P-185 Page 7

Page 8: RNC GENERALOCCURRENCEHARDCOPY

Author: 818 BURRY, JOSEPHRelated date/time: Tuesday, 2020-Oct-27 18:12

PERSONS

CPIC REMOVAL REQUEST

]WANT I ]ELOPEE [X ]MISSING PERSON

SURNAME:

Gi:

G2:

DOE:

[

[LOCATED/FOUND DATE: [2020] - [101 - [27] TIME: [1610 1

PLACE:

[Pond RD, CBS

REMARKS:

[Located safe.

Yr Mt Dy

I

VEHICLE RELATED:

]STOLEN VEHICLE ISTOLEN LICENSE PLATE

TYPE:

LICENSE ft:PROV:

LICENSE YEAR: [VIN:

RECOVERY CONDITION STATUS:

I

RECOVERY DATE:

RECOVERED BY:

]-[ ]—[ ] TIME:Yr Mt Dy

STREET LOCATION: MUNICIPALITY: [ I

I

*** CONFIDENTIAL ***

For: C288 Printed On: Thursday, 2021-Scp-09 Page 8 of 171

Nirnajjyç: CPIC REMOYAL REOVEST -1

Exhibit P-185 Page 8

Page 9: RNC GENERALOCCURRENCEHARDCOPY

RNC

0

GENERAL OCCURRENCE HARDCOPY!

004 2020-57578 MISSING PERSON

REMARKS:

]ARTICLES [ ]SEcURITIES

TYPE:

Si:

92:

REMARKS:

C ]

REMOVAL FROM CPIC:

INVESTIGATING OFFICER; [joseph burryRAEK; [cst ] REG#: [818 1

DATE AUTHORIZED: [2020 ]-[10-]-[27Yr Mt Dy

*** CONFIDENTIAL ***

For: C288 Printed On: Thursday, 2021-Sep-09

________ __________- _________-

Page 9 of Y I

Exhibit P-185 Page 9

Page 10: RNC GENERALOCCURRENCEHARDCOPY

Continuation Report[2020-10-27 Received a cal from Cst. Burry that had gone missingfrom his home. Contacted duty officer and informed him of same and of

outstanding issue and medical concerns. The approval for GSR to becalled out was given.

I contact Rovers command and they conducted a call out for a search with amuster point of the old Ronna building in Kelligrews off route 60.

11:55 I arrived on scene and several of the rovers vehicles along withsearchers were already on scene and gearing up.

12:00 tasked unit 247 with Cst. Philpot and Cst. Jamison to check with staff atTinys bar and see if staff has seen him or they have any security footage. Withthe low cloud and rain the ability to us a helicopter is not a option.

1215 Search team made up and teams sent to roadways west as far as Seal Coveand East to Foxtrap access road.

12:25 Cst. Philpot reported back that they had on camera heading West at730.

12:40 Cst. Burry going to check roadways East from Hollywood. Unit 247checking area of Red bridge convince for video footage.

13:04 Red Bridge Convince did not have on video.

13:20 Negative result on any of teams searching the road ways.

13:30 Had the rovers make the call to have ATV attend along with Argo toconduct search of the walking trails both East and West of our position.

15:00 No new sighting from teams or from Public. Teams have serached to Napaon the trail system and have cover tail to Seal Cove. Still have two teams outin vehicles driving the roadway plus two police units.ATV and Argo still driving the trail system and other side trails in the area.

16:05 Received a call from Comm Center that had been spotted in the areaof Pond Road about a hour ago. Had All teams responded to the pond rd area.

16:16 was located by team 1 in the woods beside Pond Rd. They

*** CONFIDENTIAL ***

Narrative: CONTINUATION REPORT - ICONTINUATION REPORT

Author: 640 DEACY, COHNRelated date/time: Tuesday, 2021-Jul-27 10:23

For: C288 Printed On: Thursday, 2021-Sep-09 Page 10 of 171

Exhibit P-185 Page 10

Page 11: RNC GENERALOCCURRENCEHARDCOPY

• RNCGENERAL OCCURRENCE HARDCOPY

GO# 2020-57578 MISSING PERSON

drove up and noticed him standing on the side of the road at the start of thetrail.

16:25 was turned over to Cst. Bury. Cst. Bury and I spoke withand he expressed how unhappy he was at the and did not want to

stay there. At this point staff from the home attended scene and they wereinformed that Mr. would be taken the PAT) to been seen. Also AdultSocial Services was contacted.

16:45 All Rovers and Rovers assists have been returned to Rona and were on wayback to the Rover building.

*** CONFIDENTIAL ***

For: C288 Printed On:_Thursday,_2021-Scp-09 Page 11 of El

Exhibit P-185 Page 11

Page 12: RNC GENERALOCCURRENCEHARDCOPY

it.;y RNC

0 GENERAL OCCURRENCE HARDCOPYGO# 2020-57578 MISSING PERSON

Narrative: FILE CONCLUSION - IEDP Follow up

Author: 789 COSTELLO, SHERIRelated date/time: Wednesday, 2020-Nov-il 13:20

File Conclusion Form

RNC File 4: [20-57578Concluding Remarks

2020 11 11

Cst. Abbott was assigned MCRT while writer was working in Labrador (2 weeks)Writer learnt that Cst. Abbott had printed off the EDP and added it to theLedger and Spreadsheet.MCRT Clinician completed follow up with client and this was documented onEastern Health’s Meditech system. Clinical Lead authorized closure of EDPJHas all property/persons been added/removed from CPIC/ICAN?[ ) Yes [ ] NoComplainant Notified? [ ] Yes [ I No Reg.#:

Date: Time:In Person t ] By Telephone [ I By LetterMessage Left With:

Motor Vehicle RecoveryUnknown

Not RecoveredRecovered - No DamageParts and/or Accessories MissingDestroyed - Not Burned

Person Who Found Vehicle

Name;

I Unfounded

LX I Not Cleared

I Cleared by Charge

Destroyed - Burned

I ) Condition UnknownRecovered - With Damage

[X I Not applicable

Accused Under 12 Years of AgeAccused Committed to Mental HospitalAccused Outside Canada, Cannot be Returned

*** CONFIDENTIAL

How Notified?

Type of Fraud

[XIII1)I I

Not ApplicableCheque

Transaction Card

Telemarketing

Number of Counts: [ ISecurities/Financial InstrumentsFalse Claims - Insurance

I False Claims - Government

Computer [ I Other

Location:

Date:Time;

CCJS

For: C288 Printed On; Thursday, 2021-Sep-09 Page 12 or171

Exhibit P-185 Page 12

Page 13: RNC GENERALOCCURRENCEHARDCOPY

Suicide of Accused

C ] Death of AccusedDeath of Complainant

C ] Beyond Control of Dept

C ] Diplomatic Immunity

Complainant Declined to Lay ChargesAccused Involved in Other IncidentsAccused Already SentencedDepartmental DiscretionDiversionary Program

Concluded Date: [20 11 11[Cst. Costello

I By Reg#: [789 Name:

Approved Date:

(Supervisor)

Signature:

Signature:

By Reg#: C ] Name:

*** CONFIDENTIAL ***

-

RNC

0 GENERAL OCCURRENCE HARDCOPYGO# 2020-57578 MISSING PERSON

For: C288 Printed On: Thursday, 2021-Sep-09 Page 13 of 171

Exhibit P-185 Page 13

Page 14: RNC GENERALOCCURRENCEHARDCOPY

Emotionally Disturbed Person (SDP) Contact Form

EDP DOEEDP Phone ft

[196 8-12-21

[834-4800II

Date and Time of EDP ContactDate [2020-10-27 3 Time [1610

Brief Synopsis of Incident and Behaviour Observed:

[ left the this morning at O73OHrs and police could notlocate him. hides from police and the ROVERS search and rescue.is a risk to himself as he has gone missing for days in the past. With the coldweather coming, his safety is an issue.]

Crisis Line Consulted: [NO[PAU is the best option

MCRT Requested: [NO

[PAU is the best option

EDP Outcome

If no, reason why below (mandatory)

I If no, reason why below (mandatory)

If Detention is made, complete below MHCTA Detention information:

Time of Arrival at Hospital:Time cleared from Hospital:

Medical Clearance Required: [ ]No

This section to be completed by MCR Team Officer

Follow up Action Taken and Service provided by the MCRT team

IEDP Contact Form forwarded to Health Authority

]Health Authority confirmed that action was taken on EDP Contact Form

Additional Remarks

I

Narrative: EDP FORM - I

Author: 818 BURRY, JOSEPHRelated date/time: Tuesday, 2020-Oct-27 18:07

[Accepted Voluntary Escort

[[

]Yes

CONFIDENTIAL ***

For: C288 Printed On: Thursday, 2021-Sep-09 Page 14 of 171

Exhibit P-185 Page 14

Page 15: RNC GENERALOCCURRENCEHARDCOPY

RNC

0 GENERAL OCCURRENCE HARDCOPY!

GO# 2020-57578 MISSING PERSON

*** CONFIDENTIAL ***

For: C288 Printed On: Thursday, 2021-Scp-09 Page 15 of 171

Exhibit P-185 Page 15

Page 16: RNC GENERALOCCURRENCEHARDCOPY

Assignment lHformaon

Assigned to: 789 COSTELLO, SlIER! Rank: CONSTABLECapacity: INVESTIGATION Org unit: ST JOHNS - PLATOON A - WESTAssigned on: Wednesday, 2020-Oct-28 07:18 by: C361 HENLEY, CHRISTINEReport due on: Wednesday, 2020-Dec-09

Submissicp/ApprQnllnfQrmatiqi!

Submitted on: Wednesday, 2020-Nov-liChecked by: 568 COLLETT, HARVEYApproved on: Tuesday, 2020-Dec-IS by: 568 COLLETT, HARVEYFollowup status: CONCLUDED

YktimLCcmplainantlnforrnatkm

Complainant/Victim notified: NO

*** CONFIDENTIAL

Follow Up Report # 1

For: C288 Printed On: Thursday, 2021-Sep-09 Pag6ofifl

Exhibit P-185 Page 16

Page 17: RNC GENERALOCCURRENCEHARDCOPY

END OF HARDCOPY ***

*** CONFIDENTIAL ***

For: C288 Printed On: Thursday, 2021-Scp-09 Page 17 of 17j

Exhibit P-185 Page 17

Page 18: RNC GENERALOCCURRENCEHARDCOPY

ItS Communications Log (ICS 309)

1. INCIDENT NAME AND ACTIVATION NUMBER 2. OPERATIONAL PERIOD (Date/rime)MissIng person çrom

3. RADiO NET NAME (for NCOs) OR POSITION ITACTICAL 4. RADIO OPERATOR (Name, Call Sign)

5. FREQUENCYICHANNEL

Time From Call To Call Msg # MessageSign Sign

2020/10/2711:50:0 5340 700, 701, 702, 703 arrIved on scene011:55:0 5339 Sgt Deacey Arrived on scene012:20:0 5341 Two RNC officers showed up012:25:0 5342 RNC officer check Tinys Bar and Grill and they0 picked up on their security camera

headed west bound at 073012:26:0 5343 Cst Phllpot and CstJamlson where sent to Red0 bridge store to check their cameras12:27:0 5344 Alan Kean and Keith Bartlett driving the street0 west bound as far as upper gullies and will doall side roads in between12:33:5 Team 5345 Teams 2 headed out In 702 to search road4 2 ways west as far as seal cove12:42:2 5346 Cst Bur,y headed to search the main HWY froir2 Holywrood east

12:44:4 1 5347 Asked to search up legion road as far as kent5 lumber13:01:5 RNC 5348 Cst Phllpat and CstJamlnson ceecked red4 bridge store security cameras and did not see

. They are now gone to check the sideroads west of CP

13:10:6 1 5349 Just finished searching legion road113:11:0 1 5350 Asked to search sIde roads on their way back413:56:5 2 5351 return to command for lunch713:56:5 5352813:57:1 1 5353 arrived at cp with lunch914:06:2 5354 Matthew P, Keith B, Alan K headed to base toB gettheargo14:12:1 5355 Cst Philpot and CstJaminson returned from5 search with no luck14:37:4 team 5356 Paul S and Craig M headed on AW to check t7 3 raIlway along conception bay as far as

holyrood14:38:0 2 5357 Going to search red bridge road and all side9 I streets

ICS 309

Exhibit P-185 Page 18

Page 19: RNC GENERALOCCURRENCEHARDCOPY

15:17:2 2 5358 Melanie OBrian joined team2315:19:1 5359 Conrad A, Michael C and Chris H now team 40 with Conrad being TL. Team is to search trail

off Red bridge road15:19:3 2 5360 To search CBS hwy east as far as foxtrap3 access road15:27:4 2 5361 NotifIed that team 4 had completed their7 search of the trail and that team 2 was on

their way to pick them up15:28:1 2 5362 CP asked that they stay with them to finish1 search of road way15:31:4 3 5363 Have searched East as far as Napa on the trail2 and all side trails, looking for further

instruction15:31:4 3 5364 Have searched East as far as Napa on the trail3 and all side trails, looking for further

instruction15:32:0 3 5365 Asked to turn around and head west as far a3 seal cove15:32:3 1 5366 ArrIved back to CP with argo115:33:4 2 5367 Asked to return to command015:36:5 2 5368 on the way315:39:4 2 5369 returned to command715:42:1 5370 Team 5 created as argo team. it Matthew P,5 Chris H and Conrad A to join team 3 in search

along trailway15:42:3 5371 Michael C to stay with team 2 to search CBS7 hwy15:43:0 3 5372 Meet argo team at the end of harveys path716:09:5 5373 RNC were notified that was seen on2 pond road about an hour ago.

16:10:0 5374 All teams were sent to pond road area to8 search surrounding area16:16:4 5375 Team 1 located at this lat and long6 47.499817 53.02032716:17:0 5376 request that all teams return to command0

6. PREPARED BY (Name, Call SIgn) 7. DATE & TIME PREPARED

ICS 309

Exhibit P-185 Page 19

Page 20: RNC GENERALOCCURRENCEHARDCOPY

R3 TEMENT

Page/1

of ‘ F

rSurname:

•.w!tt fl.flhIWIIt5I t,DLh,fl,th ii fllP,eil,Il yy Fir,’ noAddress.

Detect o1

() CWJ6JiIian Witness Stateaent PW Police Witness Statenrnnt

Coate; ci Time Location Statement Taken.

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D- / 1Ctt 1z tC9_4( r’i_7& -/ - -

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.Z7cz% CCdQO 4 / /a.L,i -— -72L±:. — —

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// .( 7. - - 4±‘- -%t1 %,c%_. çç.c< / —/i-:j/J’ — ---

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. -- -%4_s? %_/ y4j

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A’ 1 ii’2c’iiy... i j’- ‘i-’e

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- —..-- —-————_____ --—-—______________________

-

Tak::.

c;nclucled ?. £“LlM

signature:

C ‘2:1 /.J -‘ I crr .-* !‘oi-vI1 /

flNcR3-g 52 15

Exhibit P-185 Page 20

Page 21: RNC GENERALOCCURRENCEHARDCOPY

0

//1/

(Rank)

MISSING PERSONS REPORT

While Copy: investigalorYellow Copy: File

File#a’ - “ 15/ 5-

Subject: Sex Phone if,.. -

14 / v/n.

Adriress I D.O.D

Deschptlot / heIght Weight Eyq• /s r//D4sJ, t,’J’” Jy.) ,V/4 //csi ,c!: , /,:

Mental/Physical Condition: / / -, -.iQ-je(/ (iç,n,-( , 5r&(/óf ,(J2 /

-

t’f ,fl1Y/%!Place of Work/School: Phone if

1.

Dote Reported Missing:,/,c/7 Time:

Date Last Seen: / Time: -

-,/,& /Jr (/)e

Next of Kin: D.O.S. - -

Address: Phone P

Cornplnlnanl D.O.D.

Address. Phone if: Home ,Work . -

Name Address Phone NumberFamily Doctor

Social Worker

Councflor

Teacher

Close FrIends/AssocIates

Name Address Phone Number

Placed on Yes:

Media Notified Yes: No: Date/lime:C.LD. Notified Yes: No: Date/Time:

No:Photograph Attached Yes: No:Statement Attached Yes: No:

H In company with another person give:

Name:

Address: Phone if:Repeat Occurrence: Yes: No:

Date Reported Missing: Dale Located:Area Located:

/7

7 (-4/ A/flSignature Reg N

Exhibit P-185 Page 21

Page 22: RNC GENERALOCCURRENCEHARDCOPY

Mc al Health Care and Treatmec ct Template(ReporUEscort Form)

EscortlpatlentjDetaljjee •H.Surname: 01. 02:

0GB: Sex: El Male Q Female Q Child/Youth CYFS Notification Required: El Yes El No

CYFS Contacted: El Yes No CYFS Representative Notifled:

Parent/Guardian: Contacted: El Yes El No

Civic Address: Phone#:

Type of Dispatch Call: ç.;, , Who Contacted Police:

Location Escorted From: 1 friLocation Escorted To: I

Reason(s) For Detention: --‘--,‘j /‘‘ 17

Additional information (Check all boxes that app/y)

Suicide Risk El Yes El No Security Risk El Yes El No Medical Risk El Yes El No

Danger IssuesActive to Self Active to Others Passive to Self

El Suicidal Thoughts El Homicidal El Poor Self Care

El Suicidal Act El Aggressive El Poor Judgment

El Self-mutilation I El Weapons Present fl Clothing Inappropriate For Weather

Medical InformationFamily Doctor: Hospital Associated With:

PsychIatrist: Other Professional Agency

Are they taking medications? El Yes El No I (If Yes) List

Pharmacy Name and Number:

AppearancelBehaviorGeneral [ El CooperativelPolite El Rude El Proper Clothing El Maintains Eye Contact

Hygiene ElClean El Dirty El Body Odor El Malnourished

Activity ElsIow El Agitated El RestlesslFidgety El Abnormal Movements

ThinkingDisorganized Thinking El None El Mild I El Moderate I El Severe

Abnormal Speech El Rapid El Loud/Swearing El Few Words El Other

Odd Beliefs I El Paranoid El Grandiose El Bizarre El Other

HallucInatIons El Voices El isions El Abnormal Sensations El Other

Describe Other

MoodEl Rapid change of mood I El Mood not appropriate For situatIon

El Happy El Sad ElAngry El Flat ElAnxious

Orientation (Ask and record responses)

Day: Month: Year: Location:

DwellingEl Food in Fridge El Rotten Food El Clean El Dirty El Disorganized El Fire Hazard

Alcohol UseEl AdmItted Quantity: El Suspected Comments:

Drug UseEl Admitted I El Suspected Drug Type: El Cocaine El Marijuana El Other:

ActionEl No Action El Voluntary to Hospital El Involuntarily Committed

El Follow up with Professional Name:

El Arrested/Charged Charges:

Commentsfll’/(!741 s ,4-/ /;:,

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