# Zenith City 911 Department Incident Reports

# Event Day 2

# July 19

# Zenith City Police - 911

# Incident Report Form / Call Log Form

<table>
<colgroup>
<col style="width: 13%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 9%" />
<col style="width: 1%" />
<col style="width: 1%" />
<col style="width: 7%" />
<col style="width: 1%" />
<col style="width: 4%" />
<col style="width: 1%" />
<col style="width: 5%" />
<col style="width: 3%" />
<col style="width: 2%" />
<col style="width: 3%" />
<col style="width: 1%" />
<col style="width: 5%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 16%" />
<col style="width: 5%" />
<col style="width: 11%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="21"><h1 id="incident-datetime">INCIDENT DATE/TIME</h1></td>
</tr>
<tr class="even">
<td colspan="3" rowspan="2">Date Printed:</td>
<td colspan="2" rowspan="2"><em>07-19</em></td>
<td colspan="3" rowspan="2">Time Printed:</td>
<td colspan="3"><em>02:20</em></td>
<td colspan="3" rowspan="2">M.R.S. Number:</td>
<td colspan="2" rowspan="2"><em>1129</em></td>
<td colspan="4" rowspan="2">Record Number</td>
<td rowspan="2">1</td>
</tr>
<tr class="odd">
<td colspan="2"><h3 id="am">AM</h3></td>
<td><h3 id="pm">PM</h3></td>
</tr>
<tr class="even">
<td colspan="21"><strong>INCIDENT DATA</strong></td>
</tr>
<tr class="odd">
<td colspan="3">Incident Type:</td>
<td colspan="18"><h5 id="seizure-911-call">Seizure – 911 call</h5></td>
</tr>
<tr class="even">
<td colspan="3">Address of Occurrence:</td>
<td colspan="18"><em>9 Highland Ave.</em></td>
</tr>
<tr class="odd">
<td colspan="2">Originally Received As:</td>
<td colspan="5"><h5 id="phone-in">Phone in</h5></td>
<td colspan="5">Weapon or Objects Used:</td>
<td colspan="6"><em>-</em></td>
<td></td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">How Received:</td>
<td colspan="5"></td>
<td colspan="5">Reporting Officer:</td>
<td colspan="6"><em>Off. Damon, John</em></td>
<td>Domestic:</td>
<td colspan="2"><h5 id="no">No</h5></td>
</tr>
<tr class="odd">
<td colspan="2">Type of Premises</td>
<td colspan="5"><em>Home</em></td>
<td colspan="5">Other Offices Notified:</td>
<td colspan="6"><em>-</em></td>
<td>Complaint Status:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">Copies To:</td>
<td colspan="5"></td>
<td colspan="5">Fire</td>
<td colspan="6"></td>
<td>Arson Related:</td>
<td colspan="2"><em>No</em></td>
</tr>
<tr class="odd">
<td colspan="2" rowspan="2">Occurred From:</td>
<td colspan="2">Date</td>
<td colspan="3">Time</td>
<td colspan="5" rowspan="2">To:</td>
<td colspan="3">Date</td>
<td colspan="3">Time</td>
<td rowspan="2">Officer Injured:</td>
<td colspan="2" rowspan="2"><em>No</em></td>
</tr>
<tr class="even">
<td colspan="2"><mark></mark></td>
<td colspan="3"><mark></mark></td>
<td colspan="3"></td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td colspan="2">Date Reported</td>
<td colspan="5"><em>07-19</em></td>
<td colspan="5">Call Received:</td>
<td colspan="6"><em>1:20 AM</em></td>
<td>Car Number:</td>
<td colspan="2"><em>N/A</em></td>
</tr>
<tr class="even">
<td colspan="2">Time Reported:</td>
<td colspan="5"><em>01:20 AM</em></td>
<td colspan="5">Time of Arrival:</td>
<td colspan="6"><em>1:28 AM</em></td>
<td>District:</td>
<td colspan="2"><em>Forest Hills</em></td>
</tr>
<tr class="odd">
<td colspan="2">Officer Assaulted or Killed:</td>
<td colspan="5"><em>No</em></td>
<td colspan="5">GEO Code:</td>
<td colspan="6"><em>44</em></td>
<td>Processed By:</td>
<td colspan="2"><em>Brown, D.</em></td>
</tr>
<tr class="even">
<td colspan="21"><strong>BURGLARY DATA</strong></td>
</tr>
<tr class="odd">
<td colspan="2">Method of Entry:</td>
<td colspan="5"></td>
<td colspan="5">Burglary Type: N/A</td>
<td colspan="6"></td>
<td>Point of Entry Visible to Patrol:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="21"><strong>REPORTING PARTY</strong></td>
</tr>
<tr class="odd">
<td>Name:</td>
<td colspan="20"><h5 id="gaultier-melissa">Gaultier, Melissa</h5></td>
</tr>
<tr class="even">
<td>Home Address:</td>
<td colspan="20"><em>Same as above</em></td>
</tr>
<tr class="odd">
<td>Occupation:</td>
<td colspan="20"><em>Retired</em></td>
</tr>
<tr class="even">
<td>Relation:</td>
<td colspan="20"><em>Wife</em></td>
</tr>
<tr class="odd">
<td>SSN:</td>
<td colspan="20"><em>229-52-5659</em></td>
</tr>
<tr class="even">
<td>Date of Birth:</td>
<td colspan="5"><em>04-27</em></td>
<td colspan="3">Sex:</td>
<td colspan="4"><h3 id="f"><em>F</em></h3></td>
<td colspan="4">Place of Birth:</td>
<td colspan="4"><h5 id="az">AZ</h5></td>
</tr>
<tr class="odd">
<td>Age:</td>
<td colspan="5"><em>75</em></td>
<td colspan="3">Race:</td>
<td colspan="4"><em>Caucasian</em></td>
<td colspan="4">Marital Status:</td>
<td colspan="4"><em>Married</em></td>
</tr>
</tbody>
</table>

+--------+--------+--------+---+---+--------+-----------------------+
| **VI   |        |        |   |   |        |                       |
| CTIM** |        |        |   |   |        |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| Name:  | ####   |        |   |   |        |                       |
|        | # Gaul |        |   |   |        |                       |
|        | thier, |        |   |   |        |                       |
|        |  Scott |        |   |   |        |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| Home   | *Same  |        |   |   |        |                       |
| Ad     | as     |        |   |   |        |                       |
| dress: | above* |        |   |   |        |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| Occup  | *Re    |        |   |   |        |                       |
| ation: | tired* |        |   |   |        |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| Rel    | *Hu    |        |   |   |        |                       |
| ation: | sband* |        |   |   |        |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| SSN:   | *      |        |   |   |        |                       |
|        | 227-56 |        |   |   |        |                       |
|        | -7824* |        |   |   |        |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| Date   | *      | Sex:   | # | F | Place  | *AZ*                  |
| of     | 05-02* |        | # |   | of     |                       |
| Birth: |        |        | # |   | Birth: |                       |
|        |        |        |   |   |        |                       |
|        |        |        | M |   |        |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| Age:   | *83*   | Race:  |   |   | M      | *Married*             |
|        |        |        |   |   | arital |                       |
|        |        |        |   |   | S      |                       |
|        |        |        |   |   | tatus: |                       |
+--------+--------+--------+---+---+--------+-----------------------+

<table>
<colgroup>
<col style="width: 14%" />
<col style="width: 0%" />
<col style="width: 10%" />
<col style="width: 8%" />
<col style="width: 12%" />
<col style="width: 18%" />
<col style="width: 2%" />
<col style="width: 4%" />
<col style="width: 6%" />
<col style="width: 10%" />
<col style="width: 10%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="11"><strong>KNOWN SUSPECT #1</strong></td>
</tr>
<tr class="even">
<td>Name:</td>
<td colspan="10"><h5 id="na">N/A</h5></td>
</tr>
<tr class="odd">
<td colspan="2">Date of Birth:</td>
<td></td>
<td colspan="2">Sex:</td>
<td></td>
<td colspan="2">Age:</td>
<td></td>
<td>Race:</td>
<td></td>
</tr>
<tr class="even">
<td colspan="2">Height:</td>
<td></td>
<td colspan="2">Hair Color:</td>
<td></td>
<td colspan="3">Injured:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2">Weight:</td>
<td></td>
<td colspan="2">Hair Length:</td>
<td></td>
<td colspan="3">Hospital:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">Build:</td>
<td></td>
<td colspan="2">Hair Style:</td>
<td></td>
<td colspan="3">Hospital Disposition:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2">Complexion:</td>
<td></td>
<td colspan="2">Facial Hair:</td>
<td></td>
<td colspan="3">Conveyed By:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">Eye Color:</td>
<td></td>
<td colspan="2">AR#:</td>
<td></td>
<td colspan="3">Injury Type:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="11">CHARGES</td>
</tr>
<tr class="even">
<td colspan="11"><h6 id="na-1">N/A</h6></td>
</tr>
<tr class="odd">
<td colspan="4">RSMO USC</td>
<td colspan="3">MO Code</td>
<td colspan="4">F/M/C</td>
</tr>
<tr class="even">
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="4"></td>
</tr>
<tr class="odd">
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="4"></td>
</tr>
<tr class="even">
<td colspan="11"><strong>KNOWN SUSPECT #2</strong></td>
</tr>
<tr class="odd">
<td>Name:</td>
<td colspan="10"></td>
</tr>
<tr class="even">
<td colspan="2">Date of Birth:</td>
<td></td>
<td colspan="2">Sex: Male</td>
<td>SS#:</td>
<td colspan="2">Age:</td>
<td></td>
<td>Race:</td>
<td></td>
</tr>
<tr class="odd">
<td colspan="2">Height:</td>
<td></td>
<td colspan="2">Hair Color:</td>
<td></td>
<td colspan="3">Injured:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">Weight:</td>
<td></td>
<td colspan="2">Hair Length:</td>
<td></td>
<td colspan="3">Hospital:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2">Build:</td>
<td></td>
<td colspan="2">Hair Style:</td>
<td></td>
<td colspan="3">Hospital Disposition:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">Complexion:</td>
<td></td>
<td colspan="2">Facial Hair:</td>
<td></td>
<td colspan="3">Conveyed By:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2">Eye Color:</td>
<td></td>
<td colspan="2">AR#:</td>
<td></td>
<td colspan="3">Injury Type:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="11">CHARGES</td>
</tr>
<tr class="odd">
<td colspan="4">RSMO USC</td>
<td colspan="3">MO Code</td>
<td colspan="4">F/M/C</td>
</tr>
<tr class="even">
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="4"></td>
</tr>
<tr class="odd">
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="4"></td>
</tr>
<tr class="even">
<td colspan="11"><strong>KNOWN SUSPECT #3</strong></td>
</tr>
<tr class="odd">
<td>Name:</td>
<td colspan="10"></td>
</tr>
<tr class="even">
<td colspan="2">Date of Birth:</td>
<td></td>
<td colspan="2">Sex:</td>
<td>SS#:</td>
<td colspan="2">Age:</td>
<td></td>
<td>Race:</td>
<td></td>
</tr>
<tr class="odd">
<td colspan="2">Height:</td>
<td></td>
<td colspan="2">Hair Color:</td>
<td></td>
<td colspan="3">Injured:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">Weight:</td>
<td></td>
<td colspan="2">Hair Length:</td>
<td></td>
<td colspan="3">Hospital:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2">Build:</td>
<td></td>
<td colspan="2">Hair Style:</td>
<td></td>
<td colspan="3">Hospital Disposition:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">Complexion:</td>
<td></td>
<td colspan="2">Facial Hair:</td>
<td></td>
<td colspan="3">Conveyed By:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2">Eye Color:</td>
<td></td>
<td colspan="2">AR#:</td>
<td></td>
<td colspan="3">Injury Type:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="11">CHARGES</td>
</tr>
<tr class="odd">
<td colspan="11"></td>
</tr>
<tr class="even">
<td colspan="4">RSMO USC</td>
<td colspan="3">MO Code</td>
<td colspan="4">F/M/C</td>
</tr>
<tr class="odd">
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="4"></td>
</tr>
</tbody>
</table>

<table>
<colgroup>
<col style="width: 14%" />
<col style="width: 0%" />
<col style="width: 2%" />
<col style="width: 8%" />
<col style="width: 8%" />
<col style="width: 8%" />
<col style="width: 8%" />
<col style="width: 2%" />
<col style="width: 12%" />
<col style="width: 1%" />
<col style="width: 8%" />
<col style="width: 8%" />
<col style="width: 5%" />
<col style="width: 11%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="14"><h1 id="property">PROPERTY</h1></td>
</tr>
<tr class="even">
<td>Owner’s Name:</td>
<td colspan="13"><h5 id="na-2">N/A</h5></td>
</tr>
<tr class="odd">
<td colspan="2">Item #:</td>
<td colspan="2"></td>
<td colspan="2">Value:</td>
<td colspan="2"></td>
<td>Item #:</td>
<td colspan="2"></td>
<td colspan="2">Value:</td>
<td></td>
</tr>
<tr class="even">
<td colspan="2">Quantity:</td>
<td colspan="2"></td>
<td colspan="2">Status:</td>
<td colspan="2"></td>
<td>Quantity:</td>
<td colspan="2"></td>
<td colspan="2">Status:</td>
<td></td>
</tr>
<tr class="odd">
<td colspan="2">Property Description:</td>
<td colspan="2"></td>
<td colspan="2">Owner’s Name:</td>
<td colspan="2"></td>
<td>Property Description:</td>
<td colspan="2"></td>
<td colspan="2">Owner’s Name:</td>
<td></td>
</tr>
<tr class="even">
<td colspan="14"><h1 id="vehicle">VEHICLE</h1></td>
</tr>
<tr class="odd">
<td colspan="3">Owner’s Name:</td>
<td colspan="11"><h5 id="na-3">N/A</h5></td>
</tr>
<tr class="even">
<td colspan="3">Vehicle Number:</td>
<td colspan="2"></td>
<td colspan="2">Vehicle Status:</td>
<td colspan="3"></td>
<td colspan="2">Code:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="3">Vehicle Make:</td>
<td colspan="2"></td>
<td colspan="2">Vehicle Style:</td>
<td colspan="3"></td>
<td colspan="2">Year:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="3">Vehicle Number:</td>
<td colspan="2"></td>
<td colspan="2">Vehicle Status:</td>
<td colspan="3"></td>
<td colspan="2">Code:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="3">Doors Locked:</td>
<td colspan="2"></td>
<td colspan="2">Vehicle Value:</td>
<td colspan="3"></td>
<td colspan="2">Other:</td>
<td colspan="2"></td>
</tr>
</tbody>
</table>

+-----------------------------------------------------------------------+
| # NARRATIVE                                                           |
+-----------------------------------------------------------------------+
| *911 call -- wife says her husband is having an epileptic seizure she |
| can't control -- ambulance dispatched*                                |
+-----------------------------------------------------------------------+

Reporting Officer: [*Off. Damon, J.*]{.underline}

Supervising Officer: [*Off, Henry, J.K.*]{.underline}

Reviewing Officer: [*Det. Stills*]{.underline}

####### 

# Zenith City Police - 911

# Incident Report Form / Call Log Form

<table>
<colgroup>
<col style="width: 13%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 9%" />
<col style="width: 1%" />
<col style="width: 1%" />
<col style="width: 7%" />
<col style="width: 1%" />
<col style="width: 4%" />
<col style="width: 1%" />
<col style="width: 5%" />
<col style="width: 3%" />
<col style="width: 2%" />
<col style="width: 3%" />
<col style="width: 1%" />
<col style="width: 5%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 16%" />
<col style="width: 5%" />
<col style="width: 11%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="21"><h1 id="incident-datetime-1">INCIDENT
DATE/TIME</h1></td>
</tr>
<tr class="even">
<td colspan="3" rowspan="2">Date Printed:</td>
<td colspan="2" rowspan="2"><em>07-19</em></td>
<td colspan="3" rowspan="2">Time Printed:</td>
<td colspan="3"><em>11:55</em></td>
<td colspan="3" rowspan="2">M.R.S. Number:</td>
<td colspan="2" rowspan="2"><em>1131</em></td>
<td colspan="4" rowspan="2">Record Number</td>
<td rowspan="2">3</td>
</tr>
<tr class="odd">
<td colspan="2"><h3 id="am-1">AM</h3></td>
<td><h3 id="pm-1">PM</h3></td>
</tr>
<tr class="even">
<td colspan="21"><strong>INCIDENT DATA</strong></td>
</tr>
<tr class="odd">
<td colspan="3">Incident Type:</td>
<td colspan="18"><h5 id="illness-911-call">Illness – 911 call</h5></td>
</tr>
<tr class="even">
<td colspan="3">Address of Occurrence:</td>
<td colspan="18"><em>60 Boulder Rd.</em></td>
</tr>
<tr class="odd">
<td colspan="2">Originally Received As:</td>
<td colspan="5"><h5 id="phone-in-1">Phone in</h5></td>
<td colspan="5">Weapon or Objects Used:</td>
<td colspan="6"><em>-</em></td>
<td></td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">How Received:</td>
<td colspan="5"></td>
<td colspan="5">Reporting Officer:</td>
<td colspan="6"><h4 id="off.-yates-ken"><em>Off. Yates,
Ken</em></h4></td>
<td>Domestic:</td>
<td colspan="2"><h5 id="no-1">No</h5></td>
</tr>
<tr class="odd">
<td colspan="2">Type of Premises</td>
<td colspan="5"><em>Home</em></td>
<td colspan="5">Other Offices Notified:</td>
<td colspan="6"><em>-</em></td>
<td>Complaint Status:</td>
<td colspan="2"><em>Closed</em></td>
</tr>
<tr class="even">
<td colspan="2">Copies To:</td>
<td colspan="5"></td>
<td colspan="5">Fire</td>
<td colspan="6"></td>
<td>Arson Related:</td>
<td colspan="2"><em>No</em></td>
</tr>
<tr class="odd">
<td colspan="2" rowspan="2">Occurred From:</td>
<td colspan="2">Date</td>
<td colspan="3">Time</td>
<td colspan="5" rowspan="2">To:</td>
<td colspan="3">Date</td>
<td colspan="3">Time</td>
<td rowspan="2">Officer Injured:</td>
<td colspan="2" rowspan="2"><em>No</em></td>
</tr>
<tr class="even">
<td colspan="2"><mark></mark></td>
<td colspan="3"><mark></mark></td>
<td colspan="3"></td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td colspan="2">Date Reported</td>
<td colspan="5"><em>07-19</em></td>
<td colspan="5">Call Received:</td>
<td colspan="6"><em>11:00 AM</em></td>
<td>Car Number:</td>
<td colspan="2"><em>N/A</em></td>
</tr>
<tr class="even">
<td colspan="2">Time Reported:</td>
<td colspan="5"><em>11:00 AM</em></td>
<td colspan="5">Time of Arrival:</td>
<td colspan="6"><em>11:15 AM</em></td>
<td>District:</td>
<td colspan="2"><em>The Village</em></td>
</tr>
<tr class="odd">
<td colspan="2">Officer Assaulted or Killed:</td>
<td colspan="5"><em>No</em></td>
<td colspan="5">GEO Code:</td>
<td colspan="6"><em>33</em></td>
<td>Processed By:</td>
<td colspan="2"><em>Brown, D.</em></td>
</tr>
<tr class="even">
<td colspan="21"><strong>BURGLARY DATA</strong></td>
</tr>
<tr class="odd">
<td colspan="2">Method of Entry:</td>
<td colspan="5"></td>
<td colspan="5">Burglary Type: N/A</td>
<td colspan="6"></td>
<td>Point of Entry Visible to Patrol:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="21"><strong>REPORTING PARTY</strong></td>
</tr>
<tr class="odd">
<td>Name:</td>
<td colspan="20"><h5 id="fattoso-mia">Fattoso, Mia</h5></td>
</tr>
<tr class="even">
<td>Home Address:</td>
<td colspan="20"><em>Same as above</em></td>
</tr>
<tr class="odd">
<td>Occupation:</td>
<td colspan="20"><em>Retired</em></td>
</tr>
<tr class="even">
<td>Relation:</td>
<td colspan="20"><em>Victim</em></td>
</tr>
<tr class="odd">
<td>SSN:</td>
<td colspan="20"><em>678-52-2648</em></td>
</tr>
<tr class="even">
<td>Date of Birth:</td>
<td colspan="5"><em>05-06</em></td>
<td colspan="3">Sex:</td>
<td colspan="4"><h3 id="f-1"><em>F</em></h3></td>
<td colspan="4">Place of Birth:</td>
<td colspan="4"><h5 id="ca">CA</h5></td>
</tr>
<tr class="odd">
<td>Age:</td>
<td colspan="5"><em>65</em></td>
<td colspan="3">Race:</td>
<td colspan="4"><em>Caucasian</em></td>
<td colspan="4">Marital Status:</td>
<td colspan="4"><em>Widow</em></td>
</tr>
</tbody>
</table>

+--------+--------+--------+---+---+--------+-----------------------+
| **VI   |        |        |   |   |        |                       |
| CTIM** |        |        |   |   |        |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| Name:  | #      |        |   |   |        |                       |
|        | #### S |        |   |   |        |                       |
|        | ame as |        |   |   |        |                       |
|        |  above |        |   |   |        |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| Home   |        |        |   |   |        |                       |
| Ad     |        |        |   |   |        |                       |
| dress: |        |        |   |   |        |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| Occup  |        |        |   |   |        |                       |
| ation: |        |        |   |   |        |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| Rel    |        |        |   |   |        |                       |
| ation: |        |        |   |   |        |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| SSN:   |        |        |   |   |        |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| Date   |        | Sex:   | M | F | Place  |                       |
| of     |        |        |   |   | of     |                       |
| Birth: |        |        |   |   | Birth: |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| Age:   |        | Race:  |   |   | M      |                       |
|        |        |        |   |   | arital |                       |
|        |        |        |   |   | S      |                       |
|        |        |        |   |   | tatus: |                       |
+--------+--------+--------+---+---+--------+-----------------------+

<table>
<colgroup>
<col style="width: 14%" />
<col style="width: 0%" />
<col style="width: 10%" />
<col style="width: 8%" />
<col style="width: 12%" />
<col style="width: 18%" />
<col style="width: 2%" />
<col style="width: 4%" />
<col style="width: 6%" />
<col style="width: 10%" />
<col style="width: 10%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="11"><strong>KNOWN SUSPECT #1</strong></td>
</tr>
<tr class="even">
<td>Name:</td>
<td colspan="10"><h5 id="na-4">N/A</h5></td>
</tr>
<tr class="odd">
<td colspan="2">Date of Birth:</td>
<td></td>
<td colspan="2">Sex:</td>
<td></td>
<td colspan="2">Age:</td>
<td></td>
<td>Race:</td>
<td></td>
</tr>
<tr class="even">
<td colspan="2">Height:</td>
<td></td>
<td colspan="2">Hair Color:</td>
<td></td>
<td colspan="3">Injured:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2">Weight:</td>
<td></td>
<td colspan="2">Hair Length:</td>
<td></td>
<td colspan="3">Hospital:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">Build:</td>
<td></td>
<td colspan="2">Hair Style:</td>
<td></td>
<td colspan="3">Hospital Disposition:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2">Complexion:</td>
<td></td>
<td colspan="2">Facial Hair:</td>
<td></td>
<td colspan="3">Conveyed By:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">Eye Color:</td>
<td></td>
<td colspan="2">AR#:</td>
<td></td>
<td colspan="3">Injury Type:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="11">CHARGES</td>
</tr>
<tr class="even">
<td colspan="11"><h6 id="na-5">N/A</h6></td>
</tr>
<tr class="odd">
<td colspan="4">RSMO USC</td>
<td colspan="3">MO Code</td>
<td colspan="4">F/M/C</td>
</tr>
<tr class="even">
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="4"></td>
</tr>
<tr class="odd">
<td colspan="11"><strong>KNOWN SUSPECT #2</strong></td>
</tr>
<tr class="even">
<td>Name:</td>
<td colspan="10"></td>
</tr>
<tr class="odd">
<td colspan="2">Date of Birth:</td>
<td></td>
<td colspan="2">Sex: Male</td>
<td>SS#:</td>
<td colspan="2">Age:</td>
<td></td>
<td>Race:</td>
<td></td>
</tr>
<tr class="even">
<td colspan="2">Height:</td>
<td></td>
<td colspan="2">Hair Color:</td>
<td></td>
<td colspan="3">Injured:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2">Weight:</td>
<td></td>
<td colspan="2">Hair Length:</td>
<td></td>
<td colspan="3">Hospital:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">Build:</td>
<td></td>
<td colspan="2">Hair Style:</td>
<td></td>
<td colspan="3">Hospital Disposition:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2">Complexion:</td>
<td></td>
<td colspan="2">Facial Hair:</td>
<td></td>
<td colspan="3">Conveyed By:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">Eye Color:</td>
<td></td>
<td colspan="2">AR#:</td>
<td></td>
<td colspan="3">Injury Type:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="11">CHARGES</td>
</tr>
<tr class="even">
<td colspan="11"></td>
</tr>
<tr class="odd">
<td colspan="4">RSMO USC</td>
<td colspan="3">MO Code</td>
<td colspan="4">F/M/C</td>
</tr>
<tr class="even">
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="4"></td>
</tr>
<tr class="odd">
<td colspan="11"><strong>KNOWN SUSPECT #3</strong></td>
</tr>
<tr class="even">
<td>Name:</td>
<td colspan="10"></td>
</tr>
<tr class="odd">
<td colspan="2">Date of Birth:</td>
<td></td>
<td colspan="2">Sex:</td>
<td>SS#:</td>
<td colspan="2">Age:</td>
<td></td>
<td>Race:</td>
<td></td>
</tr>
<tr class="even">
<td colspan="2">Height:</td>
<td></td>
<td colspan="2">Hair Color:</td>
<td></td>
<td colspan="3">Injured:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2">Weight:</td>
<td></td>
<td colspan="2">Hair Length:</td>
<td></td>
<td colspan="3">Hospital:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">Build:</td>
<td></td>
<td colspan="2">Hair Style:</td>
<td></td>
<td colspan="3">Hospital Disposition:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2">Complexion:</td>
<td></td>
<td colspan="2">Facial Hair:</td>
<td></td>
<td colspan="3">Conveyed By:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">Eye Color:</td>
<td></td>
<td colspan="2">AR#:</td>
<td></td>
<td colspan="3">Injury Type:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="11">CHARGES</td>
</tr>
<tr class="even">
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="4"></td>
</tr>
<tr class="odd">
<td colspan="4">RSMO USC</td>
<td colspan="3">MO Code</td>
<td colspan="4">F/M/C</td>
</tr>
<tr class="even">
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="4"></td>
</tr>
</tbody>
</table>

<table>
<colgroup>
<col style="width: 14%" />
<col style="width: 0%" />
<col style="width: 2%" />
<col style="width: 8%" />
<col style="width: 8%" />
<col style="width: 8%" />
<col style="width: 8%" />
<col style="width: 2%" />
<col style="width: 12%" />
<col style="width: 1%" />
<col style="width: 8%" />
<col style="width: 8%" />
<col style="width: 5%" />
<col style="width: 11%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="14"><h1 id="property-1">PROPERTY</h1></td>
</tr>
<tr class="even">
<td>Owner’s Name:</td>
<td colspan="13"><h5 id="na-6">N/A</h5></td>
</tr>
<tr class="odd">
<td colspan="2">Item #:</td>
<td colspan="2"></td>
<td colspan="2">Value:</td>
<td colspan="2"></td>
<td>Item #:</td>
<td colspan="2"></td>
<td colspan="2">Value:</td>
<td></td>
</tr>
<tr class="even">
<td colspan="2">Quantity:</td>
<td colspan="2"></td>
<td colspan="2">Status:</td>
<td colspan="2"></td>
<td>Quantity:</td>
<td colspan="2"></td>
<td colspan="2">Status:</td>
<td></td>
</tr>
<tr class="odd">
<td colspan="2">Property Description:</td>
<td colspan="2"></td>
<td colspan="2">Owner’s Name:</td>
<td colspan="2"></td>
<td>Property Description:</td>
<td colspan="2"></td>
<td colspan="2">Owner’s Name:</td>
<td></td>
</tr>
<tr class="even">
<td colspan="14"><h1 id="vehicle-1">VEHICLE</h1></td>
</tr>
<tr class="odd">
<td colspan="3">Owner’s Name:</td>
<td colspan="11"><h5 id="na-7">N/A</h5></td>
</tr>
<tr class="even">
<td colspan="3">Vehicle Number:</td>
<td colspan="2"></td>
<td colspan="2">Vehicle Status:</td>
<td colspan="3"></td>
<td colspan="2">Code:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="3">Vehicle Make:</td>
<td colspan="2"></td>
<td colspan="2">Vehicle Style:</td>
<td colspan="3"></td>
<td colspan="2">Year:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="3">Vehicle Number:</td>
<td colspan="2"></td>
<td colspan="2">Vehicle Status:</td>
<td colspan="3"></td>
<td colspan="2">Code:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="3">Doors Locked:</td>
<td colspan="2"></td>
<td colspan="2">Vehicle Value:</td>
<td colspan="3"></td>
<td colspan="2">Other:</td>
<td colspan="2"></td>
</tr>
</tbody>
</table>

+-----------------------------------------------------------------------+
| # NARRATIVE                                                           |
+-----------------------------------------------------------------------+
| *911 call -- woman complaining of severe stomach pain and fever --    |
| ambulance dispatched to premises*                                     |
+-----------------------------------------------------------------------+

Reporting Officer: [*Off. Yates, Ken*]{.underline}

Supervising Officer: [*Det. Rollins, Michael*]{.underline}

Reviewing Officer: [*Det. Foster, Kristen*]{.underline}

####### 

# Zenith City Police - 911

# Incident Report Form / Call Log Form

<table>
<colgroup>
<col style="width: 13%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 9%" />
<col style="width: 1%" />
<col style="width: 1%" />
<col style="width: 7%" />
<col style="width: 1%" />
<col style="width: 4%" />
<col style="width: 1%" />
<col style="width: 5%" />
<col style="width: 3%" />
<col style="width: 2%" />
<col style="width: 3%" />
<col style="width: 1%" />
<col style="width: 5%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 16%" />
<col style="width: 5%" />
<col style="width: 11%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="21"><h1 id="incident-datetime-2">INCIDENT
DATE/TIME</h1></td>
</tr>
<tr class="even">
<td colspan="3" rowspan="2">Date Printed:</td>
<td colspan="2" rowspan="2"><em>07-19</em></td>
<td colspan="3" rowspan="2">Time Printed:</td>
<td colspan="3"><em>02:55</em></td>
<td colspan="3" rowspan="2">M.R.S. Number:</td>
<td colspan="2" rowspan="2"><em>1132</em></td>
<td colspan="4" rowspan="2">Record Number</td>
<td rowspan="2">4</td>
</tr>
<tr class="odd">
<td colspan="2">AM</td>
<td><h3 id="pm-2">PM</h3></td>
</tr>
<tr class="even">
<td colspan="21"><strong>INCIDENT DATA</strong></td>
</tr>
<tr class="odd">
<td colspan="3">Incident Type:</td>
<td colspan="18"><h5 id="illness-911-call-1">Illness – 911
call</h5></td>
</tr>
<tr class="even">
<td colspan="3">Address of Occurrence:</td>
<td colspan="18"><em>22 Boulder Rd., Apt. 3B</em></td>
</tr>
<tr class="odd">
<td colspan="2">Originally Received As:</td>
<td colspan="5"><h5 id="phone-in-2">Phone in</h5></td>
<td colspan="5">Weapon or Objects Used:</td>
<td colspan="6"><em>-</em></td>
<td></td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">How Received:</td>
<td colspan="5"></td>
<td colspan="5">Reporting Officer:</td>
<td colspan="6"><em>Off. Roche, Marie</em></td>
<td>Domestic:</td>
<td colspan="2"><em>No</em></td>
</tr>
<tr class="odd">
<td colspan="2">Type of Premises</td>
<td colspan="5"><em>Home</em></td>
<td colspan="5">Other Offices Notified:</td>
<td colspan="6"><em>-</em></td>
<td>Complaint Status:</td>
<td colspan="2"><em>Closed</em></td>
</tr>
<tr class="even">
<td colspan="2">Copies To:</td>
<td colspan="5"></td>
<td colspan="5">Fire</td>
<td colspan="6"></td>
<td>Arson Related:</td>
<td colspan="2"><em>No</em></td>
</tr>
<tr class="odd">
<td colspan="2" rowspan="2">Occurred From:</td>
<td colspan="2">Date</td>
<td colspan="3">Time</td>
<td colspan="5" rowspan="2">To:</td>
<td colspan="3">Date</td>
<td colspan="3">Time</td>
<td rowspan="2">Officer Injured:</td>
<td colspan="2" rowspan="2"><em>No</em></td>
</tr>
<tr class="even">
<td colspan="2"><mark></mark></td>
<td colspan="3"><mark></mark></td>
<td colspan="3"></td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td colspan="2">Date Reported</td>
<td colspan="5"><em>07-19</em></td>
<td colspan="5">Call Received:</td>
<td colspan="6"><em>12:55 PM</em></td>
<td>Car Number:</td>
<td colspan="2"><em>N/A</em></td>
</tr>
<tr class="even">
<td colspan="2">Time Reported:</td>
<td colspan="5"><em>12:55 PM</em></td>
<td colspan="5">Time of Arrival:</td>
<td colspan="6"><em>1:05 PM</em></td>
<td>District:</td>
<td colspan="2"><em>The Village</em></td>
</tr>
<tr class="odd">
<td colspan="2">Officer Assaulted or Killed:</td>
<td colspan="5"><em>No</em></td>
<td colspan="5">GEO Code:</td>
<td colspan="6"><em>33</em></td>
<td>Processed By:</td>
<td colspan="2"><em>Brown, D.</em></td>
</tr>
<tr class="even">
<td colspan="21"><strong>BURGLARY DATA</strong></td>
</tr>
<tr class="odd">
<td colspan="2">Method of Entry:</td>
<td colspan="5"></td>
<td colspan="5">Burglary Type: N/A</td>
<td colspan="6"></td>
<td>Point of Entry Visible to Patrol:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="21"><strong>REPORTING PARTY</strong></td>
</tr>
<tr class="odd">
<td>Name:</td>
<td colspan="20"><h5 id="gaultier-richard">Gaultier, Richard</h5></td>
</tr>
<tr class="even">
<td>Home Address:</td>
<td colspan="20"><em>Same as above</em></td>
</tr>
<tr class="odd">
<td>Occupation:</td>
<td colspan="20"><em>Retired</em></td>
</tr>
<tr class="even">
<td>Relation:</td>
<td colspan="20"><em>Victim</em></td>
</tr>
<tr class="odd">
<td>SSN:</td>
<td colspan="20"><em>002-57-2479</em></td>
</tr>
<tr class="even">
<td>Date of Birth:</td>
<td colspan="5"><em>03-20</em></td>
<td colspan="3">Sex:</td>
<td colspan="4"><h3 id="m-1"><em>M</em></h3></td>
<td colspan="4">Place of Birth:</td>
<td colspan="4"><h5 id="ma">MA</h5></td>
</tr>
<tr class="odd">
<td>Age:</td>
<td colspan="5"><em>86</em></td>
<td colspan="3">Race:</td>
<td colspan="4"><em>Caucasian</em></td>
<td colspan="4">Marital Status:</td>
<td colspan="4"><em>Widower</em></td>
</tr>
</tbody>
</table>

+--------+--------+--------+---+---+--------+-----------------------+
| **VI   |        |        |   |   |        |                       |
| CTIM** |        |        |   |   |        |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| Name:  | #      |        |   |   |        |                       |
|        | #### S |        |   |   |        |                       |
|        | ame as |        |   |   |        |                       |
|        |  above |        |   |   |        |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| Home   |        |        |   |   |        |                       |
| Ad     |        |        |   |   |        |                       |
| dress: |        |        |   |   |        |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| Occup  |        |        |   |   |        |                       |
| ation: |        |        |   |   |        |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| Rel    |        |        |   |   |        |                       |
| ation: |        |        |   |   |        |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| SSN:   |        |        |   |   |        |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| Date   |        | Sex:   | M | F | Place  |                       |
| of     |        |        |   |   | of     |                       |
| Birth: |        |        |   |   | Birth: |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| Age:   |        | Race:  |   |   | M      |                       |
|        |        |        |   |   | arital |                       |
|        |        |        |   |   | S      |                       |
|        |        |        |   |   | tatus: |                       |
+--------+--------+--------+---+---+--------+-----------------------+

<table>
<colgroup>
<col style="width: 14%" />
<col style="width: 0%" />
<col style="width: 10%" />
<col style="width: 8%" />
<col style="width: 12%" />
<col style="width: 18%" />
<col style="width: 2%" />
<col style="width: 4%" />
<col style="width: 6%" />
<col style="width: 10%" />
<col style="width: 10%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="11"><strong>KNOWN SUSPECT #1</strong></td>
</tr>
<tr class="even">
<td>Name:</td>
<td colspan="10"><h5 id="na-8">N/A</h5></td>
</tr>
<tr class="odd">
<td colspan="2">Date of Birth:</td>
<td></td>
<td colspan="2">Sex:</td>
<td></td>
<td colspan="2">Age:</td>
<td></td>
<td>Race:</td>
<td></td>
</tr>
<tr class="even">
<td colspan="2">Height:</td>
<td></td>
<td colspan="2">Hair Color:</td>
<td></td>
<td colspan="3">Injured:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2">Weight:</td>
<td></td>
<td colspan="2">Hair Length:</td>
<td></td>
<td colspan="3">Hospital:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">Build:</td>
<td></td>
<td colspan="2">Hair Style:</td>
<td></td>
<td colspan="3">Hospital Disposition:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2">Complexion:</td>
<td></td>
<td colspan="2">Facial Hair:</td>
<td></td>
<td colspan="3">Conveyed By:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">Eye Color:</td>
<td></td>
<td colspan="2">AR#:</td>
<td></td>
<td colspan="3">Injury Type:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="11">CHARGES</td>
</tr>
<tr class="even">
<td colspan="11">N/A</td>
</tr>
<tr class="odd">
<td colspan="4">RSMO USC</td>
<td colspan="3">MO Code</td>
<td colspan="4">F/M/C</td>
</tr>
<tr class="even">
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="4"></td>
</tr>
<tr class="odd">
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="4"></td>
</tr>
<tr class="even">
<td colspan="11"><strong>KNOWN SUSPECT #2</strong></td>
</tr>
<tr class="odd">
<td>Name:</td>
<td colspan="10"></td>
</tr>
<tr class="even">
<td colspan="2">Date of Birth:</td>
<td></td>
<td colspan="2">Sex: Male</td>
<td>SS#:</td>
<td colspan="2">Age:</td>
<td></td>
<td>Race:</td>
<td></td>
</tr>
<tr class="odd">
<td colspan="2">Height:</td>
<td></td>
<td colspan="2">Hair Color:</td>
<td></td>
<td colspan="3">Injured:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">Weight:</td>
<td></td>
<td colspan="2">Hair Length:</td>
<td></td>
<td colspan="3">Hospital:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2">Build:</td>
<td></td>
<td colspan="2">Hair Style:</td>
<td></td>
<td colspan="3">Hospital Disposition:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">Complexion:</td>
<td></td>
<td colspan="2">Facial Hair:</td>
<td></td>
<td colspan="3">Conveyed By:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2">Eye Color:</td>
<td></td>
<td colspan="2">AR#:</td>
<td></td>
<td colspan="3">Injury Type:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="11">CHARGES</td>
</tr>
<tr class="odd">
<td colspan="4">RSMO USC</td>
<td colspan="3">MO Code</td>
<td colspan="4">F/M/C</td>
</tr>
<tr class="even">
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="4"></td>
</tr>
<tr class="odd">
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="4"></td>
</tr>
<tr class="even">
<td colspan="11"><strong>KNOWN SUSPECT #3</strong></td>
</tr>
<tr class="odd">
<td>Name:</td>
<td colspan="10"></td>
</tr>
<tr class="even">
<td colspan="2">Date of Birth:</td>
<td></td>
<td colspan="2">Sex:</td>
<td>SS#:</td>
<td colspan="2">Age:</td>
<td></td>
<td>Race:</td>
<td></td>
</tr>
<tr class="odd">
<td colspan="2">Height:</td>
<td></td>
<td colspan="2">Hair Color:</td>
<td></td>
<td colspan="3">Injured:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">Weight:</td>
<td></td>
<td colspan="2">Hair Length:</td>
<td></td>
<td colspan="3">Hospital:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2">Build:</td>
<td></td>
<td colspan="2">Hair Style:</td>
<td></td>
<td colspan="3">Hospital Disposition:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">Complexion:</td>
<td></td>
<td colspan="2">Facial Hair:</td>
<td></td>
<td colspan="3">Conveyed By:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2">Eye Color:</td>
<td></td>
<td colspan="2">AR#:</td>
<td></td>
<td colspan="3">Injury Type:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="11">CHARGES</td>
</tr>
<tr class="odd">
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="4"></td>
</tr>
<tr class="even">
<td colspan="4">RSMO USC</td>
<td colspan="3">MO Code</td>
<td colspan="4">F/M/C</td>
</tr>
<tr class="odd">
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="4"></td>
</tr>
</tbody>
</table>

<table>
<colgroup>
<col style="width: 14%" />
<col style="width: 0%" />
<col style="width: 2%" />
<col style="width: 8%" />
<col style="width: 8%" />
<col style="width: 8%" />
<col style="width: 8%" />
<col style="width: 2%" />
<col style="width: 12%" />
<col style="width: 1%" />
<col style="width: 8%" />
<col style="width: 8%" />
<col style="width: 5%" />
<col style="width: 11%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="14"><h1 id="property-2">PROPERTY</h1></td>
</tr>
<tr class="even">
<td>Owner’s Name:</td>
<td colspan="13"><h5 id="na-9">N/A</h5></td>
</tr>
<tr class="odd">
<td colspan="2">Item #:</td>
<td colspan="2"></td>
<td colspan="2">Value:</td>
<td colspan="2"></td>
<td>Item #:</td>
<td colspan="2"></td>
<td colspan="2">Value:</td>
<td></td>
</tr>
<tr class="even">
<td colspan="2">Quantity:</td>
<td colspan="2"></td>
<td colspan="2">Status:</td>
<td colspan="2"></td>
<td>Quantity:</td>
<td colspan="2"></td>
<td colspan="2">Status:</td>
<td></td>
</tr>
<tr class="odd">
<td colspan="2">Property Description:</td>
<td colspan="2"></td>
<td colspan="2">Owner’s Name:</td>
<td colspan="2"></td>
<td>Property Description:</td>
<td colspan="2"></td>
<td colspan="2">Owner’s Name:</td>
<td></td>
</tr>
<tr class="even">
<td colspan="14"><h1 id="vehicle-2">VEHICLE</h1></td>
</tr>
<tr class="odd">
<td colspan="3">Owner’s Name:</td>
<td colspan="11"><h5 id="na-10">N/A</h5></td>
</tr>
<tr class="even">
<td colspan="3">Vehicle Number:</td>
<td colspan="2"></td>
<td colspan="2">Vehicle Status:</td>
<td colspan="3"></td>
<td colspan="2">Code:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="3">Vehicle Make:</td>
<td colspan="2"></td>
<td colspan="2">Vehicle Style:</td>
<td colspan="3"></td>
<td colspan="2">Year:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="3">Vehicle Number:</td>
<td colspan="2"></td>
<td colspan="2">Vehicle Status:</td>
<td colspan="3"></td>
<td colspan="2">Code:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="3">Doors Locked:</td>
<td colspan="2"></td>
<td colspan="2">Vehicle Value:</td>
<td colspan="3"></td>
<td colspan="2">Other:</td>
<td colspan="2"></td>
</tr>
</tbody>
</table>

+-----------------------------------------------------------------------+
| # NARRATIVE                                                           |
+-----------------------------------------------------------------------+
| *911 call -- elderly man complaining of persistent diarrhea,          |
| headaches, and weakness -- ambulance dispatched to premises*          |
+-----------------------------------------------------------------------+

Reporting Officer: [*Off. Roche, M.*]{.underline}

Supervising Officer: [*Off, Henry, J.K.*]{.underline}

Reviewing Officer: [*Det. Stills*]{.underline}

# Zenith City Police - 911

# Incident Report Form / Call Log Form

<table>
<colgroup>
<col style="width: 13%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 9%" />
<col style="width: 1%" />
<col style="width: 1%" />
<col style="width: 7%" />
<col style="width: 1%" />
<col style="width: 4%" />
<col style="width: 1%" />
<col style="width: 5%" />
<col style="width: 3%" />
<col style="width: 2%" />
<col style="width: 3%" />
<col style="width: 1%" />
<col style="width: 5%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 16%" />
<col style="width: 5%" />
<col style="width: 11%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="21"><h1 id="incident-datetime-3">INCIDENT
DATE/TIME</h1></td>
</tr>
<tr class="even">
<td colspan="3" rowspan="2">Date Printed:</td>
<td colspan="2" rowspan="2"><em>07-19</em></td>
<td colspan="3" rowspan="2">Time Printed:</td>
<td colspan="3"><em>03:20</em></td>
<td colspan="3" rowspan="2">M.R.S. Number:</td>
<td colspan="2" rowspan="2"><em>1133</em></td>
<td colspan="4" rowspan="2">Record Number</td>
<td rowspan="2">5</td>
</tr>
<tr class="odd">
<td colspan="2">AM</td>
<td><h3 id="pm-3">PM</h3></td>
</tr>
<tr class="even">
<td colspan="21"><strong>INCIDENT DATA</strong></td>
</tr>
<tr class="odd">
<td colspan="3">Incident Type:</td>
<td colspan="18"><h5 id="bone-fracture-911-call">Bone fracture – 911
call</h5></td>
</tr>
<tr class="even">
<td colspan="3">Address of Occurrence:</td>
<td colspan="18"><em>145 Highway 1</em></td>
</tr>
<tr class="odd">
<td colspan="2">Originally Received As:</td>
<td colspan="5"><h5 id="phone-in-3">Phone in</h5></td>
<td colspan="5">Weapon or Objects Used:</td>
<td colspan="6"><em>-</em></td>
<td></td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">How Received:</td>
<td colspan="5"></td>
<td colspan="5">Reporting Officer:</td>
<td colspan="6"><em>Off. Brown, Charles</em></td>
<td>Domestic:</td>
<td colspan="2"><h5 id="no-2">No</h5></td>
</tr>
<tr class="odd">
<td colspan="2">Type of Premises</td>
<td colspan="5"><em>Warehouse</em></td>
<td colspan="5">Other Offices Notified:</td>
<td colspan="6"><em>-</em></td>
<td>Complaint Status:</td>
<td colspan="2"><em>Closed</em></td>
</tr>
<tr class="even">
<td colspan="2">Copies To:</td>
<td colspan="5"></td>
<td colspan="5">Fire</td>
<td colspan="6"></td>
<td>Arson Related:</td>
<td colspan="2"><em>No</em></td>
</tr>
<tr class="odd">
<td colspan="2" rowspan="2">Occurred From:</td>
<td colspan="2">Date</td>
<td colspan="3">Time</td>
<td colspan="5" rowspan="2">To:</td>
<td colspan="3">Date</td>
<td colspan="3">Time</td>
<td rowspan="2">Officer Injured:</td>
<td colspan="2" rowspan="2"><em>No</em></td>
</tr>
<tr class="even">
<td colspan="2"><mark></mark></td>
<td colspan="3"><mark></mark></td>
<td colspan="3"></td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td colspan="2">Date Reported</td>
<td colspan="5"><em>07-19</em></td>
<td colspan="5">Call Received:</td>
<td colspan="6"><em>2:20 PM</em></td>
<td>Car Number:</td>
<td colspan="2"><em>N/A</em></td>
</tr>
<tr class="even">
<td colspan="2">Time Reported:</td>
<td colspan="5"><em>02:20 PM</em></td>
<td colspan="5">Time of Arrival:</td>
<td colspan="6"><em>2:35 PM</em></td>
<td>District:</td>
<td colspan="2"><em>South Zenith</em></td>
</tr>
<tr class="odd">
<td colspan="2">Officer Assaulted or Killed:</td>
<td colspan="5"><em>No</em></td>
<td colspan="5">GEO Code:</td>
<td colspan="6"><em>55</em></td>
<td>Processed By:</td>
<td colspan="2"><em>Brown, D.</em></td>
</tr>
<tr class="even">
<td colspan="21"><strong>BURGLARY DATA</strong></td>
</tr>
<tr class="odd">
<td colspan="2">Method of Entry:</td>
<td colspan="5"></td>
<td colspan="5">Burglary Type: N/A</td>
<td colspan="6"></td>
<td>Point of Entry Visible to Patrol:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="21"><strong>REPORTING PARTY</strong></td>
</tr>
<tr class="odd">
<td>Name:</td>
<td colspan="20"><h5 id="nelson-william">Nelson, William</h5></td>
</tr>
<tr class="even">
<td>Home Address:</td>
<td colspan="20"><em>12 Ashlee Dr.</em></td>
</tr>
<tr class="odd">
<td>Occupation:</td>
<td colspan="20"><em>Foreman</em></td>
</tr>
<tr class="even">
<td>Relation:</td>
<td colspan="20"><em>Supervisor</em></td>
</tr>
<tr class="odd">
<td>SSN:</td>
<td colspan="20"><em>383-57-1598</em></td>
</tr>
<tr class="even">
<td>Date of Birth:</td>
<td colspan="5"><em>02-15</em></td>
<td colspan="3">Sex:</td>
<td colspan="4"><h3 id="m-2"><em>M</em></h3></td>
<td colspan="4">Place of Birth:</td>
<td colspan="4"><h5 id="mo">MO</h5></td>
</tr>
<tr class="odd">
<td>Age:</td>
<td colspan="5"><em>52</em></td>
<td colspan="3">Race:</td>
<td colspan="4"></td>
<td colspan="4">Marital Status:</td>
<td colspan="4"></td>
</tr>
</tbody>
</table>

+--------+--------+--------+---+---+--------+-----------------------+
| **VI   |        |        |   |   |        |                       |
| CTIM** |        |        |   |   |        |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| Name:  | #####  |        |   |   |        |                       |
|        | Tulane |        |   |   |        |                       |
|        | , Amir |        |   |   |        |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| Home   | *12    |        |   |   |        |                       |
| Ad     | K      |        |   |   |        |                       |
| dress: | ennedy |        |   |   |        |                       |
|        | Rd.*   |        |   |   |        |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| Occup  | *Fork  |        |   |   |        |                       |
| ation: | lift   |        |   |   |        |                       |
|        | ope    |        |   |   |        |                       |
|        | rator* |        |   |   |        |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| Rel    | *Emp   |        |   |   |        |                       |
| ation: | loyee* |        |   |   |        |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| SSN:   | *      |        |   |   |        |                       |
|        | 345-25 |        |   |   |        |                       |
|        | -1592* |        |   |   |        |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| Date   | *      | Sex:   | # | F | Place  | *Morocco*             |
| of     | 01-19* |        | # |   | of     |                       |
| Birth: |        |        | # |   | Birth: |                       |
|        |        |        |   |   |        |                       |
|        |        |        | M |   |        |                       |
|        |        |        |   |   |        |                       |
|        |        |        |   |   |        |                       |
|        |        |        | { |   |        |                       |
|        |        |        | # |   |        |                       |
|        |        |        | m |   |        |                       |
|        |        |        | - |   |        |                       |
|        |        |        | 3 |   |        |                       |
|        |        |        | } |   |        |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| Age:   | *38*   | Race:  |   |   | M      | *single*              |
|        |        | Mi     |   |   | arital |                       |
|        |        | d-east |   |   | S      |                       |
|        |        |        |   |   | tatus: |                       |
+--------+--------+--------+---+---+--------+-----------------------+

<table>
<colgroup>
<col style="width: 14%" />
<col style="width: 0%" />
<col style="width: 10%" />
<col style="width: 8%" />
<col style="width: 12%" />
<col style="width: 18%" />
<col style="width: 2%" />
<col style="width: 4%" />
<col style="width: 6%" />
<col style="width: 10%" />
<col style="width: 10%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="11"><strong>KNOWN SUSPECT #1</strong></td>
</tr>
<tr class="even">
<td>Name:</td>
<td colspan="10"><h5 id="na-11">N/A</h5></td>
</tr>
<tr class="odd">
<td colspan="2">Date of Birth:</td>
<td></td>
<td colspan="2">Sex:</td>
<td></td>
<td colspan="2">Age:</td>
<td></td>
<td>Race:</td>
<td></td>
</tr>
<tr class="even">
<td colspan="2">Height:</td>
<td></td>
<td colspan="2">Hair Color:</td>
<td></td>
<td colspan="3">Injured:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2">Weight:</td>
<td></td>
<td colspan="2">Hair Length:</td>
<td></td>
<td colspan="3">Hospital:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">Build:</td>
<td></td>
<td colspan="2">Hair Style:</td>
<td></td>
<td colspan="3">Hospital Disposition:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2">Complexion:</td>
<td></td>
<td colspan="2">Facial Hair:</td>
<td></td>
<td colspan="3">Conveyed By:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">Eye Color:</td>
<td></td>
<td colspan="2">AR#:</td>
<td></td>
<td colspan="3">Injury Type:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="11">CHARGES</td>
</tr>
<tr class="even">
<td colspan="11">N/A</td>
</tr>
<tr class="odd">
<td colspan="4">RSMO USC</td>
<td colspan="3">MO Code</td>
<td colspan="4">F/M/C</td>
</tr>
<tr class="even">
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="4"></td>
</tr>
<tr class="odd">
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="4"></td>
</tr>
<tr class="even">
<td colspan="11"><strong>KNOWN SUSPECT #2</strong></td>
</tr>
<tr class="odd">
<td>Name:</td>
<td colspan="10"></td>
</tr>
<tr class="even">
<td colspan="2">Date of Birth:</td>
<td></td>
<td colspan="2">Sex: Male</td>
<td>SS#:</td>
<td colspan="2">Age:</td>
<td></td>
<td>Race:</td>
<td></td>
</tr>
<tr class="odd">
<td colspan="2">Height:</td>
<td></td>
<td colspan="2">Hair Color:</td>
<td></td>
<td colspan="3">Injured:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">Weight:</td>
<td></td>
<td colspan="2">Hair Length:</td>
<td></td>
<td colspan="3">Hospital:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2">Build:</td>
<td></td>
<td colspan="2">Hair Style:</td>
<td></td>
<td colspan="3">Hospital Disposition:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">Complexion:</td>
<td></td>
<td colspan="2">Facial Hair:</td>
<td></td>
<td colspan="3">Conveyed By:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2">Eye Color:</td>
<td></td>
<td colspan="2">AR#:</td>
<td></td>
<td colspan="3">Injury Type:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="11">CHARGES</td>
</tr>
<tr class="odd">
<td colspan="4">RSMO USC</td>
<td colspan="3">MO Code</td>
<td colspan="4">F/M/C</td>
</tr>
<tr class="even">
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="4"></td>
</tr>
<tr class="odd">
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="4"></td>
</tr>
<tr class="even">
<td colspan="11"><strong>KNOWN SUSPECT #3</strong></td>
</tr>
<tr class="odd">
<td>Name:</td>
<td colspan="10"></td>
</tr>
<tr class="even">
<td colspan="2">Date of Birth:</td>
<td></td>
<td colspan="2">Sex:</td>
<td>SS#:</td>
<td colspan="2">Age:</td>
<td></td>
<td>Race:</td>
<td></td>
</tr>
<tr class="odd">
<td colspan="2">Height:</td>
<td></td>
<td colspan="2">Hair Color:</td>
<td></td>
<td colspan="3">Injured:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">Weight:</td>
<td></td>
<td colspan="2">Hair Length:</td>
<td></td>
<td colspan="3">Hospital:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2">Build:</td>
<td></td>
<td colspan="2">Hair Style:</td>
<td></td>
<td colspan="3">Hospital Disposition:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">Complexion:</td>
<td></td>
<td colspan="2">Facial Hair:</td>
<td></td>
<td colspan="3">Conveyed By:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2">Eye Color:</td>
<td></td>
<td colspan="2">AR#:</td>
<td></td>
<td colspan="3">Injury Type:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="11">CHARGES</td>
</tr>
<tr class="odd">
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="4"></td>
</tr>
<tr class="even">
<td colspan="4">RSMO USC</td>
<td colspan="3">MO Code</td>
<td colspan="4">F/M/C</td>
</tr>
<tr class="odd">
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="4"></td>
</tr>
</tbody>
</table>

<table>
<colgroup>
<col style="width: 14%" />
<col style="width: 0%" />
<col style="width: 2%" />
<col style="width: 8%" />
<col style="width: 8%" />
<col style="width: 8%" />
<col style="width: 8%" />
<col style="width: 2%" />
<col style="width: 12%" />
<col style="width: 1%" />
<col style="width: 8%" />
<col style="width: 8%" />
<col style="width: 5%" />
<col style="width: 11%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="14"><h1 id="property-3">PROPERTY</h1></td>
</tr>
<tr class="even">
<td>Owner’s Name:</td>
<td colspan="13"><h5 id="na-12">N/A</h5></td>
</tr>
<tr class="odd">
<td colspan="2">Item #:</td>
<td colspan="2"></td>
<td colspan="2">Value:</td>
<td colspan="2"></td>
<td>Item #:</td>
<td colspan="2"></td>
<td colspan="2">Value:</td>
<td></td>
</tr>
<tr class="even">
<td colspan="2">Quantity:</td>
<td colspan="2"></td>
<td colspan="2">Status:</td>
<td colspan="2"></td>
<td>Quantity:</td>
<td colspan="2"></td>
<td colspan="2">Status:</td>
<td></td>
</tr>
<tr class="odd">
<td colspan="2">Property Description:</td>
<td colspan="2"></td>
<td colspan="2">Owner’s Name:</td>
<td colspan="2"></td>
<td>Property Description:</td>
<td colspan="2"></td>
<td colspan="2">Owner’s Name:</td>
<td></td>
</tr>
<tr class="even">
<td colspan="14"><h1 id="vehicle-3">VEHICLE</h1></td>
</tr>
<tr class="odd">
<td colspan="3">Owner’s Name:</td>
<td colspan="11"><h5 id="na-13">N/A</h5></td>
</tr>
<tr class="even">
<td colspan="3">Vehicle Number:</td>
<td colspan="2"></td>
<td colspan="2">Vehicle Status:</td>
<td colspan="3"></td>
<td colspan="2">Code:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="3">Vehicle Make:</td>
<td colspan="2"></td>
<td colspan="2">Vehicle Style:</td>
<td colspan="3"></td>
<td colspan="2">Year:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="3">Vehicle Number:</td>
<td colspan="2"></td>
<td colspan="2">Vehicle Status:</td>
<td colspan="3"></td>
<td colspan="2">Code:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="3">Doors Locked:</td>
<td colspan="2"></td>
<td colspan="2">Vehicle Value:</td>
<td colspan="3"></td>
<td colspan="2">Other:</td>
<td colspan="2"></td>
</tr>
</tbody>
</table>

+-----------------------------------------------------------------------+
| # NARRATIVE                                                           |
+-----------------------------------------------------------------------+
| *911 call -- Mr. Nelson called to report a workplace accident that    |
| resulted in a "really bad" broken leg; bone is showing -- ambulance   |
| dispatched.*                                                          |
+-----------------------------------------------------------------------+

Reporting Officer: [*Off. Brown, Charles*]{.underline}

Supervising Officer: [*Det. Connelly, Daniel*]{.underline}

Reviewing Officer: [*Det. McCarthy, Pamela*]{.underline}

#######  

# Zenith City Police - 911

# Incident Report Form / Call Log Form

<table>
<colgroup>
<col style="width: 13%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 9%" />
<col style="width: 1%" />
<col style="width: 1%" />
<col style="width: 7%" />
<col style="width: 1%" />
<col style="width: 4%" />
<col style="width: 1%" />
<col style="width: 5%" />
<col style="width: 3%" />
<col style="width: 2%" />
<col style="width: 3%" />
<col style="width: 1%" />
<col style="width: 5%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 16%" />
<col style="width: 5%" />
<col style="width: 11%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="21"><h1 id="incident-datetime-4">INCIDENT
DATE/TIME</h1></td>
</tr>
<tr class="even">
<td colspan="3" rowspan="2">Date Printed:</td>
<td colspan="2" rowspan="2"><em>07-19</em></td>
<td colspan="3" rowspan="2">Time Printed:</td>
<td colspan="3"><em>06:05</em></td>
<td colspan="3" rowspan="2">M.R.S. Number:</td>
<td colspan="2" rowspan="2"><em>1134</em></td>
<td colspan="4" rowspan="2">Record Number</td>
<td rowspan="2">6</td>
</tr>
<tr class="odd">
<td colspan="2">AM</td>
<td><h3 id="pm-4">PM</h3></td>
</tr>
<tr class="even">
<td colspan="21"><strong>INCIDENT DATA</strong></td>
</tr>
<tr class="odd">
<td colspan="3">Incident Type:</td>
<td colspan="18"><h5 id="illness-911-call-2">Illness – 911
call</h5></td>
</tr>
<tr class="even">
<td colspan="3">Address of Occurrence:</td>
<td colspan="18"><em>63 Lee Rd.</em></td>
</tr>
<tr class="odd">
<td colspan="2">Originally Received As:</td>
<td colspan="5"><h5 id="phone-in-4">Phone in</h5></td>
<td colspan="5">Weapon or Objects Used:</td>
<td colspan="6"><em>-</em></td>
<td></td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">How Received:</td>
<td colspan="5"></td>
<td colspan="5">Reporting Officer:</td>
<td colspan="6"><em>Off. Kerry, Mark</em></td>
<td>Domestic:</td>
<td colspan="2"><em>No</em></td>
</tr>
<tr class="odd">
<td colspan="2">Type of Premises</td>
<td colspan="5"><em>Home</em></td>
<td colspan="5">Other Offices Notified:</td>
<td colspan="6"><em>-</em></td>
<td>Complaint Status:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">Copies To:</td>
<td colspan="5"></td>
<td colspan="5">Fire</td>
<td colspan="6"></td>
<td>Arson Related:</td>
<td colspan="2"><em>No</em></td>
</tr>
<tr class="odd">
<td colspan="2" rowspan="2">Occurred From:</td>
<td colspan="2">Date</td>
<td colspan="3">Time</td>
<td colspan="5" rowspan="2">To:</td>
<td colspan="3">Date</td>
<td colspan="3">Time</td>
<td rowspan="2">Officer Injured:</td>
<td colspan="2" rowspan="2"><em>No</em></td>
</tr>
<tr class="even">
<td colspan="2"><mark></mark></td>
<td colspan="3"><mark></mark></td>
<td colspan="3"></td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td colspan="2">Date Reported</td>
<td colspan="5"><em>07-19</em></td>
<td colspan="5">Call Received:</td>
<td colspan="6"><em>4:05 PM</em></td>
<td>Car Number:</td>
<td colspan="2"><em>N/A</em></td>
</tr>
<tr class="even">
<td colspan="2">Time Reported:</td>
<td colspan="5"><em>04:05 PM</em></td>
<td colspan="5">Time of Arrival:</td>
<td colspan="6"><em>4:20 PM</em></td>
<td>District:</td>
<td colspan="2"><em>The Village</em></td>
</tr>
<tr class="odd">
<td colspan="2">Officer Assaulted or Killed:</td>
<td colspan="5"><em>No</em></td>
<td colspan="5">GEO Code:</td>
<td colspan="6"><em>33</em></td>
<td>Processed By:</td>
<td colspan="2"><em>Brown, D.</em></td>
</tr>
<tr class="even">
<td colspan="21"><strong>BURGLARY DATA</strong></td>
</tr>
<tr class="odd">
<td colspan="2">Method of Entry:</td>
<td colspan="5"></td>
<td colspan="5">Burglary Type: N/A</td>
<td colspan="6"></td>
<td>Point of Entry Visible to Patrol:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="21"><strong>REPORTING PARTY</strong></td>
</tr>
<tr class="odd">
<td>Name:</td>
<td colspan="20"><h5 id="brodsky-marisa">Brodsky, Marisa</h5></td>
</tr>
<tr class="even">
<td>Home Address:</td>
<td colspan="20"><em>Same as above</em></td>
</tr>
<tr class="odd">
<td>Occupation:</td>
<td colspan="20"><em>Retired</em></td>
</tr>
<tr class="even">
<td>Relation:</td>
<td colspan="20"><em>Victim</em></td>
</tr>
<tr class="odd">
<td>SSN:</td>
<td colspan="20"><em>345-62-9428</em></td>
</tr>
<tr class="even">
<td>Date of Birth:</td>
<td colspan="5"><em>06-08</em></td>
<td colspan="3">Sex:</td>
<td colspan="4"><h3 id="f-2"><em>F</em></h3></td>
<td colspan="4">Place of Birth:</td>
<td colspan="4"><h5 id="ks">KS</h5></td>
</tr>
<tr class="odd">
<td>Age:</td>
<td colspan="5"><em>82</em></td>
<td colspan="3">Race:</td>
<td colspan="4"></td>
<td colspan="4">Marital Status:</td>
<td colspan="4"></td>
</tr>
</tbody>
</table>

+--------+--------+--------+---+---+--------+-----------------------+
| **VI   |        |        |   |   |        |                       |
| CTIM** |        |        |   |   |        |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| Name:  | #      |        |   |   |        |                       |
|        | #### S |        |   |   |        |                       |
|        | ame as |        |   |   |        |                       |
|        |  above |        |   |   |        |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| Home   |        |        |   |   |        |                       |
| Ad     |        |        |   |   |        |                       |
| dress: |        |        |   |   |        |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| Occup  |        |        |   |   |        |                       |
| ation: |        |        |   |   |        |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| Rel    |        |        |   |   |        |                       |
| ation: |        |        |   |   |        |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| SSN:   |        |        |   |   |        |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| Date   |        | Sex:   | M | F | Place  |                       |
| of     |        |        |   |   | of     |                       |
| Birth: |        |        |   |   | Birth: |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| Age:   |        | Race:  |   |   | M      |                       |
|        |        |        |   |   | arital |                       |
|        |        |        |   |   | S      |                       |
|        |        |        |   |   | tatus: |                       |
+--------+--------+--------+---+---+--------+-----------------------+

<table>
<colgroup>
<col style="width: 14%" />
<col style="width: 0%" />
<col style="width: 10%" />
<col style="width: 8%" />
<col style="width: 12%" />
<col style="width: 18%" />
<col style="width: 2%" />
<col style="width: 4%" />
<col style="width: 6%" />
<col style="width: 10%" />
<col style="width: 10%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="11"><strong>KNOWN SUSPECT #1</strong></td>
</tr>
<tr class="even">
<td>Name:</td>
<td colspan="10"><h5 id="na-14">N/A</h5></td>
</tr>
<tr class="odd">
<td colspan="2">Date of Birth:</td>
<td></td>
<td colspan="2">Sex:</td>
<td></td>
<td colspan="2">Age:</td>
<td></td>
<td>Race:</td>
<td></td>
</tr>
<tr class="even">
<td colspan="2">Height:</td>
<td></td>
<td colspan="2">Hair Color:</td>
<td></td>
<td colspan="3">Injured:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2">Weight:</td>
<td></td>
<td colspan="2">Hair Length:</td>
<td></td>
<td colspan="3">Hospital:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">Build:</td>
<td></td>
<td colspan="2">Hair Style:</td>
<td></td>
<td colspan="3">Hospital Disposition:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2">Complexion:</td>
<td></td>
<td colspan="2">Facial Hair:</td>
<td></td>
<td colspan="3">Conveyed By:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">Eye Color:</td>
<td></td>
<td colspan="2">AR#:</td>
<td></td>
<td colspan="3">Injury Type:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="11">CHARGES</td>
</tr>
<tr class="even">
<td colspan="11">N/A</td>
</tr>
<tr class="odd">
<td colspan="4">RSMO USC</td>
<td colspan="3">MO Code</td>
<td colspan="4">F/M/C</td>
</tr>
<tr class="even">
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="4"></td>
</tr>
<tr class="odd">
<td colspan="11"><strong>KNOWN SUSPECT #2</strong></td>
</tr>
<tr class="even">
<td>Name:</td>
<td colspan="10"></td>
</tr>
<tr class="odd">
<td colspan="2">Date of Birth:</td>
<td></td>
<td colspan="2">Sex: Male</td>
<td>SS#:</td>
<td colspan="2">Age:</td>
<td></td>
<td>Race:</td>
<td></td>
</tr>
<tr class="even">
<td colspan="2">Height:</td>
<td></td>
<td colspan="2">Hair Color:</td>
<td></td>
<td colspan="3">Injured:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2">Weight:</td>
<td></td>
<td colspan="2">Hair Length:</td>
<td></td>
<td colspan="3">Hospital:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">Build:</td>
<td></td>
<td colspan="2">Hair Style:</td>
<td></td>
<td colspan="3">Hospital Disposition:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2">Complexion:</td>
<td></td>
<td colspan="2">Facial Hair:</td>
<td></td>
<td colspan="3">Conveyed By:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">Eye Color:</td>
<td></td>
<td colspan="2">AR#:</td>
<td></td>
<td colspan="3">Injury Type:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="11">CHARGES</td>
</tr>
<tr class="even">
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="4"></td>
</tr>
<tr class="odd">
<td colspan="4">RSMO USC</td>
<td colspan="3">MO Code</td>
<td colspan="4">F/M/C</td>
</tr>
<tr class="even">
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="4"></td>
</tr>
<tr class="odd">
<td colspan="11"><strong>KNOWN SUSPECT #3</strong></td>
</tr>
<tr class="even">
<td>Name:</td>
<td colspan="10"></td>
</tr>
<tr class="odd">
<td colspan="2">Date of Birth:</td>
<td></td>
<td colspan="2">Sex:</td>
<td>SS#:</td>
<td colspan="2">Age:</td>
<td></td>
<td>Race:</td>
<td></td>
</tr>
<tr class="even">
<td colspan="2">Height:</td>
<td></td>
<td colspan="2">Hair Color:</td>
<td></td>
<td colspan="3">Injured:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2">Weight:</td>
<td></td>
<td colspan="2">Hair Length:</td>
<td></td>
<td colspan="3">Hospital:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">Build:</td>
<td></td>
<td colspan="2">Hair Style:</td>
<td></td>
<td colspan="3">Hospital Disposition:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2">Complexion:</td>
<td></td>
<td colspan="2">Facial Hair:</td>
<td></td>
<td colspan="3">Conveyed By:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">Eye Color:</td>
<td></td>
<td colspan="2">AR#:</td>
<td></td>
<td colspan="3">Injury Type:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="11">CHARGES</td>
</tr>
<tr class="even">
<td colspan="4">RSMO USC</td>
<td colspan="3">MO Code</td>
<td colspan="4">F/M/C</td>
</tr>
<tr class="odd">
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="4"></td>
</tr>
<tr class="even">
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="4"></td>
</tr>
</tbody>
</table>

<table>
<colgroup>
<col style="width: 14%" />
<col style="width: 0%" />
<col style="width: 2%" />
<col style="width: 8%" />
<col style="width: 8%" />
<col style="width: 8%" />
<col style="width: 8%" />
<col style="width: 2%" />
<col style="width: 12%" />
<col style="width: 1%" />
<col style="width: 8%" />
<col style="width: 8%" />
<col style="width: 5%" />
<col style="width: 11%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="14"><h1 id="property-4">PROPERTY</h1></td>
</tr>
<tr class="even">
<td>Owner’s Name:</td>
<td colspan="13"><h5 id="na-15">N/A</h5></td>
</tr>
<tr class="odd">
<td colspan="2">Item #:</td>
<td colspan="2"></td>
<td colspan="2">Value:</td>
<td colspan="2"></td>
<td>Item #:</td>
<td colspan="2"></td>
<td colspan="2">Value:</td>
<td></td>
</tr>
<tr class="even">
<td colspan="2">Quantity:</td>
<td colspan="2"></td>
<td colspan="2">Status:</td>
<td colspan="2"></td>
<td>Quantity:</td>
<td colspan="2"></td>
<td colspan="2">Status:</td>
<td></td>
</tr>
<tr class="odd">
<td colspan="2">Property Description:</td>
<td colspan="2"></td>
<td colspan="2">Owner’s Name:</td>
<td colspan="2"></td>
<td>Property Description:</td>
<td colspan="2"></td>
<td colspan="2">Owner’s Name:</td>
<td></td>
</tr>
<tr class="even">
<td colspan="14"><h1 id="vehicle-4">VEHICLE</h1></td>
</tr>
<tr class="odd">
<td colspan="3">Owner’s Name:</td>
<td colspan="11"><h5 id="na-16">N/A</h5></td>
</tr>
<tr class="even">
<td colspan="3">Vehicle Number:</td>
<td colspan="2"></td>
<td colspan="2">Vehicle Status:</td>
<td colspan="3"></td>
<td colspan="2">Code:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="3">Vehicle Make:</td>
<td colspan="2"></td>
<td colspan="2">Vehicle Style:</td>
<td colspan="3"></td>
<td colspan="2">Year:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="3">Vehicle Number:</td>
<td colspan="2"></td>
<td colspan="2">Vehicle Status:</td>
<td colspan="3"></td>
<td colspan="2">Code:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="3">Doors Locked:</td>
<td colspan="2"></td>
<td colspan="2">Vehicle Value:</td>
<td colspan="3"></td>
<td colspan="2">Other:</td>
<td colspan="2"></td>
</tr>
</tbody>
</table>

+-----------------------------------------------------------------------+
| # NARRATIVE                                                           |
+-----------------------------------------------------------------------+
| *911 call -- Elderly woman in distress; stomach pains, fever, nausea, |
| severe diarrhea -- ambulance dispatched.*                             |
+-----------------------------------------------------------------------+

Reporting Officer: [*Off. Kerry, M.*]{.underline}

Supervising Officer: [*Off, Henry, J.K.*]{.underline}

Reviewing Officer: [*Det. Stills*]{.underline}

# Zenith City Police - 911

# Incident Report Form / Call Log Form

<table>
<colgroup>
<col style="width: 13%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 9%" />
<col style="width: 1%" />
<col style="width: 1%" />
<col style="width: 7%" />
<col style="width: 1%" />
<col style="width: 4%" />
<col style="width: 1%" />
<col style="width: 5%" />
<col style="width: 3%" />
<col style="width: 2%" />
<col style="width: 3%" />
<col style="width: 1%" />
<col style="width: 5%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 16%" />
<col style="width: 5%" />
<col style="width: 11%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="21"><h1 id="incident-datetime-5">INCIDENT
DATE/TIME</h1></td>
</tr>
<tr class="even">
<td colspan="3" rowspan="2">Date Printed:</td>
<td colspan="2" rowspan="2"><em>07-19</em></td>
<td colspan="3" rowspan="2">Time Printed:</td>
<td colspan="3"><em>06:50</em></td>
<td colspan="3" rowspan="2">M.R.S. Number:</td>
<td colspan="2" rowspan="2"><em>1135</em></td>
<td colspan="4" rowspan="2">Record Number</td>
<td rowspan="2">7</td>
</tr>
<tr class="odd">
<td colspan="2">AM</td>
<td><h3 id="pm-5">PM</h3></td>
</tr>
<tr class="even">
<td colspan="21"><strong>INCIDENT DATA</strong></td>
</tr>
<tr class="odd">
<td colspan="3">Incident Type:</td>
<td colspan="18"><h5 id="burn-911-call">Burn – 911 call</h5></td>
</tr>
<tr class="even">
<td colspan="3">Address of Occurrence:</td>
<td colspan="18"><em>23 Bluff Rd.</em></td>
</tr>
<tr class="odd">
<td colspan="2">Originally Received As:</td>
<td colspan="5"><h5 id="phone-in-5">Phone in</h5></td>
<td colspan="5">Weapon or Objects Used:</td>
<td colspan="6"><em>-</em></td>
<td></td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">How Received:</td>
<td colspan="5"></td>
<td colspan="5">Reporting Officer:</td>
<td colspan="6"><em>Off. McKay, James</em></td>
<td>Domestic:</td>
<td colspan="2"><em>No</em></td>
</tr>
<tr class="odd">
<td colspan="2">Type of Premises</td>
<td colspan="5"><em>Home</em></td>
<td colspan="5">Other Offices Notified:</td>
<td colspan="6"><em>-</em></td>
<td>Complaint Status:</td>
<td colspan="2"><em>Closed</em></td>
</tr>
<tr class="even">
<td colspan="2">Copies To:</td>
<td colspan="5"></td>
<td colspan="5">Fire</td>
<td colspan="6"></td>
<td>Arson Related:</td>
<td colspan="2"><em>No</em></td>
</tr>
<tr class="odd">
<td colspan="2" rowspan="2">Occurred From:</td>
<td colspan="2">Date</td>
<td colspan="3">Time</td>
<td colspan="5" rowspan="2">To:</td>
<td colspan="3">Date</td>
<td colspan="3">Time</td>
<td rowspan="2">Officer Injured:</td>
<td colspan="2" rowspan="2"><em>No</em></td>
</tr>
<tr class="even">
<td colspan="2"><mark></mark></td>
<td colspan="3"><mark></mark></td>
<td colspan="3"></td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td colspan="2">Date Reported</td>
<td colspan="5"><em>07-19</em></td>
<td colspan="5">Call Received:</td>
<td colspan="6"><em>4:20 PM</em></td>
<td>Car Number:</td>
<td colspan="2"><em>N/A</em></td>
</tr>
<tr class="even">
<td colspan="2">Time Reported:</td>
<td colspan="5"><em>04:20 PM</em></td>
<td colspan="5">Time of Arrival:</td>
<td colspan="6"><em>4:30 PM</em></td>
<td>District:</td>
<td colspan="2"><em>The Village</em></td>
</tr>
<tr class="odd">
<td colspan="2">Officer Assaulted or Killed:</td>
<td colspan="5"><em>No</em></td>
<td colspan="5">GEO Code:</td>
<td colspan="6"><em>33</em></td>
<td>Processed By:</td>
<td colspan="2"><em>Brown, D.</em></td>
</tr>
<tr class="even">
<td colspan="21"><strong>BURGLARY DATA</strong></td>
</tr>
<tr class="odd">
<td colspan="2">Method of Entry:</td>
<td colspan="5"></td>
<td colspan="5">Burglary Type: N/A</td>
<td colspan="6"></td>
<td>Point of Entry Visible to Patrol:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="21"><strong>REPORTING PARTY</strong></td>
</tr>
<tr class="odd">
<td>Name:</td>
<td colspan="20"><h5 id="wong-ellen">Wong, Ellen</h5></td>
</tr>
<tr class="even">
<td>Home Address:</td>
<td colspan="20"><em>Same as above</em></td>
</tr>
<tr class="odd">
<td>Occupation:</td>
<td colspan="20"><em>School teacher</em></td>
</tr>
<tr class="even">
<td>Relation:</td>
<td colspan="20"><em>Mother</em></td>
</tr>
<tr class="odd">
<td>SSN:</td>
<td colspan="20"><em>526-84-2945</em></td>
</tr>
<tr class="even">
<td>Date of Birth:</td>
<td colspan="5"><em>02/17</em></td>
<td colspan="3">Sex:</td>
<td colspan="4"><h3 id="f-3"><em>F</em></h3></td>
<td colspan="4">Place of Birth:</td>
<td colspan="4"><h5 id="vietnam">Vietnam</h5></td>
</tr>
<tr class="odd">
<td>Age:</td>
<td colspan="5"><em>38</em></td>
<td colspan="3">Race:</td>
<td colspan="4"></td>
<td colspan="4">Marital Status:</td>
<td colspan="4"><em>Married</em></td>
</tr>
</tbody>
</table>

+--------+--------+--------+---+---+--------+-----------------------+
| **VI   |        |        |   |   |        |                       |
| CTIM** |        |        |   |   |        |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| Name:  | #####  |        |   |   |        |                       |
|        |  Wong, |        |   |   |        |                       |
|        |  Lorri |        |   |   |        |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| Home   | *Same  |        |   |   |        |                       |
| Ad     | as     |        |   |   |        |                       |
| dress: | above* |        |   |   |        |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| Occup  | *St    |        |   |   |        |                       |
| ation: | udent* |        |   |   |        |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| Rel    | *Dau   |        |   |   |        |                       |
| ation: | ghter* |        |   |   |        |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| SSN:   | *      |        |   |   |        |                       |
|        | 594-29 |        |   |   |        |                       |
|        | -4597* |        |   |   |        |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| Date   | *      | Sex:   | M | # | Place  | ##### TX              |
| of     | 05/26* |        |   | # | of     |                       |
| Birth: |        |        |   | # | Birth: |                       |
|        |        |        |   |   |        |                       |
|        |        |        |   | F |        |                       |
|        |        |        |   |   |        |                       |
|        |        |        |   | { |        |                       |
|        |        |        |   | # |        |                       |
|        |        |        |   | f |        |                       |
|        |        |        |   | - |        |                       |
|        |        |        |   | 4 |        |                       |
|        |        |        |   | } |        |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| Age:   | *6*    | Race:  |   |   | M      |                       |
|        |        |        |   |   | arital |                       |
|        |        |        |   |   | S      |                       |
|        |        |        |   |   | tatus: |                       |
+--------+--------+--------+---+---+--------+-----------------------+

<table>
<colgroup>
<col style="width: 14%" />
<col style="width: 0%" />
<col style="width: 10%" />
<col style="width: 8%" />
<col style="width: 12%" />
<col style="width: 18%" />
<col style="width: 2%" />
<col style="width: 4%" />
<col style="width: 6%" />
<col style="width: 10%" />
<col style="width: 10%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="11"><strong>KNOWN SUSPECT #1</strong></td>
</tr>
<tr class="even">
<td>Name:</td>
<td colspan="10"><h5 id="na-17">N/A</h5></td>
</tr>
<tr class="odd">
<td colspan="2">Date of Birth:</td>
<td></td>
<td colspan="2">Sex:</td>
<td></td>
<td colspan="2">Age:</td>
<td></td>
<td>Race:</td>
<td></td>
</tr>
<tr class="even">
<td colspan="2">Height:</td>
<td></td>
<td colspan="2">Hair Color:</td>
<td></td>
<td colspan="3">Injured:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2">Weight:</td>
<td></td>
<td colspan="2">Hair Length:</td>
<td></td>
<td colspan="3">Hospital:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">Build:</td>
<td></td>
<td colspan="2">Hair Style:</td>
<td></td>
<td colspan="3">Hospital Disposition:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2">Complexion:</td>
<td></td>
<td colspan="2">Facial Hair:</td>
<td></td>
<td colspan="3">Conveyed By:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">Eye Color:</td>
<td></td>
<td colspan="2">AR#:</td>
<td></td>
<td colspan="3">Injury Type:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="11">CHARGES</td>
</tr>
<tr class="even">
<td colspan="11">N/A</td>
</tr>
<tr class="odd">
<td colspan="4">RSMO USC</td>
<td colspan="3">MO Code</td>
<td colspan="4">F/M/C</td>
</tr>
<tr class="even">
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="4"></td>
</tr>
<tr class="odd">
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="4"></td>
</tr>
<tr class="even">
<td colspan="11"><strong>KNOWN SUSPECT #2</strong></td>
</tr>
<tr class="odd">
<td>Name:</td>
<td colspan="10"></td>
</tr>
<tr class="even">
<td colspan="2">Date of Birth:</td>
<td></td>
<td colspan="2">Sex: Male</td>
<td>SS#:</td>
<td colspan="2">Age:</td>
<td></td>
<td>Race:</td>
<td></td>
</tr>
<tr class="odd">
<td colspan="2">Height:</td>
<td></td>
<td colspan="2">Hair Color:</td>
<td></td>
<td colspan="3">Injured:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">Weight:</td>
<td></td>
<td colspan="2">Hair Length:</td>
<td></td>
<td colspan="3">Hospital:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2">Build:</td>
<td></td>
<td colspan="2">Hair Style:</td>
<td></td>
<td colspan="3">Hospital Disposition:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">Complexion:</td>
<td></td>
<td colspan="2">Facial Hair:</td>
<td></td>
<td colspan="3">Conveyed By:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2">Eye Color:</td>
<td></td>
<td colspan="2">AR#:</td>
<td></td>
<td colspan="3">Injury Type:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="11">CHARGES</td>
</tr>
<tr class="odd">
<td colspan="4">RSMO USC</td>
<td colspan="3">MO Code</td>
<td colspan="4">F/M/C</td>
</tr>
<tr class="even">
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="4"></td>
</tr>
<tr class="odd">
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="4"></td>
</tr>
<tr class="even">
<td colspan="11"><strong>KNOWN SUSPECT #3</strong></td>
</tr>
<tr class="odd">
<td>Name:</td>
<td colspan="10"></td>
</tr>
<tr class="even">
<td colspan="2">Date of Birth:</td>
<td></td>
<td colspan="2">Sex:</td>
<td>SS#:</td>
<td colspan="2">Age:</td>
<td></td>
<td>Race:</td>
<td></td>
</tr>
<tr class="odd">
<td colspan="2">Height:</td>
<td></td>
<td colspan="2">Hair Color:</td>
<td></td>
<td colspan="3">Injured:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">Weight:</td>
<td></td>
<td colspan="2">Hair Length:</td>
<td></td>
<td colspan="3">Hospital:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2">Build:</td>
<td></td>
<td colspan="2">Hair Style:</td>
<td></td>
<td colspan="3">Hospital Disposition:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">Complexion:</td>
<td></td>
<td colspan="2">Facial Hair:</td>
<td></td>
<td colspan="3">Conveyed By:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2">Eye Color:</td>
<td></td>
<td colspan="2">AR#:</td>
<td></td>
<td colspan="3">Injury Type:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="11">CHARGES</td>
</tr>
<tr class="odd">
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="4"></td>
</tr>
<tr class="even">
<td colspan="4">RSMO USC</td>
<td colspan="3">MO Code</td>
<td colspan="4">F/M/C</td>
</tr>
<tr class="odd">
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="4"></td>
</tr>
</tbody>
</table>

<table>
<colgroup>
<col style="width: 14%" />
<col style="width: 0%" />
<col style="width: 2%" />
<col style="width: 8%" />
<col style="width: 8%" />
<col style="width: 8%" />
<col style="width: 8%" />
<col style="width: 2%" />
<col style="width: 12%" />
<col style="width: 1%" />
<col style="width: 8%" />
<col style="width: 8%" />
<col style="width: 5%" />
<col style="width: 11%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="14"><h1 id="property-5">PROPERTY</h1></td>
</tr>
<tr class="even">
<td>Owner’s Name:</td>
<td colspan="13"><h5 id="na-18">N/A</h5></td>
</tr>
<tr class="odd">
<td colspan="2">Item #:</td>
<td colspan="2"></td>
<td colspan="2">Value:</td>
<td colspan="2"></td>
<td>Item #:</td>
<td colspan="2"></td>
<td colspan="2">Value:</td>
<td></td>
</tr>
<tr class="even">
<td colspan="2">Quantity:</td>
<td colspan="2"></td>
<td colspan="2">Status:</td>
<td colspan="2"></td>
<td>Quantity:</td>
<td colspan="2"></td>
<td colspan="2">Status:</td>
<td></td>
</tr>
<tr class="odd">
<td colspan="2">Property Description:</td>
<td colspan="2"></td>
<td colspan="2">Owner’s Name:</td>
<td colspan="2"></td>
<td>Property Description:</td>
<td colspan="2"></td>
<td colspan="2">Owner’s Name:</td>
<td></td>
</tr>
<tr class="even">
<td colspan="14"><h1 id="vehicle-5">VEHICLE</h1></td>
</tr>
<tr class="odd">
<td colspan="3">Owner’s Name:</td>
<td colspan="11"><h5 id="na-19">N/A</h5></td>
</tr>
<tr class="even">
<td colspan="3">Vehicle Number:</td>
<td colspan="2"></td>
<td colspan="2">Vehicle Status:</td>
<td colspan="3"></td>
<td colspan="2">Code:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="3">Vehicle Make:</td>
<td colspan="2"></td>
<td colspan="2">Vehicle Style:</td>
<td colspan="3"></td>
<td colspan="2">Year:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="3">Vehicle Number:</td>
<td colspan="2"></td>
<td colspan="2">Vehicle Status:</td>
<td colspan="3"></td>
<td colspan="2">Code:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="3">Doors Locked:</td>
<td colspan="2"></td>
<td colspan="2">Vehicle Value:</td>
<td colspan="3"></td>
<td colspan="2">Other:</td>
<td colspan="2"></td>
</tr>
</tbody>
</table>

+-----------------------------------------------------------------------+
| # NARRATIVE                                                           |
+-----------------------------------------------------------------------+
| *911 call -- Mother says her daughter accidentally tipped a boiling   |
| pot of water on herself and is now crying and is in pain, skin is red |
| and blistered -- ambulance dispatched.*                               |
+-----------------------------------------------------------------------+

Reporting Officer: [*Off. McKay, J*]{.underline}

Supervising Officer: [*Off, Henry, J.K.*]{.underline}

Reviewing Officer: [*Det. Stills*]{.underline}

####### 

# Zenith City Police - 911

# Incident Report Form / Call Log Form

<table>
<colgroup>
<col style="width: 13%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 9%" />
<col style="width: 1%" />
<col style="width: 1%" />
<col style="width: 7%" />
<col style="width: 1%" />
<col style="width: 4%" />
<col style="width: 1%" />
<col style="width: 5%" />
<col style="width: 3%" />
<col style="width: 2%" />
<col style="width: 3%" />
<col style="width: 1%" />
<col style="width: 5%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 16%" />
<col style="width: 5%" />
<col style="width: 11%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="21"><h1 id="incident-datetime-6">INCIDENT
DATE/TIME</h1></td>
</tr>
<tr class="even">
<td colspan="3" rowspan="2">Date Printed:</td>
<td colspan="2" rowspan="2"><em>07-19</em></td>
<td colspan="3" rowspan="2">Time Printed:</td>
<td colspan="3"><em>07:40</em></td>
<td colspan="3" rowspan="2">M.R.S. Number:</td>
<td colspan="2" rowspan="2"><em>1136</em></td>
<td colspan="4" rowspan="2">Record Number</td>
<td rowspan="2">8</td>
</tr>
<tr class="odd">
<td colspan="2">AM</td>
<td><h3 id="pm-6">PM</h3></td>
</tr>
<tr class="even">
<td colspan="21"><strong>INCIDENT DATA</strong></td>
</tr>
<tr class="odd">
<td colspan="3">Incident Type:</td>
<td colspan="18"><h5 id="illness-911-call-3">Illness – 911
call</h5></td>
</tr>
<tr class="even">
<td colspan="3">Address of Occurrence:</td>
<td colspan="18"><em>700 Highway 1</em></td>
</tr>
<tr class="odd">
<td colspan="2">Originally Received As:</td>
<td colspan="5"><h5 id="phone-in-6">Phone in</h5></td>
<td colspan="5">Weapon or Objects Used:</td>
<td colspan="6"><em>-</em></td>
<td></td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">How Received:</td>
<td colspan="5"></td>
<td colspan="5">Reporting Officer:</td>
<td colspan="6"><em>Off. Smith, Robert</em></td>
<td>Domestic:</td>
<td colspan="2"><em>No</em></td>
</tr>
<tr class="odd">
<td colspan="2">Type of Premises</td>
<td colspan="5"><em>Manufacturing facility</em></td>
<td colspan="5">Other Offices Notified:</td>
<td colspan="6"><em>-</em></td>
<td>Complaint Status:</td>
<td colspan="2"><em>Closed</em></td>
</tr>
<tr class="even">
<td colspan="2">Copies To:</td>
<td colspan="5"></td>
<td colspan="5">Fire</td>
<td colspan="6"></td>
<td>Arson Related:</td>
<td colspan="2"><em>No</em></td>
</tr>
<tr class="odd">
<td colspan="2" rowspan="2">Occurred From:</td>
<td colspan="2">Date</td>
<td colspan="3">Time</td>
<td colspan="5" rowspan="2">To:</td>
<td colspan="3">Date</td>
<td colspan="3">Time</td>
<td rowspan="2">Officer Injured:</td>
<td colspan="2" rowspan="2"><em>No</em></td>
</tr>
<tr class="even">
<td colspan="2"><mark></mark></td>
<td colspan="3"><mark></mark></td>
<td colspan="3"></td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td colspan="2">Date Reported</td>
<td colspan="5"><em>07-19</em></td>
<td colspan="5">Call Received:</td>
<td colspan="6"><em>6:40 PM</em></td>
<td>Car Number:</td>
<td colspan="2"><em>N/A</em></td>
</tr>
<tr class="even">
<td colspan="2">Time Reported:</td>
<td colspan="5"><em>06:40 PM</em></td>
<td colspan="5">Time of Arrival:</td>
<td colspan="6"><em>6:53 PM</em></td>
<td>District:</td>
<td colspan="2"><em>The Glens</em></td>
</tr>
<tr class="odd">
<td colspan="2">Officer Assaulted or Killed:</td>
<td colspan="5"><em>No</em></td>
<td colspan="5">GEO Code:</td>
<td colspan="6"><em>22</em></td>
<td>Processed By:</td>
<td colspan="2"><em>Brown, D.</em></td>
</tr>
<tr class="even">
<td colspan="21"><strong>BURGLARY DATA</strong></td>
</tr>
<tr class="odd">
<td colspan="2">Method of Entry:</td>
<td colspan="5"></td>
<td colspan="5">Burglary Type: N/A</td>
<td colspan="6"></td>
<td>Point of Entry Visible to Patrol:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="21"><strong>REPORTING PARTY</strong></td>
</tr>
<tr class="odd">
<td>Name:</td>
<td colspan="20"><h5 id="smith-ted">Smith, Ted</h5></td>
</tr>
<tr class="even">
<td>Home Address:</td>
<td colspan="20"><em>570 Parent Rd.</em></td>
</tr>
<tr class="odd">
<td>Occupation:</td>
<td colspan="20"><em>Riveter</em></td>
</tr>
<tr class="even">
<td>Relation:</td>
<td colspan="20"><em>Co-worker</em></td>
</tr>
<tr class="odd">
<td>SSN:</td>
<td colspan="20"><em>348-27-5198</em></td>
</tr>
<tr class="even">
<td>Date of Birth:</td>
<td colspan="5"><em>06-24</em></td>
<td colspan="3">Sex:</td>
<td colspan="4"><h3 id="m-4"><em>M</em></h3></td>
<td colspan="4">Place of Birth:</td>
<td colspan="4"><h5 id="wi">WI</h5></td>
</tr>
<tr class="odd">
<td>Age:</td>
<td colspan="5"><em>28</em></td>
<td colspan="3">Race:</td>
<td colspan="4"><em>Caucasian</em></td>
<td colspan="4">Marital Status:</td>
<td colspan="4"><em>Single</em></td>
</tr>
</tbody>
</table>

+--------+--------+--------+---+---+--------+-----------------------+
| **VI   |        |        |   |   |        |                       |
| CTIM** |        |        |   |   |        |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| Name:  | ####   |        |   |   |        |                       |
|        | # Kim, |        |   |   |        |                       |
|        |  Lenny |        |   |   |        |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| Home   | *18    |        |   |   |        |                       |
| Ad     | Flint  |        |   |   |        |                       |
| dress: | Pl.*   |        |   |   |        |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| Occup  | *Ri    |        |   |   |        |                       |
| ation: | veter* |        |   |   |        |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| Rel    | *Co-w  |        |   |   |        |                       |
| ation: | orker* |        |   |   |        |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| SSN:   |        |        |   |   |        |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| Date   | *UNK*  | Sex:   | # | F | Place  | *UNK*                 |
| of     |        |        | # |   | of     |                       |
| Birth: |        |        | # |   | Birth: |                       |
|        |        |        |   |   |        |                       |
|        |        |        | M |   |        |                       |
|        |        |        |   |   |        |                       |
|        |        |        | { |   |        |                       |
|        |        |        | # |   |        |                       |
|        |        |        | m |   |        |                       |
|        |        |        | - |   |        |                       |
|        |        |        | 5 |   |        |                       |
|        |        |        | } |   |        |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| Age:   | *mi    | Race:  | # |   | M      | *UNK*                 |
|        | d-30s* |        | # |   | arital |                       |
|        |        |        | # |   | S      |                       |
|        |        |        | # |   | tatus: |                       |
|        |        |        | # |   |        |                       |
|        |        |        |   |   |        |                       |
|        |        |        | A |   |        |                       |
|        |        |        | s |   |        |                       |
|        |        |        | i |   |        |                       |
|        |        |        | a |   |        |                       |
|        |        |        | n |   |        |                       |
+--------+--------+--------+---+---+--------+-----------------------+

<table>
<colgroup>
<col style="width: 14%" />
<col style="width: 0%" />
<col style="width: 10%" />
<col style="width: 8%" />
<col style="width: 12%" />
<col style="width: 18%" />
<col style="width: 2%" />
<col style="width: 4%" />
<col style="width: 6%" />
<col style="width: 10%" />
<col style="width: 10%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="11"><strong>KNOWN SUSPECT #1</strong></td>
</tr>
<tr class="even">
<td>Name:</td>
<td colspan="10"><h5 id="na-20">N/A</h5></td>
</tr>
<tr class="odd">
<td colspan="2">Date of Birth:</td>
<td></td>
<td colspan="2">Sex:</td>
<td></td>
<td colspan="2">Age:</td>
<td></td>
<td>Race:</td>
<td></td>
</tr>
<tr class="even">
<td colspan="2">Height:</td>
<td></td>
<td colspan="2">Hair Color:</td>
<td></td>
<td colspan="3">Injured:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2">Weight:</td>
<td></td>
<td colspan="2">Hair Length:</td>
<td></td>
<td colspan="3">Hospital:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">Build:</td>
<td></td>
<td colspan="2">Hair Style:</td>
<td></td>
<td colspan="3">Hospital Disposition:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2">Complexion:</td>
<td></td>
<td colspan="2">Facial Hair:</td>
<td></td>
<td colspan="3">Conveyed By:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">Eye Color:</td>
<td></td>
<td colspan="2">AR#:</td>
<td></td>
<td colspan="3">Injury Type:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="11">CHARGES</td>
</tr>
<tr class="even">
<td colspan="11">N/A</td>
</tr>
<tr class="odd">
<td colspan="4">RSMO USC</td>
<td colspan="3">MO Code</td>
<td colspan="4">F/M/C</td>
</tr>
<tr class="even">
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="4"></td>
</tr>
<tr class="odd">
<td colspan="11"><strong>KNOWN SUSPECT #2</strong></td>
</tr>
<tr class="even">
<td>Name:</td>
<td colspan="10"></td>
</tr>
<tr class="odd">
<td colspan="2">Date of Birth:</td>
<td></td>
<td colspan="2">Sex: Male</td>
<td>SS#:</td>
<td colspan="2">Age:</td>
<td></td>
<td>Race:</td>
<td></td>
</tr>
<tr class="even">
<td colspan="2">Height:</td>
<td></td>
<td colspan="2">Hair Color:</td>
<td></td>
<td colspan="3">Injured:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2">Weight:</td>
<td></td>
<td colspan="2">Hair Length:</td>
<td></td>
<td colspan="3">Hospital:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">Build:</td>
<td></td>
<td colspan="2">Hair Style:</td>
<td></td>
<td colspan="3">Hospital Disposition:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2">Complexion:</td>
<td></td>
<td colspan="2">Facial Hair:</td>
<td></td>
<td colspan="3">Conveyed By:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">Eye Color:</td>
<td></td>
<td colspan="2">AR#:</td>
<td></td>
<td colspan="3">Injury Type:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="11">CHARGES</td>
</tr>
<tr class="even">
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="4"></td>
</tr>
<tr class="odd">
<td colspan="4">RSMO USC</td>
<td colspan="3">MO Code</td>
<td colspan="4">F/M/C</td>
</tr>
<tr class="even">
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="4"></td>
</tr>
<tr class="odd">
<td colspan="11"><strong>KNOWN SUSPECT #3</strong></td>
</tr>
<tr class="even">
<td>Name:</td>
<td colspan="10"></td>
</tr>
<tr class="odd">
<td colspan="2">Date of Birth:</td>
<td></td>
<td colspan="2">Sex:</td>
<td>SS#:</td>
<td colspan="2">Age:</td>
<td></td>
<td>Race:</td>
<td></td>
</tr>
<tr class="even">
<td colspan="2">Height:</td>
<td></td>
<td colspan="2">Hair Color:</td>
<td></td>
<td colspan="3">Injured:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2">Weight:</td>
<td></td>
<td colspan="2">Hair Length:</td>
<td></td>
<td colspan="3">Hospital:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">Build:</td>
<td></td>
<td colspan="2">Hair Style:</td>
<td></td>
<td colspan="3">Hospital Disposition:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2">Complexion:</td>
<td></td>
<td colspan="2">Facial Hair:</td>
<td></td>
<td colspan="3">Conveyed By:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">Eye Color:</td>
<td></td>
<td colspan="2">AR#:</td>
<td></td>
<td colspan="3">Injury Type:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="11">CHARGES</td>
</tr>
<tr class="even">
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="4"></td>
</tr>
<tr class="odd">
<td colspan="4">RSMO USC</td>
<td colspan="3">MO Code</td>
<td colspan="4">F/M/C</td>
</tr>
<tr class="even">
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="4"></td>
</tr>
</tbody>
</table>

<table>
<colgroup>
<col style="width: 14%" />
<col style="width: 0%" />
<col style="width: 2%" />
<col style="width: 8%" />
<col style="width: 8%" />
<col style="width: 8%" />
<col style="width: 8%" />
<col style="width: 2%" />
<col style="width: 12%" />
<col style="width: 1%" />
<col style="width: 8%" />
<col style="width: 8%" />
<col style="width: 5%" />
<col style="width: 11%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="14"><h1 id="property-6">PROPERTY</h1></td>
</tr>
<tr class="even">
<td>Owner’s Name:</td>
<td colspan="13"><h5 id="na-21">N/A</h5></td>
</tr>
<tr class="odd">
<td colspan="2">Item #:</td>
<td colspan="2"></td>
<td colspan="2">Value:</td>
<td colspan="2"></td>
<td>Item #:</td>
<td colspan="2"></td>
<td colspan="2">Value:</td>
<td></td>
</tr>
<tr class="even">
<td colspan="2">Quantity:</td>
<td colspan="2"></td>
<td colspan="2">Status:</td>
<td colspan="2"></td>
<td>Quantity:</td>
<td colspan="2"></td>
<td colspan="2">Status:</td>
<td></td>
</tr>
<tr class="odd">
<td colspan="2">Property Description:</td>
<td colspan="2"></td>
<td colspan="2">Owner’s Name:</td>
<td colspan="2"></td>
<td>Property Description:</td>
<td colspan="2"></td>
<td colspan="2">Owner’s Name:</td>
<td></td>
</tr>
<tr class="even">
<td colspan="14"><h1 id="vehicle-6">VEHICLE</h1></td>
</tr>
<tr class="odd">
<td colspan="3">Owner’s Name:</td>
<td colspan="11"><h5 id="na-22">N/A</h5></td>
</tr>
<tr class="even">
<td colspan="3">Vehicle Number:</td>
<td colspan="2"></td>
<td colspan="2">Vehicle Status:</td>
<td colspan="3"></td>
<td colspan="2">Code:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="3">Vehicle Make:</td>
<td colspan="2"></td>
<td colspan="2">Vehicle Style:</td>
<td colspan="3"></td>
<td colspan="2">Year:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="3">Vehicle Number:</td>
<td colspan="2"></td>
<td colspan="2">Vehicle Status:</td>
<td colspan="3"></td>
<td colspan="2">Code:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="3">Doors Locked:</td>
<td colspan="2"></td>
<td colspan="2">Vehicle Value:</td>
<td colspan="3"></td>
<td colspan="2">Other:</td>
<td colspan="2"></td>
</tr>
</tbody>
</table>

+-----------------------------------------------------------------------+
| # NARRATIVE                                                           |
+-----------------------------------------------------------------------+
| *911 call -- Coworker reports that Mr. Kim had been feeling very ill, |
| complaining of bloody diarrhea, cramping, and fever and then he just  |
| "keeled" over -- ambulance dispatched.*                               |
+-----------------------------------------------------------------------+

Reporting Officer: [*Off. Smith, R.*]{.underline}

Supervising Officer: [*Off, Henry, J.K.*]{.underline}

Reviewing Officer: [*Det. Stills*]{.underline}

# Zenith City Police - 911

# Incident Report Form / Call Log Form

<table>
<colgroup>
<col style="width: 13%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 9%" />
<col style="width: 1%" />
<col style="width: 1%" />
<col style="width: 7%" />
<col style="width: 1%" />
<col style="width: 4%" />
<col style="width: 1%" />
<col style="width: 5%" />
<col style="width: 3%" />
<col style="width: 2%" />
<col style="width: 3%" />
<col style="width: 1%" />
<col style="width: 5%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 16%" />
<col style="width: 5%" />
<col style="width: 11%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="21"><h1 id="incident-datetime-7">INCIDENT
DATE/TIME</h1></td>
</tr>
<tr class="even">
<td colspan="3" rowspan="2">Date Printed:</td>
<td colspan="2" rowspan="2"><em>07-19</em></td>
<td colspan="3" rowspan="2">Time Printed:</td>
<td colspan="3"><em>09:50</em></td>
<td colspan="3" rowspan="2">M.R.S. Number:</td>
<td colspan="2" rowspan="2"><em>1137</em></td>
<td colspan="4" rowspan="2">Record Number</td>
<td rowspan="2">9</td>
</tr>
<tr class="odd">
<td colspan="2">AM</td>
<td><h3 id="pm-7">PM</h3></td>
</tr>
<tr class="even">
<td colspan="21"><strong>INCIDENT DATA</strong></td>
</tr>
<tr class="odd">
<td colspan="3">Incident Type:</td>
<td colspan="18"><h5 id="illness-911-call-4">Illness – 911
call</h5></td>
</tr>
<tr class="even">
<td colspan="3">Address of Occurrence:</td>
<td colspan="18"><em>17 Flint Place</em></td>
</tr>
<tr class="odd">
<td colspan="2">Originally Received As:</td>
<td colspan="5"><h5 id="phone-in-7">Phone in</h5></td>
<td colspan="5">Weapon or Objects Used:</td>
<td colspan="6"><em>-</em></td>
<td></td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">How Received:</td>
<td colspan="5"></td>
<td colspan="5">Reporting Officer:</td>
<td colspan="6"><em>Off. Damon, John</em></td>
<td>Domestic:</td>
<td colspan="2"><h5 id="yes">Yes</h5></td>
</tr>
<tr class="odd">
<td colspan="2">Type of Premises</td>
<td colspan="5"><h5 id="apartment-building">Apartment building</h5></td>
<td colspan="5">Other Offices Notified:</td>
<td colspan="6"><em>-</em></td>
<td>Complaint Status:</td>
<td colspan="2"><em>Taken to hospital</em></td>
</tr>
<tr class="even">
<td colspan="2">Copies To:</td>
<td colspan="5"><em>Muni Court</em></td>
<td colspan="5">Fire</td>
<td colspan="6"></td>
<td>Arson Related:</td>
<td colspan="2"><em>No</em></td>
</tr>
<tr class="odd">
<td colspan="2" rowspan="2">Occurred From:</td>
<td colspan="2">Date</td>
<td colspan="3">Time</td>
<td colspan="5" rowspan="2">To:</td>
<td colspan="3">Date</td>
<td colspan="3">Time</td>
<td rowspan="2">Officer Injured:</td>
<td colspan="2" rowspan="2"><em>No</em></td>
</tr>
<tr class="even">
<td colspan="2"></td>
<td colspan="3"></td>
<td colspan="3"></td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td colspan="2">Date Reported</td>
<td colspan="5"><em>07-19</em></td>
<td colspan="5">Call Received:</td>
<td colspan="6"><em>08:50 PM</em></td>
<td>Car Number:</td>
<td colspan="2"><em>65</em></td>
</tr>
<tr class="even">
<td colspan="2">Time Reported:</td>
<td colspan="5"><em>08:50 PM</em></td>
<td colspan="5">Time of Arrival:</td>
<td colspan="6"><em>08:54 PM</em></td>
<td>District:</td>
<td colspan="2"><em>The Village</em></td>
</tr>
<tr class="odd">
<td colspan="2">Officer Assaulted or Killed:</td>
<td colspan="5"><em>No</em></td>
<td colspan="5">GEO Code:</td>
<td colspan="6"><em>33</em></td>
<td>Processed By:</td>
<td colspan="2"><em>Brown, D.</em></td>
</tr>
<tr class="even">
<td colspan="21"><strong>BURGLARY DATA</strong></td>
</tr>
<tr class="odd">
<td colspan="2">Method of Entry:</td>
<td colspan="5"></td>
<td colspan="5">Burglary Type: N/A</td>
<td colspan="6"></td>
<td>Point of Entry Visible to Patrol:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="21"><strong>REPORTING PARTY</strong></td>
</tr>
<tr class="odd">
<td>Name:</td>
<td colspan="20"><h5 id="peters-michelle">Peters, Michelle </h5></td>
</tr>
<tr class="even">
<td>Home Address:</td>
<td colspan="20"><em>17 Flint Place</em></td>
</tr>
<tr class="odd">
<td>Occupation:</td>
<td colspan="20"><em>Teacher</em></td>
</tr>
<tr class="even">
<td>Relation:</td>
<td colspan="20"><em>Victim</em></td>
</tr>
<tr class="odd">
<td>SSN:</td>
<td colspan="20"><em>765-56-7680</em></td>
</tr>
<tr class="even">
<td>Date of Birth:</td>
<td colspan="5"><em>12-23</em></td>
<td colspan="3">Sex:</td>
<td colspan="4"><h3 id="female"><em>Female</em></h3></td>
<td colspan="4">Place of Birth:</td>
<td colspan="4"><h5 id="nh">NH</h5></td>
</tr>
<tr class="odd">
<td>Age:</td>
<td colspan="5"><em>59</em></td>
<td colspan="3">Race:</td>
<td colspan="4"><em>Caucasian</em></td>
<td colspan="4">Marital Status:</td>
<td colspan="4"><em>Married</em></td>
</tr>
</tbody>
</table>

+--------+--------+--------+---+---+--------+-----------------------+
| **VI   |        |        |   |   |        |                       |
| CTIM** |        |        |   |   |        |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| Name:  | #      |        |   |   |        |                       |
|        | #### S |        |   |   |        |                       |
|        | ame as |        |   |   |        |                       |
|        |  above |        |   |   |        |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| Home   |        |        |   |   |        |                       |
| Ad     |        |        |   |   |        |                       |
| dress: |        |        |   |   |        |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| Occup  |        |        |   |   |        |                       |
| ation: |        |        |   |   |        |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| Rel    |        |        |   |   |        |                       |
| ation: |        |        |   |   |        |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| SSN:   |        |        |   |   |        |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| Date   |        | Sex:   | M | F | Place  |                       |
| of     |        |        |   |   | of     |                       |
| Birth: |        |        |   |   | Birth: |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| Age:   |        | Race:  |   |   | M      |                       |
|        |        |        |   |   | arital |                       |
|        |        |        |   |   | S      |                       |
|        |        |        |   |   | tatus: |                       |
+--------+--------+--------+---+---+--------+-----------------------+

<table>
<colgroup>
<col style="width: 14%" />
<col style="width: 0%" />
<col style="width: 10%" />
<col style="width: 8%" />
<col style="width: 12%" />
<col style="width: 18%" />
<col style="width: 2%" />
<col style="width: 4%" />
<col style="width: 6%" />
<col style="width: 10%" />
<col style="width: 10%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="11"><strong>KNOWN SUSPECT #1</strong></td>
</tr>
<tr class="even">
<td>Name:</td>
<td colspan="10"><h5 id="na-23">N/A</h5></td>
</tr>
<tr class="odd">
<td colspan="2">Date of Birth:</td>
<td></td>
<td colspan="2">Sex:</td>
<td></td>
<td colspan="2">Age:</td>
<td></td>
<td>Race:</td>
<td></td>
</tr>
<tr class="even">
<td colspan="2">Height:</td>
<td></td>
<td colspan="2">Hair Color:</td>
<td></td>
<td colspan="3">Injured:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2">Weight:</td>
<td></td>
<td colspan="2">Hair Length:</td>
<td></td>
<td colspan="3">Hospital:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">Build:</td>
<td></td>
<td colspan="2">Hair Style:</td>
<td></td>
<td colspan="3">Hospital Disposition:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2">Complexion:</td>
<td></td>
<td colspan="2">Facial Hair:</td>
<td></td>
<td colspan="3">Conveyed By:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">Eye Color:</td>
<td></td>
<td colspan="2">AR#:</td>
<td></td>
<td colspan="3">Injury Type:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="11">CHARGES</td>
</tr>
<tr class="even">
<td colspan="11">N/A</td>
</tr>
<tr class="odd">
<td colspan="4">RSMO USC</td>
<td colspan="3">MO Code</td>
<td colspan="4">F/M/C</td>
</tr>
<tr class="even">
<td colspan="4"><mark></mark></td>
<td colspan="3"><mark></mark></td>
<td colspan="4"><mark></mark></td>
</tr>
<tr class="odd">
<td colspan="4"><mark></mark></td>
<td colspan="3"></td>
<td colspan="4"></td>
</tr>
<tr class="even">
<td colspan="11"><strong>KNOWN SUSPECT #2</strong></td>
</tr>
<tr class="odd">
<td>Name:</td>
<td colspan="10"></td>
</tr>
<tr class="even">
<td colspan="2">Date of Birth:</td>
<td></td>
<td colspan="2">Sex: Male</td>
<td>SS#:</td>
<td colspan="2">Age:</td>
<td></td>
<td>Race:</td>
<td></td>
</tr>
<tr class="odd">
<td colspan="2">Height:</td>
<td></td>
<td colspan="2">Hair Color:</td>
<td></td>
<td colspan="3">Injured:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">Weight:</td>
<td></td>
<td colspan="2">Hair Length:</td>
<td></td>
<td colspan="3">Hospital:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2">Build:</td>
<td></td>
<td colspan="2">Hair Style:</td>
<td></td>
<td colspan="3">Hospital Disposition:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">Complexion:</td>
<td></td>
<td colspan="2">Facial Hair:</td>
<td></td>
<td colspan="3">Conveyed By:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2">Eye Color:</td>
<td></td>
<td colspan="2">AR#:</td>
<td></td>
<td colspan="3">Injury Type:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="11">CHARGES</td>
</tr>
<tr class="odd">
<td colspan="4">RSMO USC</td>
<td colspan="3">MO Code</td>
<td colspan="4">F/M/C</td>
</tr>
<tr class="even">
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="4"></td>
</tr>
<tr class="odd">
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="4"></td>
</tr>
<tr class="even">
<td colspan="11"><strong>KNOWN SUSPECT #3</strong></td>
</tr>
<tr class="odd">
<td>Name:</td>
<td colspan="10"></td>
</tr>
<tr class="even">
<td colspan="2">Date of Birth:</td>
<td></td>
<td colspan="2">Sex:</td>
<td>SS#:</td>
<td colspan="2">Age:</td>
<td></td>
<td>Race:</td>
<td></td>
</tr>
<tr class="odd">
<td colspan="2">Height:</td>
<td></td>
<td colspan="2">Hair Color:</td>
<td></td>
<td colspan="3">Injured:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">Weight:</td>
<td></td>
<td colspan="2">Hair Length:</td>
<td></td>
<td colspan="3">Hospital:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2">Build:</td>
<td></td>
<td colspan="2">Hair Style:</td>
<td></td>
<td colspan="3">Hospital Disposition:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">Complexion:</td>
<td></td>
<td colspan="2">Facial Hair:</td>
<td></td>
<td colspan="3">Conveyed By:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2">Eye Color:</td>
<td></td>
<td colspan="2">AR#:</td>
<td></td>
<td colspan="3">Injury Type:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="11">CHARGES</td>
</tr>
<tr class="odd">
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="4"></td>
</tr>
<tr class="even">
<td colspan="4">RSMO USC</td>
<td colspan="3">MO Code</td>
<td colspan="4">F/M/C</td>
</tr>
<tr class="odd">
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="4"></td>
</tr>
</tbody>
</table>

<table>
<colgroup>
<col style="width: 14%" />
<col style="width: 0%" />
<col style="width: 2%" />
<col style="width: 8%" />
<col style="width: 8%" />
<col style="width: 8%" />
<col style="width: 8%" />
<col style="width: 2%" />
<col style="width: 12%" />
<col style="width: 1%" />
<col style="width: 8%" />
<col style="width: 8%" />
<col style="width: 5%" />
<col style="width: 11%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="14"><h1 id="property-7">PROPERTY</h1></td>
</tr>
<tr class="even">
<td>Owner’s Name:</td>
<td colspan="13"><h5 id="na-24">N/A</h5></td>
</tr>
<tr class="odd">
<td colspan="2">Item #:</td>
<td colspan="2"></td>
<td colspan="2">Value:</td>
<td colspan="2"></td>
<td>Item #:</td>
<td colspan="2"></td>
<td colspan="2">Value:</td>
<td></td>
</tr>
<tr class="even">
<td colspan="2">Quantity:</td>
<td colspan="2"></td>
<td colspan="2">Status:</td>
<td colspan="2"></td>
<td>Quantity:</td>
<td colspan="2"></td>
<td colspan="2">Status:</td>
<td></td>
</tr>
<tr class="odd">
<td colspan="2">Property Description:</td>
<td colspan="2"></td>
<td colspan="2">Owner’s Name:</td>
<td colspan="2"></td>
<td>Property Description:</td>
<td colspan="2"></td>
<td colspan="2">Owner’s Name:</td>
<td></td>
</tr>
<tr class="even">
<td colspan="14"><h1 id="vehicle-7">VEHICLE</h1></td>
</tr>
<tr class="odd">
<td colspan="3">Owner’s Name:</td>
<td colspan="11"><h5 id="na-25">N/A</h5></td>
</tr>
<tr class="even">
<td colspan="3">Vehicle Number:</td>
<td colspan="2"></td>
<td colspan="2">Vehicle Status:</td>
<td colspan="3"></td>
<td colspan="2">Code:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="3">Vehicle Make:</td>
<td colspan="2"></td>
<td colspan="2">Vehicle Style:</td>
<td colspan="3"></td>
<td colspan="2">Year:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="3">Vehicle Number:</td>
<td colspan="2"></td>
<td colspan="2">Vehicle Status:</td>
<td colspan="3"></td>
<td colspan="2">Code:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="3">Doors Locked:</td>
<td colspan="2"></td>
<td colspan="2">Vehicle Value:</td>
<td colspan="3"></td>
<td colspan="2">Other:</td>
<td colspan="2"></td>
</tr>
</tbody>
</table>

+-----------------------------------------------------------------------+
| # NARRATIVE                                                           |
+-----------------------------------------------------------------------+
| *911 caller complains of feeling very sick and seeing blood in        |
| toilet; having trouble standing straight up without pain in abdomen;  |
| never felt so sick; ambulance sent to address.*                       |
+-----------------------------------------------------------------------+

Reporting Officer: [*Off. Damon, J.*]{.underline}

Supervising Officer: [*Off. Craig, Steven*]{.underline}

Reviewing Officer: [*Det. Manly*]{.underline}

# Zenith City Police - 911

# Incident Report Form / Call Log Form

<table>
<colgroup>
<col style="width: 13%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 9%" />
<col style="width: 1%" />
<col style="width: 1%" />
<col style="width: 7%" />
<col style="width: 1%" />
<col style="width: 4%" />
<col style="width: 1%" />
<col style="width: 5%" />
<col style="width: 3%" />
<col style="width: 2%" />
<col style="width: 3%" />
<col style="width: 1%" />
<col style="width: 5%" />
<col style="width: 1%" />
<col style="width: 0%" />
<col style="width: 16%" />
<col style="width: 5%" />
<col style="width: 11%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="21"><h1 id="incident-datetime-8">INCIDENT
DATE/TIME</h1></td>
</tr>
<tr class="even">
<td colspan="3" rowspan="2">Date Printed:</td>
<td colspan="2" rowspan="2"><em>07-19</em></td>
<td colspan="3" rowspan="2">Time Printed:</td>
<td colspan="3"><em>11:15</em></td>
<td colspan="3" rowspan="2">M.R.S. Number:</td>
<td colspan="2" rowspan="2"><em>1138</em></td>
<td colspan="4" rowspan="2">Record Number</td>
<td rowspan="2">10</td>
</tr>
<tr class="odd">
<td colspan="2">AM</td>
<td><h3 id="pm-8">PM</h3></td>
</tr>
<tr class="even">
<td colspan="21"><strong>INCIDENT DATA</strong></td>
</tr>
<tr class="odd">
<td colspan="3">Incident Type:</td>
<td colspan="18"><h5 id="illness-911-call-5">Illness – 911
call</h5></td>
</tr>
<tr class="even">
<td colspan="3">Address of Occurrence:</td>
<td colspan="18"><em>56 Webb Road</em></td>
</tr>
<tr class="odd">
<td colspan="2">Originally Received As:</td>
<td colspan="5"><h5 id="phone-in-8">Phone in</h5></td>
<td colspan="5">Weapon or Objects Used:</td>
<td colspan="6"><em>-</em></td>
<td></td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">How Received:</td>
<td colspan="5"></td>
<td colspan="5">Reporting Officer:</td>
<td colspan="6"><em>Off. Lee, Nancy</em></td>
<td>Domestic:</td>
<td colspan="2"><em>Yes</em></td>
</tr>
<tr class="odd">
<td colspan="2">Type of Premises</td>
<td colspan="5"><em>Residence</em></td>
<td colspan="5">Other Offices Notified:</td>
<td colspan="6"><em>-</em></td>
<td>Complaint Status:</td>
<td colspan="2"><em>closed</em></td>
</tr>
<tr class="even">
<td colspan="2">Copies To:</td>
<td colspan="5"></td>
<td colspan="5">Fire</td>
<td colspan="6"></td>
<td>Arson Related:</td>
<td colspan="2"><em>No</em></td>
</tr>
<tr class="odd">
<td colspan="2" rowspan="2">Occurred From:</td>
<td colspan="2">Date</td>
<td colspan="3">Time</td>
<td colspan="5" rowspan="2">To:</td>
<td colspan="3">Date</td>
<td colspan="3">Time</td>
<td rowspan="2">Officer Injured:</td>
<td colspan="2" rowspan="2"><em>No</em></td>
</tr>
<tr class="even">
<td colspan="2"><mark></mark></td>
<td colspan="3"><mark></mark></td>
<td colspan="3"></td>
<td colspan="3"></td>
</tr>
<tr class="odd">
<td colspan="2">Date Reported</td>
<td colspan="5"><em>07-19</em></td>
<td colspan="5">Call Received:</td>
<td colspan="6"><em>9:15 PM</em></td>
<td>Car Number:</td>
<td colspan="2"><em>66</em></td>
</tr>
<tr class="even">
<td colspan="2">Time Reported:</td>
<td colspan="5"><em>09:15 PM</em></td>
<td colspan="5">Time of Arrival:</td>
<td colspan="6"><em>9:20 PM</em></td>
<td>District:</td>
<td colspan="2"><em>The Village</em></td>
</tr>
<tr class="odd">
<td colspan="2">Officer Assaulted or Killed:</td>
<td colspan="5"><em>No</em></td>
<td colspan="5">GEO Code:</td>
<td colspan="6"><em>33</em></td>
<td>Processed By:</td>
<td colspan="2"><em>Brown, D.</em></td>
</tr>
<tr class="even">
<td colspan="21"><strong>BURGLARY DATA</strong></td>
</tr>
<tr class="odd">
<td colspan="2">Method of Entry:</td>
<td colspan="5"></td>
<td colspan="5">Burglary Type: N/A</td>
<td colspan="6"></td>
<td>Point of Entry Visible to Patrol:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="21"><strong>REPORTING PARTY</strong></td>
</tr>
<tr class="odd">
<td>Name:</td>
<td colspan="20"><h5 id="lindorr-lisa">Lindorr, Lisa </h5></td>
</tr>
<tr class="even">
<td>Home Address:</td>
<td colspan="20"><em>56 Webb Road</em></td>
</tr>
<tr class="odd">
<td>Occupation:</td>
<td colspan="20"><em>Chef</em></td>
</tr>
<tr class="even">
<td>Relation:</td>
<td colspan="20"><em>Mother</em></td>
</tr>
<tr class="odd">
<td>SSN:</td>
<td colspan="20"><em>374-56-0937</em></td>
</tr>
<tr class="even">
<td>Date of Birth:</td>
<td colspan="5"><em>05-17</em></td>
<td colspan="3">Sex:</td>
<td colspan="4"><h3 id="female-1"><em>Female</em></h3></td>
<td colspan="4">Place of Birth:</td>
<td colspan="4"><h5 id="fl">FL</h5></td>
</tr>
<tr class="odd">
<td>Age:</td>
<td colspan="5"><em>36</em></td>
<td colspan="3">Race:</td>
<td colspan="4"><em>Black</em></td>
<td colspan="4">Marital Status:</td>
<td colspan="4"><em>Married</em></td>
</tr>
</tbody>
</table>

+--------+--------+--------+---+---+--------+-----------------------+
| **VI   |        |        |   |   |        |                       |
| CTIM** |        |        |   |   |        |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| Name:  | #####  |        |   |   |        |                       |
|        | Lindor |        |   |   |        |                       |
|        | r, Chr |        |   |   |        |                       |
|        | is and |        |   |   |        |                       |
|        |  Kylie |        |   |   |        |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| Home   | #      |        |   |   |        |                       |
| Ad     | #### S |        |   |   |        |                       |
| dress: | ame as |        |   |   |        |                       |
|        |  above |        |   |   |        |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| Occup  | *N/A*  |        |   |   |        |                       |
| ation: |        |        |   |   |        |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| Rel    | *Son   |        |   |   |        |                       |
| ation: | and    |        |   |   |        |                       |
|        | dau    |        |   |   |        |                       |
|        | ghter* |        |   |   |        |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| SSN:   | *1     |        |   |   |        |                       |
|        | 23-658 |        |   |   |        |                       |
|        | -8924; |        |   |   |        |                       |
|        | 123-85 |        |   |   |        |                       |
|        | -4627* |        |   |   |        |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| Date   | *      | Sex:   | # | # | Place  | *FL*                  |
| of     | 02-15* |        | # | # | of     |                       |
| Birth: |        |        | # | # | Birth: |                       |
|        | *      |        |   |   |        |                       |
|        | 09-23* |        | M | F |        |                       |
|        |        |        |   |   |        |                       |
|        |        |        |   | { |        |                       |
|        |        |        | { | # |        |                       |
|        |        |        | # | f |        |                       |
|        |        |        | m | - |        |                       |
|        |        |        | - | 5 |        |                       |
|        |        |        | 6 | } |        |                       |
|        |        |        | } |   |        |                       |
+--------+--------+--------+---+---+--------+-----------------------+
| Age:   | *7*    | Race:  | # |   | M      | *N/A*                 |
|        |        |        | # |   | arital |                       |
|        | *9*    |        | # |   | S      |                       |
|        |        |        | # |   | tatus: |                       |
|        |        |        | # |   |        |                       |
|        |        |        |   |   |        |                       |
|        |        |        | B |   |        |                       |
|        |        |        | l |   |        |                       |
|        |        |        | a |   |        |                       |
|        |        |        | c |   |        |                       |
|        |        |        | k |   |        |                       |
+--------+--------+--------+---+---+--------+-----------------------+

<table>
<colgroup>
<col style="width: 14%" />
<col style="width: 0%" />
<col style="width: 10%" />
<col style="width: 8%" />
<col style="width: 12%" />
<col style="width: 18%" />
<col style="width: 2%" />
<col style="width: 4%" />
<col style="width: 6%" />
<col style="width: 10%" />
<col style="width: 10%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="11"><strong>KNOWN SUSPECT #1</strong></td>
</tr>
<tr class="even">
<td>Name:</td>
<td colspan="10"><h5 id="na-26">N/A</h5></td>
</tr>
<tr class="odd">
<td colspan="2">Date of Birth:</td>
<td></td>
<td colspan="2">Sex:</td>
<td></td>
<td colspan="2">Age:</td>
<td></td>
<td>Race:</td>
<td></td>
</tr>
<tr class="even">
<td colspan="2">Height:</td>
<td></td>
<td colspan="2">Hair Color:</td>
<td></td>
<td colspan="3">Injured:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2">Weight:</td>
<td></td>
<td colspan="2">Hair Length:</td>
<td></td>
<td colspan="3">Hospital:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">Build:</td>
<td></td>
<td colspan="2">Hair Style:</td>
<td></td>
<td colspan="3">Hospital Disposition:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2">Complexion:</td>
<td></td>
<td colspan="2">Facial Hair:</td>
<td></td>
<td colspan="3">Conveyed By:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">Eye Color:</td>
<td></td>
<td colspan="2">AR#:</td>
<td></td>
<td colspan="3">Injury Type:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="11">CHARGES</td>
</tr>
<tr class="even">
<td colspan="11">N/A</td>
</tr>
<tr class="odd">
<td colspan="4">RSMO USC</td>
<td colspan="3">MO Code</td>
<td colspan="4">F/M/C</td>
</tr>
<tr class="even">
<td colspan="4"><mark></mark></td>
<td colspan="3"><mark></mark></td>
<td colspan="4"><mark></mark></td>
</tr>
<tr class="odd">
<td colspan="11"><strong>KNOWN SUSPECT #2</strong></td>
</tr>
<tr class="even">
<td>Name:</td>
<td colspan="10"></td>
</tr>
<tr class="odd">
<td colspan="2">Date of Birth:</td>
<td></td>
<td colspan="2">Sex: Male</td>
<td>SS#:</td>
<td colspan="2">Age:</td>
<td></td>
<td>Race:</td>
<td></td>
</tr>
<tr class="even">
<td colspan="2">Height:</td>
<td></td>
<td colspan="2">Hair Color:</td>
<td></td>
<td colspan="3">Injured:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2">Weight:</td>
<td></td>
<td colspan="2">Hair Length:</td>
<td></td>
<td colspan="3">Hospital:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">Build:</td>
<td></td>
<td colspan="2">Hair Style:</td>
<td></td>
<td colspan="3">Hospital Disposition:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2">Complexion:</td>
<td></td>
<td colspan="2">Facial Hair:</td>
<td></td>
<td colspan="3">Conveyed By:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">Eye Color:</td>
<td></td>
<td colspan="2">AR#:</td>
<td></td>
<td colspan="3">Injury Type:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="11">CHARGES</td>
</tr>
<tr class="even">
<td colspan="4">RSMO USC</td>
<td colspan="3">MO Code</td>
<td colspan="4">F/M/C</td>
</tr>
<tr class="odd">
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="4"></td>
</tr>
<tr class="even">
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="4"></td>
</tr>
<tr class="odd">
<td colspan="11"><strong>KNOWN SUSPECT #3</strong></td>
</tr>
<tr class="even">
<td>Name:</td>
<td colspan="10"></td>
</tr>
<tr class="odd">
<td colspan="2">Date of Birth:</td>
<td></td>
<td colspan="2">Sex:</td>
<td>SS#:</td>
<td colspan="2">Age:</td>
<td></td>
<td>Race:</td>
<td></td>
</tr>
<tr class="even">
<td colspan="2">Height:</td>
<td></td>
<td colspan="2">Hair Color:</td>
<td></td>
<td colspan="3">Injured:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2">Weight:</td>
<td></td>
<td colspan="2">Hair Length:</td>
<td></td>
<td colspan="3">Hospital:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">Build:</td>
<td></td>
<td colspan="2">Hair Style:</td>
<td></td>
<td colspan="3">Hospital Disposition:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="2">Complexion:</td>
<td></td>
<td colspan="2">Facial Hair:</td>
<td></td>
<td colspan="3">Conveyed By:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="2">Eye Color:</td>
<td></td>
<td colspan="2">AR#:</td>
<td></td>
<td colspan="3">Injury Type:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="11">CHARGES</td>
</tr>
<tr class="even">
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="4"></td>
</tr>
<tr class="odd">
<td colspan="4">RSMO USC</td>
<td colspan="3">MO Code</td>
<td colspan="4">F/M/C</td>
</tr>
<tr class="even">
<td colspan="4"></td>
<td colspan="3"></td>
<td colspan="4"></td>
</tr>
</tbody>
</table>

<table>
<colgroup>
<col style="width: 14%" />
<col style="width: 0%" />
<col style="width: 2%" />
<col style="width: 8%" />
<col style="width: 8%" />
<col style="width: 8%" />
<col style="width: 8%" />
<col style="width: 2%" />
<col style="width: 12%" />
<col style="width: 1%" />
<col style="width: 8%" />
<col style="width: 8%" />
<col style="width: 5%" />
<col style="width: 11%" />
</colgroup>
<tbody>
<tr class="odd">
<td colspan="14"><h1 id="property-8">PROPERTY</h1></td>
</tr>
<tr class="even">
<td>Owner’s Name:</td>
<td colspan="13"><h5 id="na-27">N/A</h5></td>
</tr>
<tr class="odd">
<td colspan="2">Item #:</td>
<td colspan="2"></td>
<td colspan="2">Value:</td>
<td colspan="2"></td>
<td>Item #:</td>
<td colspan="2"></td>
<td colspan="2">Value:</td>
<td></td>
</tr>
<tr class="even">
<td colspan="2">Quantity:</td>
<td colspan="2"></td>
<td colspan="2">Status:</td>
<td colspan="2"></td>
<td>Quantity:</td>
<td colspan="2"></td>
<td colspan="2">Status:</td>
<td></td>
</tr>
<tr class="odd">
<td colspan="2">Property Description:</td>
<td colspan="2"></td>
<td colspan="2">Owner’s Name:</td>
<td colspan="2"></td>
<td>Property Description:</td>
<td colspan="2"></td>
<td colspan="2">Owner’s Name:</td>
<td></td>
</tr>
<tr class="even">
<td colspan="14"><h1 id="vehicle-8">VEHICLE</h1></td>
</tr>
<tr class="odd">
<td colspan="3">Owner’s Name:</td>
<td colspan="11"><h5 id="na-28">N/A</h5></td>
</tr>
<tr class="even">
<td colspan="3">Vehicle Number:</td>
<td colspan="2"></td>
<td colspan="2">Vehicle Status:</td>
<td colspan="3"></td>
<td colspan="2">Code:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="3">Vehicle Make:</td>
<td colspan="2"></td>
<td colspan="2">Vehicle Style:</td>
<td colspan="3"></td>
<td colspan="2">Year:</td>
<td colspan="2"></td>
</tr>
<tr class="even">
<td colspan="3">Vehicle Number:</td>
<td colspan="2"></td>
<td colspan="2">Vehicle Status:</td>
<td colspan="3"></td>
<td colspan="2">Code:</td>
<td colspan="2"></td>
</tr>
<tr class="odd">
<td colspan="3">Doors Locked:</td>
<td colspan="2"></td>
<td colspan="2">Vehicle Value:</td>
<td colspan="3"></td>
<td colspan="2">Other:</td>
<td colspan="2"></td>
</tr>
</tbody>
</table>

+-----------------------------------------------------------------------+
| # NARRATIVE                                                           |
+-----------------------------------------------------------------------+
| *911 caller reports daughter and son are both very ill after          |
| returning home from neighbor's house with fevers and bloody diarrhea  |
| and complaining of stomach pain; She suspects food poisoning from     |
| Chinese take-out. Mother feels okay herself; ambulance sent to        |
| address as caller's car is in shop.*                                  |
+-----------------------------------------------------------------------+

Reporting Officer: [*Off. Lee, N.*]{.underline}

Supervising Officer: [*Off, Henry, J.K.*]{.underline}

Reviewing Officer: [*Det. Stills*]{.underline}