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2 Date of Report
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4 r- Incid€nr | 5 Supptement Date 16AgencyCase Number
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AgencyName
Sector
Weaver Police Department
IN
It c
'10Type Incident of or Offense
f
Felony
lx Misdemeanor T Attempted
ll Degree
It Completed
N/A
DisorderlyConduct 14 Type of Incidentor Offense
I
Felony
I Misdemeanor I
Attempted
I
Conpleted
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z
13 State CodeiLocal Ordinance
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13A-',t',t-7 17 StateCode/Local Ordinance
15 Degree
q
18 Placeof Occurrence
li- Cnect here ifevenl occurredat victim,sresidence
12OOBLOCK OF RIDGEDR.
(Wherevictimis an individual) VictimDemooraohics 1 9 S e x 20 Race 21 Ethnicity [* Hispanic li rur li w l-n
I-sl-r
l-r
l9 Pointof Entry f* Doo, I* Root l- windo* f- othu,
30 Methodof Entry l- Forcibte |. AttemptedForcibre l- No Force
s lz t l z o ' r ' t ]8 Occurred to MM/DDryY
Jb I rmeor tvenl I AM 3 7 )ay of Week li prr 5
9 : 20
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I : 23
l u l r l wl r l r l s lr lr lr lr lrlr
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3 9 T i m e o f E v e n ft A M
s lz'rlzorr 42 Type Crimrnal I Activ,tv I
32 Lighting
31 LocalUse
40 Day of Week
s l Ml r l w l r l F l s
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46 Oty
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t ctear z ctouoy 3 Rain a ros
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J SNOW
f- ot Teminal f 02 Bank I- o3 gar l- 0q Cnurch T 05 Commercial f 06 Construction T0TConvStore f Og Dept Store
r - ^
1# Premises Entered 0 (Burglaryl
q-.i.1,
f- o Hait [- 7 unknown t
PJoperty code (Entor fl in propsrty typecolumn)
Loss Code
B Burned S Stolen F Forgedi R Recovered Counlerferted D Damaged/ N None Destroyed C Confiscated/ Seized i Area Stolen
50 Stolen VehicleOnly
,
I* Ausiness
01 02 03 04 05 06
Aircraft Alcohol Autos Bicycles Buses Clothes
[- Resrdence | 5t Ownersnip veriliedby f- Rurat I
i3 VehicleYear 154VehicleMahe
17 18 19 20 21 22 23 24
Househotdcoods Jewetry Lrvestock Merchandise Money NegotiableInstrument Non-negotiablelnstru OfficeEquipment OtherMotorVehicle
25 26 27 28 29 30 31 32 33
17 Liquorstore t8 ea*ing Lot/Garage 19 StorageFacility 20 Residence/Home 21 Restaurant 22 Scnoot/Cottege 23 Service/GasStarron 24SpecialtyStore 25 Other/Unknown
49 Recover€d
48 Dollar Value
l- ]ag Recerpt f- T,tre [- B'ttot Sate l- Orne,
F"ru*o
Value
Date
on Supplom€nt
34 structure - storage 35 structure- Other 36 Tools-Power/Hand 37 Trucks 38 VehicleParts/Accessories 39 Watercraft 77-Other
Purce^vallet Radios/TVA/cR Recordings RV's Structure- SingleOccupancyDwelling Structure- OtherDwelling Structure-OtherCommercial Slructure- Industrial/Manufacturing Structure- Public/Community
52 Veh. categories [- Recovered
f
Victim'sVehicte
f
Abandoned
I- susoect'sVehicle I- Unauthorized Use
l- Stoten i6 NumberVeh Stolen i7 VehicleDescription
155VetrtcteMoOet
r 09 Drug Store l10 Field,^/voods rt't cowprbli" Buildinglf 12 Supermarket f 13 Highway/Skeet l* 14 Hol"l/Mot"t f 15Jail/Prison f t 6 Lat<eMatemay l-
stor""
a^l^r
07 compute-to 08 consumabtes 09 credrlcard 10 Orugs 11 Drug Equip 12 Fam Equip 13 Firearms '14 GamblingEquipmenl 15 Heaw Construction
[T l* lT l* ll-
li tndividuatl- r rnancrat org {Banrt l- Rerrgrous T Society f- Business [* Government
Y:":':
Conlinu€d
(Enlor letter In los3 code column)
?5 | Juvenile Gang 26 Hate Bias 27 Bias Code I Yes g f* nouttcang $ |I lone/Unknown li Ho
comouterEouioment f- lln 14LocationTYPe
PropertyDescriplion l^.1',i6
.59
)3 Weather
BuYtng/RecervrngT D r s t n b u t r n g / S e l l r n gT O p e r a l i n g / P r o m o t r n g T T r a n s p o r t i n g / l m p o r t i n g Cultlvahng/Manu I Explortrng I Usrng/Consuming Chrldren I Possessrng/ConceaIng
14 Loss 15 Property Code Code
li oti'et
4 FirstOffenderSuspectedof Using |ji Atcohot f* Drugt
lf offanseoccurredat victim'sresidence,then only the approximatelocalionshouldbe listedin this section. (For example,a block numbershould be enterod.) ll the offenseoccurredelsewhere,then the specitrc addressshouldbe listedhere.
o
=
3 Age
l2 Mrrtipre , Victims l- LE offi"r,
0 58 VehicleStyle 14 VehicleVIN Number
t
;5 Warrant Signed
l
f-,ves
Vehicle RecoveryOnly 'ed For 24XX UCR Code
66 Stolenin yourjurisdiction? Where? I No I Yes
t
l
74 Case Status li
1 Pending
f
2 haclive
75 MultipleCasesClosedListedAbove T MultipleCasesClosedListedOn Supplement l77 Case Dispasition f* Cleared by Atrest (Juv) f- Ctearedby Arresl(Adult)
l- g ctosed 76 EnteredNCIC/ACJIC f- ves
li
I (MM/DD^/Y)
Nrc/ArN #:
tto
i3 Tag Color
T Unfounded
Warrant Numbet
l- tlo
67 Recoveredin yourjurisdiction? where? f* yes J- tto
unl", l^:'*l
i8 Case #
162LIY
Bottom
TOD
t
1 LST
60 License
;9 Vehicle Color
73 SFX
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Mike Kelley
0403
78 Exceptional Clearance (Check One)
f- n Suspect/ottenderDead
Tlm Mlller
l- B ProsecutionDeclined/Other lo aeqiclin^ ntri.ar Prosecution
f
ExceptionalClearance
T c ExkaditionDenied
f
Administrativelv Cleared
f- D victim Refusedlo Coooereie T E Juvenile(No Custody) f
F Deathof victim
Otficer lD Number
Tim Miller 1 1s , , ^ A ^ , i e ^ . A n ^ . ^ w , l
wavne Bush
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