Printed Date: 08/28/2012 Printed Time: 10:49 AM Page 1 of 3
GEORGIA SOUTHERN PUBLIC SAFETY GA0160400 POST OFFICE BOX 8072 STATESBORO, GA 30460
Incident Report Incident No.
12-8320 Incident Type JUDICIAL REFERRAL Primary Location:
Counts
Code
1
JUDICIAL
Attempt
Secondary Location:
111 OLYMPIC BLVD. City
State
Zip
STATESBORO
GA
30460 Location
Business Name:
DELTA TAU DELTA Incident Date
Time
Date
08/26/2012
01:01
To 08/26/2012
Time
Report Date
Time
01:24
08/27/2012
00:23
Case Status
ADMIN. ACTION
Complainant Seq. No. Name: (Last, First, Middle)
1
DYAL CURTIS CHRISTOPHER CPL
Address
1220 FOREST DRIVE GSU PUBLIC SAFETY STATESBORO , GA 30460 Date of Birth Height
Weight
Hair
Eyes
Offender Seq. No.
Name: (Last, First, Middle)
1
DELTA TAU DELTA
Address
112 OLYMPIC BLVD STATESBORO , GA 30460 Date of Birth
Age
1908
104
Hair
Eyes
Witness
Reporting Officer
Badge
CPL CHRIS DYAL
026
Approving Supervisor Officer
Badge
SGT TYRONE MCBRIDE
011
Approving Officer
Badge
MAJOR LAURA MCCULLOUGH
02
Suffix Signature
Suffix Signature
Suffix Signature
PR