Police Report

Page 1

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


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