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OFFENSE /I INCIDENT <br />Roseville Police Depaiftment <br />Mr <br />I <br />UI-iQC <br />Juv. Involved � <br />~FIVU t;jear <br />d2 Zo 7 <br />Day 0. Yr., <br />Yr <br />-2, Da" 1041ilp, <br />CT <br />01 <br />Dist, <br />IS <br />Sq�uad <br />GoW <br />Plaice of Occurrence, <br />TqaTd <br />S- <br />40 <br />OD <br />4Z Cj <br />t4 a ao% d <br />Earliest Tirne/Date <br />Late <br />Latest Ti e/Date <br />ji 31() <br />e <br />C 0 <br />Vi i (Firmi Nairne if Businiess) lAddress <br />—_2 <br />. IN .... I- <br />LRes: <br />k 4M -k, <br />Z <br />Y IS <br />Olwner of Property, <br />Address <br />T' <br />Bus: <br />ck IA cv* #--tji o0cii, <br />E <br />L <br />Res: iq 47 {'fir L/iii q <br />Person, Reporting <br />Age i <br />Address <br />E <br />P <br />Bus:, <br />s f +I nj <br />0 <br />Res: <br />Who Discovered Crime <br />�Address <br />N <br />E <br />Bus: <br />— <br />- "I <br />Articles Re'coveredl or Left at Slcenie <br />Bus: <br />Disposition of Articles <br />Property Taken (Brief General Descriptioni <br />Value <br />Type of :�'� ` <br />�Jn apork, - <br />V od of En III '7 <br />Premises V -Sus <br />X& ects wects T '!Condtdon <br />Or <br />'i, - <br />X Res. F <br />Ni po MP A <br />Force <br />R No Force <br />El Kick i None yes <br />Shouild'er J Handgun <br />compact Sober <br />Gas Star. E -E] Att. Force <br />I — <br />No <br />F Piry Shot Guin <br />0 D�ese. Avail. <br />Full-Size H.B.D. <br />2-Dr. EJ <br />0 Conven. Q Front <br />Store 0 <br />R Unlock Lock C1 Toy Gun ty EJ il susp. <br />C <br />Intox. <br />4-Dr. ugs <br />Dr <br />-4 ........... <br />0 Rear <br />R I E] <br />Bank Side Patio <br />U <br />E Thrui Hrkn. 0I Knife, Cut. 2 Susp., 13 <br />U Glass ti�ng I nstr. 8 <br />Wagon 'L% Alert <br />Street w Front <br />1� <br />s I E Moire than <br />E 0 Climb Thru El Hands, Feet R 2 susip. <br />Van Pass. Mental <br />Pickup El <br />Other N I I El' Rl,ear, <br />D Brkn. (31ass Threat <br />Confused <br />Di <br />0 01 Fir. 1 <br />F-- <br />Other, <br />M.C. Other <br />W LJ 21, <br />Bicycle <br />-Fir. <br />W N� ame <br />W <br />Ej <br />Aiddress <br />Other, <br />T <br />N <br />Yes E Res. Phone <br />S <br />BuIs.Phone <br />Where Employed Slchiool Attending <br />..... <br />No <br />1 Witness Narne <br />21, Witnesses, S L;t-; <br />U <br />Addres Is <br />• <br />"Z 11 'q <br />D.o.a. <br />More Than S Res. Phone Bu Phone <br />P Pho <br />2 Witnesses E <br />Where E id—School Attending <br />C <br />Can a Witness T Raice Sex Ht. Wit. Eyes Hair <br />J. D. Suispect <br />S.M.T. <br />E Lic. No. <br />Color Yr. M4 ake Mo , del <br />Style <br />�Codle List in Following OrdeIr: A. Arrested S. Witnesses Q Suspects D.-Property E. NIarrative <br />A ' <br />L/ <br />IN <br />OFF. <br />t:7.1 3 3 <br />AR. <br />2 <br />JV. <br />PR. <br />3 <br />. ............... <br />WWI <br />Zi <br />4 <L <br />C CIO <br />6 <br />7 <br />SU% Officer Saidge 1 Badge 2 ign <br />P Signature <br />eb <br />3o3 <br />RPD-0 11 . . <br />-------------- <br />. ...... . ........ ... . <br />