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Home My Public Portal AboutPRR 21-2835 TOWN OF GULF STREAM PALM BEACH COUNTY, FLORIDA Delivered via e-mail March 23, 2021 Kathy O’Neill [mail to: kathykoneill1@gmail.com] Re: GS #2835 (Police Report) Verbally requested Incident Report #210556 Dear Kathy O’Neill [mail to: kathykoneill1@gmail.com]: The Town of Gulf Stream has received your verbal public records request on March 22, 2021. You should be able to view your response at the following link: https://portal.laserfiche.com/Portal/DocView.aspx?id=174740&repo=r-430100cc We consider this request closed. Sincerely, Reneé Rowan Basel As requested by Rita Taylor Town Clerk, Custodian of the Records EN Y NAME *INCIDENT NUMBER 210556 ,ULF STREAM POLICE DEPARTMENT UNIFORM INCIDENT REPORT 'CLEARANCES CALL NUMBER 'GEOCODE A ❑ Death of Suspect G ❑ Arrest - Juvenile TOD 0840 t`J INCIDENT (NON -CRIMINAL) B ❑ Prosecution Declined H ❑ Warrant Issued w TOA ❑ OFFENSE Gulf Stream Police Department C ❑ In Custody of Other Jurisd. 1 ❑ Invest. Pending 0843 ❑ SUPPLEMENT 246 Sea Road TOC 0 ❑ Victim Refused to Coop. J ❑ Closed E ❑ Juvenile/No Custody K ❑ Unfounded r— o94t Gulf Stream, FL 33483 F ❑ Arrest - Adult U ❑ Unknown m z Phone: (561) 278-8611 Fax: (561) 276-2528 'CLEARANCE CLEARED � 0 DATE: BY: Q 'REPORT DATE/11ME INCIDENT OCCURRED FROM INCIDENT OCCURRED TO MONTH DAY YEAR TIME MONTH DAY YEAR TIME MONTH DAY YEAR TIME 03 0836 (18� qp �22021 INC951�IJ. OCEANOBLVD. #202LGULF ST�REAM)FL 33483 $ FFEN ECODE FIM & DEGREE 14ATE/BiASTYPE RIMINAL A (Enter up to twee for each offense) t. POLICE SERVICE 1. 1. 2. 3. B- BUYINGfRECEIVING _ _ _ C- CULTIVATING/MFG./PUB. 2 2, D- DISTRIBLRINGISELLING E- EXPLORING CHILDREN O- OPER/PROPOTING/ASSIST. 3. 3. i. 2. 3 P- POSSESSINGICONCEALING - T- TRANSPITRANSMITTING 4 4 U- USING/CONSUMING G- OTHER GANG ACTIVITY J- JUVENILE GANG ACTIVITY 5. 5. 7 2 3 N- NO GANG ACTIVITY LOCATION OF OFFENSE (Enter up to two) 'SUSPECTED OF USING 12 Jail/Prison 59 Daycare Facility 40 Other Retail Store OTHER 1 2. 13 Parking Garage 41 Factory/MiliPlant 53 Abandoned/ 14 Other Public Access Buildings RETAIL 42 Other BuildingCondemned Structure RESIDENTIAL STRUCTURE A ❑ ALCOHOL 01 Single Family Home 26 Bar 55 Arena/StadiuM 02 Multiple Dwelling COMMERCIAL LOCATIONS 27 Buy/SelUirade Shop OUTSIDE Fairgrounds/Coliseum D ❑ DRUGS co 03 Residential Facility 15 Auto Stop 28 Restaurant 43 Yard 58 Cargo Container Other Residential 16 Financial Institution 29 Gas Station 44 Construction Site 60 DocklWhart(Freight/ W04 17 Barber/Beauty Shop 30 Auto Sales Lot 45 Lake/Waterway Modal Terminal 05 Garage/Shed C ❑ COMPUTER EQUIPMENT LL LL 18 HoteVMotel 31 Jewelry Store 46 FIeldNVoods 61 Farm Facility � aund PUBLIC ACCESS BLDGS. 1s ' CleanersfL�r)r 32 Clothing Store 47 Street 62 Gambling Facility/ N ❑ NOT APPLICABLE 06 Transit Facility 20 Professional Office 33 Drugstore 48 Parking Lot Casino/Race Track 07 Government Office 21 Doctor's Office 34 Liquor Store 49 Park/Playground 63 Military Installation 'TYPE WFAPOWFORCE USED 08 School 22 Other Business Office 35 Shopping Mall 50 Cemetery 65 Shelter-Missiord 09 College 23 Recreation/Entertainment Center 36 Sporting Goods 51 Public Transit Vehicle Homeless 67 Library 54 Amusement Park 37 Grocery/Supermarket 52 Other Outside Location 66 Tribal Lands 10 Church 24 Rental Storage Facility 38 Variety/Convenience 57 Camp/Campground 77 Other 11 Hospital 25 Other Commercial Service Loc. 39 Department Store 64 Rest Area 1 2. 3. 56 ATM Machine Separate from Bank 'METHOD OF ENTRY `METHOD OF ENTRY - MOTOR VEHICLE THEFT 'METHOD OF ENTRY - BURGLARYB&E ENTRY EXIT ENTRY EXIT 1 ❑ FORCE 01 ❑ Motor Running/Keys in Car 06 ❑ Hot Wire ENTRY EXIT 1 ❑ DOOR ❑ 1 ❑ FRONT ❑ 2 ❑ NO FORCE 02 ❑ Unlocked 07 ❑ Slim JimlCoat Hanger 1 ❑ BASEMENT[] 2 ❑ WINDOW ❑ 2 ❑ SIDE ❑ 'TJO. PREMISES ENTERED 03 ❑ Duplicate Key Used 08 ❑ Turrrslers Removed 2 ❑ 1' FLOOR ❑ 3 ❑ GARAGE ❑ 3 [] REAR ❑ D4 ❑ Window Broken 09 ❑ Column Peeled 3 ❑ 2NO FLOOR ❑ 4 ❑ SKYLIGHT ❑ 4 ❑ ROOF ❑ 05 ❑ Tawed 10 ❑ Ignition Peeled 4 ❑ OTHER ❑ 5 ❑ OTHER ❑ 5 ❑ OTHER ❑ METHODS OF 'CARGO THE FT Y[] N[] OPERATION 'NO. 'TOTAL 'VICTIM I INDIVIDUAL F FINANCIAL INSTITUTION P POLICE OFFICER (IN THE LINE OF DUTY) S SOCIETY O OTHER VICTIMS TYPE 8❑ BUSINESS G❑ GOVERNMENT R❑ RELIGIOUS ORGANIZATION U []UNKNOWN NAME (Last, First, Middle) ADDRESS (Street Apt, City. Stale, Tip) PHONE EMPLOYER NAME AND PHONE ADDRESS (Street Apt, City, State, Zip) 'AGE/ EX rRACE U 8 U A HGT WGT HAIR DOB. ❑W 01 ❑U rNICITY =S U OCCUPATION SN'RESIDENT 1 U RESIDENT 3 0 MILITARY 5 U OTHER STATUS 2 ❑ TOURIST 4 ❑ STUDENT U ❑ UNKNOWN 'VICTIM Y IF INJURED, DESCRIBE C Z INJURED? ❑ N INJURIES: m p 'AGG. ASSAULT/ -LEOKA INFORMATION ICTIWSUSPECT RELATIONSHIP -VICTIM/OFFENSE LINK m m HOMICIDE CIRC. TYPE OF ACT. ASSIGN. TYPE ORI - OTHER 2. 3. 4. 5. I 0. 1. 1^J REPORTING OFFICER OFC RAMON BATISTA BADGE N0 DATE03/18/2021 APPROVING OFFICER BADGE NO. DATE 03/19/2021 CAPT JOHN HASELEY FOLLOW- UP? yes, fallow -up ❑ Y ❑ N slgnmenL ADDITIONAL VICTIM/WITNESS U PROPERTY U STATEMENTS FORM RECEIVED BY U INTELLIGENCE SPECIAL SUPPLEMENTS ❑ SUSPECT/ARRESTEE 0 NARRATIVE 13 OTHER ❑ INVESTIGATION ❑ RECORDS COPIES �n INCIDENT REPORT - PART 2 NUMBERINCIDENT VICTIM FFENSE CIDENT T� N0. NAME (4 Pratt 1i N L KATFIY D O.B. W 1 gyOLfVE PEE NS(O #2�02eG7LIF 206-972-8570 395ADD511 A�NBLVD STREAM FL 33483 O EMPLOYER NAME AND PHONE W ADDRESS Apt. City. State, Zip) (Street, STATEMENTS OBTAINED UY N TYPE: U WRITTEN U ORAL U TAPED U OTHER CHECK CATEGORIES STOLEN RECOVERED IMPOUNDED RECEIVEDSUSPECT S VEHICLE VICTIMS VEHICLE UNAUTHORIZED USE ABANDONF� NO U DAMAGE TO VEHICLE UC LIS LIY LIT VIN/OAN 'VALUE ❑ THEFT FROM VEHICLE VYR VMA VMO VST VCO VEHICLE Y KEYS IN Y HOLD Y RELEASE Y LOCKED ❑ N VEHICLE ❑ N VEHICLE ❑ N CONTENTS❑ N LU L VEHtCF ASSOC VEHICLE ASSOC. VEHICLE Y TOWED OWNERSHIP TAG RECEIPT TITLE V I SUSPECT NO. / VICTIM NO. TOWED? ❑ N BY VERIFIED BY: ❑ BILL OF SALE ❑ OTHER = STOLEN MOTOR NO STOLEN AREA STOLEN RESM. ADDITIONAL IIJ VEHICLE ONLY ❑BUSINESS ❑RURAL I DESCRIPTION AUTO INSURER NAME (Cornpany) ADDRESS (Street. Apt-, City, State, Zip) PHONE MOTOR VEHICLE NO RECOVERED DATE REC. STOLEN IN JURISDICTION RECOVERY ONLY ❑ Y ❑ N WHERE RECOVERED? 'TYPE PROPERTY 1 NONE 3 COUNTERFEITED/FORGED 5 STOLENiETC. 7 RECOVERED P PHOTO TOTAL VALUE LOSSiETC. wwoarkswwd 2 BURNED 4 DESTROYEDIDAMAGED/VANDALIZED 6 SEIZED U UNKNOWN E EVIDENCE 10SS QUANTITY DESCRIPTION 'PROP 'VALUE CODE I CODE VICT. VEH MAKEJBRAND MODEL DATE RECOVERED N0. NO. SERIAL NCIC OTHER NUMBER NUMBER NUMBER 10SS QUANTITY DESCRIPTION 'PROP 'VALUE CODE CODE VICT VEH MAKE/BRAND MODEL DATE RECOVERED N0. NO SERIAL NCIC OTHER NUMBER NUMBER NUMBER 'LOSS QUANTITY DESCRIPTION 'PROP 'VALUE CODE CODE VICT. VEH MAKFJBRAND MODEL DATE RECOVERED NO. NO. JU SERIAL NCIC OTHER IL NUMBER NUMBER NUMBER It LOSS QUANTITY DESCRIPTION 'PROP 'VALUE d CODE CODE VICT. VEH MAKE/BRAND MODEL DATE RECOVERED NO NO SERIAL NCtC OTHER NUMBER NUMBER NUMBER PROPERTY CODES: 10 Other Valuables 22 Photographic Equipment 72 Musical Instruments VEHICLES STRUCTURES EXCHANGE MEDIUMS PERSONAL EFFECTS 23 Farm Equipment 73 Portable Elecbonic Equip. 35 Airaafl 46 Single Occupancy 01 Money 11 Cloth ing/Furs 24 Heavy Construction/Industrial 74 Watercraft Elprip./Parts/Acc 36 Automobiles 47 Other Dwellings 02 CredWDebrl Caro 12 Purses/FlandbagslWallets 25 Building Supplies 29 Other Equipment 37 Bicycles 48 Corrrnercial/Business 03 Negotiable Instruments 13 Other Personal Effects 26 Tools CONSUMABLE ITEMS 38 Buses 49 trhdustn"2nufacturing 04 Other Exchange Mediums HOUSEHOLD ITEMS 27 Vehicle Parts/Accessories 30 Alcohol 39 Tricks 50 Public/Cornmunity DOCUMENTS 14 Household hems 57 Aircraft Parts/Accessones 31 Drugs/Narcotics 40 Trailers 51 Storage D5 Non-Negoliable Instruments EOUIPMENT 28 School Supplies 32 Consumable Goods 41 Watercraft 52 Other Structure 06 Personal (identity) Papers 15 Drug/Narcotic Equip. 58 Artistic Supplies/Accessortes 60 Chemicals 42 Recreational Vehicle OTHER 62 DocumentslPersonal or 16 Gambling Equipment 59 Camptrg/Hunting/Fishing 61 Crops 43 Other Motor Vehicle 53 Merchandise Business 17 Computer Hardware/Soft. EquipmenUSupplies 63 Explosives WEAPONS 54 Other Property 07 Other Documents 18 Office Equipment 67 Law Enforcement Equip. 65 Fuel 44 Firearms 55 Pending Inventory VALUABLES 19 Stereo TV Equip. 68 LawNYard/Garden Equip ANIMALS 45 Older Weapons 66 Ide"Antangible 08 JewelrylPrecious Metals 20 Recordings -Audio Visual 69 Logging Equipment 33 Livestock 64 Firearm Accessories 71 Metals, Non -Precious 09 Art Objects, Antiques 21 Sports Equipment 70 MedicellMedical Lab Equip. 34 Household Pets ON 03/18/21 AT 0840 HOURS SGT. O'DONNELL AND I RESPONDED TO 3951 N. OCEAN BLVD., APT. 202, THE BELLAMAR HOUSE CONDOS, REFERENCE A REPORT FROM THE RESIDENT AT APT. 202, KATHY ONEILL, OF A VANDALISM TO HER PROPERTY. UPON ARRIVAL AT 0843 HOURS WE MET WITH ONEILL WHO REPORTED THE FOLLOWING. ONEILL SAID THAT SOMEONE HAD POURED WHAT APPEARED TO BE OIL ON HER BALCONY FLOOR AND MORE RECENTLY ON HER BALCONY PATIO FURNITURE ON TWO OCCASIONS THIS WEEK.SO > FAR SHE HAS BEEN ABLE TO CLEAN THE MARKS LEFT BY THE OIL. SHE SUSPECTED THE RESIDENTS DIRECTLY ABOVE HER UNIT DUE ~ TO A LONG TIME FEUD. ONEILL'S BALCONY EXTENDS OUT FURTHER EAST THAN THE BALCONIES OF THE APTS. ABOVE HERS. EXAMINATION OF THE SCENE REVEALED THAT THERE WAS RESIDUE OF SOME TYPE OF LIQUID ON THE EDGE OF APT. 502'S BALCONY a a WE MET WITH THE RESIDENT OF APT. 502 CHAD WHITE WHO HAD RECENTLY MOVED IN THE BUILDING. WHITE SAID THAT HE HAD USED A CLEANING AGENT TO CLEAN HIS PROPERTY ON THE BALCONY AND HAD THEN RINSED THE BALCONY OFF NOT THINKING THAT IT WOULD CAUSE ANY PROBLEM FOR OTHER RESIDENTS. WHITE APOLOGIZED FOR ANY PROBLEMS. NO CRIME COMMITTED. ABOVE WAS EXPLAINED TO ONEILL WHO REQUESTED THAT POLICE DOCUMENT THIS INCIDENT IN CASE OF FUTURE RECURRENCES. ONEILL SAID THAT THE HOA SHOULD HAVE NOTIFIED ALL RESIDENTS NOT TO CLEAN BALCONIES IN ABOVE MANNER TO AVOID bxo�r SIMILAR INCIDENTS. BLDG. CARETAKER, CESAR PARAEJA, WAS ON SCENE WITH US. END OF REPORT. INCIDENT SUSPECTIARREST SUPPLEMENT UMB R GENCY VICTIM FFENSE NCIDENT DATE NO TIME NO ADULT JUVENILE UNKNOWN APPROPRIATE CATEGORY ,T, ,, CHARGES FILED? ❑ ❑ ❑ rHECK ❑SUSPECT ❑ ARRESTEE ❑SUSPECTlARRESTEE ❑ RUNAWAY ❑ MISSING 0 OTHER ❑Y ❑ N NAME (Last, FkA Middle) SN PARADA,CESAR ALIAS GANG AFFILIATION ADDRESS (Street, Apt, City, State, Zip) PHONE 3951 N OCEAN BLVD. #102 GULF STREAM FL 33483 754-234-2454 EMPLOYER NAME AND PHONE ADDRESS (Street, Apt, City, State, Zip) LACE OF BIRTH DL#/STATE OCCUPATIONISCHOOL N W 'AGEI SEX rRACE U, B U A 'HEIGHT `WEIGHT 'HAIR 'EYES IL D_O.B. rTHNICrFY ❑ W ❑ 1 ❑ U MARITAL SCARS, MARKS, TATOOS U STATUS W ADDITIONAL DESCRIPTIVES 0 Q z SUSPECTED OF USING POTENTIAL INJURIES? ❑ALCOHOL ❑DRUGS 'RESIDENT STATUS 1 ❑ RESIDENT 2 ❑ TOURIST 3 ❑ MILITARY 4 ❑ STUDENT 5 ❑ OTHER (mmlain) U ❑ UNKNOWN ARRESTEE WAS ARMED WITH ARRESTEE ARMED WITH 1. 2. _ 3. _ 99 NONE 138 OTHER FULLY AUTOMATIC FIREARM 16 IMITATION FIREARM 50 POISON 11 FIREARM 14 SHOTGUN 17 SIMULATED FIREARM 60 EXPLOSIVES 12 HANDGUN 15 OTHER FIREARM 18 BB/PELLET GUN 65 FIRE/INCENDIARY DEVICE 12A AUTOMATIC HANDGUN 15A SEMI -AUTOMATIC SPORTING RIFLE 20 KNIFE/CUTTING INSTRUMENT 70 DRUGS/NARCISLEEPING PILLS 13 RIFLE 15B SEMI -AUTOMATIC ASSAULT FIREARM 30 BLUNT OBJECT 80 OTHER WEAPON 13A FULLY AUTOMATIC RIFLE 15C MACHINE PISTOL NAME ADDRESS (Street, ApL, City, State, Zip) PHONE V N W I 1 I. Q LL W EL 2 2 2. ARRESTIOFFENSE DESCRIPTION 'ARREST/OFFENSE CODE F!M 8 DEGREE WARRANT # 'ARREST LARCENY TYPE 23A POCKET PICKING 23B PURSE SNATCHING 2 2 2 2 2 23C SHOPLIFTING 23D THEFT FROM BUILDING Z Q 3 } 3 3 3 23E THEFT FROM COIN -OP MACH 1- 23F THEFT FROM MOTOR VEHICLE Q .� 4 4 4 4. 4 23G MOTOR VEH PARTSIACCESS, 240 THEFT OF MOTOR VEHICLE O 5. 5 5 5 5. 23H OTHER LL ? 'ARREST DATE TIME ARREST LOCATION (Street, Apt, City. State, Zip) I-- (A 'INCIDENT TRACKING NUMBER ARREST DISPOSTTION BAIL d' ly Q MIRANDA WITNESSED BY: TIME READ FINGERPRINTED FINGERPRINT CARD NO. HOTOS TAKEN NO. TAKEN PHOTO ID NO. FBUBCi# ❑Y ❑ N I ❑Y ❑ N 'AAULTIPLE ARRESTEE SEGMENTS INDICATOR 'ARREST 1 ❑ COMPLAINT 3 ❑ WARRANT 5 ❑ ORDER OF PROTECTION ❑COUNT ARRESTEE ❑ MULTIPLE ARRESTEE INDICATOR ❑ WA TYPE 20 IN -PROGRESS 4 ❑ SUMMONS 9 ❑ OTHER JUV. PARENT! Y DATEMME NOTIFIED NOTIFIED BY U HANDLED WITHIN THE DEPARTMENT GDN NOTIFIED ❑ N DISPOSITION ❑REFERRED TO OTHER AUTHORITIES J PARENTIGUARDIAN NAME AND ADDRESS (Street, Apt., City, State, Zp) RELATIONSHIP PHONE Z W PARENTIGUARDIAN NAME AND ADDRESS (Street, Apt., City, State, Zip) RELATIONSHIP PHONE PREVIOUS Y DATE OF DATE OF NCIC # DATERIME ENTERED } 0 RUNWISS. ON FAST CONTACT EMANCIPATION 3 LAST SEEN WEARING Q Z m K REPORTING OFFICER BADGE NO. DATE OFC RAMON BAIISTA 0311812021 APPROVING OFFICER BADGE NO. DATE CAPT JOHN HASELEY 03/19/2021 lvmW COURT DATE NG INCIDENT 210555 SUSPECT/ARREST SUPPLEMENT GENS� VICTIM FFENSE NCIDENT DATE D TIME NO. ADULT JUVENILE UNKNOWN APPROPRIATE CATEGORY F P CHARGES FILED? ❑ ❑ ❑ rHECK []SUSPECT ❑ ARRESTEE ❑SUSPECT/ARRESTEE []RUNAWAY ❑ MISSING n OTHER ❑Y ❑ N NAME (Last, First, Middle) SN WHITE, CHAD ALIAS GANG AFFILIATION ADDRESS (Street, Apt, City, Slate, Zip) PHONE 3951 N OCEAN BLVD. #502 GULF STREAM FL 33483 401-743-1533 EMPLOYER NAME AND PHONE ADDRESS (Strest, Apt, City, State. Zip) LACE OF BIRTH DL#lSTATE OCCUPATIOWSCHOOL W Lu 'AGE/ SEX CE U B U A 91EtGHT 'WEIGHT 'HAIR 'EYES I-- D.O.B. ❑ w ❑ 1 ❑ U rNICITY 0: MARITAL SCARS, MARKS, TATOOS 0 STATUS W ADDITIONAL DESCRIPTNES O g a Z SUSPECTED OF USING POTENTIAL INJURIES? []ALCOHOL ❑DRUGS 'RESIDENT STATUS 1 ❑ RESIDENT 2 ❑ TOURIST 3 ❑ MILITARY 4 ❑ STUDENT 5 ❑ OTHER(m#win) U ❑ UNKNOWN ARRESTEE WAS ARMED WITH ARRESTEE ARMED WITH 1. _ 2. _ 3. _ 99 NONE 136 OTHER FULLY AUTOMATIC FIREARM 16 4AITATION FIREARM 50 POISON 11 FIREARM 14 SHOTGUN 17 SIMULATED FIREARM 60 EXPLOSIVES 12 HANDGUN 15 OTHER FIREARM 18 BB/PELLET GUN 65 FIRERNCENDIARY DEVICE 12A AUTOMATIC HANDGUN 15A SEMI -AUTOMATIC SPORTING RIFLE 20 KNIFEtcur 1NG INSTRUMENT 70 DRUGSMARMEEPING PILLS 13 RIFLE 15B SEMI -AUTOMATIC ASSAULT FIREARM 30 BLUNT OBJECT 80 OTHER WEAPON 13A FULLY AUTOMATIC RIFLE 15C MACHINE PISTOL U3 NAME ADDRESS (Street, Apt, City, State, Zip) PHONE V U) N 1 1 1 QW 2 2 2 ARREST/OFFENSE DESCRIPTION 'ARRESTIOFFENSE CODE FIM & DEGREE WARRANT*! ARREST LARCENY TYPE 23A POCKET PICKING PURSE SNATCHING 23B 2 2 2 2 23C SHOPLIFTING THEFT FROM BUILDING 23D Z 0 3. 3 3 3 7 23E THEFT FROM COIN -OP MACH. I= THEFT FROM MOTOR VEHICLE 23F a � q 4 4. 4. 4. 23G MOTOR VEH. PARTS/ACCESS. THEFT OF MOTOR VEHICLE 240 0 5 5, 5, 5. 23H OTHER: LL ? 'ARREST DATE TIME ARREST LOCATION (Street, Apt., City, State, Zip) F- W *INCIDENT TRACKING NUMBER ARREST DISPOSITION BAIL 0.' Q MIRANDA WITNESSED BY: TIME READ FINGERPRINTED FINGERPRINT CARD NO, HOTOS TAKEN NO. TAKEN PHOTO ID NO. FBUBCIN ❑Y ❑ N I ❑Y ❑ N 'MULTIPLE ARRESTEE SEGMENTS INDICATOR 'ARREST 1 ❑ COMPLAINT 3 ❑ WARRANT 5 ❑ ORDER OF PROTECTION ❑COUNTARRESTEE ❑ MULTIPLEARRESTEE INDICATOR ❑ NIA TYPE 2❑ IN -PROGRESS 4 ❑ SUMMONS 9 ❑ OTHER JUV. PARENT/ UY DATE/TIME NOTIFIED NOTIFIED BY *JUVENILE U HANDLED WITHIN THE DEPARTMENT GDN NOTIFIED ❑ N DISPOSITION ❑ REFERRED TO OTHER AUTHORITIES J PARENT/GUARDIAN NAME AND ADDRESS (Street, Apt, City, State, Zip) RELATIONSHIP PHONE Z W PARENT/GUARDIAN NAME AND ADDRESS (Sheet, Apt.. City, State, Zip) RELATIONSHIP PHONE PREVIOUS Y DATE OF DATE OF NCIC @ DATE*TIME ENTERED } RUNIMISS. ❑N T CONTACT EMANCIPATION 3 Z LAST SEEN WEARING Q Z it REPORTING OFFICER BADGE N0. DATE OTC RAMON BATISTA i54 03j18/2021 APPROVING OFFICER BADGE NO. DATE CAPT )OHN HASELEY 03/19/2021 COURT DATE