HomeMy Public PortalAboutIncident reportsAGENCY NAME
*INCIDENT NUMBER
GULF STREAM POLICE DEPARTMENT
220075
UNIFORM INCIDENT REPORT
"CLEARANCES
CALL NUMBER 'GEOCODE
22-007s
TOD
A ❑ Death of Suspect G Arrest - Juvenile
0438
INCIDENT (NON -CRIMINAL)
B ❑ Prosecution Declined H ❑ Warrant Issued
2
TOA ❑ OFFENSE Gulf Stream Police Department
C ❑ In Custody of Other Junsd. 1 ❑ Invest. Pending
t-
0442 ❑ SUPPLEMENT
246 Sea Road
D ❑ Victim Refused to Coop. J ❑ Closed
�
TOC
E ❑ JuvenileMo Custody K ❑ Unfounded
0530 Gulf Stream, FL 33483
F ❑ Arrest - Adult U ❑ Unknown
Lo
z
Phone: (561) 278-8611 Fax: (561) 276-2528
'CLEARANCE
CLEARED
p
DATE:
BY:
Q
'REPORT DATEITIME
'INCIDENT OCCURRED FROM
INCIDENT OCCURRED TO
MONTH DAY YEAR TIME
MONTH DAY YEAR TIME
MONTH DAY YEAR TIME
01 12
2022
0438
INCIDENT LOCATION (Street, I City, Stele, Zip)
555 MIDDLE RD. GULF STREAM FL 33483
*OFFENSE*OFFENSE
CODE
*A/C
FIM & R
'HA V1
'TYPE CRIMINAL ACTIVITY
1. SUSPICIOUS INCIDENT
1.
(Enter up to three for each offense)
1. 2. 3. B- BUYING/RECEIVING
_ _ _
C- CULTIVATINGMIFG./PUB.
2.
2.
D- DISTRIBUTINGISELLING
3. — E- EXPLOITING CHILDREN
3.
3.
O- OPERIPROPOTING/ASSIST.
1 2 3 P- POSSESSING/CONCEALING
— T-TRANSP/1RANSMITTING
4-
4.
U- USING/CONSUMING
1- — 2._ 3-_ G- OTHER GANG ACTIVITY
J- JUVENILE GANG ACTIVITY
5.
5.
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/Mih/Plant 53 Abandoned/
RESIDENTIAL STRUCTURE 14 Other Public Access Buildings RETAIL 42 Other Building Condemned Structure
A ALCOHOL
❑
01 Single Family Home 26 Bar 55 Arena/Stadium/
jU
02 Multiple Dwelling COMMERCIAL LOCATIONS 27 B Y/Sell/Trade Shop OUTSIDE Fanrounds/Coliseum
❑
m
03 Residential Facility 15 Auto Shop 28 Restaurant 43 Yard 58 Cargo Container
D DRUGS
Z
16 Financial Institution 29 Gas Station 44 Construction Site 60 Dock/Wharf/Frei hU
04 Other Residential 9
W
U.
17 Barber/Beauty Shop 30 Auto Sales Lot 45 Lake/Waterway Modal Terminal
05 Garage/Shed y
C ❑ COMPUTER EQUIPMENT
18 HotellMotel 31 Jewelry Store 46 Fleld/Woods 61 Farm Facility
p
19 Dry Cleaners/Laundry 32 Clothing Store 47 Street 62 Gambling Facility/
PUBLIC ACCESS BLDGS. 9 9
❑
06 Transit Facility 20 Professional Office 33 Drugstore 48 Parking Lot Casino/Race Track
N NOT APPLICABLE
07 Government Office 21 Doctor's Office 34 Liquor Store 49 Park/Playground 63 Military Installation
TYPE WEAPONIFORCE USED
08 School 22 Other Business Office 35 Shopping Mall 50 Cemetery 65 Shelter -Mission/
09 College 23 Recreation/Entertainment Center 36 Sporting Goods 51 Public Transit Vehicle Homeless
67 Libra 54 Amusement Park 37 Grocery/Supermarket 52 Other Outside Location 66 Tribal Lands
Library
Facility 24 Rental Storage
10 Church �' 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— BURGLARYBBE
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 JWCoat Hanger
1 ❑ BASEMENT❑ 2 ❑ WINDOW ❑ 2 ❑ SIDE ❑
'NO. PREMISES ENTERED 03
❑ Duplicate Key Used 08 ❑ Tumblers Removed
2 ❑ 1 'FLOOR ❑ 3 ❑ GARAGE ❑ 3 ❑ REAR ❑
❑ Window Broken 09 ❑ Column Peeled
3 ❑ 2ND FLOOR ❑ 4 ❑ SKYLIGHT ❑ 4 ❑ ROOF ❑
04
05
❑ Towed 10 ❑ Ignition Peeled
4 ❑ OTHER ❑ 5 ❑ OTHER ❑ 5 ❑ OTHER ❑
METHODS OF
'CARGO THEFT
OPERATION
Y❑ N❑
NO.
'TOTAL
'VICTIM 1 U INDIVIDUAL F U FINANCIAL INSTITUTION P U POLICE OFFICER (IN THE LINE OF DUTY) S U SOCIETY O U OTHER
VICTIMS
TYPE B❑ BUSINESS G❑ GOVERNMENT R❑ RELIGIOUS ORGANIZATION U []UNKNOWN
NAME (Last, First, Middle)
HERTRICH, BECKY G
ADDRESS (Street, Apt, City, Stale, Zip)
PHONE
555 MIDDLE RD GULF STREAM FL 33483
304-389-9039
EMPLOYER NAME AND
PHONE
ADDRESS (Street, Apt., City, State, Zip)
AGE/ EX
rRACE U B U A
NICITY HGT
WGT
HAIR
EYES
D.O.B.
F
OW ❑ 1 ❑ U
UOCCUPATION
SN-RESIDENT
1 0 RESIDENT 3 MILITARY 51ToTHER
j
r
STATUS
2 ❑ TOURIST 4 ❑ STUDENT U ❑ UNKNOWN
'VICTIM U Y
IF INJURED, DESCRIBE
c Z
INJURED? El N
INJURIES:
3 n
AGG. ASSAULT/
'LEOKA INFORMATION
ICT1M/SUSPECT RELATIONSHIP
'VICTIMlOFFFJVSELlNK
M i
HOMICIDE CIRC.
TYPE OF ACT. ASSIGN. TYPE ORI—OTHER
0. 1. 2. 3. 4. 5.
n�
r�
0
REPORTING OFFICER
BADGE NO.
DATE
a
OFC MICHAELLESTRANGE
764
01/12/2022
0
APPROVING OFFICER
BADGE NO.
DATE
01/12/2022
FOLLOW- UP?
Ili yes, follow-up
❑ Y ❑ N
signment:
ADDITIONAL U VICTIMNVITNESS U PROPERTY U STATEMENTS
FORM RECEIVED BY: U INTELLIGENCE
ISPECIAL
SUPPLEMENTS ❑ SUSPECTIARRESTEE 0 NARRATIVE ❑ OTHER
0 INVESTIGATION 0 RECORDS
I COPIES
am r
INCIDENT REPORT - PART 2
TIME
NO.
NAME trst
AGE/
SSN
1
EdIJ G
N
V R7
D.O.B. 65 03/15/1956
W
W
ADDRESS (Street Apt. C, Stale, 7p)
GULF
PHONE
�
555 MIDDLE RD. STREAMM FL 33483
304-389-9039
O
EMPLOYER NAME AND PHONE
W
ADDRESS (Street, Apt, City, State, Zip)
STATEMENTS OBTAINED UY U N TYPE U WRITTEN U ORAL U TAPED U OTHER
CHECK CATEGORIES U STOLEN RECOVERED U IMPOUNDED U RECEIVED IN SUSPECTS VEHICLE U VICTIMS VEHICLE LJ UNAUTHORIZED USE UABANDONED
NO
U DAMAGE TO VEHICLE
LIC LIS
LIY
LIT
VIN/OAN
VALUE
1
[1THEFT FROM VEHICLE
NIU2K
I
FL
VYR
VMA
VIVID
VST
VCO
VEHICLE Y
KEYS IN Y
HOLD Y
RELEASE Y
COROLA
GRAY
V.P.TOYOTA GRAY
LOCKED ❑ N
VEHICLE ❑ N
VEHICLE ❑ N
CONTENTS❑ N
W
VEHICLE ASSOC.
VEHICLE ASSOC VEHICLE
Y TOWED
OWNERSHIP U TAG RECEIPT U TITLE
V
/SUSPECT N0. 1
W1VICTIM NO TOWED?
N BY
VERIFIED BY: ❑ BILL OF SALE OTHER
=
STOLEN MOTOR NO
STOLEN
AREA STOLEN U RESID.
ADDITIONAL
7
VEHICLE ONLY
❑ BUSINESS ❑ RURAL
DESCRIPTION
AUTO INSURER NAME (Company) ADDRESS (Street. Apt., City, State, Zip) PHONE
MOTOR VEHICLE NO.
RECOVERED
DATE REC.
STOLEN IN YOUR JURISDICTION
RECOVERY ONLY
I
❑ Y ❑ N
WHERE RECOVERED?
'TYPE PROPERTY 1 NONE 3 COUNTERFEITED/FORGED 5 STOLEN/ETC. 7 RECOVERED P PHOTO
TOTAL VALUE
LOSS/ETC. (emw cotim beim) 2 BURNED 4 DESTROYEDMAMAGEDIVANDALIZED 6 SEIZED U UNKNOWN E EVIDENCE
'LOSS
QUANTITY
DESCRIPTION 'PROP
'VALUE
CODE
1
EXTERIOR DOOR CODE
I
VICT.
VEH
MAKE/BRAND
MODEL
DATE RECOVERED
N0 1
NO.
SERIAL
NCIC OTHER
NUMBER
NUMBER INUMBER
'LOSS
QUANTITY DESCRIPTION 'PROP
'VALUE
CODE
CODE
I
VICT.
VEH
MAKE/BRANDMODEL
DATE RECOVERED
NO.
NO.
SERIAL
NCIC OHE
TR
NUMBER
NUMBER NUMBER
'LOSS
QUANTITY
DESCRIPTION 'PROP
'VALUE
CODE
CODE
VICT.
VEH
MAKE/BRAND
MODEL
DATE RECOVERED
NO
NO.
LU
SERIAL
NClC OTHER
d
NUMBER
INUMBER NUMBER
O
Q'
'LOSS
QUANTITY DESCRIPTION 'PROP
'VALUE
O-
CODE
CODE
VICT
VEH
MAKEBRAND
MODEL
DATE RECOVERED
NO.
N0,
SERIAL
NCIC 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 Electronic Equip. 35 Aircraft 46 Single Occupancy
01 Money 11 Clothing/Furs 24 Heavy Construction/Industrial 74 Watercraft EquipJParts/Acc, 36 Automobiles 47 Other Dwellings
02 Credit/Debit Card 12 PurseslHandbags/Wallets 25 Building Supplies-Const. 29 Other Equipment 37 Bicycles 48 Commercial/Business
03 Negotiable Instruments 13 Other Personal Effects 26 Tools CONSUMABLE ITEMS 38 Buses 49 Industrial/Manufacturing
04 Other Exchange Mediums HOUSEHOLD ITEMS 27 Vehicle Parts/Accessories 30 Alcohol 39 Trucks 50 PubliclCommunity
DOCUMENTS 14 Household Items 57 Aircraft PartslAccessories 31 Drugs(Narcotics 40 Trailers 51 Storage
05 Non -Negotiable Instruments EQUIPMENT 28 School Supplies 32 Consumable Goods 41 Watercraft 52 Other Structure
06 Personal (Identity) Papers 15 DrugfNarcotic Equip. 58 Artistic Supplies/Accessories 60 Chemicals 42 Recreational Vehicle OTHER
62 Documents/Personal or 16 Gambling Equipment 59 Camping/Hunting/Fishing 61 Crops 43 Other Motor Vehicle 53 Merchandise
Business 17 Computer Hardware/Soft. Equipment/Supplies 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 Other Weapons 66 Identity -intangible
08 Jewelry/Precious 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 Medical/Medical Lab Equip. 34 Household Pets
ON 1 /12/2022 AT 0438 HOURS, I RESPONDED TO 555 MIDDLE ROAD IN REFERENCE TO AN UNKNOWN PERSON POUNDING ON THE FRONT
DOOR. UPON MY ARRIVAL TO MIDDLE ROAD, I OBSERVED A WHITE MALE DRIVING WEST ON MIDDLE ROAD WHERE HE STOPPED IN
THE CUL-DE-SAC NEAR THE COMPLAINANT'S RESIDENCE. THE VEHICLE WAS A GRAY TOYOTA COROLA BEARING FLORIDA TAG
NIU2K. UPON APPROACHING THE DRIVER I OBSERVED THAT THE W/M DRIVER HAD NO CLOTHING ON. I ASKED THE DRIVER FOR HIS
j
DRIVERS LICENSE. HE WAS IDENTIFIED AS EUGENE DONALD DEPEW, D.O.B 04/16/1969. I ASKED THE INDIVIDUAL WHY HE WAS IN
F-
GULF STREAM AT 0438 HOURS. HE ADVISED HE WAS A REAL ESTATE INVESTOR AND LIKES TO LOOK AT HOMES WHILE NAKED. I
aMADE
CONTACT WITH THE COMPLAINANT WHO IDENTIFIED HERSELF AS BECKEY G HERTRICH, D.O.B. 03/15/1956. SHE ADVISED
a
SOMEONE WAS POUNDING ON HER FRONT DOOR JUST PRIOR TO MAKING THIS COMPLAINT. SHE STATED SHE IS GOING THROUGH
z
MARITAL PROBLEMS WITH HER HUSBAND AND FEELS THAT HER HUSBAND MAY HAVE SENT SOMEONE TO HER HOUSE TO SCARE
HER. ON THE FRONT PASSENGER SEAT OF DEPEW'S CAR A DELRAY POLICE OFFICER FOUND A NOTE STATING TO PLACE DELIVERIES
INSIDE THE DRIVEWAY AT 545 GOLFVIEW DRIVE. DEPEW SAID HE TOOK THE NOTE FROM THE PROPERTY THIS MORNING. THE
DELRAY BEACH OFFICERS ON THIS INCIDENT WERE SGT. GRAMMATIEO, ID 981, OFFICER MITCHELL, ID. 947, OFFICER SMITH, ID. 1016,
&Nll
OFFICER CUSSON, ID. 1199 AND OFFICER WINDSOR, ID. 1029. GULF STREAM OFC. O NEAL PHOTOGRAPHED THE VEHICLE. CONTINUED.
INCIDENT
SUSPECT/ARREST SUPPLEMENT 220075
GENCYING NUMBER
VICTIM
FFENSE
INCIDENT DATE
NO TIME
NO.
ADULT JUVENILE UNKNOWN
APPROPRIATE CATEGORY
CHARGES FILED?
m ❑ ❑
rHECK
]SUSPECT ❑ ARRESTEE ❑SUSPECT/ARRESTEE ❑ RUNAWAY ❑ MISSING ❑ OTHER
❑Y �] N
NAME (Last, Fast, Middle) SSN
DEPEW,EUGENE W
428-49-4016
ALIAS GANG
AFFILIATION
ADDRESS (Street, ApL, City, State, Zip)
PHONE
6621 CUSTER ST HOLLYWOOD FL
561-249-4369
EMPLOYER NAME AND
PHONE
ADDRESS (Street, Apt., City, State, Zip)
LACE OF BIRTH
DL#/STATE
OCCUPATION/SCHOOL
D100204691360 FL
W
9
`AGEI SEX
CE B A ETHNICITY
'HEIGHT `WEIGHT
'HAIR
`EYES
a
D.O.B. 51 04/16/1969
M
® W ❑ I U
N
W
MARITAL SCARS, MARKS, TATOOS
U
STATUS
W
ADDRIONAL DESCRIPTIVES
Z
SUSPECTED OF USING
POTENTIAL INJURIES?
❑ALCOHOL ❑DRUGS
'RESIDENT
STATUS 1 ❑ RESIDENT 2 ❑ TOURIST 3 ❑ MILITARY 4 ❑ STUDENT 5 ❑ OTHER (explain) U ❑ UNKNOWN
ARRESTEE WAS ARMED WITH
ARRESTEE ARMED WITH 1. _ 2. _ 3. _
99 NONE 13B 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 158 SEMI -AUTOMATIC ASSAULT FIREARM 30 BLUNT OBJECT 80 OTHER WEAPON
13A FULLY AUTOMATIC RIFLE 15C MACHINE PISTOL
W
NAME
ADDRESS (Street, Apt, City, State, Zip)
PHONE
Z
00
t.
>n
a W
z_
AL
ARREST/OFFENSE DESCRIPTION
ARREST/OFFENSE CODE
F/M & DEGREE
WARRANT #
ARREST LARCENY TYPE
23A POCKET PICKING
23B PURSE SNATCHING
2
2
2
2
2
23C SHOPLIFTING
23D THEFT FROM BUILDING
Z
3
3
3
3
;
23E THEFT FROM COIN -OP MACH-
I--
23F THEFT FROM MOTOR VEHICLE
4,
4.
4.
4.
a.
23G MOTOR VEH. PARTS/ACCESS.
240 THEFT OF MOTOR VEHICLE
Q
5.
5.
5.
5.
$
23H OTHER:
LL
z
ARREST DATE TIME ARREST
LOCATION (Street, Apt., City, State, Tip)
F-
W
INCIDENT TRACKING NUMBER
ARREST DISPOSITION
BAIL
R'
Q
MIRANDA WITNESSED BY:
TIME READ
FINGERPRINTED FINGERPRINT
CARD NO.
HOTOS TAKEN NO.
TAKEN
PHOTO ID NO.
FBUBCt#
❑Y ❑ N
I
❑Y ❑ N
'MULTIPLE ARRESTEE SEGMENTS INDICATOR
'ARREST 1 ❑ COMPLAINT 3 ❑ WARRANT 5 ❑ ORDER OF PROTECTION
❑COUNT ARRESTEE ❑ MULTIPLE ARRESTEE INDICATOR ❑ NIA
TYPE 20 IN -PROGRESS 4 ❑ SUMMONS 9 ❑ OTHER
JUV. PARENT/ UY
DATEITIME NOTIFIED
NOTIFIED BY
'JUVENILE 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
PARENT/GUARDIAN NAME AND ADDRESS (Street, Apt., City, State, Zip)
RELATIONSHIP PHONE
PREVIO DATE
OF
DATE OF
NCIC #
DATlJTIME ENTERED
>- (D
RUN/MISS. ❑N
ST CONTACT
EMANCIPATION
LAST SEEN WEARING
Z�
REPORTING OFFICER BADGE
NO.
DATE
OFC MICHAEL LESTRANGE
764
01/12/2022
APPROVING OFFICER BADGE
NO.
DATE
CAPT JOHN HASELEY
01/12/2022
ncnos
COURT
DATE
NARRATIVE SUPPLEMENT
INCIDENT 2
NUMBER 20075
VICTIM
NSE
NCIDENT DATE
BECKY HERTRICH
SUSPICIOUS INCIDENT
fAND TIME 04/12/2022
1 ADVISED EUGENE DEPEW NOT TO RETURN TO THIS PROPERTY UNLESS HE HAD A LEGITIMATE REASON. I AGAIN MADE CONTACT WITH
BECKY HERTRICH AND ADVISED HER THE DISPOSITION OF THIS SUSPICIOUS INCIDENT. I ADVISED HER TO CONTACT LOCAL LOCKSMITHS
IF REPAIR WAS NEEDED TO THE DOOR. WE WILL CONTINUE EXTRA PATROLS OF THE AREA. THERE IS NO FURTHER INFORMATION. END OF
REPORT.
REASON CtFARFD k LJ DEATH OF OFFENDER D U VICTIM REFUSED TO COOP. G U ARREST -JUVENILE J LJ CLOSED
DATE CLEARED
B PROSECUTION DECLINED E Cl JUVENILEINO CUSTODY H Cl WARRANT ISSUED K ❑ UNFOUNDED
C ❑ EXTRADITION DENIED F ❑ ARREST -ADULT 1 ❑ INVEST. PENDING U ❑ UNKNOWN
REPORTING OFFICER
BADGE NO
DATE
OFC MICHAEL LESTRANGE
764
O1/12/2022
APPROVING OFFICER
BADGE NO.
DATE
AGENCY NAME
*INCIDENT NUMBER
GULF STREAM POLICE DEPARTMENT
220075
UNIFORM INCIDENT REPORT
'CLEARANCES
CALL NUMBER 'GEOCODE
A ❑ Death of Suspect G ❑ Arrest — Juvenile
TOD
0917
❑ INCIDENT (NON -CRIMINAL)
B ❑ Prosecution Declined H ❑ Warrant Issued
lJJ
TOA ❑ OFFENSE Gulf Stream Police Department
C ❑ In Custody of Other Jurisd. 1 ❑ Invest. Pending
F
0921
0 SUPPLEMENT
246 Sea Road
D ❑ Victim Refused to Coop. J ❑ Closed
TOC
E ❑ JuvenilelNo Custody K ❑ Unfounded
1000 Gulf Stream, FL 33483
F ❑ Arrest - Adult U ❑ Unknown
z
Phone: (561) 278-8611 Fax: (561) 276-2528
`CLEARANCE
CLEARED
p
DATE
BY:
Q
'REPORT DATFITIME
'INCIDENT OCCURRED FROM
INCIDENT OCCURRED TO
MONTH DAY YEAR TIME
MONTH DAY YEAR TIME
MONTH DAY YEAR TIME
01
12
2022
0921
01
12
2022
0345
01
12
2022
0415
INCIDENT LOCATION (Street, ppt C ty, State, Zip)
545 GOLFVIEW DR. GULF ST�tEAM FL 33483
*OFFENSE
*OFFENSE CODE
A/
F/M &DEGREE
-HATE/BIAS
'LARCENY -TYPE
CRIMINALACTIVITY
1. SUSPICIOUS INCIDENT
1.
(Enter up to three for each offense)
1.
2._ 3. B- BUYING/RECEIVING
_ _
C- CULTIVATING/MFG./PUB.
2.
2,
D- DISTRIBUTING/SELLING
1.-2--3--
E- EXPLOITINGCHILDREN
3.
3.
0- OPER/PROPOTING/ASSIST.
1
2 21P- POSSESSINGICONCEALING
— T- TRANSPITRANSMITTING
4.
4.
U- USING/CONSUMING
1.
_ 2. _ 3._ G- OTHER GANG ACTIVITY
J- JUVENILE GANG ACTIVITY
5.
5.
1_
2_ 3 N- NO GANG ACTIVITY
*LOCATION OF OFFENSE (Enter up to two)
12 Jail/Prison 59 Daycare Facility 40 Other Retail Store OTHER
SUSPECTED OF USING
t. 2. 13 Parking Garage 41 Factory/Mill/Plant 53Abandoned/
RESIDENTIAL STRUCTURE 14 Other Public Access Buildings RETAIL 42 Other Building Condemned Structure
A ❑ ALCOHOL
01 Single Family Home 26 Bar 55 Arena/Stadium/
02 Multiple Dwelling COMMERCIAL LOCATIONS 27 Buy/Sell/trade Shop OUTSIDE Fairgrounds/Coliseum
W
N
03 Residential Facility 15 Auto Shop 28 Restaurant 43 Yard 58 Cargo Container
D ❑ DRUGS
Z
16 Financial Institution
04 Other Residential29 Gas Station 44 Construction Site 60 DocklWharf/Freig11U
W
LL
17 Barber/Beauty Shop 30 Auto Sales Lot 45 Lake/Waterway Modal Terminal
05 Garage/Shed18
C ❑ COMPUTER EQUIPMENT
Hotel/Motel 31 Jewelry Store 46 FleldAAfoods 61 Farm Facility
O
PUBLIC ACCESS BLDGS. 19 Dry Cleaners/Laundry 32 Clothing Store 47 Street 62 Gambling Facility/
❑
20 Professional Office 33 Drugstore 48 Parkin Lot Casino/Race Track
06 Transit Facility g 9
N NOT APPLICABLE
21 Doctor's Office
07 Government Office 34 Liquor Store 49 Park/Playground 63 Military Installation
'TYPE WEAPON/FORCE USED
08 School 22 Other Business Office 35 Shopping Mall 50 Cemetery 65 Shelter -Mission!
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— BURGLARY/B&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 JimfCoat Hanger
1 [ ] BASEMENTO 2 ❑ WINDOW ❑ 2 ❑ SIDE ❑
03 ❑ Duplicate Key Used 08 ❑ Tumblers Removed
213 1ST FLOOR ❑ 3 ❑ GARAGE ❑ 3 ❑ REAR ❑
'NO. PREMISES ENTERED
04 ❑ window Broken 09 ❑ Column Peeled
3 ❑ 2ND FLOOR ❑ 4 ❑ SKYLIGHT ❑ 4 ❑ ROOF ❑
05 ❑ Towed 10 ❑ Ignition Peeled
4 ❑ OTHER ❑ 5 ❑ OTHER ❑ 5 ❑ OTHER ❑
METHODS OF
'CARGO THEFT
OPERATION
Y❑ N❑
'TOTAL
`VICTIM I U INDIVIDUAL F U FINANCIAL INSTITUTION P U POLICE OFFICER (IN THE LINE OF DUTY) S USOCIETY 0 U OTHER
VICTIMS
TYPE B❑ BUSINESS G❑ GOVERNMENT R❑ RELIGIOUS ORGANIZATION U ❑UNKNOWN
NAME (Last, First, Middle)
GRAY, DAVID
ADDRESS (Street, Apt., City, State. Zip)
PHONE
545 GOLFVIEW DR. GULF STREAM FL 33483
410-323-7249
EMPLOYER NAME AND
PHONE
ADDRESS (Street, Apt., City, State, Zip)
AGE1
EX
rRACE U 13 U A
NICRY HGT
WGT
HAIR
EYES
D-0.6.
M
(gW ❑ 1 ❑ U
I
U
OCCUPATION
SN-RESIDENT
1 ErR—ESIDENT 3 U MILITARY 5 U OTHER
7
IS
STATUS 2 ❑ TOURIST 4 ❑ STUDENT U ❑ UNKNOWN
'VICTIM Ll Y
IF INJURED, DESCRIBE
c Z
INJURED? ❑ N
INJURIES:
g c'
0
AGG. ASSAULT/
'LEOKA INFORMATION
ICTIM/SUSPECT RELATIONSHIP
`VICTiMIOFFENSELlNK
m z
HOMICIDE CIRC.
TYPE OFACT- ASSIGN. TYPE ORI —OTHER
0. 1. 2. 3. 4. 5.
n,
N
6
REPORTING OFFICER
BADGE NO.
DATE
4
OFC. MICHAELBALAK
765
01/12/2022
v
APPROVING OFFICER
BADGE NO.
DATE
01/21/2022
FOLLOW-UP?
V yes, follow-up
❑ Y K1 N
signment:
ADDITIONAL U VICTIMMIfNESS U PROPERTY U STATEMENTS
FORM RECEIVED BY: U INTELLIGENCE
SPECIAL
SUPPLEMENTS ❑ SUSPECT/ARRESTEE ❑ NARRATIVE ❑ OTHER
❑ INVESTIGATION ❑ RECORDS
COPIES
ano
INCIDENT REPORT - PART 2 INCIDENT
NUMBER
VICTIM FFENSE IINCIDENT
D TIME
NO. NAME (Last, First, Middle)
AGE1 SSN
D.O.B.
W
F
ADDRESS (Street, Apt. City, State, Zip)
PHONE
O
EMPLOYER NAME AND
PHONE
W
ADDRESS (Street, Apt, City, State, Zip)
STATEMENTS OBTAINED U Y U N TYPE: U WRITTEN U ORAL U TAPED U OTHER
CHECK CATEGORIES U STOLEN U RECOVERED U IMPOUNDED U RECEIVED U SUSPECTS VEHICLE U VICTIM'S VEHICLE L1 UNAUTHORIZED USE UABAN50NED
N0
U DAMAGE TO VEHICLE
LIC LIS
LIY
LIT
VIWOAN
VALUE
❑ THEFT FROM VEHICLE
VYR
VMA
VMO
VST
VCO
VEHICLE Y
KEYS IN Y
HOLD Y
RELEASE Y
oa ou
LOCKED ❑ N
VEHICLE ❑ N
VEHICLE ❑ N
CONTENTS❑ N
W
VEHICLE ASSOC.
VEHICLE ASSOC.
VEHICLE Y TOWED
OWNERSHIP U TAG RECEIPT U TITLE
V
/ SUSPECT NO.
1 VICTIM NO. TOWED?
❑ N By
VERIFIED BY: ❑ BILL OF SALE ❑ OTHER
=
STOLEN MOTOR INO.
STOLEN
AREA STOLEN U RESID.
ADDITIONAL
VEHICLE ONLY
❑ BUSINESS ❑ RURAL
DESCRIPTION
AUTO INSURER NAME (Company) ADDRESS (Steel. Apt.. City, State, Zip) PHONE
MOTOR VEHICLE NO.
RECOVERED DATE
REC. STOLEN IN YOUR JURISDICTION
RECOVERY ONLY
I
❑ Y ❑ N
WHERE RECOVERED?
'TYPE PROPERTY 1 NONE 3 COUNTERFF_TTEDIFORGED 5 STOLENIETC. 7 RECOVERED P PHOTO
TOTAL VALUE
LOSSIETC. (-woad-wow) 2 BURNED 4 DESTROYEDIDAMAGEDNANDALIZED 6 SEIZED U UNKNOWN E EVIDENCE
'LOSS
QUANTITY DESCRIPTION 'PROP
'VALUE
CODE
2 UNDER ARMOUR, SNEAKERS BROWN 1 PAIR. CODE
VICT.
VEH
MAKEBRAND
MODEL
DATE RECOVERED
NO
NO.
1122022
SERIAL
NCIC OTHER
NUMBER
NUMBER NUMBER
'LOSS
QUANTITY
DESCRIPTION "PROP
'VALUE
CODE
CODE
VICT.
VEH
MAKE/BRAND
MODEL
DATE RECOVERED
NO.
NO,
SERIAL
NCIC OTHER
NUMBER
NUMBER NUMBER
,LOSS
QUANTITY
DESCRIPTION •PROP
VALUE
CODE
CODE
VICT.
VEH
MAKEBRAND
MODEL
DATE RECOVERED
NO
NO.
W
SERIAL
NCIC OTHER
NUMBER
NUMBER NUMBER
�
*LOSS
QUANTITY DESCRIPTION 'PROP
*VALUE
d.
CODE
CODE
VICT
VEH
MAKFBRAND MODEL
DATE RECOVERED
NO.
NO,
SERIAL
NCIC 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 Electronic Equip. 35 Aircraft 46 Single Occupancy
01 Money 11 Clothing/Furs 24 Heavy Constructionlindustrial 74 Watercraft Equip./Parts/Acc. 36 Automobiles 47 Other Dwellings
02 CrediVDebit Card 12 Purses/HandbagslWallets 25 Building Supplies-Const. 29 Other Equipment 37 Bicycles 48 CommercialBusiness
03 Negotiable Instruments 13 Other Personal Effects 26 Tools CONSUMABLE ITEMS 38 Buses 49 Industrial/Manufacturing
04 Other Exchange Mediums HOUSEHOLD ITEMS 27 Vehicle Parts/Accessories 30 Alcohol 39 Tricks 50 PublicfCommunity
DOCUMENTS 14 Household Items 57 Aircraft Parts/Accessories 31 DrugstNarcotics 40 Trailers 51 Storage
05 Non -Negotiable Instruments EQUIPMENT 28 School Supplies 32 Consumable Goods 41 Watercraft 52 Other Structure
06 Personal (Identity) Papers 15 Drug/Narcotic Equip. 58 Artistic Supplies/Accessones 60 Chemicals 42 Recreational Vehicle OTHER
62 Documents/Personal or 16 Gambling Equipment 59 Camping/Hunting/Fishing 61 Crops 43 Other Motor Vehicle 53 Merchandise
Business 17 Computer Hardware/Soft. Equipment/Supplies 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 Lawn/Yard/Garden Equip. ANIMALS 45 Other Weapons 66 Identity -Intangible
08 Jewelry/Precious 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 Medical/Medical Lab Equip. 34 Household Pets
ON JANUARY 12, 2022, AT 0917 HOURS, I RESPONDED TO 545 GOLFVIEW DR IN REFERENCE TO A COMPLAINT OF A SUSPICIOUS PERSON
FROM OVERNIGHT. UPON ARRIVAL I MADE CONTACT WITH THE HOMEOWNER MR. DAVID GRAY WHO ADVISED WHILE CHECKING HIS
CAMERAS HE NOTICED AN UNKNOWN MALE WHO ENTERED HIS PROPERTY THROUGH HIS SIDE GATE AT APPROXIMATELY 0345
HOURS. MR. GRAY ADVISED THE MALE WAS ACTING STRANGE AND HE TOOK OFF ALL OF HIS CLOTHES AND JUMPED IN THE POOL.
j
AFTER JUMPING IN THE POOL THE MALE GOT OUT, MOVED A FEW POOL CHAIRS AND THEN LEFT THE PROPERTY. MR. GRAY
~
CONFIRMED THAT NO DAMAGE WAS DONE TO HIS PROEPRTY AND HE ADVISED HE JUST WANTED TO LET THE POLICE DEPARTMENT
KNOW OF THE INCIDENT. MR. GRAY DID NOT WISH TO HAVE ANY FURTHER INVESTIGATION COMPLETED. MR. GRAY WAS MADE
a
z
AWARE OF THE INCIDENT AT 555 MIDDLE ROAD INVOLVING THE SAME BEHAVIOR. IT SHOULD BE NOTED THAT THE SUBJECT LEFT
HIS SHOES BEHIND. I TOOK CUSTODY OF THE SHOES AND PLACED THEM IN AN EVIDENCE LOCKER FOR SAFEKEEPING. MR. GRAY
gyp„
REQUESTED NO FURTHER ACTION. END REPORT.
Renee Basel
From: Delray Beach Public Records Support <delraybeach@govga.us>
Sent: Thursday, January 27, 2022 10:08 AM
To: Renee Basel
Subject: [Records Center] Police Department :: P000332-012422
[NOTICE: This message originated outside of the Town of Gulfstream -- DO NOT CLICK on links or open attachments
unless you are sure the content is safe.]
--- Please respond above this line ---
101
January 27, 2022
RE: PUBLIC RECORDS REQUEST of January 24, 2022., Reference # P000332-012422.
Dear Deputy Clerk Renee' Basel,
The Delray Beach Police Department received a public information request from you on January 24, 2022. Your request
mentioned:
"Requesting everything to do with Case No. 22-0075 in Gulf Stream"
After a diligent search, our office has located records which are responsive to your request with the below listed
exemption; redactions have been applied accordingly.
Name, address, phone number or personal information of the person calling E911 system is confidential and exempt (911
calls only) —F.S. 365.171(12)
911 AUDIO and INCIDENT REPORT records have been released to the Delray Beach Police Department's Public Records
Portal. Click the link below this message to login and retrieve the records. Please be advised their are no Photos for CAD
REPORT for this case.
Thank you for your patience in awaiting this information.
Police Department-P000332-012422
***VIDEOS PENDING PROCESSING***
Sincerely,
Delray Beach Police Department
To monitor the progress or update this request please log into the Public Records Center
Delray Beach Police Department
Incident Case Number: 22-000472
Reporting Agency: Delray Beach Police
Print Date/Time: 01/27/2022 09:37:08
Disclaimer: The information contained within this report is
reflective of the investigation at the date and time of its printing.
Page 1
I
N
C
I
D
Agency Name
Delray Beach Police Department
INtIlLJCIV I /IIV V CJ I RJA 11U1V
REPORT
Case#
22-000472
Date / Time Reported
0111212022 05:23 Wed
ORI
FL 0500400
Last Known Secure
0111212022 05:23 Wed
Location of Incident
555 MIDDLE RD, GWStream FL 33483
Gang Relat
NO
Premise Type Beat/ReportArea
Highway/road/alleylst
GS
At Found
0111212022 05:23 Wed
N
T
# 1
Crime Incident(s) (Com)
Assist Other Department
777.ASST
Weapon / Tools
Activity
Entry
Exit
Security
D
A
T
A
#2
Crime Incident ( )
Weapon / Tools
Activity
Entry
Exit
Security
#3
Crime Incident ( )
Weapon / Tools I
Activity
Entry
Exit
Security
MO
BWC11n Use/Body Worn Cam
# of victims 0
Type: Injury: Domestic: NO
V
I
Vl
Victim/Business Name (Last, First, Middle)
Victim o
Crime #
DOB
Age
Race
Sel
Relationship
To Offender
Resident Status
Military
Branch/Status
C
T
I
Home Address
Home Phone
M
Employer Name/Address
Business Phone
Mobile Phone
VYR
I Make
Model Style
Color Lic/Lis VIN
CODES: V- Victim (Denote V2, V3) O = Owner (if other than victim) R = Reporting Person (if other than victim)
O
Type: INDIVIDUAL/ NOT LAW ENFORCEMENT Injury:
T
H
E
Code
10
Name (Last, First, Middle)
DEPEW, EUGENE DONALD J
Victim o
Crime #
DOB
0411611969
Age 52
I Race
W
Se
M
Relationship
To Offender
Resident Status
Resident
Military
Branch/Status
R
S
Home Address
2454 SW 30 TERRACE FORT LAUDERDALE, FL 33312
Home Phone
1 954-249-4369
I
Employer Name/Address
Business Phone
Mobile Phone
N
Type: Injury:
V
O
L
V
Code
Name (Last, First, Middle)
Victim o
Crime #
DOB
Age
Race
Se
Relationship
To Offender
Resident Status
Military
Branch/Status
E
D
Home Address
Home Phone
Employer Name/Address
Business Phone
Mobile Phone
L = Lost S = Stolen R = Recovered D = Damaged Z = Seized B = Burned C = Counterfeit / Forged F = Found
"OY = Recovered for Other Jurisdiction
VI
Codc
Status
Fm/T
Value
OJ
I QTY
Property Description
Make/Model
Serial Number
01
OTHE
$0.00
1
2020S1L, MUM FL
TOYT
JTDEPRAE3L1072373
P
R
O
P
E
R
T
Y
Officer/ID# Smith Milton Alexander CPD PTL 1016
Invest ID# Smith, Milton Alexander CPD, PTL 1016
Supervisor Reed, Justin (CPD, PTL) (0917
Status
Complainant Signature
Case Status
e e 0111212022
Case Disposition: Pa e 2
g
R CSITBR Printed By: DANIELSM, PDRMA00I Sys#: 196704 01/27/2022 09:37
INCIDENT/INVESTIGATION REPORT
Delray Beach Police Department
Case # 22-000472
Status L = Lost S = Stolen R = Recovered D = Damaged Z = Seized B = Burned C = Counterfeit / Forged F = Found
Codes
UCR
Statu
Quantity
Type Measure
Suspected Type
Up to 3 types of activity
D
R
U
G
S
Assisting Officers
Suspect Hate / Bias Motivated_
INCIDENT/INVESTIGATION REPORT
Narr. (cont.) OCA: 22-000472 Delray Beach Police Department
NARRATIVE
Assisted Gulfstream PD.
R_CE21BR By DANIELSM, PDRMA001 01/27/2022 09:37 Page 3
REPORTING OFFICER NARRATIVE ocA
Delray Beach Police Department
Victim I Offense Date / Time Reported
ASSIST OTHER DEPARTMENT I Wed 0111212022 05: 23
On 1/12/22 at approximately 0445 hours I responded to 555 Middle Road as back up in assist Gulf Stream PD in
contact with a suspicious person in a vehicle.
As background, GSPD Ofc. LeStrange was responding to the area in reference to a male subject banging on a door.
While in the area Ofc. LeStrange located a silver Toyota Camry bearing FL tag NIU2K in the area. The vehicle
appeared at first to be trying to flee the area and turn their lights off but ended up stopping at the end of the
cul-de-sac on Middle Road. Contact was made with the driver, identified as Eugene Depew, who was not wearing
any pants or underwear. Depew advised that he was suffering side effects from his first Pfizer COVID vaccine shot
and was unable to sleep. He picked up his car yesterday and was driving from Ft. Lauderdale to Port St. Lucie.
Depew advised he was a real estate investor and was driving slowly in the area looking for vacant houses to inquire
about. He advised he was not wearing pants because he enjoyed the breeze. It should be noted that a note from a
nearby residence was located on the passenger floorboard which Depew claimed he took it to remember the address.
Depew also had a golf course hole flag and a sand rake that he claimed he took from a Ft. Lauderdale gulf course.
Depew was clear FCIC/NCIC and PALMS and was released from the scene by GSPD.
Reporting Officer: SMITH, MILTON Printed By: DANIELSM, PDRMA001 01/27/2022 09:37 Page 4
R CS3NC
Incident Report Related Vehicle List
Delray Beach Police Department
oCA: 22-000472
VehYr/Make/Model Style Color Lic/Lis /Decal VIN
1 2020 TOYT 4D SIL NIU2K FL 2022 JTDEPRAE3LJ072373
IBR Status Date Location
Other 0111212022 555 MIDDLE RD, GULF STREAM FL
Condition Value Offense Code Jurisdiction State # NI #
$0.00 9999 Locally
Name (Last, First, Middle) Also Known As Home Address
Depew, Eugene Donald J 2454 SW 30 TERRACE
FORTLAUDERDALE, FL 33312
Business Address 954-249-4369
DOB Age Race Sex Hgt Wgt Scars, Marks, Tattoos, or other distinguishing features
0411611969 52 W M 601 200
Notes
R CS91BR Printed By: DANIELSM, PDRMA001 01/27/2022 09:37 Page 5