Ohio State News · type b business g government r religious organization u unknown name (last,...
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Transcript of Ohio State News · type b business g government r religious organization u unknown name (last,...
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EVITA
RTSINI
MD
AES
NEFFO
AGENCY NAME
CALL NUMBER
CLEAREDBY:
TOD
TOA
TOC
*INCIDENT NUMBER
*CLEARANCES
Death of Suspect G Arrest – JuvenileB Prosecution Declined H Warrant IssuedC Extradition Denied I Invest. PendingD Victim Refused to Coop. J ClosedE Juvenile/No Custody K UnfoundedF Arrest - Adult U Unknown
INCIDENT (NON-CRIMINAL)OFFENSESUPPLEMENT
*CLEARANCEDATE:
*GEOCODE
*REPORT DATE/TIMEMONTH DAY YEAR TIME
*INCIDENT OCCURRED FROMMONTH DAY YEAR TIME
*INCIDENT OCCURRED TOMONTH DAY YEAR TIME
INCIDENT LOCATION (Street, Apt., City, State, Zip)
*OFFENSE *OFFENSE CODE *A/C F/M & DEGREE *HATE/BIAS *LARCENY * TYPE CRIMINAL ACTIVITY
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(Enter up to three for each offense)B- BUYING/RECEIVINGC- CULTIVATING/MFG./PUB.D- DISTRIBUTING/SELLINGE- EXPLOITING CHILDRENO- OPER/PROPOTING/ASSIST.P- POSSESSING/CONCEALINGT- TRANSP/TRANSMITTINGU- USING/CONSUMINGG- OTHER GANG ACTIVITY J- JUVENILE GANG ACTIVITYN- NO GANG ACTIVITY
*LOCATION OF OFFENSE (Enter up to two)
1. __________ 2. __________
RESID ENTIAL S TRUC TURE01 Sing le Fa mily Home02 Mult iple Dwelling03 Res identi al Facil ity04 Oth er Res identi al05 Gar age/Shed
PUBLI C ACC ESS BLDGS.06 Transit Faci lity07 G overnm ent Offi ce08 Sc hool09 Coll ege10 Chu rch11 Hos pital
12 Jail/ Prison13 Park ing Garage14 Oth er Pub lic Ac cess Build ings
COMMERCIAL LOCATIONS15 Aut o Shop16 Fin ancial Institut ion17 Bar ber/B eauty Shop18 Hote l/Motel19 D ry Clean ers/L aundry20 Pro fessio nal Off ice21 Doc tor’s Of fice22 Oth er Bus iness Office23 Amu seme nt Cen ter24 Ren tal St orage Facili ty25 Oth er Co mmerci al Se rvice Loc.
RE TAIL26 Bar27 B uy/Sell/ Trade Shop28 Res taurant29 Gas Stati on30 Aut o Sal es Lot31 Jewelry Store32 Clot hing S tore33 Dru gstore34 Liq uor Sto re35 Sh opping Mall36 Spo rting Goods37 Gro cery/Superm arket38 Vari ety/Con ven ience39 De partme nt Sto re40 Oth er Ret ail Sto re
41 Fac tory/Mill /Plan t42 Oth er Bui lding
OUTSIDE43 Yard44 Con structi on Sit e45 Lak e/Water way46 Field/ Woods47 Str eet48 Park ing L ot49 Park /Playground50 Ce metery51 Publ ic Transit V ehicle52 Oth er Outs ide Location
77 Other
*SUSPECTED OF USING
ALCOHOL
D DRUGS
C COMPUTER EQUIPMENT
N NOT APPLICABLE
*TYPE WEAPON/FORCE USED
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*METHOD OF ENTRY *METHOD OF ENTRY – MOTOR VEHICLE THEFT *METHOD OF ENTRY – BURGLARY/B&E
*NO. PREMISES ENTERED
1 FORCE2 NO FORCE
METHODS OFOPERATION
01 Motor Running/Keys in Car 06 Hot Wire02 Unlocked 07 Slim Jim/Coat Hanger03 Duplicate Key Used 08 Tumblers Removed04 Window Broken 09 Column Peeled05 Towed 10 Ignition Peeled
ENTRY EXIT1 BASEMENT2 1ST FLOOR3 2ND FLOOR4 OTHER
ENTRY EXIT1 DOOR2 WINDOW3 GARAGE4 SKYLIGHT5 OTHER
ENTRY EXIT1 FRONT2 SIDE3 REAR4 ROOF5 OTHER
*VICTIM YINJURED? N
IF INJURED, DESCRIBEINJURIES:
REPORTING OFFICER BADGE NO. DATE
APPROVING OFFICER BADGE NO. DATE
FOLLOW- UP?Y N
If yes, follow-upAssignment:
ADDITIONAL VICTIM/WITNESS PROPERTY STATEMENTS SUPPLEMENTS SUSPECT/ARRESTEE NARRATIVE OTHER
FORM RECEIVED BY: INTELLIGENCEINVESTIGATION RECORDS
SPECIALCOPIES
07/2004
MITCIV
*NO. *TOTALVICTIMS
*VICTIM I INDIVIDUAL F FINANCIAL INSTITUTION P POLICE OFFICER (IN THE LINE OF DUTY) S SOCIETY O OTHERTYPE B BUSINESS G GOVERNMENT R RELIGIOUS ORGANIZATION U UNKNOWN
NAME (Last, First, Middle)
ADDRESS (Street, Apt., City, State, Zip) PHONE
EMPLOYER NAME AND ADDRESS (Street, Apt., City, State, Zip)
PHONE
*AGE/ D.O.B.
*SEX *RACE B AW I U
HGT WGT HAIR EYES
OCCUPATION *RESIDENT 1 RESIDENT 3 MILITARY 5 OTHERSTATUS 2 TOURIST 4 STUDENT U UNKNOWN
My signature verifies that the information on this report is accurate and true
DATE____________________________________
*AGG. ASSAULT/HOMICIDE CIRC.
*LEOKA INFORMATIONTYPE OF ACT. ASSIGN. TYPE ORI – OTHER
*VICTIM/SUSPECT RELATIONSHIP
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*VICTIM/OFFENSE LINK
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ETHNICITY
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Powell Police Department 7-15-001190
OW P7-15-120275
10:02:07x
10:02:23
11:46:20OHIO UNIFORM OFFENSE REPORT
10/26/2015 PENTZ, RYAN
2015 2610 2015 18001026
358 BEAR WOODS DR, POWELL, OH 43065
NFelonious Assault
NDomestic Violence
2919.25 C F
NC F2 N2903.11
01
2
SMITH, COURTNEY CARANO358 BEAR WOODS DR, POWELL, OH, 43065 614.745.5360
5'06"X BLNX
Redacted
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X
2903.11U 7-15-001190
TITLE
30 YRS 130 BLU03/03/1985 Female
10/26/2015TITLEPatrol Officer 712BORUCHOWITZ, BEN
11/10/2015SergeantX PENTZ, RYAN P
711SALLOWS, RONALD
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99
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1700 20151001 10 25
ELCI
HEVYT
REPO
RPVICTIM
INCIDENTNUMBERINCIDENT REPORT – PART 2
OFFENSE INCIDENT DATEAND TIME
EETR
OPER
NO. NAME (Last, First, Middle) AGE/ D.O.B.
SSN
ADDRESS (Street, Apt., City, State, Zip) PHONE
EMPLOYER NAME ANDADDRESS (Street, Apt., City, State, Zip)
PHONE
STATEMENTS OBTAINED Y N TYPE: WRITTEN ORAL TAPED OTHERCHECK CATEGORIES STOLEN RECOVERED IMPOUNDED RECEIVED SUSPECT’S VEHICLE VICTIM’S VEHICLE UNAUTHORIZED USE ABANDONEDNO. DAMAGE TO VEHICLE
THEFT FROM VEHICLELIC LIS LIY LIT VIN/OAN *VALUE
VYR VMA VMO VST VCOTOPBOTTOM
VEHICLE YLOCKED N
KEYS IN YVEHICLE N
HOLD YVEHICLE N
RELEASE YCONTENTS N
VEHICLE YTOWED? N
VEHICLE ASSOC.W/ SUSPECT NO.
VEHICLE ASSOC.W/ VICTIM NO.
TOWEDBY
OWNERSHIP TAG RECEIPT TITLEVERIFIED BY: BILL OF SALE OTHER
STOLEN MOTORVEHICLE ONLY
NO. STOLEN AREA STOLEN RESID.BUSINESS RURAL
ADDITIONALDESCRIPTION
AUTO INSURER NAME (Company) ADDRESS (Street, Apt., City, State, Zip) PHONE
MOTOR VEHICLERECOVERY ONLY
NO. RECOVERED DATE REC. STOLEN IN YOUR JURISDICTIONY N
WHERE RECOVERED?
*TYPE PROPERTY 1 NONE 3 COUNTERFEITED/FORGED 5 STOLEN/ETC. 7 RECOVERED P PHOTO LOSS/ETC. (enter codes below) 2 BURNED 4 DESTROYED/DAMAGED/VANDALIZED 6 SEIZED U UNKNOWN E EVIDENCE
TOTAL VALUE
*LOSSCODE
QUANTITY DESCRIPTION *PROPCODE
*VALUE
VICT.NO.
VEHNO.
MAKE/BRAND MODEL DATE RECOVERED
SERIALNUMBER
NCICNUMBER
OTHERNUMBER
*LOSSCODE
QUANTITY DESCRIPTION *PROPCODE
*VALUE
VICT.NO.
VEHNO.
MAKE/BRAND MODEL DATE RECOVERED
SERIALNUMBER
NCICNUMBER
OTHERNUMBER
*LOSSCODE
QUANTITY DESCRIPTION *PROPCODE
*VALUE
VICT.NO.
VEHNO.
MAKE/BRAND MODEL DATE RECOVERED
SERIALNUMBER
NCICNUMBER
OTHERNUMBER
*LOSSCODE
QUANTITY DESCRIPTION *PROPCODE
*VALUE
VICT.NO.
VEHNO.
MAKE/BRAND MODEL DATE RECOVERED
SERIALNUMBER
NCICNUMBER
OTHERNUMBER
PROPER TY CODES :
EXCHANGE MEDIUMS01 Mo ney02 Cred it/Deb it Card03 Negot iab le Instrume nts04 Ot her E xchange Med iums
DOCUMENTS05 No n-Negot iab le Instruments06 Perso nal Papers07 Ot her Doc uments
VALUABLES08 Jewe lry/Prec ious Meta ls09 Art Ob jects, A ntiques10 Ot her Va luables
PERSONAL EFFECTS11 C lothing/F urs12 P urses/Ha ndbags/ Wallets13 Ot her Perso nal Effects
HOUSEHOLD ITEMS 14 Ho usehold Items
EQUIPMENT15 Dr ug/Narcot ic Eq uip.16 Gamb ling Eq uipme nt17 Comp uter Hardware/Soft.18 Off ice Eq uipme nt19 Stereo TV Eq uip.20 Record ings-A udio V isual21 Sports Eq uipme nt22 P hotograp hic Eq uipme nt23 Farm Eq uipme nt24 Heavy Co nstruction/Industrial25 B uilding S upplies-Co nst.
26 Too ls27 Ve hicle Parts/Accessor ies28 Sc hoo l Supp lies29 Ot her Eq uipme nt
CONSUMABLE ITEMS30 A lcohol31 Dr ugs/Narcot ics32 Co nsumab le Goods
ANIMALS33 L ivestock34 Ho usehold Pets
VEHICLES35 A ircraft36 A utomob iles37 B icyc les38 B uses39 Tr ucks40 Tra ilers41 W atercraft42 Recreat ional Vehicle43 Ot her Motor Ve hicle
W EAPONS44 F irearms45 Ot her W eapo ns
STRUCTURES46 S ingle Occ upancy47 Ot her Dwe lli ngs48 Commerc ial/Business49 Indus./Mfg.50 P ublic/Comm unity51 Storage52 Ot her Str ucture
OTHER53 Merc handise54 Ot her Property55 Pe nding Inventory
EVITA
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07/2002
7-15-001190
SMITH, COURTNEY CARANO Domestic Violence 10/26/2015 1001Redacted
IPHONE BROKEN
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6 1 99
15-1190-1KITCHEN KNIFE
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6 1 99
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15-1190-1BEXTERNAL FLASH DRIVE (USB)RED USB DRIVE
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99
15-1190-2BWIRELESS, EXTERNAL DRIVE (USB) WD BRAND EXTERNAL PASSPORT DRIVE
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15-1190-3B
The victim reports that a domestic incident happened last night at her home and that she hasbeen a victim of sustained physical abuse by the suspect.
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3325 MAINVIEW CT POWELL, OH 43065
03/03/198530 YRS1 SMITH, COURTNEY CARANO
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