INCIDENT REPORT CJUS 230-B04.pdf - POLICE REPORT(P.D-18BASE1(D Victim Refuses to Cooperate If code(06 not Borrow =which(88 Pit NONE(03

INCIDENT REPORT CJUS 230-B04.pdf - POLICE...

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I.;.IIlO:::;II:;:U I Incident # I Report Date ReportTime I I Page# I Total Pages Modify nt From Date Incident FromTime Incident Thru Date I Incident Thru Time Location Street Name (Dir. Name, Apt# or Ste) I IntersectingStreet Name (Dir, Name) I Zone Code # Pct/Bureau I Supervisor Name Code # Pet/Bureau I InvestigatingOfficer Name Code # Pet/Bureau I Offense Description . !ttempted o I Suspect(s) Used (Allthatapply) 000 !Icohol Qrugs !:<omputer Equip I I Location Code (10) Field/Woods (20) Office/Comm Bldg (29) Residence, Shed (39) Store, Dep/Disc I (01) Air/Bus/Train Term'l (11) Gas/SelVice Station (21) Office/Doctor's (30) Residence, Yard (40) Store, Drug (12) Gov'VPublic Bldg (22) Park (31) RestrnVDiner/Coffee (41) Store, Grocery I (03) Bar/Tavrn/Nght Club (13) Highway/Road/Alley (23) Parking LoVStructure (32) Sch/College, Private (42) Store, Hrdware I (14) Hospital/Med Facility (24) Rental/Storage (33) Sch/College, Public (43) Store, Liquor (04) Beach (05) Boat (15) Hotel/Motel (25) Residence, Single (34) Sch/College, Outside (44) Store, Mall Forced Enfrv? 0 (06) Borrow Pit (16) Jail/Penitentiary (26) Residence, Multi (35) Sch/College, Pk Lot (45) Store, Specialty Y/N (07) Church/Syng/Tmpl (17) Lake/Watrwy/Ocean (27) Resi, Trailr/Mbie Hm (36) Sch/College, Portable (91) Other- (18) Mailbox (28) Residence, Garage/ (37) Store, Auto Parts (19) Marina Attch, Detchd (38) Store, Convenience I I Automatic 1 0 (Place "A"in space if wpn was ,",utomatic') (85) Asphyxiation (70) Narcotics/Drugs/Sleeping Pills I Automatic 2 Weapon Type (30) Biunt ObjecVClub (50) Poison (11) "Firearm/Unspecified (60) Explosives (99) None I Automatic 3 0 (12) *Handgun (65) Fire/Incendiary Device (95) Unknown (13) *Rifle (40) Hands/FeeVFists (Personal Wpn) (90) Other (14) "Shotgun (20) Knife/Cutting Instrument (15) *Other Firearm (35) Motor Vehicle If offense is Simple Assault, the 2.!l!:i choices are (40) Hands/Feet/Fist, (99) None, (95) Unknown, (90) Other. £!ill.1 (If apPQ Point of Entry/Exit (05) ACNent (07) Door (21) Pet Door (06) Window (04) Attic (13) Floor (14) Roof/Skylight (17) Unknown (10) Attached Garage (19) Ground Level (20) Upper Level (16) Other ___ 1 I Exit 2 I (02) Rear (09) Balcony/Fire Ese (15) Hides in Premises (12) Vehicle I (03) Side (18) Ceiling (08) Patio/Sliding Door (11) Wall Activity 2 Activifv 3 Type Criminal Activity (E) Exploiting Children
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