SA Jan 24, 2015 #1 #2 #3 Att Com Agency Name ORI OCA Date / Time Reported Crime Incident Crime Incident Crime Incident Att Att Com Com At Found Last Known Secure Weapon / Tools Forcible Entry How Attacked or Committed Premise Type Location of Incident Offense Tract ® ˛ ® ® ® ® ® ® ˛ Yes No N/A Case Status: Complainant Signature Officer Case Disposition: Officer Signature Supervisor Signature CODES: V- Victim (Denote V2, V3) O = Owner (if other than victim) R = Reporting Person (if other than victim) I = Other Involved Code Name (Last, First, Middle) Sex Race Age / DOB Victim of Crime # Home Address Home Phone Business Phone Employer Name/Address Code Name (Last, First, Middle) Sex Race Age / DOB Victim of Crime # Home Address Home Phone Business Phone Employer Name/Address # Victims Type Business Injury None V1 Victim/Business Name (Last, First, Middle) Sex Home Phone Business Phone Home Address Employer Name/Address VYR Make Model Style Color Lic/Lis VIN Race Age / DOB Victim of Crime # Status Codes L = Lost S = Stolen R = Recovered D = Damaged Z = Seized B = Burned C = Counterfeit / Forged F = Found U = Unknown (Check "OJ" column if recovered for other jurisdiction) Victim # UCR Status - Date Value OJ QTY Property Description Make/Model Serial Number Number of Vehicles Stolen Number Vehicles Recovered Des Moines Police Department 2015-0002266 IA0770300 SA Jan 24, 2015 17:15 TRESPASS -- No Damage/Injury 17:15 SA Jan 24, 2015 17:15 1501 Woodland Ave, Des Moines, IA 50309 Government/Public Building MO 1 Hoyt Sherman Place 1 1501 Woodland Ave, Desm, IA 50309 0 0 (698499) NESS, DAVID M (9164) BENDA, SERENA C INCIDENT / INVESTIGATION REPORT I C N I D E N T D T A A V I C T I M O T H E R S I N V O L V E D P R O P E R T Y ID Cleared By Arrest Cleared By Arrest January 25, 2015 Jan 25, 2015 Printed at: Page: 1 UCR: Local Statute: 90J 716.8(1) UCR: UCR: Local Statute: Local Statute: Relationship to Offenders 4/15/2015 15:17 Residency Status
OCA: 2015-0002266 Incident / Investigation Report Des Moines Police Department N A R R T I V E Name (L, F M) Sex Home Address Race DOB. Status Codes L = Lost S = Stolen R = Recovered D = Damaged Z = Seized B = Burned C = Counterfeit / Forged F = Found U = Unknown Status Quantity Type Measure Suspected Drug Type Malagon, Marco Antonio 32 W M 9969 Cr 1079, Princeton, TX S U E D R U G S Age Business Address Occupation Scars, Marks, Tattoos, or other distinguishing features (i.e. limp, foreign accent, voice characteristics) Hgt Wgt Hair Color AKA Eye Color 5'08 145 Brown ® Resident ˛ Non-Resident ® Unknown Primary Offender Resident Status Offender 1 Offender 2 Offender 4 Offender 5 Offender 3 Offender 6 Sex: Race: Age: Sex: Race: Age: Sex: Race: Age: 31 W M Sex: Race: Age: Sex: Race: Age: 32 W M Sex: Race: Age: Build Hair Style Brown Hair Length Glasses Hat Jacket Shirt/Blouse Tie/Scarf Coat/Suit Pants/Dress/Skirt Socks Shoes Was Suspect Armed? Type of Weapon Direction of Travel Mode of Travel VYR Make Model Style/Doors Color Lic/Lis Vin P S C T Name (Last, First, Middle) Sex Race D.O.B. Berg, R Christian U M Age Home Address Home Phone Phone Employer Suspect Hate / Bias Motivated: ˛ ® Yes No / Citizens United O F F N D R Computer ® ® ® Drugs Alcohol Offender(s) Suspected of Using ˛ N/A Type: OF1 OF2 OF1 W I T N E S S Page: 2 Printed at: 4/15/2015 15:17 Business Phone Home Phone
THE INFORMATION BELOW IS CONFIDENTIAL - FOR USE BY AUTHORIZED PERSONNEL ONLY Date / Time Reported SA Jan 24, 2015 Officer 4868 17:15 OCA: 2015-0002266 Incident / Investigation Report Des Moines Police Department Officer's Supplement Page: 3 Printed at: 4/15/2015 15:17
THE INFORMATION BELOW IS CONFIDENTIAL - FOR USE BY AUTHORIZED PERSONNEL ONLY Officer (714568) MCFARLING, CHAD R OCA: 2015-0002266 Incident / Investigation Report Des Moines Police Department Additional Officer Supplements This case has been reviewed and no additional follow up investigation is required. Suspect was arrested by patrol and released with a misdemeanor citation. Case closed by arrest. Date / Time 1/27/2015 08:16 CIB SUPPLEMENTAL Supplement Type: Page: 4 Printed at: 4/15/2015 15:17
OCA: 2015-0002266 Incident / Investigation Report Des Moines Police Department Additional Suspect List Name (Last, First Middle) Sex Home Address Race DOB. Vargas, Cesar Adrin 31 W M 1178 Arthubill Rd, Staten Island, NY Age Business Address Occupation Scars, Marks, Tattoos, or other distinguishing features (i.e. limp, foreign accent, voice characteristics) Hgt Wgt Hair Color Also Known As Eye Color 5'07 145 Brown Brown Build Hair Style Hair Length Glasses Hat Jacket Shirt/Blouse Tie/Scarf Coat/Suit Pants/Dress/Skirt Socks Shoes Was Suspect Armed? Type of Weapon Direction of Travel Mode of Travel VYR Make Model Style Color Lic/Lis Vin / OF2 Business Phone Home Phone Page: 5 Printed at: 4/15/2015 15:17
OCA: 2015-0002266 Incident / Investigation Report Des Moines Police Department Additional Witness List Name (Last, First, Middle) Sex Race DOB Age Address B: H: Employer Swanson, Bob U M Name Address B: H: Employer Peterson, Kevin U M Name Address B: H: Employer Summa, Julie Beth 56 U F Name Address B: H: Employer Revita, Candice Sue 01 U F Name Page: 6 Printed at: 4/15/2015 15:17
POLK COUNTY 20150002266 Agency Case Number: 01/24/2015 Arrest Date: THE STATE OF IOWA VS. IN THE IOWA DISTRICT COURT IN AND FOR This Complaint and Affidavit is to be: Filed with Court Clerk (cc: CA) Submitted to County Attorney Filed with JCO - Defendant is a Juvenile MALAGON Last MARCO First ANTONIO Middle Suffix 9969 CR 1079 Address PRINCETON City TX State 75407 Zip Code Date of Birth MALE Gender WHITE - W Race HISPANIC ORIGIN - H Ethnicity TX State 5' 08" Height 145 LBS Weight BROWN - BRO Eye Color BROWN - BRO Hair Color OFFENDER State Local 716.8(1) Code Section TRESPASS Crime Description SMMS Class 05 - COMMERCIAL/OFFICE BUILDING Location Type 1501 WOODLAND AVE Literal Description 1501 WOODLAND AVE Address DES MOINES City IA State 50310 Zip Code YES Is Date and Time of Incident Known? 01/24/2015 Incident Date or Low Range Upper Date Range 17:15 Incident Time or Low Range Upper Time Range OFFENSE TAKEN INTO CUSTODY CUSTODY (Citation Issued) SUMMONS TO APPEAR WARRANT REQUESTED REQUESTED NO CONTACT ORDER RELEASED TO PARENT/GUARDIAN STATUS OF OFFENDER/JUVENILE NQRZLQJO\ HQWHU! UHPDLQ XSRQ! RU HQWHU XSRQ WKH SURSHUW\ RI DQRWKHU DIWHU EHLQJ QRWLILHG RU UHTXHVWHG E\ D SHDFH RIILFH SHUIRUPLQJ WKHLU GXW\ WR VXSHUYLVH RU PDLQWDLQ WKH SURSHUW\! WR DEVWDLQ IURP HQWHULQJ RU WR UHPRYH RU YDFDWH WKHUH IURP "#%" :RRGODQG $YH! +R\W 6KHUPDQ& 7KH GHIHQGDQW ZDV DVNHG VHUYHUDO WLPH E\ VHYHUDO SHRSOH WR OHDYH& ZKLOH HVFRUWLQJ WKH GHIHQGDQW RXW KH EHFDPH D SDVVLYH UHVLVWLYH DQ ZHQW OLPS DQG IDLOHG WR ZDON WR WKH VTXDG FDU& On or about the above stated date and time, the Defendant did Narrative of Offense Committed NARRATIVE NQRZLQJO\ HQWHU! UHPDLQ XSRQ! RU HQWHU XSRQ WKH SURSHUW\ RI DQRWKHU DIWHU EHLQJ QRWLILHG RU UHTXHVWHG E\ D SHDFH RIILFH SHUIRUPLQJ WKHLU GXW\ WR VXSHUYLVH RU PDLQWDLQ WKH SURSHUW\! WR DEVWDLQ IURP HQWHULQJ RU WR UHPRYH RU YDFDWH WKHUH IURP "#%" :RRGODQG $YH! +R\W 6KHUPDQ& 7KH GHIHQGDQW ZDV DVNHG VHUYHUDO WLPH E\ VHYHUDO SHRSOH WR OHDYH& ZKLOH HVFRUWLQJ WKH GHIHQGDQW RXW KH EHFDPH D SDVVLYH UHVLVWLYH DQ ZHQW OLPS DQG IDLOHG WR ZDON WR WKH VTXDG FDU& On or about the above stated date and time, the Defendant did Narrative of Offense Committed NARRATIVE Signature of Defendant 02/24/2015 Court Date 1:00 PM Court Time POLK COUNTY COURTHOUSE 500 MULBERRY STREET, DES MOINES 50309 In the Court At I promise to appear in said court at said time and place. SUMMONS POLK COUNTY I, the undersigned, being duly sworn, state that all facts contained in this Complaint and Affidavit, known by me or told to me by other reliable persons form the basis for my belief that the defendant committed this crime STATE OF IOWA, AFFIDAVIT State all facts and persons relied upon supporting elements of alleged crime knowingly enter, remain upon, or enter upon the property of another after being notified or requested by a peace office performing their duty to supervise or maintain the property, to abstain from entering or to remove or vacate there from 1501 Woodland Ave, Hoyt Sherman. knowingly enter, remain upon, or enter upon the property of another after being notified or requested by a peace office performing their duty to supervise or maintain the property, to abstain from entering or to remove or vacate there from 1501 Woodland Ave, Hoyt Sherman. DES MOINES POLICE DEPARTMENT 20150002266 1 2 1/25/2015 12:15 AM
The defendant was asked serveral time by several people to leave. while escorting the defendant out he became a passive resistive an went limp and failed to walk to the squad car. The defendant was asked serveral time by several people to leave. while escorting the defendant out he became a passive resistive an went limp and failed to walk to the squad car. HICKEY, PAT 4867 Signature of Complainant or Officer, Officer Name & Number 02 - CAUGHT IN ACT, 08 - CRIME OBSERVED BY OFFICERS Defendant Implicated Operating Motor Vehicle in County Other Physical Evidence Attempted To Inflict Injury GENERAL PROBABLE CAUSE POLK COUNTY 01/24/2015 CHAD M NICOLINO Notary Name Signature of Verifying Party 781088 Commission Number 11/01/2016 My Commission Expires Prosecuting Attorney Peace Officer Notary 805.5 Failure to appear. Any person who willfully fails to appear in court as specified by the citation shall be guilty of a simple misdemeanor and upon conviction shall be punished by a fine of not more than one hundred dollars or by imprisonment in the county jail not exceeding 30 days or by both such fine and imprisonment. STATE OF IOWA, Subscribed and sworn to before me by the person(s) signing the Complaint and Affidavit(s) on DES MOINES POLICE DEPARTMENT 20150002266 2 2 1/25/2015 12:15 AM 2 2 1/25/2015 12:15 AM
POLK COUNTY 20150002266 Agency Case Number: 01/24/2015 Arrest Date: THE STATE OF IOWA VS. IN THE IOWA DISTRICT COURT IN AND FOR This Complaint and Affidavit is to be: Filed with Court Clerk (cc: CA) Submitted to County Attorney Filed with JCO - Defendant is a Juvenile VARGAS Last CESAR First ADRIN Middle Suffix 1178 ARTHURKILL RD Address STATEN ISLAND City NY State 10312 Zip Code Date of Birth MALE Gender WHITE - W Race HISPANIC ORIGIN - H Ethnicity NY State 5' 07" Height 145 LBS Weight BROWN - BRO Eye Color BROWN - BRO Hair Color OFFENDER State Local 716.8(1) Code Section TRESPASS Crime Description SMMS Class 05 - COMMERCIAL/OFFICE BUILDING Location Type 1501 WOODLAND AVE Literal Description 1501 WOODLAND AVE Address DES MOINES City IA State 50310 Zip Code YES Is Date and Time of Incident Known? 01/24/2015 Incident Date or Low Range Upper Date Range 17:15 Incident Time or Low Range Upper Time Range OFFENSE TAKEN INTO CUSTODY CUSTODY (Citation Issued) SUMMONS TO APPEAR WARRANT REQUESTED REQUESTED NO CONTACT ORDER RELEASED TO PARENT/GUARDIAN STATUS OF OFFENDER/JUVENILE NQRZLQJO\ HQWHU! UHPDLQ XSRQ! RU HQWHU XSRQ WKH SURSHUW\ RI DQRWKHU DIWHU EHLQJ QRWLILHG RU UHTXHVWHG E\ D SHDFH RIILFH SHUIRUPLQJ WKHLU GXW\ WR VXSHUYLVH RU PDLQWDLQ WKH SURSHUW\! WR DEVWDLQ IURP HQWHULQJ RU WR UHPRYH RU YDFDWH WKHUH IURP "#%" :RRGODQG $YH! +R\W 6KHUPDQ& 7KH GHIHQGDQW ZDV DVNHG VHUYHUDO WLPH E\ VHYHUDO SHRSOH WR OHDYH& ZKLOH HVFRUWLQJ WKH GHIHQGDQW RXW KH EHFDPH D SDVVLYH UHVLVWLYH DQ ZHQW OLPS DQG IDLOHG WR ZDON WR WKH VTXDG FDU& On or about the above stated date and time, the Defendant did Narrative of Offense Committed NARRATIVE NQRZLQJO\ HQWHU! UHPDLQ XSRQ! RU HQWHU XSRQ WKH SURSHUW\ RI DQRWKHU DIWHU EHLQJ QRWLILHG RU UHTXHVWHG E\ D SHDFH RIILFH SHUIRUPLQJ WKHLU GXW\ WR VXSHUYLVH RU PDLQWDLQ WKH SURSHUW\! WR DEVWDLQ IURP HQWHULQJ RU WR UHPRYH RU YDFDWH WKHUH IURP "#%" :RRGODQG $YH! +R\W 6KHUPDQ& 7KH GHIHQGDQW ZDV DVNHG VHUYHUDO WLPH E\ VHYHUDO SHRSOH WR OHDYH& ZKLOH HVFRUWLQJ WKH GHIHQGDQW RXW KH EHFDPH D SDVVLYH UHVLVWLYH DQ ZHQW OLPS DQG IDLOHG WR ZDON WR WKH VTXDG FDU& On or about the above stated date and time, the Defendant did Narrative of Offense Committed NARRATIVE Signature of Defendant 02/24/2015 Court Date 1:00 PM Court Time POLK COUNTY COURTHOUSE 500 MULBERRY STREET, DES MOINES 50309 In the Court At I promise to appear in said court at said time and place. SUMMONS POLK COUNTY I, the undersigned, being duly sworn, state that all facts contained in this Complaint and Affidavit, known by me or told to me by other reliable persons form the basis for my belief that the defendant committed this crime STATE OF IOWA, AFFIDAVIT State all facts and persons relied upon supporting elements of alleged crime the defendant did knowingly enter, remain upon, or enter upon the property of another after being notified or requested by a peace office the defendant did knowingly enter, remain upon, or enter upon the property of another after being notified or requested by a peace office DES MOINES POLICE DEPARTMENT 20150002266 1 2 1/25/2015 12:15 AM
performing their duty to supervise or maintain the property, to abstain from entering or to remove or vacate there from 1501 Woodland Ave, Hoyt Sherman. The defendant was asked serveral time by several people to leave. while escorting the defendant out he became a passive resistive an went limp and failed to walk to the squad car. performing their duty to supervise or maintain the property, to abstain from entering or to remove or vacate there from 1501 Woodland Ave, Hoyt Sherman. The defendant was asked serveral time by several people to leave. while escorting the defendant out he became a passive resistive an went limp and failed to walk to the squad car. HICKEY, PAT 4867 Signature of Complainant or Officer, Officer Name & Number 02 - CAUGHT IN ACT, 08 - CRIME OBSERVED BY OFFICERS Defendant Implicated Operating Motor Vehicle in County Other Physical Evidence Attempted To Inflict Injury GENERAL PROBABLE CAUSE POLK COUNTY 01/24/2015 CHAD M NICOLINO Notary Name Signature of Verifying Party 781088 Commission Number 11/01/2016 My Commission Expires Prosecuting Attorney Peace Officer Notary 805.5 Failure to appear. Any person who willfully fails to appear in court as specified by the citation shall be guilty of a simple misdemeanor and upon conviction shall be punished by a fine of not more than one hundred dollars or by imprisonment in the county jail not exceeding 30 days or by both such fine and imprisonment. STATE OF IOWA, Subscribed and sworn to before me by the person(s) signing the Complaint and Affidavit(s) on DES MOINES POLICE DEPARTMENT 20150002266 2 2 1/25/2015 12:15 AM 2 2 1/25/2015 12:15 AM
ARREST REPORT Fingerprinted R84 Completed 1 2 Yes No Yes No 1 2 X 1 ORI # 2 AGENCY NAME 3b CASE # 4 SFX 5 LAST, FIRST, MIDDLE NAME 6 ALIAS AKA 7 SEX 8 RACE 9 HGT. 10 WGT. 11 EYE 12 HAIR 13 SKIN 14 15 PLACE OF BIRTH (CITY, COUNTY, STATE) SCARS MARKS TATOOS AMPUTATIONS 1 2 1 2 3 4 M F W B A I 16 SSN 1 2 3 4 17 DATE OF BIRTH 18 AGE 19 MISCELLANEOUS ID # 20 SID # 24 FBI # 25 IDENTIFICATION COMMENTS 22 DL # 23 ST 21 FINGERPRINT CLASS HENRY CLASS NCIC CLASS KEY MAJOR PRIMARY SCDV SUB-SECONDARY FINAL 26 1 2 RESIDENT NON-RESIDENT 27 HOME ADDRESS (STREET, CITY, STATE, ZIP) 28 RESIDENCE PHONE 29 OCCUPATION (BE SPECIFIC) 30 EMPLOYER (NAME OF COMPANY/SCHOOL) 31 BUSINESS ADDRESS (STREET, CITY, STATE, ZIP) 32 BUSINESS PHONE IA0770300 Des Moines Police Department Malagon, Marco Antonio X X 5'08 145-0 BRO BRO 32 X 9969 Cr 1079, Princeton, TX 2015-0002266 3a. ARREST # 20150000662 33 LOCATION OF ARREST (STREET, CITY, STATE, ZIP) 34 SECTOR # 35 ARRESTED FOR YOUR JURISDICTION? YES NO IN STATE OUT STATE AGENCY 36 CONDITION OF ARRESTEE: 1 2 3 4 DRUNK DRINKING SOBER DRUGS 37 RESIST ARREST? 1 YES 2 NO 38 INJURIES? 2 OFFICER 3 ARRESTEE 1 NONE 39 ARMED? 1 Y 2 N 40 DESCRIPTION OF WEAPON 41 DATE OF ARREST 42 TIME OF ARREST 1 2 1. AM 2. PM 3 MIL. DAY OF ARREST S 1 M 2 T 3 W 4 T 5 F 6 S 7 44 TYPE ARREST 1 2 45 ARRESTED BEFORE? 1 YES 2 NO 3 UNKNOWN 46 CHARGE-1 1 2 FEL MISD 66 ARREST DISPOSITION 68 ARRESTED WITH (1) ACCOMPLICE (FULL NAME) 69 ARRESTED WITH (2) ACCOMPLICE (FULL NAME) 70 VYR 71 VMA 72 VMO 73 VST 74 VCO TOP BOTTOM 75 TAG # 76 LIS 77 LIY 78 VIN 79 IMPOUNDED? 1 YES 2 NO 80 STORAGE LOCATION/IMPOUND # 81 OTHER EVIDENCE SEIZED/PROPERTY SEIZED CONTINUED IN NARRATIVE 82 JUVENILE DISPOSITION: 1 HANDLED AND RELEASED 2 REF. TO JUVENILE COURT 3 REF. TO WELFARE AGENCY 4 REF. TO OTHER POLICE AGENCY 5 REF. TO ADULT COURT 83 RELEASED TO 84 PARENT OR GUARDIAN (LAST, FIRST, MIDDLE NAME) 85 ADDRESS (STREET, CITY, STATE, ZIP) 86 PHONE 89 ADDRESS (STREET, CITY, STATE, ZIP) 90 PHONE 87 PARENTS EMPLOYER 88 OCCUPATION 91 DATE AND TIME OF RELEASE 1 2 AM PM 3 MIL. 92 RELEASING OFFICER NAME 93 AGENCY/DIVISION 95 RELEASED TO 94 ID # 96 AGENCY/DIVISION 97 AGENCY ADDRESS 98 PERSONAL PROPERTY RELEASED TO ARRESTEE 43 1 YES 2 NO 3 PARTIAL 99 PROPERTY NOT RELEASED/HELD AT: 100 PROPERTY # 101 REMARKS (NOTE ANY INJURIES AT TIME OF RELEASE) LOCAL USE STATE USE 103 SIGNATURE OF RELEASING OFFICER 102 SIGNATURE OF RECEIVING OFFICER X 1501 Woodland Ave Des Moines, Ia 50309 01/24/2015 17:15 X X SUMMONED/ CITED X X VEHICLE RELATED TO: VEHICLE RELATION: Total Charges this Arrest: (1) MULTIPLE CASES CLOSED 104 CASE # 105 SFX 106 CASE # 107 SFX 108 CASE # 109 SFX 110 ADDITIONAL CASES CLOSED NARRATIVE Y N 111 ARRESTING OFFICER (LAST, FIRST, M.) 112 ID # 113 ARRESTING OFFICER (LAST, FIRST, M.) 114 ID # 115 SUPERVISOR 116 WATCH CMDR. ID # ID # Ness, David M 698499 47 UCR CODE 50 STATE CODE/LOCAL ORD. 51 WARRANT # 52 DATE ISSUED DISPOSITION 48 CHARGE-2 1 2 FEL MISD 49 UCR CODE 53 STATE CODE/LOCAL ORD. 54 WARRANT # 55 DATE ISSUED DISPOSITION 56 CHARGE-3 1 2 FEL MISD 57 UCR CODE 60 STATE CODE/LOCAL ORD. 61 WARRANT # 62 DATE ISSUED DISPOSITION 58 CHARGE-4 1 2 FEL MISD 59 UCR CODE 63 STATE CODE/LOCAL ORD. 64 WARRANT # 65 DATE ISSUED DISPOSITION Trespass -- No 90J 716.8(1)
ARREST REPORT Fingerprinted R84 Completed 1 2 Yes No Yes No 1 2 X 1 ORI # 2 AGENCY NAME 3b CASE # 4 SFX 5 LAST, FIRST, MIDDLE NAME 6 ALIAS AKA 7 SEX 8 RACE 9 HGT. 10 WGT. 11 EYE 12 HAIR 13 SKIN 14 15 PLACE OF BIRTH (CITY, COUNTY, STATE) SCARS MARKS TATOOS AMPUTATIONS 1 2 1 2 3 4 M F W B A I 16 SSN 1 2 3 4 17 DATE OF BIRTH 18 AGE 19 MISCELLANEOUS ID # 20 SID # 24 FBI # 25 IDENTIFICATION COMMENTS 22 DL # 23 ST 21 FINGERPRINT CLASS HENRY CLASS NCIC CLASS KEY MAJOR PRIMARY SCDV SUB-SECONDARY FINAL 26 1 2 RESIDENT NON-RESIDENT 27 HOME ADDRESS (STREET, CITY, STATE, ZIP) 28 RESIDENCE PHONE 29 OCCUPATION (BE SPECIFIC) 30 EMPLOYER (NAME OF COMPANY/SCHOOL) 31 BUSINESS ADDRESS (STREET, CITY, STATE, ZIP) 32 BUSINESS PHONE IA0770300 Des Moines Police Department Vargas, Cesar Adrin X X 5'07 145-0 BRO BRO 31 X 1178 Arthubill Rd, Staten Island, NY 2015-0002266 3a. ARREST # 20150000663 33 LOCATION OF ARREST (STREET, CITY, STATE, ZIP) 34 SECTOR # 35 ARRESTED FOR YOUR JURISDICTION? YES NO IN STATE OUT STATE AGENCY 36 CONDITION OF ARRESTEE: 1 2 3 4 DRUNK DRINKING SOBER DRUGS 37 RESIST ARREST? 1 YES 2 NO 38 INJURIES? 2 OFFICER 3 ARRESTEE 1 NONE 39 ARMED? 1 Y 2 N 40 DESCRIPTION OF WEAPON 41 DATE OF ARREST 42 TIME OF ARREST 1 2 1. AM 2. PM 3 MIL. DAY OF ARREST S 1 M 2 T 3 W 4 T 5 F 6 S 7 44 TYPE ARREST 1 2 45 ARRESTED BEFORE? 1 YES 2 NO 3 UNKNOWN 46 CHARGE-1 1 2 FEL MISD 66 ARREST DISPOSITION 68 ARRESTED WITH (1) ACCOMPLICE (FULL NAME) 69 ARRESTED WITH (2) ACCOMPLICE (FULL NAME) 70 VYR 71 VMA 72 VMO 73 VST 74 VCO TOP BOTTOM 75 TAG # 76 LIS 77 LIY 78 VIN 79 IMPOUNDED? 1 YES 2 NO 80 STORAGE LOCATION/IMPOUND # 81 OTHER EVIDENCE SEIZED/PROPERTY SEIZED CONTINUED IN NARRATIVE 82 JUVENILE DISPOSITION: 1 HANDLED AND RELEASED 2 REF. TO JUVENILE COURT 3 REF. TO WELFARE AGENCY 4 REF. TO OTHER POLICE AGENCY 5 REF. TO ADULT COURT 83 RELEASED TO 84 PARENT OR GUARDIAN (LAST, FIRST, MIDDLE NAME) 85 ADDRESS (STREET, CITY, STATE, ZIP) 86 PHONE 89 ADDRESS (STREET, CITY, STATE, ZIP) 90 PHONE 87 PARENTS EMPLOYER 88 OCCUPATION 91 DATE AND TIME OF RELEASE 1 2 AM PM 3 MIL. 92 RELEASING OFFICER NAME 93 AGENCY/DIVISION 95 RELEASED TO 94 ID # 96 AGENCY/DIVISION 97 AGENCY ADDRESS 98 PERSONAL PROPERTY RELEASED TO ARRESTEE 43 1 YES 2 NO 3 PARTIAL 99 PROPERTY NOT RELEASED/HELD AT: 100 PROPERTY # 101 REMARKS (NOTE ANY INJURIES AT TIME OF RELEASE) LOCAL USE STATE USE 103 SIGNATURE OF RELEASING OFFICER 102 SIGNATURE OF RECEIVING OFFICER X 1501 Woodland Ave Des Moines, Ia 50309 01/24/2015 17:15 X X SUMMONED/ CITED X X VEHICLE RELATED TO: VEHICLE RELATION: Total Charges this Arrest: (1) MULTIPLE CASES CLOSED 104 CASE # 105 SFX 106 CASE # 107 SFX 108 CASE # 109 SFX 110 ADDITIONAL CASES CLOSED NARRATIVE Y N 111 ARRESTING OFFICER (LAST, FIRST, M.) 112 ID # 113 ARRESTING OFFICER (LAST, FIRST, M.) 114 ID # 115 SUPERVISOR 116 WATCH CMDR. ID # ID # Ness, David M 698499 47 UCR CODE 50 STATE CODE/LOCAL ORD. 51 WARRANT # 52 DATE ISSUED DISPOSITION 48 CHARGE-2 1 2 FEL MISD 49 UCR CODE 53 STATE CODE/LOCAL ORD. 54 WARRANT # 55 DATE ISSUED DISPOSITION 56 CHARGE-3 1 2 FEL MISD 57 UCR CODE 60 STATE CODE/LOCAL ORD. 61 WARRANT # 62 DATE ISSUED DISPOSITION 58 CHARGE-4 1 2 FEL MISD 59 UCR CODE 63 STATE CODE/LOCAL ORD. 64 WARRANT # 65 DATE ISSUED DISPOSITION Trespass -- No 90J 716.8(1)
Sent at: OCA: 2015-0002266 Incident / Investigation Report Des Moines Police Department Email Footer 15:18 April 15, 2015 Page: 7
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