I

N
C
I
D
E
N
T
D
A
T
A

Agency Name

INCIDENT/INVESTIGATION
REPORT

UNC POLICE
NC 0680400
Crime Incident(s)

Vandalism / Property Damage

#2

Crime Incident

#3

Crime Incident

Com

OPEN LAND AREAS

How Attacked or Committed

MO

By Spray Painting The Statue

Person
X Business
Society
Government
Financial Institute
1
L.E. Officer Line of Duty
Other/Unknown
Religious
Victim/Business Name (Last, First, Middle)

V1

Injury

UNC-CH

Victim of
Crime #

DOB / Age

1,
Home Address

VYR

Make

Style

Color

Lic/Lis

V
O
L
V
E
D

Drug/Alcohol Use:
Yes

N/A
Race Sex Relationship Resident Status
Resident
To Offender
Non-Resident
Unknown
Home Phone
Mobile Phone

Race Sex

Home Phone

Home Address

Type:
Code

Unknown

X No

CODES: V- Victim (Denote V2, V3) O = Owner (if other than victim)
R = Reporting Person (if other than victim)
Type:
Person
Business
Society
Government
Financial Institute
Religious
L.E. Officer Line of Duty
Other/Unknown
Victim of DOB / Age
Code Name (Last, First, Middle)
Crime #

Business Phone

Person
Business
Society
Name (Last, First, Middle)

Government

Financial Institute

Religious

Mobile Phone

L.E. Officer Line of Duty

Other/Unknown
Victim of DOB / Age
Crime #

Race Sex

Home Phone

Home Address
Employer Name/Address

Status
Codes

Personal Weapons (hands, Feet,

Vin

Employer Name/Address
I
N

N/A

Business Phone

Model

Multi Family

Weapon / Tools

None
Minor
Loss of Teeth
Broken Bones
Severe Lacerations
Unconscious
Other Major
Internal

Employer Name/Address

O
T
H
E
R
S

Single Family
Forcible
Yes
X No

# of Victims Type
V
I
C
T
I
M

2015-002533

Date / Time Reported S

= M T W T F S
Month
Day
Yr
Time
07
05 2015 11:19 Hrs.
S
S M T W T F S
At Found
Last Known Secure
= M T W T F S
=
Att
Month Day
Yr
Month Day
Yr
Time
Time
X Com 07
05 2015 11:15 Hrs. 07 04 2015 18:00 Hrs.
Offense Tract
Att Location of Incident
Com 1 Mccorkle Place Unc, Chapel Hill NC 27599
1
Victim Residence Type
Att Premise Type

ORI

#1

OCA

Business Phone

L = Lost S = Stolen R = Recovered D = Damaged Z = Seized B = Burned C = Counterfeit / Forged

(Check "OJ" column if recovered for other jurisdiction)
Victim
DCI Status
Value
OJ
QTY
Property Description
#
1
77
D
$1,000.00
1 SILENT SAM STATUE

Mobile Phone

F = Found
Make/Model

Serial Number

P
R
O
P
E
R
T
Y

Number of Vehicles Stolen

Officer
ID

Number Vehicles Recovered

0
ID#
Officer Signature

CULBERSON, J. (PATL, ASQD)

Complainant Signature

Status
DCI-600F

Supervisor Signature

HOLT, K. W. (PATL, ASQD) (705545802)

Case Status
X Further Investigation
Inactive
Closed/Cleared
Closed/Leads Exhausted

Case Disposition:
Unfounded
Located
Extradition Declined
Cleared by Arrest
Refuse to Cooperate
Cleared by Arrest by Another Agency
Page 1
Death of Offender
Prosecution Declined
Rev.3/92