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ELLIS,
FOWLER,
ATTORNEYS
AT LAW
FRANK C. ELLIS, JR. CONRAD M. FOWLER, JR. J. FRANK HEAD WILLIAM R. JUSTICE G. DANIEL HEAD JOSHUA D. ARNOLD FRANK HEAD (1891-1979) WALES W. WALLACE, JR. (1919-1986)
PHYSICAL
ADDRESS: AODRESS:
1 13 NORTH
MAIN
STREET
May 10,2012
MAILING
POST
OFFICE
Box 587
35051
COLUMBIANA.
ALABAMA
Mr. Joshua Antonelli, Case Manager Police Complaint Center Tampa Bay Office 10460 Roosevelt Blvd. #282 St. Petersburg, FL 33716 Dear Mr. Antonelli: I thank you for your letter of April 30, 2012, and am, in response thereto, enclosing herewith a copy of the Alabama Uniform Incident/Offense Report which was created as a result of this incident. This is the only portion of the police investigation records which is public and which is made available to the public. The names and critical portions of addresses have been redacted to protect the personal, privacy, identity and rights of the individuals named. Yours very truly, LLIS, FOWLER, HEAD & JUSTICE
,_
FCEjr:ph Enc. cc: Chris Curry, Sheriff, Shelby County, Alabama (w/enc.) John Samaniego, Chief Deputy, Sbelby County, Alabama (w/enc.)
.; DAM. 1,4
11'5Supplement Date
-'TI::'-:~~Y[P~",,!~'-;J~I~I: T'I..J,,-
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D Attempted)
1'31 local
PM ~ 'jjjiI1.I1L ,_
t!!
D,lnQdent
~ D Completed
of Incident
orofrense
[j'Felony
D Misdem
nor
\5 Degree (Clrtla)
16 UCR Code
'
II ~
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3
21 Ethnicily.
/), j,
~"
19 Sex D M
20 Race
D W OA
f22
Hispanic
0 Victims
[] []
Multiple
23 Age
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z .....
W
~
D []
If offense occurred at victim's residence, (For example, a block number should address should be listed here.
then only the approximale location should be listed In this section. be entered.) If the offense occurred elsewhere, then the specific
26 Hat. Bias
27 Bias Code
i3
~
D [J
Drugs N/A
:?' c'5
D D
Ves
No Store
29 Point ofEntry
Door Window DRoof D Other
Use
& Natural
2 Moon 1 Ctear ~ Cloudy ; ~~gin
32 lighting
33 Weather
Type (Circle)
17 liquor
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36
Time,
01 Event
B~~
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13~lDa~
ai' ~vel":
I T 1'\"1 s
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41
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380ccurredtoMMIDDlYY 39 Time 01 Even! [JAM 40 Day of Week
I
I
01 Te,",mal 02 Bank
03 Bar 04 Church 05 Gcmme:cia!
to> Residence/Home
21 Restaurant
24 Specialty 22 Sc.n.~ot'Colloge
1
42 Type Crirninal Activity
I~S 0
45 Property Code 46
~~~
# Premises
6 7
Hail Unknown
06 Construcllon
07 Cony Store 08 Dept Store Victim
23 Service/Gas
Slation
Store
!43 T Transporting/Importing
p Possess~nglConceaJjng
Property Description
U Using/Consuming
Type
I Individual B Business
CY
_Ii") Financial
(Bank) Govemment
44 Loss Code
aly
47
~~~--~_r--------~{~(~r~-~-)------------~--~---+--~~ 0:::' ~
W
o
~
~r---,_-----+---+------------------------------~------------------,_----~----~----~r---~
~r---~-----+---+--------------------------------------------------~~---+----~----~----~
o
Loss Code
(Entor letter In loss code column) B Burned F Forged! Counterfeited N None
Continued on Supplement
07 Computer 08 Consumable. 09 Credit 10 Drugs 11 Drug Equip 12 Farm Equip 13 Firearms 14 GamblinifEqUipmem 15 Heavy Constru~on
Goods
34 Structure - Storage 35 Structure Other 36 Tools - Pow"rIHa"d 37 Trucks Dwelling 38 Vehicle Parts/Accessories 39 Watercraft T7 Other
Card
29 Structure
Instrument 30 Structure 31 Siructure 32 Struclure 33 Structure 52 Veh. Categories []Stolen
04 Sicydes 05 Buses
06 Clothes ~Area Siolen ; [] [] [] Residence Rural 51 Ownership vertfied by:
-il1oustrtali Manufacturing
- PublicICommunity [J [] Recovered Sus peers Vehicle OVlClim's
I
I
Business
ntle
OL~e'
Vehicle Us.
[J
Abandoned
II
[J Unauthorized
__
-j
r61 LST
0
162 LIY
a5~64~V~e~h~lcl~e~V~I~N~N~u-m~b-e-r_L~~============================~==~-===================~========~+6~5~W~'~arra--n~I~S~~-n-e~d--~W~arra-.--n~t~N-um~be-r_L----~------------1
1'63 Tag
Color
>
j_
I
Motor Vehide
I
For 24XX
I
Recovery
I
Only
I
:[]
I
ves
I
[]
I
No
liD
67 Recovered [J Ves []
Required
68 Case
UCR Code
)73 SFX
I ! J
77 Case Disposition
1 2 3 4 5 Cleared by Arrest (Juvenile) Cleared by Arrest (Adult) Unfounded Exceptional Clearance Administratively Cleared
I
75 Multiple Cases Closed Lisl"d AbOve < Multiple Cases Closed Listed On Supplement 78 Exceptional
74 Cas.
Status Pending
a:::
Z
<C
i=
()l
2 Inactive
231
Officer 10 Number
[] Ves
ONo
2
NICIAIN
I
#;
Date (MMIDD/yy)
A SuspedlOffender Dead B Prosecution Doelinec!/ Other Prosecution C Ex1radition Denied D Victim Refused to Cooperate E Juvenile (No Custody) F Dealh of Victim
80 Assisting
Officer
Officer 10 Number
81 SupeNlsor
Approval
Officer
lD Number
82 Watch Commander
Officer ID Number
"
lr,cidentJo.Ffense
.'
D Check
MUltipl
96
Suffix
97
103 Address
114 Complainant
SSN
D Handgun
DRifte
D Shotgun
LdPNone
: 8 Broken Bones
: I hereby affirm thai I have read this report and that all the information given by me correct to the best of my knowledge, I will assume fuli responsibility for notifying the agency if any stolen property or missing person herein reported is returned,
i.
>~------------------------------------~~------~~--------------------~
0:::.
~~--------------------------------------------------~----------------------~ IX:
<~------------------------------------------------------------------~
Z
REPORT SUPPLEMENT
Age
27 Bicycles
S R 0 C B
32 C1(.odiUOeb:t C2rdo 33 Drugs!Na<cotiCil
S R 0 C
B
R
0
C B
R
D C B
34 On.;gs!N~r~tbs Equipment
S R
D C B
S R
D C
S R 0
C B
S R
D C
R
D
C
B
B
37 Gambling Equipment
B 40 JewelrylPrecious
Metals
3S Farm Equipment
36 Firearms S
R
S R 0
C B
S R D
C
S R 0
C B
00 ",0:
D C B
41 Uvestock
Merchandise
43 Money
46 OffICe Equipment S R
D C R D
:J
S R D
C B
...J
>
od:
C
B
"
c::t:
C
F
47 Other Motor Vehicle S R 48 PurseSiHandbagsiWaliets
...J ....J
51 Recreational 5
R
Vehicles
52 S R
D C
St~-Sio9l.Oecup.ncyOweWng
s
R D C
B
S
R
n
D C B 53 snuctureOther
D
C B
C B
B
Structure - Storage S
C 8 F 58 Structure
:.-~.-.
Dwelling S R D
C B
Other
R 0
C
--------.:.....~
B
SO Trucks
59 Tools S
R D C
63 Other S R 0
C
S R
D C
S
R D
S
R D
8
F
.C 8 F
C B F
1 Cleared by Arrest (Juvenile) 2 Cleared by Anest (Adult) 3 Untounded 4 Exceptional Clearance 5 Administratively Cleared
A SuspecVOfiender
Dead
8 Prosecution Declined/Other Prosecution C Extradition Denied D Victim Refused to Cooperate E Juvenile (No Custody) F Death of Victim
10'
10 #
78 Watch Crndr
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