EFTA00176349





# ARREST / NOTICE TO APPEAR

## Juvenile Referral Report

| Agency ID | Number | Agency Name | Palm Beach Police Department | Agent Report Number | Req for Warrant | Req for Capa |
| :--- | :--- | :--- | :--- | :--- | :--- | :--- |
| AGENT_ID | 50010 | PALM BEACH POLICE DEPARTMENT | 7.61 | | | |

### Location of Arrest (including Name of Business)

- **Location:** Offices of Offenses (Business Address)
- **Address:** 258 EL BERNARDWAY WAY BEACH BLVD, MADISON AVE, NY 10022

### Date of Arrest

- **Date:** First, Middle
- **Time of Arrest:** Booking Date
- **Booking Time:** Just Date
- **Jail Time:** Location of Vehicle

### Name (Last, First, Middle)

**EPSTEIN, JEFFREY E. Alas (Name, Sec. Sec. #, Etc.)**

### Name of the Person

- **Name:** Jeffrey E. Alas
- **Nationality:** American
- **Sex:** Male
- **Blood Type:** Black
- **Criminal Status:** Criminal

### Local Address (Street, City, State, Zip)

- **Local Address:** 358 E. WAY BRIDGE CITY, NY 10022
- **Phone:** 8152-4117
- **Residence Type:** 3 Friend Out of State

### Residential Address (Street, City, State, Zip)

- **Residential Address:** GATE STREET, NEW YORK, NY 10022
- **Phone:**

### Address Source

- **Address Source:** Madison Ave, New York, NY 10022

### Organization

- **Organization:** 12345

### State of Origin

- **State:** New York

### Country of Origin

- **Country:** USA

### Dependent Name (Last, First, Middle)

- **Dependent Name:** Jeffrey E. Alas
- **Phone:** 8152-4117

### Dependent Name (Last, First, Middle)

- **Dependent Name:** Jeffrey E. Alas
- **Phone:** 8152-4117

### Parent Name (Last) (First)

- **Parent Name:** Custodian
- **City:** (City)
- **State:** (Zip)

### Business Phone

- **Business Phone:** (City)

### DT JAC

- **Time:**

### Is above address provided by □ defendant and/or □ defendant's parents. The child and/or parent was taken by the Juvenile Court Clerk's Office (Phone: 355-2526) intercepted of any key address of the location.

### Property Contact

- **Property Contact:** (City) (State) (Zip)

### Value of Property

- **Value of Property:** School Attended

### Instruction No. 0

You need to number in court but must comply with instructions on Reversal Side.

### Interaction No. 1

You need to appear at the time and place designated to interact with the offense charged or to apply the fire subpoena. UNDERSTANDING THAT THE FIRE SUBPOENA

<table><thead><tr><th>DISTRIBUTION:</th><th>WHITE — COURT COPY</th><th>GREEN — STATE ATTORNEY</th><th>YELLOW — AGENCY</th><th>PINK — JAIL</th><th>GOLD · DEFENDANT (N.T.A&#39;s ONLY)</th></tr></thead><tbody></tbody></table>