Police record

EFTA00180597¶

ORBIT Number

ARREST / NOTICE TO APPEAR Juvenile Review Report

AMINATE

AGency OR Number

Agency Name

FLO 5

PALM BEACH POLICE DEPARTMENT

Agency Region Number (N.Y.) only

Location of Arrest (including Name of Business)

Location of Offenses (Business Name, Address)

Date of Arrest Time of Arrest Booking Date Booking Time Jail Date Jail Time Location of Vehicle

Name (Last, First, Middle) Alias (Name, DOB, Soc. Sec, #, Ec.)

Race Black American Indian Oral/Aural

Scarce, Masks, Tattoos, Unique Physical Features (Location, Type, Description)

Marital Status Religion Indication of Alcohol Abuse Y N U Lk

Local Address (Street, Apt. Number) (City) (State) (Zip) Phone 1. City 2. County 3. State 4. Out of State

Permanent Address (Street, Apt. Number) (City) (State) (Zip) Phone 1. Address Source

Business Address (Name, Street) (City) (Zip) Phone 1. Occupation

DL Number, State Soc. Sec. Number RD Number Place of Birth (City, State) Citizen/Nep

Go-Defendant Name (Last, First, Middle) Race Sex Date of Birth 1. Amled Age 2. Ethnicity 3. Mortality Monitor 4. Juvenile 5. Permanent Address (Street, Apt. Number) (City) (State) (Zip) Phone 1. Address Source

Parent Name (Last) (First) (Middle) Residence Phone 1. Parent Logo Custodian City Address (Street, Apt. Number) (City) (State) (Zip) Business Phone 1.

JUVENTIL TJAC Date Time

The above address was provided by [ ] defender(s) and [ ] defender(s' parent). The child and/or parent was with [ ] defender(s). Office Phone: 952-2638 information on the change of address. No. (Reason) Value of Property

Property View No Description of Property

Change Description Courts Domestic Volunteer Number Volunteer ID of ORD #

Char

DISTRIBUTION:	WHITE — COURT COPY	GREEN — STATE ATTORNEY	YELLOW — AGENCY	PINK — JAIL	GOLD · DEFENDANT (N.T.A's ONLY)

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