Professional Documents
Culture Documents
DUAL ARREST II II
C O P AMA UNIFORM ARREST REPORT Yes Yes
0 D No 0 No
OFFICER'S WORK PRODUCT MAY NOT BE PUBLIC INFORMATION
1 ORI# 12 Agency Name 3 Case#
rSF;
AL0430100 Auburn Department of Public Safety-Police Division 17008036
5 Last, First, Middle Name 6AliasAKA
~ DULUTH, GWINNETT, GA 19
u. 21 SID# 22 Fingerprint Class
Key Major Primary SCDV Sub-Secondary Final
23 DL #
124St
j::
zw 25 FBI# Henry Cla ss
-
-c
NCIC Class
IIIIIIIIIIIIIIIIIIIII
28 Home Address (Street, City, State, Zip) 29
27 Identification Comments
42 Date of Arrest
04/20/2017
D Drinking
13 nme of Arrest
0:47
II Drugs
0 AM
0PM
II MIL.
I" 0 Yes
Day of Arrest
S M T W T
DODDllDDllcau
II No
145 Type of Arrest?
F S D On View
Ooflicer
D Warrant
0 Arrestee 0 Yes
146 Arrested Before?
D Yes
D Unknown
II
No
II No 0
0Rme
0
Handgun
Shotgun
D
0
other Firearm
Other Weapon
61 State CodefLocal Ordinance 162 Warrant# 163 Date Issued 64 State Code/Local Ordinanc' 165 Warrant# 166 Date Issued
67 Arrest Disposition 68 If Out On Release What Type? 69 Arrested with (1) Accomplice (Full Name)
.Held 0 Tot-LE
D Bail 0 Other 70 Arrested with (21 Accomolice IFull Name)
D Released
71 VYR 172 VMA 173VMO 174 VST 175 vco Top 76 Tag #
177 LIS 178 LIY
w Bottom
..J
0 79VIN 180 Impounded? 181 Storage Location/Impound #
:c D Yes 0 No
c 99 Personal Property Released to Arrestee 1100 Property Not Released/Held At: 101 Property #
103 Signature of Receiving Officer 1104 Signature of Releasing Officer I Local Use I State Use
-
TYPE OR PRINT IN BLACK INK ONLY
-
I
'
! I
/ ... ACJIC -06-06
DOMESTIC VIOLENCE Fingerprinted R84 Completed
DUAL ARREST
C O l = t MA UNIFORM ARREST REPORT II Yes II Yes
D D No D No
OFFICER'S WORK PRODUCT MAY NOT BE PUBLIC INFORMATION
1 ORI# 12 Agency Name 13Case#
rSF;
AL0430100 Auburn Department of Public Safety-Police Division 17008036
5 Last, First, Middle Name &Alias AKA
z
0
j::
T Sex
OM
.F
r
FAGAN , HALEY ELIZABETH
Race
llw
Os
DA
01
19 D
D
Ethnicity
Hispanic
Other
Non-Hispanic
110 Hgt
5' 09"
111 Wgt
135
12Eye
BLU 11~~~
1"4 Skin
FAR
115
D Scars D Marks 0 Tattoos D Amputations
19 Age
ct 16 Place of Birth (City, C~unty, State) 117 SSN
18 Date of Birth 120 Miscellaneous ID #
() ORLANDO, STEWART, FL 22
LL 21 SID# 22 Fingerprint Class
Key Major Primary SCDV Sub.Secondary Final f 23 DL # 124St
j::
z 25 FBI#
IIIIIIIII I III I II IIIII
Henry Class -
w NCIC Class
27 Identification Comments
c
27 28 Home Address (Street, City, State, Zip) 29 Residence Phone 30 Occupation (Be Specific)
Resident
D Non-Resident biJBURN, AL 36830 STUDENT
31 Employer (Name of Company/School) '32 Business Address (Street, City, State, Zip) 133 Business Phone
61 State Code/local Ordinance 162 Warrant# 163 Date Issued 64 State Code/Local Ordinance 165 Warrant# 166 Date Issued
67 Arrest Disposition 68 If Out On Release What Type? 169 Arrested with (1) Accomplice (Full Name)
II Held D Tot-LE
D Bail Oo1her 170 Arrested with (2) Accomplice (Full Name)
D Released
71 VYR 173 VMO 175vco Top 76 Tag# 77 LIS
172 VMA 174 VST 178 LIY
w Bottom
...J
() 79VIN 180 Impounded? 181 Storage Location/Impound #
0Yes 0No
:I:
w 82 Other Evidence Seized/Property Seized
>
w 83 Juvenile
D Handled and Released D Ref. to Welfare Agency 0 Rel. to Adult Court 184 Released To
..J Oispostion :
D Ref. to Juvenile Court D Ref. to Other Police Agency
z 85 Parent or Guardian (Last, First, Middle, Name) 86 Address (Street, City, State, Zip) 87 Phone
w
>
...,
::> 88 Parents Employer 189 Occupation 90 Address (Street, City , State, Zip) 91 Phone
w 0
CJ)
Yes 0No
MULTIPLE 1105 Case# 106 SFX 1107 Case# 1108 SFX 1109 Case# I MULTICASES/CLOSED
CASES 1110 SFX 111 CONTINUATION
CLOSED ~ 0 Yes llNo
112 Arresting Officer (Last, First, M.) 113 ID# 114 Assisting Officer (Last, First, M.) 115 ID# 1116 Supervisor 1117 Watch Cmdr.
- - -- ~5
TYPE OR PRINT IN BLACK INK ONLY I ACJIC -06-06
DOMESTIC VIOLENCE Fingerprinted R84 Completed
DUAL ARREST
C O P sAMA UNIFORM ARREST REPORT II Yes II Yes
0 0 No 0 No
OFFICER'S WORK PRODUCT MAY NOT BE PUBLIC INFORMATION
1 ORI# 12 Agency Name 3 Case#
14SF;
AL0430100 Auburn Department of Public Safety-Police Division 17008036
5 Last, First, Middle Name 6AliasAKA
19
120 Miscellaneous ID #
w 25 FBI#
NCICClass
27 Identification Comments
c
27 28 Home Address (Street, Citv. State, ZiD) 129 Residence Phone 30 Occupation {Be Specific)
Resident
D NonResident . AUBURN, AL 36830 STUDENT
31 Employer (Name of Company/School) 132 Business Address (Street, City, State, Zip) 133 Business Phone
Arrestee:
42 Date of Arrest
04/20/2017
D Drinking
143 Time of Arrest
0:46
D
D
II Drugs
AM
PM
II MIL
I" s
D 0
0 Yes
Day of Arrest
M T w
0 0
II No
T
II D
DDo~
F
Dofficer
145 Type of Arrest?
View
0Arrestee
0 Warrant
0
Yes
0
Unknown
Yes
146 Arrested Before?
O II
No
II No D Handgun
0Rifle
0 Shotgun
D Other Firearm
D Other Weapon
.Call
I-
47 Charge - 1 D Fel II Misd 148 UCR Code 49 Charge - 2
DFel llMisd 150 UCR Code
Possession of Marijuana Second Degree 3599 Possession of Drug Paraphernalia 3550
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~
~
51 State Code/Local Ordinance
13A-12-214
152 Warrant# 153 Date Issued 54 State Code/local Ordinance
13A-12-260
55 Warrant# 156 Date Issued
< 57 Charge - 3
DFel DMisd 158 UCR Code 59 Charge - 4
DFel 0Misd 160 UCR Code
61 State Code/local Ordinance 162 Warrant# 163 Date Issued 64 State Code/local Ordinance 65 Warrant# 166 Date Issued
67 Arrest Disposition &a If Out On Release What Type? 69 Arrested with (1) Accomplice (Full Name)
.Held D Tot-LE
Deail D Other 70 Arrested with f2\ Accomnlicfl lFull Name)
D Released . . ~
-- - - -----
71VYR 174 VST Top 76 Tag# 77 LIS
172 VMA 173VMO 175vco 178 LIY
w Bottom
...J
~
79VIN 180 Impounded? 181 Storage Location/Impound #
D Yes 0 No
:c
w 12 Other Evidence Seized/Property Seized
>
w 13 Juvenile
D Handled and Released D Ref. to Welfare Agency D Ref. to Adult Court 184 Released To
...J Oispostion:
D Ref. to Juvenile Court D Ref. lo Other Police Agency
z 15 Parent or Guardian (Last, First, Middle, Name) 86 Address (Street, City, State, Zip) 87 Phone
w
>
..,
::> aa Parents Employer 189 Occupation 90 Address (Street, City, State, Zip) 91 Phone
c 99 Personal Property Released to Arrestee 1100 Property Not Released/Held At: 1101 Property#
w 0Yes DNo D Partial
103 Signature of Receiving Officer 1104 Signature of Releasing Officer ILocal Use IState Use
~
1116 Supervisor 1117 Watch Cmdr.
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