REQUEST FOR WARRANT DEFENDANT. DATE OF BIRTH 05-25-1979 HABITUAL OFFENDER: YES NO A/K/A VICTIM RELATED / ACQUAINTED WITH DEFENDANT? YES AGENCY CASE NUMBER: 05.368 (2) LEAD OFFICER: net. Joe Recaery AGENCY: PALM BEACH POLICE DEPARTMENT CURRENT SHIFT HOURS: 8 am TO 5 Dm XX NO PHONE NUMBER: DAYS OFF: LEAVE / SHIFT CHANGE INFO: WAS ARREST MADE FOR, OR IN CONJUNCTION WITH ANOTHER AGENCY. IF SO, WHAT AGENCY?: SENTENCING RECOMMENDATIONS: CONTACT DETECTIVE ADDITIONAL COMMENTS: FILING DOCUMENTS ATTACHED: X ARREST FORM P.C. AFFIDAVIT (2 COPIES) X WITNESS / EVIDENCE LIST ?MUM* 5W4M Ib AraA gam ifitm.pe c.- SWORN STATEMENT OF MATERIAL WITNESS(ES) X OFFENSE REPORT (2 COPIES) ACCIDENT REPORTS (ALL) WITNESS STATEMENTS (ALL) fCIC/NCIC CRIMINAL HISTORY WIW 636 esPNALtvea REQUEST I% FOR CONVICTION LETTERS Y PROPERTY RECEIPT 9tracuSt4 aaktvt 'ID ASA SEL0141.6A.) Pt VEHICLE TOW RECEIPT OTHER ATTACHMENTS INCLUDE: INITIAL FOR COMPLETENESS: DELIVERED BY: JR OFFICER 7915 050106 SUPERVISOR DETECTIVE rift v tf IN N; RECEIVED, STATE A OWE FFICE ON: e; ci-oz [sir atcrp r r L F 4 Nit ill% C'trm r 1 L.Y IDE IDE DATE DATE EFTA00180596