I N C D E N T D A T A Agency Nome Palen Beach Gardens Police Department INt,lUtN I /IP1Vtb I I la H I IUN REPORT Casen 05-002709 Date i Time Reported ORI 04/29/, 005 16.16 Fri FL 0502600 Last Knoven Saure Incident Premile Type Z.onefTract 04/79/2001 16.00 Fri Location of At Found Residential/ Apt / Condo 23. 6 04/29/2005 16:15 Fri ir 1 Crime Incidenns) (Com) Weapon / Tools /LANDS FEET: Fisi: w en, I Activity Banery - Simple SBAT M Enny Exit Security " 2 Crime Incident (Com ) Crimina1 »whig- Vehicle Weapon / Tools I Activin i: G1/1'P' 1:x11 I Security R3 Crime Incident ( ) Weapon / Tools I Activin Entry limt Security MO V I e T i M N of Victims 2 I Type: INDIVIDUAL Injury: Not Applicable Damcsiic: Y Vktimillusiness Nask lØt Fink Middle) Vitiim of DOR Race Sex Relationship -endel Resident Status Military VI Csu= N 1.2 II' F To Ofl 05 Resident BranchrStatus Home Address I rome Phone I I.. I l mp E III III i. . i. a > Business Phone Mobile oone VYR Make Model Styk Color Lie/Lis VIN O T H E R S I N V O Codc I. V E I) CODES V. Vielim i Denote V2. V3) O- Onner Of odler 'han victim) R= Reponing Person rir other than victim) Type INDI VIDD/ I. Injury Not Applicable Codi, r.? alliffill Vie= of Cremen /, DOR a„ R II' Sex Al Relationsbip To °Hender Resident Status Resident »likn BrancluStatu. i s Home Phone limp nyet . amer/ tess Bust ~ Mobik Phone Type Injury Nome (Last. Fust. Mi") Vielim of Crime ø DOB Age Race Sex Relatimiship To Ofrende, Resident Status »hur) BranchiStatus Home Address I lime Phone limployer Nanbc/Address Business Phone Mobile Pilane P R 0 P E R T Y I. - Lost 5 - Stolen R = Recoveted Da Mr a Keton Damaged Z - Sei/ed B = Bumed C = Counterfeit -red for Other Junsdiction) / Forged F - Found VI N Code Status hiniTo Vake O1 CITY I'ropenv Deseriplion MakeiMinkl Serial Number I 92 D 575