047J Case9:08-ev-80119-KAM Documee44N9I-13F Ergergdsnippploke7g8/20109 Page 1 of 6 PALM COUNTY BEACH OFFENSE SHERIF REPORT CASE NO. 06148935 DISPOSITION: ZULU DIVISION: ROAD PATROL CODE: 9532 DATE: 12/22/06 FRIDAY SUICIDE TIME D 0825 A 0828 C 0832 ASSIST: 8380 Y ID.: DEPUT ZONE: B41 GRID: 4815 12/22/06 , 0935 HOURS DATE: AND OCCURRED BETWEEN DATE: 12/22/06 , 0730 HOURS EXCEPTION TYPE: APT. NO.: AVENIDA BARCELONA ESTADE INCIDENT LOCATION: 2319 ZIP: 33415 FL : STATE CITY: WEST PALM BEACH ENTERED: 0 PREM. NO. N: 0 STOLE VEH. NO. 00 DERS: OFFEN NO. OFFENSES: 00 NO. LOCATION: HIGHWAY / ROADWAY : 0 NO. VICTIMS: 01 NO. ARRESTED: 0 FORS() ENTRY DOB: 04/12/1963 SCOTT FOLSOM EYE: BLUE SEX: M RACE: W HT: 510 WT: 145 HR: FL 33438 ST 3 RESIDENTIAL ADDRESS: 37000 0000 HOME PHONE: 561 000BUSINESS PHONE: 561 449-3412 DOB: 09/03/1990 COMPLAINANT EYE: illgWT: 90 HR: SEX: Frgrrr DOB: 09/01/11,0 PROPERTY OWNER SEX: F RACE: W HT: 502 WT: 90 HR: FL !RI l PALMEYE: AVENIDA BA RESIDENTIAL ADDRESS: 2319 HOME PHONE: 561 969-3601 BUSINESS PHONE: 561 969-3601 DOB: 06/09/1986 JAMES D DECEASED EYE: WWI HR: 165 NT: SEX: M RACE: Wl IPP IPALM FL TR TA FORES RESIDENTIAL ADDRESS: 311 HOME PHONE: 561 797-3776 BUSINESS PHONE: 561 000-0000 DOB: 12/11/1971 SONYA WITNESS EYE: MI WT: 198 HR: SEX: F FL IPALM III, CALLE DELM RESIDENTIAL ADDRESS: 6033 HOME PHONE: 561 303-4309 BUSINESS PHONE: 561 000-0000 DOB: 09/14/1963 MIRNA BARRIGA OTHER 0 HR: UNKNOWN EYE: UNKNOWN 0 WT: SEX: F RACE: W HT: FL 33415 WPB TR FORESTIA RESIDENTIAL ADDRESS: 311 HOME PHONE: 561 000-0000 BUSINESS PHONE: 561 000-0000 WITNESS Mi O 4 O 0 APPLICABLE JUSTIFIABLE CIRCUMSTANCES: NOT CABLE JUSTIFIABLE CODE: NOT APPLI *8380/DET. ORTIZ 45427 A AGENCY: PESO OFFICER NAME: GREER 2323/2322 AVENIDA BARCELONA ESTAD EN WHERE BODY FOUND: IN STREET BETWE STREET OFFICER VIEWED BODY AT: MIDDLE OF N NS: REMAI UNIDENTIFIED BODY I.O. BY: GIRLFRIEND, FIRE RESCUE: PB FIRE RESCUE *36 AMBULANCE: PB FIRE RESCUE 436 HOSPITAL AT: ISMS PRONOUNCE BY: ER DO