Case 9:08-cv-80119-KAM Document 303-3 Entered on FLSD Docket 09/16/2009 Page 1 of.3 Entered on FLSD Docket 09/08/2009 Page 1 of 3 Document 291-3 Case 9:08-cv-80119-KAM la Date: 6/16/09 Time: 13:00:34 PALM BEACH POLICE DEPARTMENT Offense Report 1 Page: Program:'CMS301L Report Date . : 9/20/04 22:31 Day Of Week . : Mond Occur To Date : 9/20/04 22:31 Occur From Date: 9/20/04 21:30 BATTERY SIAllimmelliimme Dept Class . . LAMANCHA, Street Number PALMIErelnlikl City (1) (No of Okee) One Zone : Zone/division IVE liii Case Status . : FAMILY SNGL RES: Type Location 9/21/04 , Supervisory Emp: Report Officer : PIES, NM , JR., JOHN 9/21/04 Verif. Employee: /04 : Case Status Dt S ADDITIONAL Case Number . : 1-04-003966 Date Arrived . : 9/20/04 22:45 MANAGEMENT CASE Case Number . : 1-04-003966 Case Status . : OPEN / NOT ACTIVE Investigator . : PIES, T. TIMES Date Dispatched: 9/20/04 22:37 Date Cleared . : 9/21/04 1:00 N ************* M ATIO INFOR BATTERY SIMPLE Dept Class . . 9/20/04 Dt Case Status ***ASSIGNMENT HISTORY*** Dept Unit Case Number . : 1-04-0iiiiii Supervisor Investigator . : PIES, Assignment Date: 9/22/04 State Class . Statute/Ordin State Dispo . : PATROL/Law Enforcement ROBKIN, ROBERT 1 ******************* REPORT OFFENSE Attmpt/Committ : Committed Battery Simple Weapon Type . : Hands/Fists/Feet 784.03(1)00 Committed by Adult or Adult/Juv • RELATIONSHIPS PRIMARY OFFENSE 001 Battery Simple / / 784.03(1)00 Offense #: (SUSP) VINYARD, PRESTON 001 Name #...: CT)IIIIIMIN (VI 001 Name #...: NAME PRIMARY (VICT) 001 Name #...: (SallS3STON 001 : Name #... ********* *lett* S U S PECT/ARRESTEE RELATIONSHIPS / BOYFRIEND/GIRLFRIEND # 1 ** INFORMATIONTON PRES ARD, VINY in: Prompt valid Case Number . Street Number : PALM BEACH, FL 33411 City : 24 Maximum Age 80 24 Birth Date . . : ES STAT ED UNIT FL Oper Lic No. • Male Sex Race 509 : ht Heig mum Mini Ethnic Origin : UNKNOWN / OTHER : ADULT . . . nile Juve Maximum Height : 510 - #1******************** I N F ORMATION