Case 9:08-cv-80119-KAM Docypyi2W8-5 Entered on FLSD Dockekap7/2009 Page 1 of 2 H453 PALM COUNTY BEACH OFFENSE SHER/ REPORT FF' S PAGE OFFICE CASE NO. 03138484 1 DISPOSITION: INACTIVE DIVISION: ROAD PATROL CODE: 1308 DATE: 11/22/03 SATURDAY AFFRAY/RIOT TIME D 1455 A 1511 C 1545 7059 ASSIST: DEPUTY ID.: ZONE: B41 GRID: 4B15 1530 HOURS DATE: AND 11/22/03 HOURS 1500 , 11/22/03 DATE: BETWEEN OCCURRED EXCEPTION TYPE: APT. NO.: LA /AVENIDA AL HAI4BRA INCIDENT LOCATION: 000 ZIP: STATE: FL CITY: WPB ENTERED: 0 PREM. NO. 0 STOLEN: VEH. NO. 02 : OFFENDERS NO. OFFENSES: 01 NO. LOCATION: HIGHWAY / ROADWAY NO. VICTIMS: 02 NO. ARRESTED: 0 FORCED ENTRY: 0 WEAPON TYPE: HANDS / FISTS / FEET CIS CODE 130B 1 OFFENSE NO. 1 FLORIDA STATE STATUTE: 870 01 VICTIM NO. 002 R WN SEX: F RACE: W HT: 502 WT: 120 HR: BROW, _DOB: SUSPECT SEX: F RACE: W HT: 502 WT: 120 KR: LAKE WORTH FL 33461 RESIDENTIAL ADDRESS: HOME PHONE: BUSINESS PHONE: 561 VICTIM NO. 001 SEX: F RACE: N HT: 502 WT: 90 HR: DOB: 09/03/1990 SPONINIS SUSPECT EYE: SEX: F RACE: N NT: 502 WT: 90 HR: RESIDENTIAL ADDRESS: HOME PHONE: BUSINESS PHONE: 561 000-0000 VICTIM NUMBER: 1 OFFENSE INDICATOR: OFFENSE 1 VICTIM TYPE: JUVENILE RESIDENCE STATUS: FULL YEAR RESIDENCE TYPE: COUNTY EXTENT OF INJURY: NONE INJURY TYPE(1): NOT APPLICABLE INJURY TYPE(2): NOT APPLICABLE VICTIM RELATION: OTHER KNOWN VICTIM NUMBER: 2 OFFENSE INDICATOR: OFFENSE 1 VICTIM TYPE: JUVENILE RESIDENCE STATUS: FULL YEAR RESIDENCE TYPE: COUNTY EXTENT OF INJURY: NONE INJURY TYPE(1): NOT APPLICABLE INJURY TYPE(2): NOT APPLICABLE VICTIM RELATION: OTHER KNOWN REPORT NUMBER: 1 FLORIDA VICTIM ? N WEATHER: CLR WITNESS TO CRIME KNOWN ?. Y CAN VICTIM I.D. SUSPECT ? Y WILL VICTIM PROSECUTE 7.. Y SUSPECT NAME KNOWN Y SUSPECT LOCATION KNOWN ? STOLEN PROPERTY TRACEABLE ? N EFTA02746785