State of Ohio CAD Number: INCIDENT NUMBER INCIDENT TYPE

HP-26 10-0157-00 Rev. 08/01/2003

P16082800003961 16 092032 0625 Offense

NATURE CODE: 655 Identity Crimes CLEARANCE CODE: F COMPLETION DATE :

620 Forgery and Bad Checks A DEATH OF OFFENDER G ARREST - JUVENILE

B PROSECUTION DECLINED H WARRANT ISSUED
C EXTRADITION DECLINED I INVESTIGATION PENDING
D VICTIM REFUSED TO COOPERATE J CLOSED
E JUVENILE / NO CUSTODY K UNFOUNDED
GEO CODE: Interstate Route (Turnpike is also IR) F ARREST - ADULT U UNKNOWN
ADMINISTRATIVE

Z COLD CASE
Detailed GEO Code: I-70
TOD: 23:00
CLEARANCE DATE/TIME CLEARED BY
TOA: 23:31
8/28/2016 23:31 1716
SPECIAL SECTION:
Ohio State Highway Patrol
Initial Incident Report
REPORT DATE / TIME INCIDENT OCCURED FROM INCIDENT OCCURED TO

MONTH DAY YEAR TIME MONTH DAY YEAR TIME MONTH DAY YEAR TIME

8 28 2016 23:31 8 28 2016 23:31 8 29 2016 23:31

COUNTY: Franklin County FIPS Code: (18000) Columbus

INCIDENT LOCATION / REF PT. (Street, Apt, City, State, Zip): LATITUDE LONGITUDE K9 USED TYPE OF SEARCH:
Eastbound I-70 Interstate Route (Turnpike is also IR) 0.50 Miles East Incident to Arrest
of 104

OFFENSE (OFFENSE CODE) Count Hate A/C F/M & TYPE CRIMINAL ACTIVITY
Bias Degree

(2913.49) Identity Fraud 1 N A F-5 (ENTER UP TO 3 FOR EACH OFFENSE)

B - BUYING / RECEIVING
(2921.13) Falsification 1 N A M-1 C - CULTIVATING/MANUFACTURING/PUB
D - DISTRIBUTING / SELLING
(2913.31A1) Forgery _ without authority 1 N A F-5 O E - EXPLOITING CHILDREN
G - OTHER GANG
J - JUVENILE GANG
N - NO GANG INVOLVED
O - OPERATING/PROMOTING/ASSISTING
P - POSSESSING / CONCEALING
T - TRANSPORTING / TRANSMITTING
U - USING / CONSUMING

LOCATION OF THE OFFENSE LARCENY TYPE

47 COMMERCIAL LOCATIONS
15 Auto Shop
RESIDENTIAL STRUCTURE 16 Financial Institution
17 Barber / Beauty Shop
01 Single Family Home 18 Hotel / Motel
02 Multiple Dwelling 19 Dry Cleaners / Laundry
OFFENSE
32 Clothing Store
33 Drug Store
34 Liquor Store
35 Shopping Mall
36 Sporting Goods
37 Grocery / Supermarket
38 Variety / Convenience
51 Public Transit Vehicle
52 Other Outside Location
23A Pocket Picking
23B Purse Snatching
53 Abandoned/Condemned Structure 23C Shoplifting
54 Amusement Park 23D Theft from building
55 Arena/Stadium/Fairgrounds/Coliseum 23E Theft from Coin-Op Machine

03 Residential Facility 20 Professional Office 39 Department Store 56 Atm Machine Separate From Bank 23F Theft from Motor Vehicle
04 Other Residential 21 Doctor's Office 40 Other Retail Store 57 Camp/Campground 23G Motor Vehile Parts/Access
05 Garage / Shed 22 Other Business Office 41 Factory / Mill / Plant 58 Cargo Container 24O Theft of Motor Vehicle
23 Amusement Center 42 Other Building 59 Daycare Facility 23H Other
PUBLIC ACCESS BUILDING 24 Rental Storage Facility 60 Dock/Wharf/Freight/Modal Terminal
25 Other Commercial Service OUTSIDE 61 Farm Facility
06 Transit Facility 62 Gambling Facility/Casino/Race Track SUSPECTED OF USING
07 Government Office RETAIL 43 Yard 63 Military Installation
08 School 44 Construction Site 64 Rest Area ALCOHOL
09 College 26 Bar 45 Lake / Waterway 65 Shelter-Mission/Homeless DRUGS
10 Church 27 Buy / Sell / Trade Shop 46 Field / Woods 66 Tribal Lands
11 Hospital 28 Restaurant 47 Street 67 Library COMPUTER EQUIP
12 Jail/Prison 29 Gas Station 48 Parking Lot 77 Other Location
13 Parking Garage 30 Auto Sales Lot 49 Park / Playground NOT APPLICABLE
14 Other Public Access 31 Jewelry Store 50 Cemetery

CARGO THEFT

METHOD OF OPERATION:

METHOD OF ENTRY METHOD OF ENTRY - BURGLARY / B&E METHOD OF ENTRY - MOTOR VEHICLE THEFT

ENTRY EXIT ENTRY EXIT ENTRY EXIT

Force

No Force 01 MOTOR RUNNING/ KEYS IN CAR 06 HOT WIRED

1 BASEMENT 1 DOOR 1 FRONT 02 UNLOCKED 07 SLIM JIM/COAT HANGER
2 1 ST FLOOR 2 WINDOW 2 SIDE 03 DUPLICATE KEY USED 08 TUMBLERS REMOVED
3 2 ND FLOOR 3 GARAGE 3 REAR 04 WINDOW BROKEN 09 COLUMN PEELED
No. Premises 4 OTHER 4 SKYLIGHT 4 ROOF 05 TOWED 10 IGNITION PEELED
Entered 5 UNKNOWN 5 OTHER 5 OTHER
6 UNKNOWN 6 UNKNOWN

TYPE OF WEAPON FORCE : None

REQUESTING AGENCY:

REPORTING OFFICER: Tpr. Jackson, Christopher P UNIT NUMBER: 1716 DATE: 8/28/2016

APPROVING OFFICER: Sgt. Piechnik, Linda A UNIT NUMBER: 1668 DATE: 11/24/2016
State of Ohio Ohio State Highway Patrol
HP-26
10-0167-00 Initial Incident Summary
Rev. 08/01/2003

INCIDENT NO. REPORT DATE / TIME PHOTO POUCH NO.

16 092032 0625 8/28/2016 23:31

Incident Summary

The suspect was stopped for a marked lanes violation and subsequently arrested for OVI. She identified
herself as the victim and provided a photo of the victim's driver's license. She then later signed documents as
the victim.

Reporting Officer: Tpr. Jackson, Christopher P Unit No: 1716 Date: 8/28/2016

Approving Officer: Sgt. Piechnik, Linda A Unit No: 1668 Date: 11/24/2016