190088768

FORT WORTH POLICE

DEPARTMENT Reporting Date

505 West Felix Street Supplement No

Fort Worth, Texas 76115 002
817-392-4200 Member#/Dept ID#

Fax 817-392-4201 Duemig, E A 4162

Administrative Information
Agency Report No Supplement No. Reported Date/ Reported Time
Fort Worth Police Department 190088768 002 10/12/2019 21:54:00
Member#/Dept ID# Assignment Entered By Assignment
Duemig, E A 4162 Duemig 4162
Approving Officer Approval Date

Involv. Off. on Call Axon Camera info-in officer order Veh. Unit#'s for off on scene Dashbiard camera info by Unit#
Duemig; Not applicable-DRU or 217-0171 No dashboard camera/not
Elizabeth A desk officer report applicable DRU/Desk
officer/no vehi
Suppl. Entry Date Evidence Collected Was Force used Was Person Inj. Were Officers injured UOF Suppl. required Need detail in Narr.
10/12/2019
21:54:00
Type pf Force used

If other force used describe here

Describe Injury during UOF incident

Describe officers injuried

Reviewing Supervisor ID

Person Summary
Invl Invl NO Type Name Race Sex DOB
SUS I
Invl Invl NO Type Name Race Sex DOB
VIC
Invl Invl NO Type Name
VAB
Invl Invl NO Type Name Race Sex DOB
I
Invl Invl NO Type Name Race Sex DOB
I

Property
Involvment Preoperty Class Related To Cat. for NCIC Serial No

Value Description Type

01

Proprty Status Property Location Quantity Color Make

Model Serial Owner Applied Number Value Date recovered

Reporting Officer Printed At Page1 of 4

Duemig, E A 4162 10/15/2019 9:06:27 AM
 190088768
FORT WORTH POLICE
DEPARTMENT Reporting Date

505 West Felix Street Supplement No

Fort Worth, Texas 76115 002
817-392-4200 Member#/Dept ID#

Fax 817-392-4201 Duemig, E A 4162

Juri. Recovered Recovered Value Recovery Date Recovery Address Recovered Quantity

Recovering Officer Relashionship To Evidence Name

Related Offense

Guns
Involvment Property Status Property Class Quantiy Color
13 FIREARMS BLK::Black
Description Make
#1: OFFICER’S GUN – Glock 17 Gen 4 9mm, black finish, S/N: GLOCK INC -
, 1x Glock magazine (inserted) loaded with 16x Speer 9mm AU
Luger +P cartridges, 1x Speer 9mm Luger +P cartridge chambered
Model Type Serial Fire Arm Type Gun Action Caliber Barrel Length
17 FIREA BDBG507 PISTOL, SEMI- 9mm
Gen 4 RMS SEMI- AUTOMATIC
AUTOMATIC
Value Location Date Recovered Jurisdiction Recoverd Recovered Value Evidence Obtained

Relashionship To Evidence Name

Related Offense

Narrative

Package #1 - BOX

Item #1: OFFICER’S GUN – Glock 17 Gen 4 9mm, black finish, S/N: 1x Glock
magazine (inserted) loaded with 16x Speer 9mm Luger +P cartridges, 1x Speer 9mm Luger +P
cartridge chambered

Tag #1900039150

On Saturday, October 12, 2019, at 0335hrs, I, CSSU Officer E. Duemig 4162, working
as U472, was dispatched to an OPEN STRUCTURE investigation, located at 1203
Allen Ave.  I was notified by dispatch that the incident was a Critical Police Incident
(CPI) and that there was a deceased person on scene.  CSSU Officers C. Bain 3487
and T. Valderas 4558, working as U481, were also dispatched to the scene.  Upon my
arrival, I met with Major Case Detectives D. Rohloff 2522 and A. Rimshas 3554, for
details of the call. 

  
Reporting Officer Printed At Page2 of 4
Duemig, E A 4162 10/15/2019 9:06:27 AM
 190088768
FORT WORTH POLICE
DEPARTMENT Reporting Date

505 West Felix Street Supplement No

Fort Worth, Texas 76115 002
817-392-4200 Member#/Dept ID#

Fax 817-392-4201 Duemig, E A 4162

  
  
 

  

   

    
 

Reporting Officer Printed At Page3 of 4

Duemig, E A 4162 10/15/2019 9:06:27 AM
 190088768
FORT WORTH POLICE
DEPARTMENT Reporting Date

505 West Felix Street Supplement No

Fort Worth, Texas 76115 002
817-392-4200 Member#/Dept ID#

Fax 817-392-4201 Duemig, E A 4162

    

        
 

Sgt. Drake
End of Report

Reporting Officer Printed At Page4 of 4

Duemig, E A 4162 10/15/2019 9:06:27 AM