Incident Report and Victim Sheet

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POLICE REPORT Incident/Offense

(P.D.-18BASE1) Incident Report


(11/24/99)

(E)
If
Howcode
(06)
(03)
(12)
(0)
I
Forced
00
o000 apPQ0 000
not
Left
oIncidents
Borrow
Side
None
information
Modify
Weapon
I Attacked
(B)
(13)
(05) Juvenile,
Boat(Place
=which
(88)
*Handgun
Scene?
Pet/Bureau
Disp
Pit
(07)NONE,
Status
Pet/Bureau
Enfrv? Date(6)
(7)would
Activity
1Activifv
Type(5)
Buying/Receiving
Type
Automatic
(01)
(1) Auto
Anti-Am
No
Vend CBA
EXC*
UNF
(38)
Criminal
Air/Bus/Train
in which
I1 I(02)
(03)
Exit
"A"2

Mach I
Church/Syng/Tmpl
!Icohol
Location
Security
2
Point Date
3 Report
(10)
(04)
(05)
ISecurity(09)
(22)
(24)
(26)
(28)
Store,
(20)
(23)
(27)
(21)
(25)
(18)(31)
(33)
(29)
(15)
(19)
(16)
(13)
(17)
(30)
(32)
(35)
(36)
(37)
(07)
(06)
(34)
(20)
(12)
(14)
(18)
(19)
(16)
(17)
(21)
(15)
(43)
(45)
(39)
(42)
(91)
(40)
(44)
Term'l
Indian/Alaskan
Custody
Location
Pct/Bureau
(12)
Investigating
Rear
in
there
space
nt From DateSecurity1 1 I I TotalI Pages
Code
Anti-Black
Bar/Tavrn/Nght
is of
no
(13)
Describe
indicate
2Street
(11)
ACNent
(08) oTime
Activity
(41)
ISupervisor
Automatic
Officer
Iif wpn
IIISuspect(s)
IIncident
Y/N
Qrugs
Attached
Attic
(10)
(11)
(13)
(11) Type
Name
was
Automatic
*Rifle
oStore,
Attch,
(H)
Smash
Tools
Set
Used
(14)
Describe
bias
Balcony/Fire
Office/Comm
Park Code
Rental/Storage
Entry/Exit
Office/Doctor's
Disabled
Code
Unknown
Other
Thrown Used
Fire
Substance
Threatened
Unlocked
Unflushed
PelVerted
#IIClub
£!ill.1 (If I Offense
Native
Lifting
Jewelry
Left
Impact,
Pry
other
Unlocked
Detchd
RestrnVDiner/Coffee
Sch/College,
Residence,
Parking
Resi,
Window
Hides
Ground
Other
Floor
Unknown
oDoor
CeilingJail/Penitentiary
Upper
Vehicle
Roof/Skylight
Store,
Mailbox
Marina
Gov'VPublic
Lake/Watrwy/Ocean
Other-
Pet
Hotel/Motel
(M)
(L)
(E)
(J)
(G)
(3)
(4)
(9)
(K)
(F)
(7)
Convenience
Patio/Sliding
Wall
(8)
(2)
(I)
(6)
(D)
(N)Field/Woods
Gas/SelVice
Door
Lights,
Van
Guard
Motorcycle
Unknown
Dead
Moped
Fence
Dog
Locked
Neigh
Trailr/Mbie
___
in
Auto
Hrdware
Liquor
Specialty
Drug
Mall
Lights,
Truck
FootLevel
Garage
Dep/Disc
oOther
Camera (C)
Hospital/Med
motivation
#IBolt
"Firearm/Unspecified
Name !:<omputer
(Dir.
oHighway/Road/Alley (B)
LoVStructure
Level
(85)Premises
#(44)
Grocery
and
Pillow
(40)
Mask/Halloween,
Unusual
Had o
Remove
supporting
Made
Key
Watch
Multi
Methods
Incident
otherName,
(15)
How
Garage/
Single
Object,
Long
Drive
Lookout
to
False
Flashlight/Matches
Shed
Yard
Int
Parts
(51)
(99)
(43)
(24)
(27)
Ext
ISex
(A)
Impersonation/Pretends
Injured
UsedName
Bar/Lg
Message/Note
32I IPage
,",utomatic')
1
Victim
Ese
Bldg
Vehicle If
Public
Outside
Bldg
Private
Pk
(C)
Portable
Code
(41)
(45)
(26)
(11)
Case
factual (99)
(50)
(70)
Station
Lot V'
(04)From
Extradition
Incident
(14) (A)
(0)
Anti·Heterosexual
(U)
Door
(95)
(90)Hm
Beach
of
Thru Entry
Bars/Grate
Anti-Physical
Needs Declined
Facility
Trademarks Time
Alarm/Audio
Anti-Asian/Pacific
Equip
Apt#
offense
Prosecution is Date
or Ste)
Anti-Mulit-Racial
Left Scene?
Simple
Anti-Homosexual/Male
(D)
Anti-Islamic
Anti-AtheisVAgnostic
Asphyxiation
Phone/Alarm
(42)
(52)
Grab
Vandalized/Ransacked
Other (60)
(30)
(65)
(20)
(35) Death
Stay
(25)
Off,
(23)
Glass/Mould
I Lie on
FooVHands/Bdy
(P)
(T)
#None
Poison Beach
Narcotics/Drugs/Sleeping~
inDisability
narrative.
Declined Police Decart
Islander
Group
Assault, the
Operating/Promoting/Assisting
Distributing/Selling
Transport/TransmiVlmport
Possessing/Concealing
Anti-White
ObjecVClub
Knife/Cutting
Motor
Pretenses
Vehicle
Hands/FeeVFists
AcVExposed
Brk/Blk/Rck
Screwdriver
Explosive/Incendiary
I Incident
(Allthatapply)
I #
Report
Description
I Bias
(14)
of
StockingFurther
Using/Consuming
(Buddhism,
Anti·Homosexual/Male
Anti-Bisexual
Anti-Multi-Religious
(E)
*Other
Other
Unknown
Exploiting
Anti-Other
Gasoline (Moslem)
Firearm
Anti-Homosexual/Female
Anti-Mental
Explosives
Toilet
Use
Biunt
Fire/Incendiary Device
Instrument
Anti-Protestant
Floor "Shotgun
Investigation
Hinduism)
Children
Disability
(Personal
Offender
Motivation
Thru Time
Date
. !ttempted
Religion
I
& Female
Group
2.!l!:i
Wpn)
I Intersecting

09/28/20
(D)
(4)
Pills
(2)
Victim Refuses to Cooperate
OTH
(3)PWO
choices are
Status
(1) PIN
PAC (32) (31)
(33) Anti-Arab
Anti-Hispanic
Anti-Other
I ZoneStreet Name (Dir, Name)
11:59
0 t
Ethnicity/National
"EXC
Orgin
(40) Hands/Feet/Fist, (99) None,
I.;.IIlO:::;II:;:U
(95) Unknown,

1
(90) Other.

04/06/17 20:30 04/07/17 06:30 am

227 East Memorial Drive, Normal Vaughn Road 12345

1st 1st 1st

1 09A Criminal homicide C D

2 7

7 0

0 0 0 2

1 7 0 7

8 8

04 04 17


-
POLICE REPORT
Victim Incident Report (P.D.-18 BASE2)
(11/24/99)
Entered _ Virginia Beach Police Department
Incident #
1 I Page #
2 I
2
Total Pages

YLComplainant?
1
D YES I Viet Seq # I:Yillz DI (F)
(B) Financiallnst
Business
(G) Government
(I) Individual (not LE)
(L) LEO
(R) Religious Org
(S) Society/Public
(0) Other (U) Unknown I
Y / N
Restricted? D I
Prosecute? Y/N
Victim will
Suffix
D

L
Last Name (If Runaway or Missing Person, complete page 6)
Turner I Natalie
First Name _______ 1
Lynn
Middle Name
_ exact Age or Age Range
W F 3/17/1996 434-71-2017
rOB or if unknown, must complete (TO
Home Street Name Apt# City, State, Zip Home Phone
227 East Memorial Drive Normal,Virgina,12345 ( 434 288-1920
Work Street Name City, State, Zip
22 Grand Street Normal,Virgina,12345 I (" ork Phone)
I Employer(H)
D
Name
Hispanic
Espresso Café
Enter
(N) ofns
D sequence Dnumber(s).
Non-Hispanic Barista R
tim is related to which offense sea #? I Occupation I ~e;i~ent? I Country of Citizenship
I Ethnic (RT) Retired (DP) Dependent
..1 ND!!lli!lY2 I
Branch
Militarv [ (N) USN
(A) USA (AF) USAF
(MC)USMC (NG) USCG
(CG) USNG Status [
Militarv ] (A)
(DC)Active
Dischrgd (I) Inactive (RE) Reserves

1 0 9
Victim Iniury (L) Severe Laceration
(N) None (T) Loss of Teeth
(M) Apparent Minor Injury (U) Unconsciousness
(B) Apparent Broken Bones (0) Other Major Injury
(I) Possible Internal Injury
Only for offenses in the following series: 100,11,120,13A,13B,210 If the offense is Simple Assault, the Q!!!y choices are (N) None or (M) Apparent Minor Injury.

(SS) Victim was Stepsibling (Brother or Sister) (EE) Victim was Employee
[
B G )~ [ Within Familyof this victim
] Relationship to suspects (OF) Victim was Other Family Member (ER) Victim was Employer

C
(SE) Victim was Spouse (VO) Victim was Suspect (OK) Victim was Otherwise Known

]~ [ I ] (PA)
(CS) Victim was Common-Law
Parent Spouse Outside Family But Known to Victim Not Known by Victim
(AQ) Victim was Acquaintance (ST) Victim was Stranger
I I ~f
#6 l (Brother or Sister)
] (SB) Victim was Sibling
(CH) Victim was Child
(FR) Victim
(NE) Victim
was Friend/Roommate
was Neighbor
(RU) Relationship Unknown

(BE) Victim was Babysittee (The Baby)


I I~! (GC) Victim
] (GP) was Grandparent
Victim was Grandchild
(IL) Victim was In-Law
(BG Victim
(CF) Victim
was Boyfriend/Girlfriend
was Child of Boyfriend/Girlfriend
The race, sex, age of the suspect(s)
choose a specific code.
must be known
If race, sex, or age is not
to

Only for offenses


I~L
in the following series:
] (SP)
(SC) Victim was Stepparent
Stepchild
(HR) Victim
(XS) Victim
was Homosexual Relationship
was Ex-Spouse
known, the (RU) Relationship
selected.
Unknown must be

09,100,11,120,13A,13B,13C,36

Complete Circumstance blocks ONLY if offense is Aggravated Assault, Homicide, (LEO ONLY - Simple Assault, or Intimidation. Circ must be 02,)
Aaa Assault/Homicide AQQ Assault/Homicide (2 maxI (07) Mercy Killing NeQliQent ManslauQhter (1 maxI
Circumstance 1 0 6 (01) Argument (08) Other Felony Involved (30) Child Playing with Weapon
I (02) Assault On Law Enf Officer (10) Unknown Circumstances (31) Gun-Cleaning Accident
(03) Drug Dealing (09) Other Circumstances (32) Hunting Accident
Circumstance 2 (04) Gangland (33) Other Negligent Weapon Handling

I (05) Juvenile
(06) Gang
Lover's Quarrel (34) Other Negligent Killings

Complete Law Enforcement blocks ONLY if victim is a LEO.


Law Enforcement Activity (04) Attempting Other Arrest (08) Ambush - No Warning
(05) Civil Disorder (Riot, Mass Disobed) (09) Mentally Deranged
]1 (02) Burglary in Progress
(01) Responding or Pursuing
to Disturbance Calls Burglary (06) Handling, Transporting, Cust of (10) Traffic Pursuit or Stops
(03) Robbery in Progress or Pursuing Robbery (07) Investigating Susp Persons (11)AII Other

D
Law Enforcement Law Enforcement AssiQnment (C) One Officer Assisted (F) Other Alone (Off-Duty, On Foot, ..)
Assignment (A) Two Officer Vehicle (D) Special Alone (Detective ... ) (G) Other Assisted
(B) One Officer Alone (E) Special Assisted (Detective .. )

(B) Business (I) Individual (S) Society/Public Restricted?

D D
:IyQE,
I O (DR) Driver (WI) Witness
1 I (F) Financiallnst
(L) Law Enforcement (U) Unknown/Oth Y/N
] (CO)
(PA) Parent/Guardn
Complainant (10) Involved,
(OW) Owner Other I Seq# (G) Government (R) Religious Org

__________________
l
Suffix
Howser I
Chelsa
First Name Ann
Middle Name

Race
Home Street #
D
A W/BII/A/U
Isex DF M/F / U
T7/2/1995
DOB or
if unknown, complete-) exact Age or Age Range

(TO
SSN
490-22-2999
Home Phone

319 I Daughtery Road


Home Street Name I Apt # I
Normal, Virgina, 12345
City, State, Zip
( 434 ) 200-3410
Work Street # City, State, Zip Work Phone

I Work Street Name ( )

Employer Name (DP)


(RE)
(I) Inactive
(DC) Dischrgd
(RT) Dependent
Reserves
Retired I (A) Active
NG Status (A) USA (MC) USMC (CG) USCG I Militarv
I Occupation

N (N)
(H) Non-Hispanic
Hispanic I Branch
Militarv
] [

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