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Case: 25CI1:14-cv-00334-TTG Document #: 115-7 Filed: 08/21/2015 Page 1 of 3

(Page 1 of 2',

Clty of Jackson, Mlssl6elppl


Orlglnal Pollce Department lncldent Report Form .@N!
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RECORDS
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JPD.sdt.000008
Case: 25CI1:14-cv-00334-TTG Document #: 115-7 Filed: 08/21/2015 Page 2 of 3
(Page 2 of 2,

City of Jackson, Mississippi Pol¡ce Depadment


Gontinuation of Original Nanative/Supplememary Beport Form
SupplemeDt

6l . Complâln!ú

Um CbEd lo; P.ø l¡ú¡Àg 6m9. a &


@- OËñdhr Cþrgd rol

Naffôt¡vc and Witness SÈtsm.nt

6d E hÊdNm/WnÈ Sfrm.nt Fodt


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JPD.sdt.000009
Case: 25CI1:14-cv-00334-TTG Document #: 115-7 Filed: 08/21/2015 Page 3 of 3
(Page 1 ot 1)

¡
Crime Scene Report
Crime Scene Invertígatlon Unlt
J¿ckson Pollce Dep¡rtment

1) CaseNumber: 2012-134339
2) C¡ime: Shooting into an OcoupiedDwelling
3) Complainant: Quick StoP Store
4) CSI Investigator: R. Bufl<in
s) I¡cation of Incide¡t: 1503 W. McDowell Road
6) Day/Date/Time: Wednesday, July 4, 2012@l200br*
7) Description of Vehicle(s) None
8) List ofEvidence:
1) Spent RP 9 MM Luger Casing (Parking Lot)
2) P¡ojectile Fragmeats (Inside StorQ
3) PhotoDisc

e) Nafiâtive:

to
on

details of the incident.

is a photo disc.
' Note: At the time of this re,port the clerk coul<ln't download the store secwity
video. He stated the youth should be on the video while he was inside tho store when he
¡ofused to sell the cigar and outside the store firing the weaPoú'

10) Copies to:


ll) Reviewedby:
12) Investigator's Name / IBM:
-ib-tt-¡tr'¡
-z) 10, rÈ fl
iULru
W

JPD.sdt.000010

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