12-1283
Supplement No
ORIG
BOULDER POLICE DEPARTMENT
Arrestee 1: TORNOWSKI,ANTHONY NATHANIEL
Involvement
Arrestee
Invl No
1
Type
INDIVIDUAL
Name
TORNOWSKI,ANTHONY NATHANIEL
MNI
206773
Race
WHITE
Sex
MALE
DOB
01/26/1985
Age
27
Ethnicity
NOT OF HISPANIC ORIGIN
Juvenile?
No
Height
5'06"
Weight
170#
Hair Color
BROWN
Eye Color
BROWN
Res Status
RESIDENT
OFN_INVL
1
Vic/Ofnd Age
27
PRN
175791
Type
HOME
Address
1932 CANYON BLVD #2
City
Boulder
State
COLORADO
ZIP Code
80302
Date
01/28/2012
Type
Driver's License
ID NoOLS
COLORADO
Type
Social Security Number
ID NoPhone Type
CELL
Phone No
(719)740-1697
Date
01/28/2012
Notes - (Text)
Arrestee
Marital Status - (Text)
Single
Will you mention a Juvenile Name
N
Medical Conditons - (Text)
None
Medical Clearance? - (Y/N)
N
Medical Clearance Hospital - (Text)
None
Medication Required? - (Y/N)
N
Medication Taken - (Text)
None
Suicidal Behavior? - (Y/N)
N
Describe Suicidal Behavior - (Text)
None
Indications of Mental illness - (Text)
None
Arrestee's Behavior - (Choose)
C
Involvement
ARRESTED (Taken to jail.)
Arrest Type
On-View Arrest (PC)
Arrest Date
01/28/2012
Arrest Time
03:50:00
Status
Booked & Jailed
Arrest Location
1651 BROADWAY
City
Boulder
Rep Dist
BO03
Place of Birth
COLORADO
City of Birth
Limon
Armed
UNARMED
Multi-arrests
COUNT ARRESTEE
Beat
BO03
Charge
18-4-203
NCIC Offense
2299
IBRS
220
Level
F4
Charge Literal
BURGLARY SECOND DEGR
Complainant 1: PEDERSON,MICHAEL DALLAS
Involvement
Complainant
Invl No
1
Type
INDIVIDUAL
Name
PEDERSON,MICHAEL DALLAS
MNI
168024
Race
WHITE
Sex
MALE
DOB
11/29/1971
Age
40
Ethnicity
NOT OF HISPANIC ORIGIN
Juvenile?
No
Height
6'00"
Weight
190#
Hair Color
BROWN
Eye Color
BROWN
Dom Violence
NO
Res Status
RESIDENT
PRN
175792
Type
HOME
AddressCity
Boulder
State
COLORADO
ZIP Code
80302
Date
01/28/2012
Type
WORK/BUSINESS
Address
1651 BROADWAY
City
Boulder
State
COLORADO
ZIP Code
80302
Date
01/28/2012
Type
Operator License
ID NoOLS
COLORADO
Phone Type
CELL
Phone NoDate
01/28/2012
Phone Type
WORK/BUSINESS
Phone No
(720)420-8400
Date
01/28/2012
Notes - (Text)
Alfalfa's Market Manager
Will you mention a Juvenile Name
N
Advisement of case status? - (Y/N)
Y
Advisement Date - (Date)
20120128
Advisement Method - (Text)
In Person
Gave Case# + Contact Info? - (Y/N)
Y
Other 1: OFC BRENT CURNOW
Involvement
Other
Invl No
1
Type
INDIVIDUAL
Name
OFC BRENT CURNOW
PRN
175793
Notes - (Text)
Assisting Officer
Will you mention a Juvenile Name
N
Other 2: OFC MELANIE PATTERSON
Involvement
Other
Invl No
2
Type
INDIVIDUAL
Name
OFC MELANIE PATTERSON
PRN
175794
Report Officer
10042/DEBOUGH,JOSHUA
Printed At
01/31/2012 07:29Page 2 of 4