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CARTERSVILLE POLICE DEPARTMENT

SA GA0080100

CASE NUMBER:

20134187

INCIDENT REPORT
COUNTS

OFFENSE: INCIDENT CODE

MISCELLANEOUS REPORT
PREMISE TYPE 1 - HIGHWAY 3 - CONVENIENCE STORE 5 - COMMERCIAL 2 - SERVICE STATION 4 - BANK 6 - RESIDENCE 8 - ALL OTHER

INCIDENT TYPE

PUBLIC INDECENCY 16-6-8

3605

INCIDENT LOCATION (STREET #, STREET NAME, APT. #)

CITY

ZIP CODE

ZONE LOCATION CODE

7 - SCHOOL/CAMPUS WEAPON TYPE 1 - GUN 3 - HANDS/FISTS

EVENT

1144

N TENNESSEE ST
TIME DATE TO

CARTERSVILLE
TIME

30120
YES NO

1
UNKNOWN
CITY

INCIDENT DATE

STRANGER TO STRANGER

2 - KNIFE/CUTTING TOOL OTHER ZIP PHONE NUMBER

10/04/2013

2241

10/04/2013
FIRST NAME

2310
MIDDLE NAME

COMPLAINANT LAST NAME

COMPLAINANT ADDRESS NO., STREET

STATE

STATE OF GEORGIA
VICTIM LAST NAME FIRST NAME MIDDLE NAME

1
COMPLAINANT:

CAPITOL AVE
RACE SEX DATE OF BIRTH

ATLANTA
SSN: AGE

GA ___-__-____
BUSINESS PHONE

RESIDENCE PHONE

VICTIM

STATE OF GEORGIA
ADDRESS NO., STREET CITY STATE ZIP SSN: CENSUS TRACT EMPLOYER OR OCCUPATION

1
STUDENT?

CAPITOL AVE
YES NO

ATLANTA

GA

___-__-____
RACE SEX DATE OF BIRTH AGE SSN

IF YES, NAME VICTIMS SCHOOL

OFFENDER LAST NAME, FIRST NAME, MIDDLE NAME

JOHNSON
WANTED ADDRESS NO., STREET

TINA

LATRELL
CITY STATE ZIP

F
CENSUS TRACT HEIGHT WEIGHT

___-__-____
HAI R COLOR EYES

OFFENDER

506
WARRANT CHARGES COUNTS OFFENSE CODE

130

BRO

BLU

OFFENSE / ARREST JURISDICTION CODES

PUBLIC INDECENCY 16-6-8


ARREST

3605

1. CITY 2. COUNTY 3. STATE 4. OUT OF STATE 5. UNKNOWN

TOTAL NUMBER ARRESTED

ARREST AT OR NEAR OFFENSE SCENE YES NO YEAR V.l.N.

DATE OF OFFENSE

01
VEHICLE
STOLEN RECOVERED SUSPECTS TAG NUMBER

10/04/2013

STATE

PLATE ONLY

VIN PLATE ONLY

GA
YEAR MAKE MODEL STYLE

13
COLOR MOTOR SIZE (CID) AUTO TRANSMISSION MAN. CITY SPD. STATE ZIP PHONE NUMBER INSURED BY

WITNESS

WITNESS LAST NAME

FIRST NAME

MIDDLE NAME

ADDRESS NO., STREET

WITNESS 1 - DOB / Age: VEHICLES STOLEN

SSN:

___-__-____

WITNESS 2 - DOB / Age: FURS

SSN:

___-__-____

CURRENCY, NOTES. ETC

JEWELRY, PREC. METALS

PROPERTY RECOVERY INFO ONLY THEFT/RECOVERY JURISDICTION CODES 1. CITY 2. COUNTY 3. STATE 4. OUT OF STATE 5. UNKNOWN

PROPERTY

RECOVERED CLOTHING STOLEN RECOVERED FIREARMS STOLEN RECOVERED CONSUMABLE GOODS LIVESTOCK OTHER TOTALS OFFICE EQUIPMENT TV, RADIO, ETC. HOUSEHOLD

DATE OF THEFT

0 0
WARRANT MISSING PERSONS VEHICLE ARTICLE BOAT GUN SECURITIES

ADM.

GCIC ENTRY

DRUG

DID INVESTIGATION INDICATE THAT THIS INCIDENT WAS DRUG-RELATED? IF YES, PLEASE INDICATE THE TYPE OF DRUG(S) USED BY

YES

NO

1 - A M P H E T A M IN E 6 - M A R IJ U A N A

2 - B A R B IT U R A T E 7 - M E TH A M PH ET A M IN E

3 - C O C A IN E 8 - O P IU M

4 - H A LL U C IN O G E N 9 - S Y N T H E T IC N A R C O T I C

5 - H E R O IN U - UNK NOW N

CLEAR

REQUIRED DATA FIELDS FOR CLEARANCE REPORT DATE OF CLEARANCE

CLEARED BY ARREST

EXCEPTIONALLY CLEARED JUVENILE

UNFOUNDED REPORT DATE

10/04/2013

ADULT

10/04/2013

NARRATIVE

REPORTING OFFICER

NUMBER

APPROVING OFFICER

NUMBER

Page

Page of

MORRISON, J.D.

136

BETTIKOFER, M.E.

108

PERSON(S) REPORT
Date of Supplement

1. Original Juvenile 2. Supplement in Report Agency Report Number

ADM

CARTERSVILLE POLICE DEPARTMENT


Original Date Reported Primary Offense Description Victim #1 Name (Last, First, Middle)

20134187
Residence Status 0. N/A 1. Full Year 2. Part Year 3. Non-Resident Extent of Injury 0. None 1. Minor 2. Serious 3. Fatal

10/04/2013
CODES

MISCELLANEOUS REPORT
Victim Type 0. N/A 1. Juvenile 2. L.E. Officer 3. Adult 4. Business 5. Government 6. Church 9. Other Race N-N/A W-White B-Black

STATE OF GEORGIA
I-American Indian O-Oriental/Asian U-Unknown Sex N-N/A M-Male F-Female U-Unknown Residence Type 3. Georgia 0. N/A 4. Out-of-State 1. City 2. County

V/W Code O - Other V - Victim W - Witness C - Reporting Person Injury Type 00. N/A 01. Gunshot 02. Stabbed

03. Laceration 04. Unconscious 05. Poss. Broken Bones 06. Poss. Internal Injury V/W Code #

07. Loss of Teeth 08. Burns 09. Abrasions/Bruises 99. Other V. Type

Victim Relationship To Offender 0. N/A 1. Present Spouse 2. Former Spouse 3. Parent 4. Child 5. Step Parent 6. Step Child 7. Foster Parent 8. Foster Child 9. None of the Above Residence Phone

VICTIM / WITNESS

OFF/INC Indicator 1.#1 2.#2 3.Both

Name (Last, First, Middle or Business)

Address (Street, Apt. Number) Other Contact Info. (Time Available, Interpreter, etc.)

City

State

Zip Synopsis of Involvement

Social Security Number

Business Phone

___-__-____
Dom. Violence If V/W Code is V, W or C Fill in this Line V/W Code # OFF/INC Indicator 1.#1 3.Both 2.#2 Address (Street, Apt. Number) Race Sex Date of Birth Age Res. Type Res. Status Extent of Injury Injury Type(s) Relationship Ethnicity Will Victim prefer charge?

Yes
V. Type Name (Last, First, Middle or Business) City State Zip Synopsis of Involvement Social Security Number Residence Phone

No

VICTIM / WITNESS

Business Phone

___-__-____
Other Contact Info. (Time Available, Interpreter, etc.) Dom. Violence Res. Type Res. Status Date of Birth Age Race Sex If V/W Code is V, W or C Fill in this Line Suspect Code OFF/INC Indicator Code Susp. # Juvenile Name (Last, First, Middle) 1.#1 3.Both S-Suspect E-Escapee R-Rec. Missing 2.#2 A-Arrestee M-Missing Z-other Maiden Name Nickname/Street Name Extent of Injury Injury Type(s) Relationship Ethnicity Will Victim prefer charge?

Yes

No

SUSPECT OR MISSING PERSONS

Place of Birth

Residence Phone

Last Known Address (Street, Apt. Number)

City

State

Zip

Business Phone

Occupation

Employer/School

Address

Social Security Number

Driver's License State/Number

Immigration and Naturalization Number

Other ID. Number

OBTS Number

SCIC/NCIC

Clothing (Describe)

Scars/Marks/Tatoos (Location/Describe)

Race

Sex

Date of Birth or Age

Height

Weight

Eye Color

Hair Color

Hair Length

Hair Style

Complexion

Build

Facial Hair

Teeth

Speech/Voice

Special Identifiers

SUSPECT OR MISSING PERSONS

OFF/INC Indicator 1.#1 3.Both 2.#2 Maiden Name

Suspect Code S-Suspect E-Escapee R-Rec. Missing A-Arrestee M-Missing Z-other

Code Susp. #

Juvenile

Name (Last, First, Middle)

Nickname/Street Name

Place of Birth

Residence Phone

Last Known Address (Street, Apt. Number)

City

State

Zip

Business Phone

Occupation

Employer/School

Address

Social Security Number OBTS Number SCIC/NCIC

Driver's License State/Number

Immigration and Naturalization Number

Other ID. Number

Clothing (Describe)

Scars/Marks/Tatoos (Location/Describe)

Race Complexion

Sex Build

Date of Birth Facial Hair Teeth

Age Speech/Voice

Height

Weight

Eye Color

Hair Color

Hair Length

Hair Style

Special Identifiers

Incident Type

Foul Play Suspected ? 7. Voluntary Adult 8. Unknown Time Last Seen 1. Yes 2. No

Missing Before ?

Fingerprints Available? 1. Yes 2. No 8. Unknown

Photo Available? 1. Yes 2. No 8. Unknown Accompanied By

Dental Record Available ? 1. Yes 2. No 8. Unknown

MCIC Form Provided ? 1. Yes 2. No

MISSING PERSON / RUNAWAY

1. Runaway 4. Disabled 2. Parental 5. Endangered 3. Involuntary 6. Disaster Victim Date Last Seen

1. Yes 2. No 8. Unknown Location Last Seen (Address, City, St.)

Mental/Physical Condition

Medication Required/Type

Doctor/Dentist (Name, Phone Number)

Property Carried

ID. Type/Number

ID. Type/Number

Probable Destination

Name/Address

Transportation Mode

Recovery Information Officer(s) Reporting

0. N/A 1. Voluntary

2. LocatedNot Returned ID. Number(s)/Locator code

3. Hospitalized 4. HRS Custody Signature of Officer Reporting

5. Law Enforcement Custody 6. Returned to Parent Unit

7. Deceased 9. Other Date

ADMINISTRATIVE

MORRISON, J.D.
Officer Reviewing (If Applicable)

136
ID. Number Routed To Referred To Assigned To

UNIFORM
By

10/04/2013
Date

BETTIKOFER, M.E.
Signature of Officer Reviewing

108

10/05/2013
Page Page of

PROPERTY REPORT
Date of Supplement

1. Original 2. Supplement Agency Report Number

ADM

CARTERSVILLE POLICE DEPARTMENT


Primary Offense Description Victim #1 Name (Last, First, Middle)

20134187

Original Date Reported

10/04/2013
THEFT
Theft Type Codes 00. N/A 01. Burglary Person Codes V - Victim S - Suspect

MISCELLANEOUS REPORT
04. Pocket Picking 05. Purse Snatching Status Codes 1. Stolen 2. Recovered

STATE OF GEORGIA
Theft Type 06. Embezzlement 07. From Coin Oper. Machine 08. From Public Access Building 09. From Vehicle 10. Extortion 11. By Computer 12. Fraud 99. Other

02. Robbery 03. Shoplifting

00
9. Other

CODES

A - Arrestee O - Other

3. Stolen and Recovered 4. Recovered for Other Jurisdiction J. Jewelry/Precious Metal K. Clothing/Fur L. Livestock M. Musical Instrument N. Construction Machinery Property Type Quantity Name

5. Lost 6. Found

7. Safekeeping 8. Evidence/Seized O. Office Equipment P. Art/Collection Q. Computer Equipment R. Radio/Stereo S. Sports Equipment

9. Other

Damage Codes 0. N/A 2. Criminal Mischief 1. Arson 3. During other Offense T. TV/Video/VCR U. Currency/Negotiable V. Credit Card/Non-Negotiable W. Boat Motor X. Structure

Property Type A. Auto Accessory/Parts B. Bicycle C. Camera/Photo Equipment D. Drug Code Person Item #

E. Equipment/Tool. F. Food/Liquor/Consumable G. Gun H. Household Appliance/Goods I. Plant/Citrus Status Damage

Y. Farm Equipment Z. Miscellaneous

Brand

Model Name/Number

PROPERTY

Serial Number

Owner Applied Number

Description (Size, Color, Caliber, Barrel Length, Etc. )

Value $ Code Person Item # Status Damage $

Value Recovered

Date Recovered

SCIC/NCIC

Property Type

Quantity

Name

Brand

Model Name/Number

PROPERTY

Serial Number

Owner Applied Number

Description (Size, Color, Caliber, Barrel Length, Etc. )

Value $ Code Person Item # Status Damage $

Value Recovered

Date Recovered

SCIC/NCIC

Property Type

Quantity

Name

Brand

Model Name/Number

PROPERTY

Serial Number

Owner Applied Number

Description (Size, Color, Caliber, Barrel Length, Etc. )

Value $ Code Person Item # Status Damage $

Value Recovered

Date Recovered

SCIC/NCIC

Property Type

Quantity

Name

Brand

Model Name/Number

PROPERTY

Serial Number

Owner Applied Number

Description (Size, Color, Caliber, Barrel Length, Etc. )

Value $ Code Person Item # Status Damage $

Value Recovered

Date Recovered

SCIC/NCIC

Property Type

Quantity

Name

Brand

Model Name/Number

PROPERTY

Serial Number

Owner Applied Number

Description (Size, Color, Caliber, Barrel Length, Etc. )

Value $ $ $ $ R. Smuggle D. Deliver E. Use K. Dispense/Distribute

Value Recovered

Date Recovered

SCIC/NCIC

TOTALS

Property Stolen Property Recovered Activity P. Possess S. Sell B. Buy T. Traffic Activity

Change in Property Stolen Value Change in Property Recovered Value M. Manufacture/Produce/Cultivate Z. Other Type A. Amphetamine B. Barbiturate C. Cocaine E. Heroin H. Hallucinogen M. Marijuana O. Opium/Derivative P. Paraphernalia/Equipment Quantity

$ $ Unit 1. Gram 2. Milligram 3. Kilogram 4. Ounce

CODES

S. Synthetic U. Unknown Z. Other

5. Pound 6. Ton 7. Liter 8. Milliliter $

9. Dose Unit/Item

Type

Description

Unit

Estimated Street Value

DRUGS

Activity

Type

Description

Quantity

Unit

Estimated Street Value

Activity

Type

Description

Quantity

Unit

Estimated Street Value

PROP. DETAIL / NARR.

ADMINISTRATIVE

Officer(s) Reporting

ID. Number(s)/Locator Code

Signature of Officer Reporting

Unit

Date

MORRISON, J.D.
Officer Reviewing (if applicable)

136
ID. Number Routed To Referred To Assigned To

UNIFORM
By

10/04/2013
Date

BETTIKOFER, M.E.
Signature of Officer Reviewing

108

10/05/2013
Page Page of

NARRATIVE CONTINUATION
Date of Supplement

1. Offense 2. Arrest

Juvenile Warn/Dismiss

1. Original 2. Supplement

CARTERSVILLE POLICE DEPARTMENT


Case Reference

Agency ORI Number

Agency Report Number

ADM

GA0080100
Original Date Reported

20134187

10/04/2013

MISCELLANEOUS REPORT

On Friday, October 4, 2013, at approximately 2240 hours I was dispatched to the Citgo gas station located at 1144 N Tennessee Street in reference to Witness 1 who worked as a cashier, identified a naked female walking around the area. When I arrived I noticed Bartow County EMS on site with a female fitting the description of the naked female with what appeared to be red paint on her legs, hands, and face. Upon questioning the female, she identified herself as Tina Latrell Johnson. When I asked Mrs. Johnson why was she naked she said she did not know. She stated she also did not know how she got to the business, neither how she became naked, but only complained that her right arm was hurting. At the time of questioning Mrs. Johnson, she was given a cloth suite. I asked Mrs. Johnson what was the last thing she remembered, she stated that I noticed Mrs. Johnson's clothes along with what appeared to be a type of a red marker. I asked Mrs. Johnson was she inhaling the fumes from the marker and Mrs. Johnson said she has never done anything like this in her life. When I asked Mrs. Johnson was she familiar with the term "huffing" she said no. While, interviewing Witness 1, Witness 1 told me that Mrs. Johnson walked into the Citgo naked, then walked to the bathroom, only to turn around after opening the door, and then walked outside, which then Witness 1 decided to call 911. At that time, I placed her under arrest for Indecent Exposure (O.C.G.A 16-6-8), making sure the handcuffs were double locked and checked for fit. I then transported her to the Bartow County Jail for processing. The vehicle was turned over to her husband, a licensed driver per her request. Witness 1, filled out a Statement Form which was then scanned into evidence. My vehicle was checked prior to shift, before and after transport with no contraband found. No further.

NARRATIVE
Report Contains

Related Report Number(s)

ADMINISTRATIVE

Signature Officer Reporting

ID. Number(s)

Unit

Date

136
Reviewing Officer Signature Routed To Referred To

UNIFORM
Assigned To By

10/04/2013
Date

108
Case Status Clearance Type

10/05/2013 1
A - Adult J - Juvenile 3. Death of Offender 4. V/W Refused to Cooperate Date Cleared Arrest Number Number Arrested

CA
Exception Type

1.Arrest 2.Exceptional

3.Unfounded 4.Open Pend.

10/04/2013
5. Prosecution Declined 6. Juvenile / No Custody

20134187
OBTS Number Page

1
Page of

1. Extradition Declined 2. Arrest on Primary Offense or Secondary Offense Without Prosecution