N
C
I
D
E
N
T
D
A
T
A
Agency Name
NC 0230200
Crime Incident(s)
Miscellaneous
#2
Crime Incident
#3
Crime Incident
2015-002966
ORI
#1
OCA
INCIDENT/INVESTIGATION
REPORT
Weapon / Tools
MO
V
I
C
T
I
M
Handgun
# of Victims Type
Person
X Business
Society
Government
Financial Institute
1
Religious
L.E. Officer Line of Duty
Other/Unknown
Victim/Business Name (Last, First, Middle)
V1
SOCIETY
Injury
Victim of
Crime #
1,
Home Address
DOB / Age
Drug/Alcohol Use:
Yes
Unknown
N/A
X No
Resident Status
Race Sex Relationship
To Offender
X Resident
Non-Resident
AQ
Unknown
Home Phone
704-484-6845
O
T
H
E
R
S
I
N
V
O
L
V
E
D
Status
Codes
Make
Business Phone
Model
Style
Color
Lic/Lis
Vin
CODES: V- Victim (Denote V2, V3) O = Owner (if other than victim)
R = Reporting Person (if other than victim)
Type:
Person
Business
Society
Government
Financial Institute
Religious
L.E. Officer Line of Duty
Other/Unknown
Victim of DOB / Age
Code Name (Last, First, Middle)
Crime #
Race Sex
Home Address
Home Phone
Employer Name/Address
Business Phone
Type:
Code
Person
Business
Society
Name (Last, First, Middle)
Government
Financial Institute
Religious
Other/Unknown
Victim of DOB / Age
Crime #
Race Sex
Home Address
Home Phone
Employer Name/Address
Business Phone
7 = Stolen 8 = Lost
9 = Found
Make/Model
HYUN Elantra
Serial Number
KMHJF35F8YU964587
P
R
O
P
E
R
T
Y
ID
BERNAT, D. B. (1154)
Complainant Signature
Case Status
Status
Supervisor Signature
TUCKER, M. A. (3745)
Case Disposition:
Page 1
06/19/2015 17:00:31
INCIDENT/INVESTIGATION REPORT
Shelby Police Department
Status
Codes
1 = None
2 = Burned
DCI Status
OCA 2015-002966
3 = Counterfeit / Forged
Quantity
Page 2
Type Measure
4 = Damaged
5 = Recovered
6 = Seized
7 = Stolen 8 = Lost
Suspected Type
9 = Found
Up to 3 types of activity
D
R
U
G
S
Assisting Officers
D.O.B.
Home Phone
Age
Race
Employer
Sex
Phone
N
A
R
R
T
I
V
E
INCIDENT/INVESTIGATION REPORT
Shelby Police Department
Page 3
I DBB placed tactical gloves on my hands, Officer Ledford and I cleared the trunk of the
vehicle. Officer Burris advised me that a gun was in the back seat of the vehicle.
Officer Ledford opened the right rear door of the vehicle, on the seat I observed a
white in color pillow, officer Ledford raised the pillow, under the pillow I observed a
black in color handgun laying on the seat. The handgun appeared to be a glock semi
automatic handgun.
Officer Ledford and I secured the crime scene by placing crime scene tape around the
vehicle. Officer Burris and I cleared the scene enroute to the Shelby police Department
at 12:19 p.m. No further
Home Address
Also Known As
NONE, ,
Age
04/03/1994
21
VehYr/Make/Model
Sex
Suspect Age
Suspect Detail
Weapon, Type
Race
Feature
Make
Drs Style
Race
Sex
Model
Color
Color
Notes
R_CS8xx
Height
Caliber
Lic/Lis
Weight
Dir of Travel
Mode of Travel
Vin
Physical Char
Page 4