Page

I

of

1

03.01.00

08/15)

Los

ngeles

Police

Department

UCR

CODE

INVESTIGATIVE

REPORT

CC:

724

COMBINED

VID.

REPORT

MULTIPLE

DRS

ON

HIS

REPORT

•

0

0

o

3

o

cm

ite

N

 ~

V

O

V

o

4

-

Z

a

O

CASE

SCREENING

FACTOR(S)

El

SUSPECT/VEHICLE

NOT SEEN

 

RINTS

OR

OTHER

EVIDENCE

NOT PRESENT

 

MO

NOT

ISTINCT

 

PROPERTY LOSS LESS THAN

5,000

1::]

NO

SERIOUS

INJURY

TO

ICTIM

 

NLY

ONE

ICTIM

INVOLVED

PREMISES

(SPECIFIC

TYPE)

E

TM

ENTRY

69/BEV

POINT

OF

ENTRY

El

FRONT

Ei

REAR

Ei

SIDE

 

ROOF

El

FLOOR

1:1

OTHER

REPORT

F:

SODOMY

2

 

POINT

OF

XIT

INVEST

IV.

RBD

LAST

NAME,

IRST,

MIDDLE OR

NAME OF

BUS/NESS)

f

INC

/0121400

EX DE

C HT

ADDRESS

R

B EMAIL

ADDRESS

DR.

IC.

NO.

IF

NONE.

THER

D

&

O.)

METHOD

INSTRUMENT/TOOL

USED

MT'S

EN.(IF

INVOLVED)

EAR. MAKE.

YPE.

OLOR,

IC.

NO.LOCATION

OF

OCCURRENCE

FOREIGN

LANGUAGE SPOKEN

SAME

AS

V'S

ED

RES.

Li

US.

DATE

&

TIME

OF OCCURRENCE

12/01/2001

2000

12/31/2001

1000

TYPE

PROPERTY

STOLEN/LOST/DAMAGEDD3.04.00

GIVEN

NOTIFICATION(S)

PERSON

&

IVISION)

PHONE

CELL

PHONE

OCCUPATION

2-8

.

PRINTS

BY

PREL.

NV.

ATTEMPT Y

N

OBTAINED

Y

DATE

&

TIME

REPORTED

TO

PD

12/09/2016

1420

STOLEN/LOST

RECOVERED

EST.

DAMAGED

ARSON

VAND.ONNECTED

REPORT(S) TYPE

&

R

)

MO

F

LON/GLOM'

 

LIST

UNIQUE

ACTIONS.

IF

SHORT

OR,

 

,

DESCRIBE

SUSPECTS

ACTIONS

N

BRIEF

PHRASES,

NCLUDING

WEAPON

USED.

DO

NOT

REPEAT

ABOVE

INFO

BUT

CLARIFY

REPORT

AS

NECESSARY.

F

ANY

OF

HE

ISSING

ITEMS

ARE

POTENTIALLY

IDENTIFIABLE. ITEMIZE

AND

DESCRIBE

ALL ITEMS

ISSING

IN

THIS

INCIDENT

N

THE

NARRATIVE.

Victim

and

suspect

ived

together for

6

ears,

but

were

not married.

Vict

went

to

bed

and

when

she

woke

p and

was

bleeding

from

her

anus. Vict confronted

the suspect,

he

lauged at

her

and

told

her

he

had

sex

with

her

n

her anus.

REPORTING

EMPLOYEE(S)

MANDATORY

MARSY'S RIGHTS

CARD

PROVIDED

TO THE

VICTIM

INITIALS,

LAST

NAME

Reyes

SERIAL

NO,

DIV./DETAIL

30444

RHD/SAS

MOTNATED BY

HATRED/PREJUDICE

DOMESTIC

VIOLENCE

PERSON

SIGNATURE

REPORTING

OR

RECEIVED BY

PHONE

u

NOTE

IF

SHORT

FORM

AND

ICTIM/PR

ARE

NOT

THE SAME, NTER

PR

INFORMATION

IN

INVOLVED

PERSONS

ECTION.

te

2

I

-

if)-

 

C

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a

•

0

Vs

la

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X

a

a

Z.

 

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ra

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OPIES 

Complete below

sections

f

any

CASE

CREENING

FACTOR(S)

oxes

are

not hecked.

SUSP'SVEHICLE

YEAR

MAKE

MODEL

TYPE

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COLOR:EXTERIOR

 

CUSTOM WHEELS

n

 

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CUSTOM

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TOP

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DAMAGE

0

R/GNT

 

ODIFIED

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FRONT

0

TICKER

REAR

p

LEFT

WINDOWS

D

DAmAGE

IGHT

 

OUST.

0

FRONT

 

URTArNS REAR

4

EFF

COLOR(S)

LIC

NO.

STATE

III

BUCKET SEATS

12

AMAGED

NSIDE

S-1

SEX

M

DESC

W

HAIR

blk

EYES

blue

HEIGHT

5'10

WEIGHT

180

AGE

40

CLOTHING NAME, ADDRESS, OB,

F

KNOWN;

AME, BKG.

O.,

CHARGE,

F

ARRESTED.

Masterson.

Daniel

3-13/76

NFI

PERSONAL

ODDITIES

UNUSUAL FEATURES. SCARS. TATTOOS

ETC.)

NF1

(VERBAL

THREATS, ODILY

FORCE. IMULATED GUN,

TC.

F

KNIFE

OR

GUN.

WEAPON

DESCRIBE

ULLY.)

S

-2

SEXDESC

HAIR

EYESHE

WEIGHT

AGE

CLOTHING

NAME, ADDRESS, OB,

F

KNOWN;

AME, BKO.

O.,

CHARGE,

F

ARRESTED.

PERSONAL

ODDITIES

(UM'S

FEATURES, CARS,

ATTOOS,

TC.)

(VERBAL THREATS,

ODILY

FORCE. SIMULATED

GUN,

TC.

F

KNIFE

OR

GUN,

WEAPON

DESCRIBE

ULLY.)

W

WITNESS;

R

PERSON

PTG.;

S

.

ERSON

SECURING

459);

0

PERSON

DISCOVERING

459);

P .

ARENT;

INVOLVED

PERSOMS)

CP CONTACT PERSON

DOMESTIC VIOLENCE)

SEX DESCDOBADDRESSR

CITY

ZIP

PHONE

DR.

ID.

NO.

IF

NONE,

IST

OTHER

D

&

O.

)

OREIGN

LANGUAGE

SPOKEN

8-

E

-MAIL

ADDRESS

CELL

PHONE

NAME

SEX

DESC DOBADDRESS

R

CITY

ZIP

PHONE

DR.

IC.

NO.

IF

NONE,

IST

OTHER

D

&

O.

)

FOREIGN

LANGUAGE

SPOKEN

8

E-MAIL

ADDRESS

CELL

PHONE

SEX DESC

DOBADDRESSR

C

T/ ZIP

PHONE

DR.

IC.

NO.

IF

NONE,

IST

OTHER

D

&

NO.

)

FOREIGN

LANGUAGE

SPOKEN

B-

E

-MAIL

ADDRESS

CELL

PHONECOMBINED

RPT.

USE

THIS SECTION

N

LIEU

OF

PROPERTY

REPORT

F

NO GUN AND

NO MORE

THAN

 

HREE

ITEMS

OF

EVIDENCE.

LOC.

EVID.

BKD.

10.10.00

GIVEN?

~ 

Y

I

Preliminary

Drug

Test

...

SUPV./INV.

OFCR.

ESTING

SERIAL

NO.WITNESS OFCR.

SERIAL NO.

ITEM

OUAN.

ARTICLE

RIAL

NOJTYPE

TEST

OF DRUG

BRAND/DRUG

WEIGHT,

NITS

MODEL

O./

DRUG

TESTRESULT

MISC.

NARRATIVE

USE THE FOU.OWING HEADINGS

TO DOCUMENT

LL INFORMATION

REGARDING THE

NVESTIGATION ADDITIONAL

PERSONS

NVOLVED

sepwat.cl

Cy

ype):

SOURCE OF

CTIVITY: NVESTIGATIChN,

ARREST:

NJURY/MEDICAL

TREATMENT, HOTOS. ECORDINGS.

IDEOS,

iCV.

BWV. ND

IGITAL

IMAGING;

BOOKING: VIDENCE: ANVASSING.

DDITIONAL, OLLISION

SUMMARY,

ROPERTY STMEN/LOST/R

COVEREDIDAMAGEE AND COURT

INFORMATION.

NOTE: NY

OF

HESE HEADINGS MAY

BE OIMITED

F

NOT

PPLICABLE.

SEE

GENERAL REPORTING

NSTRUCTIONS

FIELD

NOTEBOOK

IVIDER.

FORM

8.33.00.

AND

SNVESTIGATNE

REPORT

-FIELD

NOTEBOOK

DIVIDER,

FORM

8.30.01.

FOR

FURTHER

NFO.

VICTIM

INDEltitinCATION

iNFORIAATIONTF

APPLICABLE)

APPROVAL

AND

REVIEW

1

IS

ANY

OF

THE

ICTIM'S

PROPERTY

MARKED

WITH

AN

OWNER

PPLIED

IDENTIFICATION

NUMBER?YES

NO

IF

YES, XPLAIN

N

NARRATIVE. DETECTIVE

SUPERVISOR

REVIEWINGSERIAL NO.

DIVISION

CATEGORY

REDACTREDACTED