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Case Number:

County Sheriffs Office 104

Offense/Incident Report Date of Report:

March 20, 2017

Report Status: If this is an OFFENSE:

(Check one) OFFENSE or INCIDENT (Check one) Felony or Misdemeanor or Petty Offense

Reporting Officer: Date & TIme of Offense/Incident:

(Your name goes here)
Name of Person who Reported the Offense/Incident:
For all people on report, use the following codes:
Daughter of Boggs V = Victim
Address and/or Location of Offense/Incident: W = Witness Sam Smith (V) reported that...
S = Suspect
State of Arkansaw
Reporting Officers Summary of Offense/Incident:

Daughter of Boggs(W) reported that Boggs(V) was drunk and hes yell out loud, but this just make

people in the town laugh at him because everyone know that he naturally never hurt anyone. In fact, he

went to Arkansaw to kill Colonel Sherburn(S); She said the boy told her that he heard some one said he

will endure Boggss action till one oclock. After the mysterious statement end , he saw people

trying to stopped Boggs(V). Then Boggs(V) back to normal, but its already late. She heard the sound

BANG! and BANG! again. Then she hurry look at her father; after ten minutes, he died. Even though, this

is a tragedy, but at first his daughter confessed that he also come here to kill Colonel Sherburn(S). Colonel

Sherburn(S) may not see as criminal because Boggs as drunk man not respect him and called him up to kill.

People crowd and lynch him because they suspect he was a crime. However, this crime has power to kill anyone

who lynch against him, but People said he just called them cowards and gave them a speech.

I hereby attest that the following report is an accurate representation of witness accounts reported to me and my own personal
observations of the offense/incident scene.

Signature of Reporting Officer

Suspect Information
Name, if known: Gender: Age: Height: Weight: Hair: Eyes:
Colonel Sherburn Male 50 yrs
Was an arrest made? (Check one) If no, the suspects last known location:

On the reverse side of this paper, Reporting Office must draw a sketch of the crime scene/incident layout. Be sure to label any important details.