DOMESTIC VIOLENCE DUAL
ARREST
D
t ~
UNIFORM ARREST REPORT
Fingerprinted R84
Completed
•Yes •Yes
D
No
D
No
OFFICER'S WORK PRODUCT
MAY
NOT BE PUBLIC INFORMATION
t
ORI
12
Agency Noma
3Caisell
14sF;
AL0430100
Auburn
Department
of Public
Safety-Police
Division
17007939
5
Last,
First,
Mi<tdfe
Name
6Aila.$AKA
KING, RYAN MATTHEW
z
1Sox
18
RaM
r
thnicity
110
Hg
111Wgt
12
Eye
11JH•lr
14 Skin
I'
.M
•w
DA
D Hi•P•nlc
Non-Hispanic
6' 01"
190
BLU BRO
D Scar> D Marks D
Tattoo•
0
Amputations
t:=
••
c
..
I B D I D
0th••
<
16
Plaee
of Birth
{Clty, Count)', Sbt4-)
r7SSN
18
O.atv
of
Birth
19Age-
120
Mlse.llanoous
JO#
u
OWENSBORO, DAVIES, KY
38
u:
21
SID
22
F'"mg&tprint
Class
Key
Major
PrimR
·y
S DV
Sub-Secondary
final
230L
r•st
t:=
I
I I
I
11
I I I I
I
I I
I I
I I I
I
I I
AL
z
Henry
Class
UJ
26F81
27
ldeotUlcaUcm
Comrnen1s
c
NCtCaazs
-
27
0
Rask.tent
2.8
.,.cmtt
Address
(-Srrset. Cltv,
State,
Zip}
29
Residence Phona
JO
Occupation
(Be Spacifle)
• Non-ResJ.denl
MONTGOMERY, AL 36107
l
TATTOO ARTIST
3
Employer (Name
of
Company/School)
132 Bu•ln&ss
Add.ess
Stree~
Clly, State, Zip) 133
Business
PhOno
34
Loc:ation
of
Arrest
(Street,
Ctty,
State,
Zip)
135
Secto•
I
.16
Arrested
(Qr
your
Jurisdiction?
y
0
No
Din
State
1310
WILMORE
DR, Auburn University,
AL
36849 11U
0
Ot.'t
of
State
Agency
'37
CondHion
or
Do '
0
Sober
138
R
st
ArNst
139
lnjurios?
.None
140Ann•d?
·
41
Ooacrlption
of Weapon
Arrestee: •
OrinkJng
D
arogs
Dvas
•No
Domoar
0
Arre5tee
Dv
.
•No
0
Hsndgun
D
Ottw
Fln)nrm
42
Oate o·
Arrest
143
Time
of
A<ast
r6·Y
6
r•t
i
o o
145
Typo
of
Am>st7
146
Arr..ted
Before?
DRme
D
OtherW••p<>n
DAM
.Mil.
tJ
•0nview
Dwamwt
.y. .
DNo
D
Sholgun
04/18/2017 18;21
D
PM
Dc.11
0
UnknO\vn
47
Charge •
1
0
Fel •
Mlsd
1·a
UCR
Cod•
49 Ch.arga -2
DFel
DMisd
150
UCR
Code
~
Disorderly
Conduct
5311
UJ
51
State
Code1Loca1 Onflna11ce
152 Warront
#
153
Date
l5'ued
64
State Codaflocai Ordinance
rSWarrant
156
O•t•
Issued
0::
13A-11-7
0::
<
57
Charge-
3
Orel
DMisd
I
8UCR Code
69
Charge
-
.4
DFcl
Mlsd
160
UCR
Code
i1 State
Code/Local
OrdJrtanca
162War.anl
163
Date
lnuod
64
State
CodefLocal Ordlmmce
165
Warrant
166
Date
Issued
67
Arn:it
Disposition
68
Jf
Out On Release What Type?
69
Arres.ted with (1)
Mcomplice
(Full Name) •
Held
D
Tot'LE
Dsall
D
0ther
7{
Arruted
with
(2)
Accomplice
(Full Name)
D Released
7
VYR
172VMA
rJVMO
·
VST
175VCO Top
76T"1J#
177
LIS
rBLIY
w
Bottom
..J
u
79
\llN
180
lmpounda<I?
181
Storage
Location/Impound#
:c
Dvos DNo
w
8
Other Ev dence Seized/Property Sai2ed
>
UJ
BJ
Juvenlle
0
Handled
and
Roioased
0
Ref.
to Welfaro
Agency
D
Ref.
IC
.Adu Court
I
Rekoased
To
..J
Oiepostion:
0
Ref, to Juvenito
Cou11
0
Rof,
\o Other
Polit:e
Agency
2
85
Parent
or
Guardian
(Last, First, Middle, Namo)
BG
Address
(Street, City, Stats, Zip)
87
Phone
UJ
>
:::>
88
Parents EmpJoyer
189
Oceupation
90
Address
(Sfreot,
City
Stal$-,.-
Zip}
91 'Phone
.,
92
Date
:ind
Tlmo
of
fi)tea-s11
DAM
.MIL
193
Roloasing Offieor
Nam•
1
••
AgoncylOivieion
195
IO
0PM
96
Released
To
197
Agom;y/Olvlslon
198
Agoney
Addra
..
c
99
Personal
Property
Releasad
to
r~stoe
1100
Proporty
Nol
Raleased/Hold
At:
101
Pr01>erty#
UJ
D Yes
0
No
D Pail al
UJ
102
Romarks
(Note
Any
Injuries at
Time
of
Release}
~
COURT
DATE:
06/15/2017
0800
HOORS
..J
UJ
0::
103
Slg;nature
of
Receiving
Offker
1104 Signatura
ol
Roleaolng Officer
ILocolUso
I Stole Us•
AU
MULTIPLE
1105
Case
106
SFX
r07
Case
1108
SFX
I
09Casa
1110SFX
I
lll
n
c••ESIClOSED
CASES
111
CONTtHUATION
CLOSED
Oves
•No
112 Atr9&ting
Officer
{Last,
First,
M.)
1t3 ID
114
Assisting
Officer {U11t, First,
M.)
11510
#
I
16
Supervisor
1117 Watch Cmdr.
Ofc
Andrew Odom
7464
Ofc
Webb
Sistrunk
7576 Sgt
Cody
Hill
m
3472
Lt
Danny
Humphries
ID
3997
TYPE OR PRINT
IN
BLACK INK
ONLY
ACJIC ·06-06
DOMESTIC VIOLENCE DUAL
ARREST
0
o
NIFORM ARREST REPORT
Fingerprinted
R84
Completed
•Yes •Yes
0
No
0
No
OFFICER'S WORK PRODUCT
MAY
NOT BE PUBLIC INFORMATION
:z
0
J
u:::
i==
:z
w
c
1
ORI#
r
gency
Naltlo
AL0430100 Auburn Department
of
Public Safety-Police Division
5 Last. FJ.-.t, Middlo
N11me
SAilas
AKA
HANSEN, BENJAMIN LEE
7Sex
19Race
19
Ethnlc;ty
rOHgt
r1Wgt
12
Eye-
r3Helr
14
Skin
rs
M
•w
DA
0
Hispanic
Non-Hispanic
OF
Oa
01
0
Ottu"
6' 00"
170
BLU BRO
16 Plaeo
of
Birth
{Cll)I,
County, St.ale}
117SSN
18
Oat•
of
Birth
FRANKLIN, WILLIAMSON, TN
21
SID#
2 2
Flngerprtnt
Class
Key
Maj
Of"
Primary
SCDV
Sub-Secondary
Final
I
I
I I
I
I
I
I
I
I
I
I I I I I
enry
Cla$S
25
FBI#
NCICClass.
27
0Reskient
28
Home
Address
(Street, C ty, State, Zip)
29
Residence Phone
• Non-Resident
."TRUSSVILLE, AL 35173
31
Employer (Name
of
Company/School}
132
Business Address (Slreet,
City,
State,
ZJp)
3
Case
rs·;
7007939
0 Scar• 0
Marks
0 Tattoos 0 AmputaUo""
19Age
120
Ml•cell.neoos
ID
#
19
230L
124
St
I I I I
AL
27
k:kmtlflcaUon COfl1m.nts
30
Occupalion {8•
Specific)
UNEMPLOYED
133
BuSln••• Phone
34
Location
of
Arr&&t
(Stnu;t, City,
State,
Zip}
135
Sector#
rG
Arrestad
for
your JurlsdloUon
.y
0No
0
lnSlale
282 W THACH
AV
(FOY HALL), AUBURN, AL 36832 11U
0
Out
of
Stale
Au I'
37
Condition
of
0Prunk
• Sober
138
R••ls
Ams ?
139
lnjurie•?
• None
rOArmed?
41
01utcriptlon
of
Weapon Arr&siee:
Ooe.ni<ing 0
Drugs
Oves
•No
Oofficer
0 Atresloe
Oves
.No
Ha')dgut1
0 Other
Firoam>
42
Date
or Arrest
143
Tim• of Arrest
I
46•Y
8
jst
i
cJ
[J
I
45
Type of
Arr
?
146
Amisled B•fore7
0Rifie
0
0th.er Weapon
DAM
.MIL
6 •
On
View
0
Warraof
OY••
.No
Oshotgun
04/18/2017 18:21
0
PM
Oeai1
0
Unkno '1
47
Charge •
1 O Fel •
Ml5d
148
UCR
Code
49 Charge
-2
0Fel
OM1sd
150
UCR
Code
I-
tf
Disorderly
Conduct
5311
w
51
State
Code/local
Ordinance
152warranll
153
Date issued
54 State Code/Local Ordinance
rs
Warrant#
156
Date
1 ed
a:
13A-11-7
a:
<(
57
Charg_, -3
0Fal
0Misd
Isa
UCR
Coda
59
Charge
~
4 ·
0Fel
OMW<I
160
UCR
Code
61
State
Code/local
Ordinance
162Warranl#
163
Date teaued
£4
State
Cod«tJ'Ll)(;ttl Ordinane&
r5Warrant#
166
Dale 1
ed
67
Arres.t
Ofsposltion
litl
If
Out
n
Re uso
Wh;it
Type?
6.9
n~sted
with
(1) AeeompUco (FulJ
Noi-me)
.field
0
Toi-LE
0
a~
0
Other 70 Arre.
sted with
{2} Ac.cornpllee
(Full
N~me
0Releasad
71
VYR
172VMA
173VMO 174VST.
17svco
Top
76
Tag#
177
LIS
78rn
w
Bottom
..J
~
T9VIN
I
0 Impounded? 181 Storage Loeatioh/lmpound
#
:::c
0Ye•
0
No
w
82
Other Evident;& Seized/Property Seized
>
w
83
Juvenile
D
H.:'1ndkld
and
Released
D
Rar
.
to
Weaare
Ag&ti.cy
Ref.
to Adult
Court
184Rele
To
..J
Olspostlon:
Rcr.
to
JtNeni c
Court
R.af
.
to
Other Police
Agency
:z
85
Parent
or
Guardian
(Last, First, Middle,
Name}
86 Address {Stroot
1
City,
Stut&.
zjp)
37
Phone
w
>
:::>
88
Pafents
Emph>)'Qf
189
Occupation
90
Addrvss
{Street, City,
Stato,
Zip)
91
Ph.one
...
92
Oate
and
Time
of
Releasa
DAM
.MiL.
193 l<eleoslng
Office•
N•ltl8
194
AgencylDlvi•lon
rSIO#
0PM
96
Released
To
197
AgencylO vlslon 198 Agency Address
c
'9
Personal
Property
Relea5ed to
Arfflstea
1100 Property
Nol
Reloa••<llHeld
At:
101
Property
ft
w
0
Yes
0
No
0 Partial
tf
<(
102
Remarks. (Note
Any lnjurlos
at
Time
of
Refoan)
w
COURT
DAT.
E:
05/18/17
0800
..J
w
a:
103
Signature
of
RecQJving Officer
I
04
Slgnaturo or
Rol
lng
Officer loc:al Use
I
tale
Use
AU
MULTIPLE
1105
Ca
#
106
SFX
r07Ca
#
1108SFX
1109Ca>o
r10SFX
1
Mut.TICASES/Ct.OIEO
CASES
111
CONTIHUAnoN
CLOSED
Ov
•No
1
2
ArresUng
Offlc•r
{Last
1
first,
M.)
111310
# 114
Auisting
Officer (Laat,
first,
M.}
11510#
1116
Sul"'Nisor 1117 Watch
Cmdr.
Ofc
Andrew
Lanier 8005
-
Sgt Cody Hill
10
#
3472
Lt
Danny Humphries
lD#
3997
TYPE OR PRINT IN
BLACK INK
ONLY
ACJIC -06-06