The tabs below are provided only to assist with navigation of this document and are not part of the report.
| INCIDENT / ARREST REPORT Yoknapatawpha County Sheriff's Department | ___ INCIDENT | _X_ ARREST | 
| Date Reported: | Time Reported: | |||
| OFFENSE: | STATUTE: | _X_ Committed | ||
| OFFENSE: | STATUTE: | ___ Committed | ||
| OFFENSE: | STATUTE: | ___ Committed | ||
| Location of Offense (Exact address, include Room/Apt. No.) | Date of Offense: | Time of Offense: | ||
| Location of Arrest (Exact address, include Room/Apt. No.) | Date of Arrest: | Time of Arrest: | ||
| Reporting Officer: | Unit Number: | Assisting Officer: | Unit Number: | |
| Type: | Category: Adult | Foul Play Suspected | |||||
| Name: | Alias/Street Name/Nickname | Vic/Offender Relationship | |||||
| Race | Height | Weight | Hair | Eyes | Sex | ||
| Shoes | Jacket/Coat | Shirt | Pants | Skirt/Dress | |||
| Age | DOB | Social Security # | Scars/Marks/Tattoos | ||||
| Injury Extent | Injury Description | ||||||
| Address | Res Phone 662-259-XXXX | ||||||
| Occupation | Employer/School | Employer Address | |||||
| REPORTING OFFICER | Sam Murphy | DATE REPORTED | 1/27/2023 | 
| REPORTING OFFICER | //Sam Murphy | 633 | 1/27/2023 | 
| ASSISTING OFFICER | //Ted Armstrong | 615 | 1/27/2023 | 
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