Evidence: Incident Report
The following links are provided only to assist with navigation of this document and are not part of the report.
Offense(s) | Person 1 | Person 2 | Person 3 | Evidence/Property |
Reporting Officer's Narrative | Defendant's Remarks
INCIDENT / ARREST REPORT
Yoknapatawpha County Sheriff's Department |
_X_ INCIDENT |
___ ARREST |
Date Reported: |
Time Reported: |
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OFFENSE: |
STATUTE: |
___ Committed |
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OFFENSE: |
STATUTE: |
___ Committed |
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OFFENSE: |
STATUTE: |
___ Committed |
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Location of Offense (Exact address, include Room/Apt. No.) |
Date of Offense: |
Time of Offense: |
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Location of Arrest (Exact address, include Room/Apt. No.) |
Date of Arrest: |
Time of Arrest: |
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Reporting Officer: |
Unit Number: |
Assisting Officer: |
Unit Number: |
Type: |
Category: Adult |
Foul Play Suspected |
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Name: |
Alias/Street Name/Nickname |
Vic/Offender Relationship |
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Race |
Height |
Weight |
Hair |
Eyes |
Sex |
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Shoes |
Jacket/Coat |
Shirt |
Pants |
Skirt/Dress |
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Age |
DOB |
Social Security # |
Scars/Marks/Tattoos |
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Injury Extent |
Injury Description |
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Address |
Res Phone 662-234-XXXX |
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Occupation |
Employer/School |
Employer Address |
Type: |
Category: Adult |
Foul Play Suspected |
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Name: |
Alias/Street Name/Nickname |
Vic/Offender Relationship |
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Race |
Height |
Weight |
Hair |
Eyes |
Sex |
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Shoes |
Jacket/Coat |
Shirt |
Pants |
Skirt/Dress |
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Age |
DOB |
Social Security # |
Scars/Marks/Tattoos |
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Injury Extent |
Injury Description |
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Address |
Res Phone 662-236-XXXX |
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Occupation |
Employer/School |
Employer Address |
Type: |
Category: Juvenile |
Foul Play Suspected |
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Name: |
Alias/Street Name/Nickname |
Vic/Offender Relationship |
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Race |
Height |
Weight |
Hair |
Eyes |
Sex |
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Shoes |
Jacket/Coat |
Shirt |
Pants |
Skirt/Dress |
|||
Age |
DOB |
Social Security # |
Scars/Marks/Tattoos |
||||
Injury Extent |
Injury Description |
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Address |
Res Phone 662-238-XXXX |
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Occupation |
Employer/School |
Employer Address |
(1) |
Type |
Item Description |
(2) |
Type |
Item Description |
DEFENDANT'S VERSION/REMARKS (What did the defendant say about the offense or his/her whereabouts at the time of offense?) N/A |
REPORTING OFFICER |
Richard Squire |
DATE REPORTED |
3-16-2012 |
REPORTING OFFICER |
//Richard Squire |
225 |
3-16-2012 |
SUPERVISING OFFICER |
//Hamilton Grant |
421 |
3-16-2012 |