CARTERSVILLE POLICE DEPARTMENT SA GA0080100 INCIDENT REPORT INCIDENT TYPE INCIDENT CODE 1 7399 EVENT INCIDENT LOCATION (STREET #, STREET NAME, APT. #) ROWLAND SP RD INCIDENT DATE TIME CARTERSVILLE DATE TO 0318 09/26/2014 ZIP CODE CITY ZONE LOCATION CODE 30121 0346 09/26/2014 PREMISE TYPE YES COMPLAINANT LAST NAME FIRST NAME MIDDLE NAME HUBERTY S J FIRST NAME MIDDLE NAME 1 - HIGHWAY 2 - SERVICE STATION 3 - CONVENIENCE STORE 4 - BANK 5 - COMMERCIAL 6 - RESIDENCE 7 - SCHOOL/CAMPUS 8 - ALL OTHER 1 WEAPON TYPE STRANGER TO STRANGER TIME UNKNOWN NO COMPLAINANT ADDRESS NO., STREET 1 - GUN 2 - KNIFE/CUTTING TOOL 3 - HANDS/FISTS OTHER CITY PO BOX 1390 STATE CARTERSVILLE VICTIM RACE SEX ADDRESS NO., STREET CITY STATE SSN: ZIP YES NO BUSINESS PHONE CENSUS TRACT EMPLOYER OR OCCUPATION IF YES, NAME VICTIMS SCHOOL ROBERTS WANTED OFFENDER ___-__-____ RESIDENCE PHONE ___-__-____ OFFENDER LAST NAME, FIRST NAME, MIDDLE NAME WILLIS CITY ROWLING SPRGS RD STATE SEX W M CARTERSVILLE ZIP DATE OF BIRTH CENSUS TRACT HEIGHT 504 HAI R COLOR EYES 170 BRO BRO 7399 1 ___-__-____ WEIGHT OFFENSE / ARREST JURISDICTION CODES COUNTS OFFENSE CODE CRIMINAL ATTEMPT BURGLARY SSN AGE 34 GA 30120 CHARGES WARRANT RACE CLAUDE ADDRESS NO., STREET 1 1. CITY 2. COUNTY 3. STATE 4. OUT OF STATE 5. UNKNOWN 1 ARREST TOTAL NUMBER ARRESTED ARREST AT OR NEAR OFFENSE SCENE 01 VEHICLE PHONE NUMBER STATE OF GEORGIA STUDENT? YES TAG NUMBER STOLEN RECOVERED YEAR MAKE STATE MODEL DATE OF OFFENSE NO 09/26/2014 YEAR STYLE COLOR MOTOR SIZE (CID) WITNESS LAST NAME FIRST NAME MIDDLE NAME C J ADDRESS NO., STREET ___-__-____ CURRENCY, NOTES. ETC VEHICLES MAN. INSURED BY SPD. CITY PO BOX 1390 SSN: WITNESS 1 - DOB / Age: VIN PLATE ONLY TRANSMISSION AUTO LAFRANCE PLATE ONLY V.l.N. SUSPECTS WITNESS AGE DATE OF BIRTH ZIP GA 30120 SSN: COMPLAINANT: VICTIM LAST NAME 20144268 BURGLARY OFFENSE: COUNTS CRIMINAL ATTEMPT BURGLARY 500 CASE NUMBER: STATE CARTERSVILLE SSN: WITNESS 2 - DOB / Age: JEWELRY, PREC. METALS FURS ZIP PHONE NUMBER GA 30120 770 382-2526 ___-__-____ PROPERTY RECOVERY INFO ONLY PROPERTY STOLEN OFFICE EQUIPMENT CLOTHING TV, RADIO, ETC. HOUSEHOLD STOLEN DATE OF THEFT RECOVERED CONSUMABLE GOODS FIREARMS LIVESTOCK TOTALS OTHER STOLEN 0 0 CLEAR DRUG ADM. RECOVERED NARRATIVE JURISDICTION CODES 1. CITY 2. COUNTY 3. STATE 4. OUT OF STATE 5. UNKNOWN THEFT/RECOVERY RECOVERED GCIC ENTRY WARRANT MISSING PERSONS DID INVESTIGATION INDICATE THAT THIS INCIDENT WAS DRUG-RELATED? IF YES, PLEASE INDICATE THE TYPE OF DRUG(S) USED BY VEHICLE ARTICLE YES BOAT GUN SECURITIES NO 1 - A M P H E T A M IN E 2 - B A R B IT U R A T E 3 - C O C A IN E 4 - H A LL U C IN O G E N 5 - H E R O IN 6 - M A R IJ U A N A 7 - M E TH A M PH ET A M IN E 8 - O P IU M 9 - S Y N T H E T IC N A R C O T I C U - UNK NOW N REQUIRED DATA FIELDS FOR CLEARANCE REPORT CLEARED BY ARREST EXCEPTIONALLY CLEARED ADULT JUVENILE UNFOUNDED REPORT DATE DATE OF CLEARANCE 09/26/2014 REPORTING OFFICER NUMBER APPROVING OFFICER NUMBER HUBERTY, S.J. 64 HUBERTY, S.J. 64 09/26/2014 Page 1 Page of 4 1. Original Juvenile 2. Supplement in Report Agency Report Number PERSON(S) REPORT N SUSPECT OR MISSING PERSONS SUSPECT OR MISSING PERSONS VICTIM / WITNESS VICTIM / WITNESS CODES ADM Date of Supplement CARTERSVILLE POLICE DEPARTMENT Original Date Reported Primary Offense Description 09/26/2014 BURGLARY Injury Type 00. N/A 01. Gunshot 02. Stabbed V/W Code OFF/INC Indicator 1.#1 2.#2 3.Both # V. Type MISSING PERSON / RUNAWAY Sex N-N/A M-Male F-Female U-Unknown I-American Indian O-Oriental/Asian U-Unknown Residence Status 0. N/A 1. Full Year 2. Part Year 3. Non-Resident Residence Type 3. Georgia 0. N/A 4. Out-of-State 1. City 2. County Extent of Injury 0. None 1. Minor 2. Serious 3. Fatal Victim Relationship To Offender 1. Present Spouse 2. Former Spouse 0. N/A 3. Parent 4. Child 5. Step Parent 6. Step Child 7. Foster Parent 8. Foster Child 9. None of the Above Name (Last, First, Middle or Business) Residence Phone 1 City Address (Street, Apt. Number) State Zip Business Phone Social Security Number ___-__-____ Other Contact Info. (Time Available, Interpreter, etc.) Dom. Violence If V/W Code is V, W or C Fill in this Line V/W Code # OFF/INC Indicator 1.#1 3.Both 2.#2 Address (Street, Apt. Number) Race Synopsis of Involvement Date of Birth Sex Res. Type Age Res. Status Extent of Injury Injury Type(s) Relationship Ethnicity Will Victim prefer charge? Yes V. Type No Residence Phone Name (Last, First, Middle or Business) City State Zip Business Phone Social Security Number ___-__-____ Other Contact Info. (Time Available, Interpreter, etc.) Synopsis of Involvement Dom. Violence Res. Type Res. Status Date of Birth Age Race Sex If V/W Code is V, W or C Fill in this Line Suspect Code OFF/INC Indicator Code Susp. # Juvenile Name (Last, First, Middle) 1.#1 3.Both S-Suspect E-Escapee R-Rec. Missing 2.#2 A-Arrestee M-Missing Z-other Maiden Name Nickname/Street Name Extent of Injury Occupation Employer/School Driver's License State/Number Immigration and Naturalization Number Will Victim prefer charge? Place of Birth No Residence Phone Zip State Business Phone Address Social Security Number SCIC/NCIC OBTS Number Other ID. Number Scars/Marks/Tatoos (Location/Describe) Sex Date of Birth or Age Build Complexion OFF/INC Indicator 1.#1 3.Both 2.#2 Maiden Name Height Facial Hair Teeth Suspect Code S-Suspect E-Escapee R-Rec. Missing A-Arrestee M-Missing Z-other Speech/Voice Code Susp. # Juvenile Weight Hair Color Eye Color Hair Length Hair Style Special Identifiers Name (Last, First, Middle) Place of Birth Nickname/Street Name Last Known Address (Street, Apt. Number) Employer/School Driver's License State/Number Immigration and Naturalization Number Residence Phone State City Occupation Zip Business Phone Address Social Security Number Other ID. Number Clothing (Describe) Race Relationship Ethnicity Yes Clothing (Describe) Race Injury Type(s) City Last Known Address (Street, Apt. Number) OBTS Number SCIC/NCIC Scars/Marks/Tatoos (Location/Describe) Sex Complexion Date of Birth Facial Hair Build Teeth 7. Voluntary Adult 8. Unknown Time Last Seen Fingerprints Available? 1. Yes 2. No 8. Unknown Photo Available? HUBERTY, S.J. Officer Reviewing (If Applicable) 1. Yes 2. No 8. Unknown MCIC Form Provided ? 1. Yes 2. No ID. Type/Number Transportation Mode 2. LocatedNot Returned ID. Number(s)/Locator code 3. Hospitalized 4. HRS Custody 5. Law Enforcement Custody 6. Returned to Parent Signature of Officer Reporting 7. Deceased 9. Other Date Unit 64 ID. Number Hair Style Doctor/Dentist (Name, Phone Number) Name/Address 0. N/A 1. Voluntary Dental Record Available ? 1. Yes 2. No 8. Unknown Accompanied By ID. Type/Number Officer(s) Reporting Signature of Officer Reviewing Missing Before ? Medication Required/Type Probable Destination Hair Length Hair Color Special Identifiers 1. Yes 2. No 8. Unknown Location Last Seen (Address, City, St.) Property Carried Eye Color Weight 1. Yes 2. No Mental/Physical Condition HUBERTY, S.J. Speech/Voice Foul Play Suspected ? 1. Runaway 4. Disabled 2. Parental 5. Endangered 3. Involuntary 6. Disaster Victim Date Last Seen Recovery Information Height Age Incident Type ADMINISTRATIVE Race N-N/A W-White B-Black 4. Business 5. Government 6. Church 9. Other 07. Loss of Teeth 08. Burns 09. Abrasions/Bruises 99. Other 03. Laceration 04. Unconscious 05. Poss. Broken Bones 06. Poss. Internal Injury 20144268 Victim #1 Name (Last, First, Middle) STATE OF GEORGIA Victim Type 0. N/A 1. Juvenile 2. L.E. Officer 3. Adult V/W Code O - Other V - Victim W - Witness C - Reporting Person 1 UNIF Routed To Referred To Assigned To By 09/26/2014 Date 64 Page 2 Page of 4 PROPERTY REPORT ADM Date of Supplement Original Date Reported Primary Offense Description BURGLARY THEFT CODES PROPERTY STATE OF GEORGIA Theft Type 02. Robbery 03. Shoplifting Person Codes V - Victim S - Suspect 04. Pocket Picking 05. Purse Snatching Status Codes 1. Stolen 2. Recovered A - Arrestee O - Other Property Type A. Auto Accessory/Parts B. Bicycle C. Camera/Photo Equipment D. Drug Code Person Item # Status PROPERTY PROPERTY Quantity 09. From Vehicle 10. Extortion 7. Safekeeping 8. Evidence/Seized 9. Other O. Office Equipment P. Art/Collection Q. Computer Equipment R. Radio/Stereo S. Sports Equipment J. Jewelry/Precious Metal K. Clothing/Fur L. Livestock M. Musical Instrument N. Construction Machinery Property Type Value 11. By Computer 12. Fraud 99. Other Damage Codes 0. N/A 2. Criminal Mischief 1. Arson 3. During other Offense T. TV/Video/VCR U. Currency/Negotiable V. Credit Card/Non-Negotiable W. Boat Motor X. Structure Name 01 Brand 9. Other Y. Farm Equipment Z. Miscellaneous Model Name/Number Description (Size, Color, Caliber, Barrel Length, Etc. ) Value Recovered Date Recovered SCIC/NCIC $ Person Item # Status Damage Serial Number Property Type Quantity Name Brand Model Name/Number Description (Size, Color, Caliber, Barrel Length, Etc. ) Owner Applied Number Value Value Recovered Date Recovered SCIC/NCIC $ Code Person Item # Status Property Type Damage Serial Number Quantity Name Brand Value Model Name/Number Description (Size, Color, Caliber, Barrel Length, Etc. ) Owner Applied Number Value Recovered $ Date Recovered SCIC/NCIC $ Code PROPERTY 5. Lost 6. Found Owner Applied Number $ Person Item # Status Property Type Damage Serial Number Quantity Name Brand Value Model Name/Number Description (Size, Color, Caliber, Barrel Length, Etc. ) Owner Applied Number Value Recovered $ Date Recovered SCIC/NCIC $ Code PROPERTY 08. From Public Access Building 3. Stolen and Recovered 4. Recovered for Other Jurisdiction Damage Serial Number Code Person Item # Status Property Type Damage Serial Number Quantity Name Brand Value Value Recovered Date Recovered SCIC/NCIC $ Property Stolen $ Change in Property Stolen Value $ Property Recovered $ Change in Property Recovered Value $ Activity P. Possess S. Sell B. Buy T. Traffic Model Name/Number Description (Size, Color, Caliber, Barrel Length, Etc. ) Owner Applied Number $ TOTALS 06. Embezzlement 07. From Coin Oper. Machine E. Equipment/Tool. F. Food/Liquor/Consumable G. Gun H. Household Appliance/Goods I. Plant/Citrus $ CODES 20144268 Victim #1 Name (Last, First, Middle) Theft Type Codes 00. N/A 01. Burglary 1 Agency Report Number CARTERSVILLE POLICE DEPARTMENT 09/26/2014 R. Smuggle D. Deliver E. Use K. Dispense/Distribute M. Manufacture/Produce/Cultivate Z. Other Type A. Amphetamine B. Barbiturate C. Cocaine E. Heroin H. Hallucinogen M. Marijuana O. Opium/Derivative P. Paraphernalia/Equipment S. Synthetic U. Unknown Z. Other Unit 1. Gram 2. Milligram 3. Kilogram 4. Ounce 5. Pound 6. Ton 7. Liter 8. Milliliter Activity Type Description Quantity Unit Estimated Street Value $ Activity Type Description Quantity Unit Estimated Street Value $ Activity Type Description Quantity Unit Estimated Street Value $ 9. Dose Unit/Item ADMINISTRATIVE PROP. DETAIL / NARR. DRUGS 1. Original 2. Supplement Officer(s) Reporting ID. Number(s)/Locator Code HUBERTY, S.J. 64 Officer Reviewing (if applicable) HUBERTY, S.J. Signature of Officer Reviewing ID. Number Signature of Officer Reporting Unit UNIF Routed To Referred To Assigned To By Date 09/26/2014 Date 64 Page 3 Page of 4 NARRATIVE CONTINUATION ADM Date of Supplement 1. Offense 2. Arrest 2 Juvenile Warn/Dismiss Agency ORI Number CARTERSVILLE POLICE DEPARTMENT GA0080100 Original Date Reported 1. Original 2. Supplement 1 Agency Report Number 20144268 Case Reference 09/26/2014 BURGLARY NARRATIVE On Friday, September 26, 2014, at approximately 0315 hours, I was patrolling the area of Market Square, near M L King Jr., Drive and J F Harris Parkway. At this time, I saw a black female who I was familiar with waving her hands (Witness 1). Witness 1 state she thought there was a man trying to break into the old Long John Silver place (500 Rowling Springs Rd). I advised Bartow 911 of the information and started towards the building. As I was at the traffic light on M L King Jr., Drive, waiting to cross over J F Harris, I could see a male subject dressed in a hat, shorts and sneakers with no shirt on attempting to force the window of the driver through lane. I watched as the suspect (later identified as Willis Claude Roberts Jr) continued to attempt to force the window by placing his hands on the glass pane and trying to break it by bouncing his weight against it. Mr. Roberts then appeared to wrap his black shirt around his hands and then he went back to trying to force the window. As I crossed over J F Harris Parkway, Mr. Roberts put his shirt back on and stood by the window. I made contact with Mr. Roberts. I asked him to come down and sit on the curb. Mr. Roberts walked to me and sat down. I asked what he was doing and he replied, nothing. I asked why he was trying to break in to the building and Mr. Roberts stated he was not, he did not steal anything. At this time, Officer LaFrance arrived and Mr. Roberts was taken into custody for Criminal Attempt Burglary (OCGA 16-4-1). Mr. Roberts was handcuffed, checked for fit and double locked. Mr. Roberts was placed into the rear of a patrol car. During the handcuffing process, I found cuts to Mr. Roberts hands and Officer LaFrance noticed a small amount of blood. Officer LaFrance confirmed the window had not been broken earllier in the night. Mr. Roberts was transported to the Cartersville Police Department by Officer LaFrance. Mr. Roberts then began to refuse to cooperate with officers and began to kick the car cage and spitting across the patrol car to the opposite window. Mr. Roberts was then transported to the Bartow County jail where he fought the intake staff. Pictures of the window were taken. Mr. Roberts would not cooperate to get pictures of his hands. The rear of both patrol cars were checked at the start of shift, prior to and after each transport with no contraband found. A warrant was secured for Criminalll Attempt (Burglary) 16-4-1. No further. ADMINISTRATIVE Report Contains Related Report Number(s) Signature Officer Reporting Unit ID. Number(s) 64 Reviewing Officer Signature Case Status CA Exception Type Clearance Type UNIF 3.Unfounded 4.Open Pend. 1. Extradition Declined 2. Arrest on Primary Offense or Secondary Offense Without Prosecution 1 A - Adult J - Juvenile 3. Death of Offender 4. V/W Refused to Cooperate Date Cleared A 09/26/2014 Assigned To Referred To Routed To 1.Arrest 2.Exceptional Date 09/26/2014 5. Prosecution Declined 6. Juvenile / No Custody By Arrest Number Date Number Arrested 200144266 OBTS Number 1 Page 4 Page of 4
© Copyright 2024 ExpyDoc