Reported Day/Date:

Mon 5/11/2015 12:49

Time Dispatched:

5/11/2015 12:49

Time Arrived: Time Completed: Date Occurred From: Date Occurred To:

5/11/2015 12:49 5/12/2015 00:58

Neighborhood:

Incident Address:

3990 W LAKE MARY BLVD LAKE MARY FL 32746

Forced Entry:

N/A

Occupancy: Type of Weapon: Location Type: Municipality:

LA

Dispatch Address:

3990 W LAKE MARY BLVD LAKE MARY FL 32746

#Offenses: #Victims: #Offenders: #Prem. Ent: #Arrested: Drug Related: Alcohol Related:

01 00 00 00

OFFENSES SECTION

Off# Description Statute# UCR OrdinanceAttempt/Commit Warrant # DVR Drug Activity

1 AGGRAV ASSLT-WEAPON-WITH A DEADLY WEAPON WITHOUT INTENT TO KILL

784.021 1a 130A No C No -

Qty:

Disp. Code:

60IU

Disp. Dispo:

I3

Case Stat.

0

Exception:.

Was Crime Scene Processed:

Officer Reporting:Clearance Code:

No

Open

Processed By:

Officer Shift: Division: M Unit: M20 Date: 5/11/2015Clearance Date:

201570000300 Printed On: 05/12/2015 9:00

Printed by: LAKEMARY\SGarfinkel

Page 1 of 2

Agency ORI:FL0590700

Cmty:M

NSA:M4S

PARTIAL REPORT ONLYLake Mary Police Department

For the public:

Juvenile:

Domestic Violence:

No

No

Yes

Public Version

Grid:

Dating Violence: No

Agency Report #:

201570000300Event #:

20151311615

ADMINISTRATIVE SECTION

Was Crime Scene Processed: No Processed By: Officer Reporting:

Reviewed By: Assigned To:

Clearence:Comments:

OpenSUBJECT INVOLVED IN THE SHOOTING

Officer Shift: Review Date:

Assigned Date:

Clearance Date:

Section: M Unit: Date: 05/11/2015M20 Routed to:

Assigned Dept:

Referred To:

201570000300 Printed On: 05/12/2015 9:00

Printed by: LAKEMARY\SGarfinkel

Page 2 of 2

Agency ORI:FL0590700

Cmty:M

NSA:M4S

PARTIAL REPORT ONLYLake Mary Police Department

For the public:

Juvenile:

Domestic Violence:

No

No

Yes

Public Version

Grid:

Dating Violence: No

Agency Report #:

201570000300Event #:

20151311615