1. Healthcare

NCIC
INQ. ENTD.
150002896
SUPPLEMENTAL
REPORT
CASE STATUS
CHANGE
ORIGINAL
REPORT
MODIFIES
ORIGINAL
ADDITIONAL
VICTIMS
ADDITIONAL
OFFENDERS
ADDITIONAL
STOLEN PROPERTY
ADDITIONAL
RECOVERED PROPERTY
RELATIONSHIP TO SUBJECT
#2
#3
NAME (LAST, FIRST, MIDDLE)
COMPLAINANT
CASE NUMBER
SUPPLEMENTAL INCIDENT REPORT
City of Columbia Police
SC0400100
#1
1
PAGE
RESIDENT RACE SEX
of
2
PAGES
D.O.B.
AGE
ETH
VICTIM #
HEIGHT WEIGHT HAIR
SUBJECT #
EYES
FACIAL HAIR, SCARS, TATTOOS, GLASSES, CLOTHING, PHYSICAL PECULIARITIES, ETC.
RELATED OFFENSE(S)
RUNAWAY
ADDRESS
WANTED
CITY
STATE
ZIP CODE
LOCATION NO.
DAYTIME PHONE
EVENING PHONE
H
WARRANT
H
B
ARREST
VICTIM NO.
JAIL
VISIBLE INJURY:
COMPLAINT OF
YES NON-VISIBLE
NO
INJURIES: VICTIM USING ALCOHOL
NO
YES
DRUGS:
NO
YES TYPE:
NO
EXPLAIN:
YES
UNK.
UNK.
B
TWO-MAN VEHICLE
DETECTIVE/SPLASMT
ALONE
ONE-MAN VEHICLE
OTHER
ASSISTED
SUMMONS
SUBJECT NO.
USING ALCOHOL:
NO
YES
USING DRUGS:
NO
YES
TYPE:
COMPLAINANT
UNK.
RELATIONSHIP TO SUBJECT
#2
#3
NAME (LAST, FIRST, MIDDLE)
#1
RESIDENT RACE SEX
D.O.B.
AGE
ETH
VICTIM #
HEIGHT WEIGHT HAIR
SUBJECT #
EYES
RELATED OFFENSE(S)
FACIAL HAIR, SCARS, TATTOOS, GLASSES, CLOTHING, PHYSICAL PECULIARITIES, ETC.
RUNAWAY
ADDRESS
WANTED
CITY
STATE
ZIP CODE
LOCATION NO.
DAYTIME PHONE
EVENING PHONE
H
WARRANT
H
B
ARREST
VICTIM NO.
JAIL
VISIBLE INJURY:
COMPLAINT OF
YES NON-VISIBLE
NO
INJURIES: VICTIM USING ALCOHOL
NO
YES
DRUGS:
NO
YES TYPE:
NO
EXPLAIN:
YES
UNK.
UNK.
B
TWO-MAN VEHICLE
DETECTIVE/SPLASMT
ALONE
ONE-MAN VEHICLE
OTHER
ASSISTED
SUMMONS
SUBJECT NO.
USING ALCOHOL:
NO
USING DRUGS:
NO
*J - This Jurisdiction. S - State. O - Out of State. U - Unknown
YES
YES
TYPE:
UNK.
Supp
JURISDICTION OF THEFT
LAW ENFORCEMENT AGENCY
VIN AND/OR LICENSE NO.
STATUS
TYPE
STOLEN
VEHICLE
RECOVERED
GUN
FOUND
BOAT
TOWED
LICENSE PLATE
SUSPECT
SECURITIES/BONDS, STOCKS
VICTIM
ARTICLE
JURISDICTION OF RECOVERY
LAW ENFORCEMENT AGENCY
BOAT HULL NO. AND/OR REG. NO.
SERIAL AND/OR OWNER APPLIED NO.
YEAR OF REGISTRATION
STATE
YEAR OF EXPIRATION
YEAR
MODEL
STYLE
COLOR
NIC NO.
DENOMINATION
ISSUER
MISCELLANEOUS
MAKE
TYPE
BRAND NAME
CALIBER
SECURITIES DATE
PROPERTY TYPE
PROPERTY VALUE
TYPE(GROUP)
TOTAL VALUE
STOLEN
DAMAGED
BURNED
RECOVERED
SEIZED
SUBJECT IDENTIFIED
YES
NO
SUBJECT LOCATED
YES
NO
REASON FOREXCEPTIONALCLEARANCE: 1.
REPORTING OFFICER(S)
LIERER JAMES T
S. F.
OFFENDER DEATH. 2.
NOPROSECUTION.
DATE
01/31/2015 05:13:29
ACTIVE
ADM. CLOSED
UNFOUNDED
CN
3.
EXTRADITION DENIED.
UNIT
NUMBER
4.
ARRESTED UNDER 18
ARRESTED 18 AND OVER
VICTIM DECLINESCOOPERATION.
APPROVING OFFICER
22664
DICKEY JEFFREY D
FOLLOW-UP
INVESTIGATION
OFFICER
YES
NO
RECORDS
EX-CLEAR UNDER 18
EX-CLEAR 18 AND OVER
5.
JUVENILE-NOCUSTODY.
DATE
01/31/2015 05:13:36
UNIT
NUMBER
08796
ADDITIONAL NARRATIVE
Agency Name:
ORI #:
City of Columbia Police Department
Report Date/Time:
SC0400100
01/31/2015
OCA #:
150002896