SlideShare a Scribd company logo
1 of 1
Download to read offline
Check up to 3 types of activity for each
DCI Status Quantity Type Measure Suspected Type
Possess Buy Sale Mfg. Importing Operating
ARREST REPORT
DCI-608F Rev. 3/92
Agency Name
Current Address
D.O.B.
ORI Date/Time of Arrest OCA
Taken Fingerprint Card Check Digit # (CKN) Arrest Tract Residence Tract Arrest Number
Name (Last, First, Middle) Age Race Sex Place of Birth Country of
Citizenship
Phone Occupation
Employer's Name Address Phone
Also Known As (Alias Names) Hgt Wgt Hair Eye Skin Tone Consumed Drug/Alcohol
Scars, Marks, Tattoos Social Security # OLN and State Misc. # and Type
Nearest Relative Name Address Phone
If Armed, Type of Weapon Place of Arrest
Charge #1
Charge #2
Charge #3
Counts DCI Code Offense Jurisdiction (if not arresting agency) Statute # Warr. Date
Counts DCI Code Offense Jurisdiction (if not arresting agency) Statute # Warr. Date
Counts DCI Code Offense Jurisdiction (if not arresting agency) Statute # Warr. Date
VYR Make Model Style Color Lic/Lis Vin
Vehicle:
Date/Time Confined Place Confined Committing Magistrate
Type Bond Amt. Bond Trial Date Court of City
Assisting Officer Name/ID Number Released By: Name/Dept/ID Date/Time Released
Arresting Officer Signature/ID # Date/Time Submitted Supervisor Signature
Case Status: Case Disposition: Arrestee Signature
Resident
Non-Resident
Unknown
Yes No Unk
On-View
Left at Scene
Criminal Summons
Order for Arrest Citation Warrant
Secured Unsecure
Place of Storage
Released to other at owners request Name of Other
Impounded
1.
2.
3. Inventory on File?
Date/Time Hrs.
Written Promise
Other
Unsecured
Secured No Bond
Hrs.
L = Lost S = Stolen R = Recovered D = Damaged Z = Seized B = Burned C = Counterfeit / Forged F = Found
(Check "OJ" column if recovered for other jurisdiction)
Complainant VictimName: Address: Phone:
Hrs.
Futher Inv.
Arrest/No InvestigationInactive Closed
Cleared By Arrest / No Supplement Needed
Fel
Misd
Fel
Misd
Fel
Misd
Mo Date Yr
Mo Date Yr
Mo Date Yr
Prints
Photos
Hrs.
Mo Date Year
Mo Date Yr
Hrs.
ARRESTINFO.
AGENCY
INFO.ARRESTEEINFORMATIONVEH.INFO.
CONFINED
BONDINFO.NARRATIVESTATUS
Status
Codes
COM-
PLAIN-
ANT
DRUGS
ATTIME
OFARREST
San Andreas Arrest Report
05 N/A
N/A Roadway House 5078481054
Chernobyl, Adam 5/9/75 44 Cau M Grape Sd. US
1486 Main St. , Grape Seed, SA 555-2315 None
Clucking Bell Factory 8712 US Rte. 1, Paleto Bay, SA 555-0176
5'9" 164 Bro Blu Whi
Tatto of star on calf 601-11-543 N/A
Chernobyl, Marie 1486 Main St., Grape Seed, SA 555-1289
Evasion 1 N/A 2800.2
2003 Ferrari Enzo Coupé Black 46EEK572 ZFFXR48A5X0940119
Davis Inpound Lot Yes
4 9 John Reyleigh
Adam Chernobyl
01 20 1918
9851327 SA
N/A US Rte. 13, Mile Mrkr. (G)
DeGrand, Michell 1024 Marina Dr., Sandy Shores555-2873
05 01 20 2005
Mr. Chernobyl was caught cutting another motorist off: the complainent,
Mr. DeGrand. After that, a traffic stop was commenced at 7:03 PM, after
which he eluted. He was apprehended at 7:18 PM.
Print FormSubmit by Email
Blaine Cty. Sheriff's Off. BSO15165420

More Related Content

What's hot

Recent Developments in Rhode Island Law 2014 - State Courts and Civil Procedure
Recent Developments in Rhode Island Law 2014 - State Courts and Civil ProcedureRecent Developments in Rhode Island Law 2014 - State Courts and Civil Procedure
Recent Developments in Rhode Island Law 2014 - State Courts and Civil ProcedureNicole Benjamin
 
Errata 11 24 - approved
Errata 11 24 - approved Errata 11 24 - approved
Errata 11 24 - approved OCLRE2016
 
Legal Writing Assignment 2
Legal Writing Assignment 2Legal Writing Assignment 2
Legal Writing Assignment 2Chad Jenkins
 
Presentation laws group 5
Presentation laws group 5 Presentation laws group 5
Presentation laws group 5 Meaw Zym
 
ORDER - Leave To Extend Time For Contempt And To Amend
ORDER - Leave To Extend Time For Contempt And To AmendORDER - Leave To Extend Time For Contempt And To Amend
ORDER - Leave To Extend Time For Contempt And To AmendJRachelle
 
Selecting and Prosecuting Police Liability
Selecting and Prosecuting Police LiabilitySelecting and Prosecuting Police Liability
Selecting and Prosecuting Police LiabilityAlice Shikina
 
Form 453 cps intake referral
Form 453 cps intake referralForm 453 cps intake referral
Form 453 cps intake referralscreaminc
 

What's hot (13)

Recent Developments in Rhode Island Law 2014 - State Courts and Civil Procedure
Recent Developments in Rhode Island Law 2014 - State Courts and Civil ProcedureRecent Developments in Rhode Island Law 2014 - State Courts and Civil Procedure
Recent Developments in Rhode Island Law 2014 - State Courts and Civil Procedure
 
Errata 11 24 - approved
Errata 11 24 - approved Errata 11 24 - approved
Errata 11 24 - approved
 
Errata 12 8
Errata 12 8Errata 12 8
Errata 12 8
 
Legal Writing Assignment 2
Legal Writing Assignment 2Legal Writing Assignment 2
Legal Writing Assignment 2
 
Presentation laws group 5
Presentation laws group 5 Presentation laws group 5
Presentation laws group 5
 
federal reserve.
federal reserve.federal reserve.
federal reserve.
 
ORDER - Leave To Extend Time For Contempt And To Amend
ORDER - Leave To Extend Time For Contempt And To AmendORDER - Leave To Extend Time For Contempt And To Amend
ORDER - Leave To Extend Time For Contempt And To Amend
 
US case law project
US case law projectUS case law project
US case law project
 
Selecting and Prosecuting Police Liability
Selecting and Prosecuting Police LiabilitySelecting and Prosecuting Police Liability
Selecting and Prosecuting Police Liability
 
Brinegar v US
Brinegar v USBrinegar v US
Brinegar v US
 
Response to City
Response to CityResponse to City
Response to City
 
Form 453 cps intake referral
Form 453 cps intake referralForm 453 cps intake referral
Form 453 cps intake referral
 
Florida Is Tough On DUI
Florida Is Tough On DUIFlorida Is Tough On DUI
Florida Is Tough On DUI
 

Similar to 200501 1918 arrest

Report option #2 pre sentence investigation report (adult)
Report option #2 pre sentence investigation report (adult) Report option #2 pre sentence investigation report (adult)
Report option #2 pre sentence investigation report (adult) MARK547399
 
Dennis N. Gorelik in Ponte Vedra, 32081 FL.pdf
 Dennis N.  Gorelik in Ponte Vedra,  32081 FL.pdf Dennis N.  Gorelik in Ponte Vedra,  32081 FL.pdf
Dennis N. Gorelik in Ponte Vedra, 32081 FL.pdfAurorasa Coaching
 
Criminal Summons.pdf
Criminal Summons.pdfCriminal Summons.pdf
Criminal Summons.pdfTodd Spodek
 
Criminal_History_Tutorial.ppt
Criminal_History_Tutorial.pptCriminal_History_Tutorial.ppt
Criminal_History_Tutorial.pptjoetyson3
 
62628156 affidavit againts bush family, sap, oracle, indian origen it companies
62628156 affidavit againts bush family, sap, oracle, indian origen it companies62628156 affidavit againts bush family, sap, oracle, indian origen it companies
62628156 affidavit againts bush family, sap, oracle, indian origen it companiesAdalberto Cervantes Rodriguez
 
Donald J. Trump Fulton County GA Racketeering Indictment
Donald J. Trump Fulton County GA Racketeering IndictmentDonald J. Trump Fulton County GA Racketeering Indictment
Donald J. Trump Fulton County GA Racketeering IndictmentAlan Yarborough
 
Law Review
Law ReviewLaw Review
Law ReviewJTeakell
 
Law Review By John Teakell
Law Review By John TeakellLaw Review By John Teakell
Law Review By John TeakellCasey Watkins
 
COLONIAL CORPORATE BRITISH COURTS
COLONIAL CORPORATE BRITISH COURTS COLONIAL CORPORATE BRITISH COURTS
COLONIAL CORPORATE BRITISH COURTS ICJ-ICC
 
Poa 13 case monitoring formats
Poa 13 case monitoring formatsPoa 13 case monitoring formats
Poa 13 case monitoring formatshrf chennai
 
Poa 13 case monitoring formats
Poa 13 case monitoring formatsPoa 13 case monitoring formats
Poa 13 case monitoring formatshrf chennai
 

Similar to 200501 1918 arrest (15)

Report option #2 pre sentence investigation report (adult)
Report option #2 pre sentence investigation report (adult) Report option #2 pre sentence investigation report (adult)
Report option #2 pre sentence investigation report (adult)
 
Dennis N. Gorelik in Ponte Vedra, 32081 FL.pdf
 Dennis N.  Gorelik in Ponte Vedra,  32081 FL.pdf Dennis N.  Gorelik in Ponte Vedra,  32081 FL.pdf
Dennis N. Gorelik in Ponte Vedra, 32081 FL.pdf
 
Sherbow affidavit
Sherbow affidavitSherbow affidavit
Sherbow affidavit
 
Forestal OWI PC
Forestal OWI PCForestal OWI PC
Forestal OWI PC
 
Criminal Summons.pdf
Criminal Summons.pdfCriminal Summons.pdf
Criminal Summons.pdf
 
Criminal_History_Tutorial.ppt
Criminal_History_Tutorial.pptCriminal_History_Tutorial.ppt
Criminal_History_Tutorial.ppt
 
62628156 affidavit againts bush family, sap, oracle, indian origen it companies
62628156 affidavit againts bush family, sap, oracle, indian origen it companies62628156 affidavit againts bush family, sap, oracle, indian origen it companies
62628156 affidavit againts bush family, sap, oracle, indian origen it companies
 
Donald J. Trump Fulton County GA Racketeering Indictment
Donald J. Trump Fulton County GA Racketeering IndictmentDonald J. Trump Fulton County GA Racketeering Indictment
Donald J. Trump Fulton County GA Racketeering Indictment
 
Law Review
Law ReviewLaw Review
Law Review
 
Law Review By John Teakell
Law Review By John TeakellLaw Review By John Teakell
Law Review By John Teakell
 
COLONIAL CORPORATE BRITISH COURTS
COLONIAL CORPORATE BRITISH COURTS COLONIAL CORPORATE BRITISH COURTS
COLONIAL CORPORATE BRITISH COURTS
 
Poa 13 case monitoring formats
Poa 13 case monitoring formatsPoa 13 case monitoring formats
Poa 13 case monitoring formats
 
Poa 13 case monitoring formats
Poa 13 case monitoring formatsPoa 13 case monitoring formats
Poa 13 case monitoring formats
 
Dc84
Dc84Dc84
Dc84
 
Dc84
Dc84Dc84
Dc84
 

Recently uploaded

Smarp Snapshot 210 -- Google's Social Media Ad Fraud & Disinformation Strategy
Smarp Snapshot 210 -- Google's Social Media Ad Fraud & Disinformation StrategySmarp Snapshot 210 -- Google's Social Media Ad Fraud & Disinformation Strategy
Smarp Snapshot 210 -- Google's Social Media Ad Fraud & Disinformation StrategyJong Hyuk Choi
 
Philippine FIRE CODE REVIEWER for Architecture Board Exam Takers
Philippine FIRE CODE REVIEWER for Architecture Board Exam TakersPhilippine FIRE CODE REVIEWER for Architecture Board Exam Takers
Philippine FIRE CODE REVIEWER for Architecture Board Exam TakersJillianAsdala
 
Petitioner Moot Memorial including Charges and Argument Advanced.docx
Petitioner Moot Memorial including Charges and Argument Advanced.docxPetitioner Moot Memorial including Charges and Argument Advanced.docx
Petitioner Moot Memorial including Charges and Argument Advanced.docxRumantSharma
 
The Main Procedures for a Divorce in Greece
The Main Procedures for a Divorce in GreeceThe Main Procedures for a Divorce in Greece
The Main Procedures for a Divorce in GreeceBridgeWest.eu
 
A SHORT HISTORY OF LIBERTY'S PROGREE THROUGH HE EIGHTEENTH CENTURY
A SHORT HISTORY OF LIBERTY'S PROGREE THROUGH HE EIGHTEENTH CENTURYA SHORT HISTORY OF LIBERTY'S PROGREE THROUGH HE EIGHTEENTH CENTURY
A SHORT HISTORY OF LIBERTY'S PROGREE THROUGH HE EIGHTEENTH CENTURYJulian Scutts
 
一比一原版(ASU毕业证书)亚利桑那州立大学毕业证成绩单原件一模一样
一比一原版(ASU毕业证书)亚利桑那州立大学毕业证成绩单原件一模一样一比一原版(ASU毕业证书)亚利桑那州立大学毕业证成绩单原件一模一样
一比一原版(ASU毕业证书)亚利桑那州立大学毕业证成绩单原件一模一样mefyqyn
 
一比一原版(QUT毕业证书)昆士兰科技大学毕业证如何办理
一比一原版(QUT毕业证书)昆士兰科技大学毕业证如何办理一比一原版(QUT毕业证书)昆士兰科技大学毕业证如何办理
一比一原版(QUT毕业证书)昆士兰科技大学毕业证如何办理bd2c5966a56d
 
一比一原版(QUT毕业证书)昆士兰科技大学毕业证如何办理
一比一原版(QUT毕业证书)昆士兰科技大学毕业证如何办理一比一原版(QUT毕业证书)昆士兰科技大学毕业证如何办理
一比一原版(QUT毕业证书)昆士兰科技大学毕业证如何办理Airst S
 
一比一原版(纽大毕业证书)美国纽约大学毕业证如何办理
一比一原版(纽大毕业证书)美国纽约大学毕业证如何办理一比一原版(纽大毕业证书)美国纽约大学毕业证如何办理
一比一原版(纽大毕业证书)美国纽约大学毕业证如何办理e9733fc35af6
 
Career As Legal Reporters for Law Students
Career As Legal Reporters for Law StudentsCareer As Legal Reporters for Law Students
Career As Legal Reporters for Law StudentsNilendra Kumar
 
一比一原版(RMIT毕业证书)皇家墨尔本理工大学毕业证如何办理
一比一原版(RMIT毕业证书)皇家墨尔本理工大学毕业证如何办理一比一原版(RMIT毕业证书)皇家墨尔本理工大学毕业证如何办理
一比一原版(RMIT毕业证书)皇家墨尔本理工大学毕业证如何办理ss
 
一比一原版(JCU毕业证书)詹姆斯库克大学毕业证如何办理
一比一原版(JCU毕业证书)詹姆斯库克大学毕业证如何办理一比一原版(JCU毕业证书)詹姆斯库克大学毕业证如何办理
一比一原版(JCU毕业证书)詹姆斯库克大学毕业证如何办理Airst S
 
一比一原版(Carleton毕业证书)加拿大卡尔顿大学毕业证如何办理
一比一原版(Carleton毕业证书)加拿大卡尔顿大学毕业证如何办理一比一原版(Carleton毕业证书)加拿大卡尔顿大学毕业证如何办理
一比一原版(Carleton毕业证书)加拿大卡尔顿大学毕业证如何办理e9733fc35af6
 
Mischief Rule of Interpretation of statutes
Mischief Rule of Interpretation of statutesMischief Rule of Interpretation of statutes
Mischief Rule of Interpretation of statutesshobhna jeet
 
一比一原版(BCU毕业证书)伯明翰城市大学毕业证成绩单原件一模一样
一比一原版(BCU毕业证书)伯明翰城市大学毕业证成绩单原件一模一样一比一原版(BCU毕业证书)伯明翰城市大学毕业证成绩单原件一模一样
一比一原版(BCU毕业证书)伯明翰城市大学毕业证成绩单原件一模一样mefyqyn
 
Jual obat aborsi Bandung ( 085657271886 ) Cytote pil telat bulan penggugur ka...
Jual obat aborsi Bandung ( 085657271886 ) Cytote pil telat bulan penggugur ka...Jual obat aborsi Bandung ( 085657271886 ) Cytote pil telat bulan penggugur ka...
Jual obat aborsi Bandung ( 085657271886 ) Cytote pil telat bulan penggugur ka...ZurliaSoop
 
一比一原版(CQU毕业证书)中央昆士兰大学毕业证如何办理
一比一原版(CQU毕业证书)中央昆士兰大学毕业证如何办理一比一原版(CQU毕业证书)中央昆士兰大学毕业证如何办理
一比一原版(CQU毕业证书)中央昆士兰大学毕业证如何办理Airst S
 
Article 12 of the Indian Constitution law
Article 12 of the Indian Constitution lawArticle 12 of the Indian Constitution law
Article 12 of the Indian Constitution lawyogita9398
 
judicial remedies against administrative actions.pptx
judicial remedies against administrative actions.pptxjudicial remedies against administrative actions.pptx
judicial remedies against administrative actions.pptxIshikaChauhan30
 
一比一原版(UNSW毕业证书)新南威尔士大学毕业证如何办理
一比一原版(UNSW毕业证书)新南威尔士大学毕业证如何办理一比一原版(UNSW毕业证书)新南威尔士大学毕业证如何办理
一比一原版(UNSW毕业证书)新南威尔士大学毕业证如何办理ss
 

Recently uploaded (20)

Smarp Snapshot 210 -- Google's Social Media Ad Fraud & Disinformation Strategy
Smarp Snapshot 210 -- Google's Social Media Ad Fraud & Disinformation StrategySmarp Snapshot 210 -- Google's Social Media Ad Fraud & Disinformation Strategy
Smarp Snapshot 210 -- Google's Social Media Ad Fraud & Disinformation Strategy
 
Philippine FIRE CODE REVIEWER for Architecture Board Exam Takers
Philippine FIRE CODE REVIEWER for Architecture Board Exam TakersPhilippine FIRE CODE REVIEWER for Architecture Board Exam Takers
Philippine FIRE CODE REVIEWER for Architecture Board Exam Takers
 
Petitioner Moot Memorial including Charges and Argument Advanced.docx
Petitioner Moot Memorial including Charges and Argument Advanced.docxPetitioner Moot Memorial including Charges and Argument Advanced.docx
Petitioner Moot Memorial including Charges and Argument Advanced.docx
 
The Main Procedures for a Divorce in Greece
The Main Procedures for a Divorce in GreeceThe Main Procedures for a Divorce in Greece
The Main Procedures for a Divorce in Greece
 
A SHORT HISTORY OF LIBERTY'S PROGREE THROUGH HE EIGHTEENTH CENTURY
A SHORT HISTORY OF LIBERTY'S PROGREE THROUGH HE EIGHTEENTH CENTURYA SHORT HISTORY OF LIBERTY'S PROGREE THROUGH HE EIGHTEENTH CENTURY
A SHORT HISTORY OF LIBERTY'S PROGREE THROUGH HE EIGHTEENTH CENTURY
 
一比一原版(ASU毕业证书)亚利桑那州立大学毕业证成绩单原件一模一样
一比一原版(ASU毕业证书)亚利桑那州立大学毕业证成绩单原件一模一样一比一原版(ASU毕业证书)亚利桑那州立大学毕业证成绩单原件一模一样
一比一原版(ASU毕业证书)亚利桑那州立大学毕业证成绩单原件一模一样
 
一比一原版(QUT毕业证书)昆士兰科技大学毕业证如何办理
一比一原版(QUT毕业证书)昆士兰科技大学毕业证如何办理一比一原版(QUT毕业证书)昆士兰科技大学毕业证如何办理
一比一原版(QUT毕业证书)昆士兰科技大学毕业证如何办理
 
一比一原版(QUT毕业证书)昆士兰科技大学毕业证如何办理
一比一原版(QUT毕业证书)昆士兰科技大学毕业证如何办理一比一原版(QUT毕业证书)昆士兰科技大学毕业证如何办理
一比一原版(QUT毕业证书)昆士兰科技大学毕业证如何办理
 
一比一原版(纽大毕业证书)美国纽约大学毕业证如何办理
一比一原版(纽大毕业证书)美国纽约大学毕业证如何办理一比一原版(纽大毕业证书)美国纽约大学毕业证如何办理
一比一原版(纽大毕业证书)美国纽约大学毕业证如何办理
 
Career As Legal Reporters for Law Students
Career As Legal Reporters for Law StudentsCareer As Legal Reporters for Law Students
Career As Legal Reporters for Law Students
 
一比一原版(RMIT毕业证书)皇家墨尔本理工大学毕业证如何办理
一比一原版(RMIT毕业证书)皇家墨尔本理工大学毕业证如何办理一比一原版(RMIT毕业证书)皇家墨尔本理工大学毕业证如何办理
一比一原版(RMIT毕业证书)皇家墨尔本理工大学毕业证如何办理
 
一比一原版(JCU毕业证书)詹姆斯库克大学毕业证如何办理
一比一原版(JCU毕业证书)詹姆斯库克大学毕业证如何办理一比一原版(JCU毕业证书)詹姆斯库克大学毕业证如何办理
一比一原版(JCU毕业证书)詹姆斯库克大学毕业证如何办理
 
一比一原版(Carleton毕业证书)加拿大卡尔顿大学毕业证如何办理
一比一原版(Carleton毕业证书)加拿大卡尔顿大学毕业证如何办理一比一原版(Carleton毕业证书)加拿大卡尔顿大学毕业证如何办理
一比一原版(Carleton毕业证书)加拿大卡尔顿大学毕业证如何办理
 
Mischief Rule of Interpretation of statutes
Mischief Rule of Interpretation of statutesMischief Rule of Interpretation of statutes
Mischief Rule of Interpretation of statutes
 
一比一原版(BCU毕业证书)伯明翰城市大学毕业证成绩单原件一模一样
一比一原版(BCU毕业证书)伯明翰城市大学毕业证成绩单原件一模一样一比一原版(BCU毕业证书)伯明翰城市大学毕业证成绩单原件一模一样
一比一原版(BCU毕业证书)伯明翰城市大学毕业证成绩单原件一模一样
 
Jual obat aborsi Bandung ( 085657271886 ) Cytote pil telat bulan penggugur ka...
Jual obat aborsi Bandung ( 085657271886 ) Cytote pil telat bulan penggugur ka...Jual obat aborsi Bandung ( 085657271886 ) Cytote pil telat bulan penggugur ka...
Jual obat aborsi Bandung ( 085657271886 ) Cytote pil telat bulan penggugur ka...
 
一比一原版(CQU毕业证书)中央昆士兰大学毕业证如何办理
一比一原版(CQU毕业证书)中央昆士兰大学毕业证如何办理一比一原版(CQU毕业证书)中央昆士兰大学毕业证如何办理
一比一原版(CQU毕业证书)中央昆士兰大学毕业证如何办理
 
Article 12 of the Indian Constitution law
Article 12 of the Indian Constitution lawArticle 12 of the Indian Constitution law
Article 12 of the Indian Constitution law
 
judicial remedies against administrative actions.pptx
judicial remedies against administrative actions.pptxjudicial remedies against administrative actions.pptx
judicial remedies against administrative actions.pptx
 
一比一原版(UNSW毕业证书)新南威尔士大学毕业证如何办理
一比一原版(UNSW毕业证书)新南威尔士大学毕业证如何办理一比一原版(UNSW毕业证书)新南威尔士大学毕业证如何办理
一比一原版(UNSW毕业证书)新南威尔士大学毕业证如何办理
 

200501 1918 arrest

  • 1. Check up to 3 types of activity for each DCI Status Quantity Type Measure Suspected Type Possess Buy Sale Mfg. Importing Operating ARREST REPORT DCI-608F Rev. 3/92 Agency Name Current Address D.O.B. ORI Date/Time of Arrest OCA Taken Fingerprint Card Check Digit # (CKN) Arrest Tract Residence Tract Arrest Number Name (Last, First, Middle) Age Race Sex Place of Birth Country of Citizenship Phone Occupation Employer's Name Address Phone Also Known As (Alias Names) Hgt Wgt Hair Eye Skin Tone Consumed Drug/Alcohol Scars, Marks, Tattoos Social Security # OLN and State Misc. # and Type Nearest Relative Name Address Phone If Armed, Type of Weapon Place of Arrest Charge #1 Charge #2 Charge #3 Counts DCI Code Offense Jurisdiction (if not arresting agency) Statute # Warr. Date Counts DCI Code Offense Jurisdiction (if not arresting agency) Statute # Warr. Date Counts DCI Code Offense Jurisdiction (if not arresting agency) Statute # Warr. Date VYR Make Model Style Color Lic/Lis Vin Vehicle: Date/Time Confined Place Confined Committing Magistrate Type Bond Amt. Bond Trial Date Court of City Assisting Officer Name/ID Number Released By: Name/Dept/ID Date/Time Released Arresting Officer Signature/ID # Date/Time Submitted Supervisor Signature Case Status: Case Disposition: Arrestee Signature Resident Non-Resident Unknown Yes No Unk On-View Left at Scene Criminal Summons Order for Arrest Citation Warrant Secured Unsecure Place of Storage Released to other at owners request Name of Other Impounded 1. 2. 3. Inventory on File? Date/Time Hrs. Written Promise Other Unsecured Secured No Bond Hrs. L = Lost S = Stolen R = Recovered D = Damaged Z = Seized B = Burned C = Counterfeit / Forged F = Found (Check "OJ" column if recovered for other jurisdiction) Complainant VictimName: Address: Phone: Hrs. Futher Inv. Arrest/No InvestigationInactive Closed Cleared By Arrest / No Supplement Needed Fel Misd Fel Misd Fel Misd Mo Date Yr Mo Date Yr Mo Date Yr Prints Photos Hrs. Mo Date Year Mo Date Yr Hrs. ARRESTINFO. AGENCY INFO.ARRESTEEINFORMATIONVEH.INFO. CONFINED BONDINFO.NARRATIVESTATUS Status Codes COM- PLAIN- ANT DRUGS ATTIME OFARREST San Andreas Arrest Report 05 N/A N/A Roadway House 5078481054 Chernobyl, Adam 5/9/75 44 Cau M Grape Sd. US 1486 Main St. , Grape Seed, SA 555-2315 None Clucking Bell Factory 8712 US Rte. 1, Paleto Bay, SA 555-0176 5'9" 164 Bro Blu Whi Tatto of star on calf 601-11-543 N/A Chernobyl, Marie 1486 Main St., Grape Seed, SA 555-1289 Evasion 1 N/A 2800.2 2003 Ferrari Enzo Coupé Black 46EEK572 ZFFXR48A5X0940119 Davis Inpound Lot Yes 4 9 John Reyleigh Adam Chernobyl 01 20 1918 9851327 SA N/A US Rte. 13, Mile Mrkr. (G) DeGrand, Michell 1024 Marina Dr., Sandy Shores555-2873 05 01 20 2005 Mr. Chernobyl was caught cutting another motorist off: the complainent, Mr. DeGrand. After that, a traffic stop was commenced at 7:03 PM, after which he eluted. He was apprehended at 7:18 PM. Print FormSubmit by Email Blaine Cty. Sheriff's Off. BSO15165420