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HomeMy WebLinkAboutIncident 07005770 Twin Falls Police Department 321 2nd Ave East Twin Falls, Idaho 83301 Case Number: 07005770 1D (208) 735-4357 Event Number: 07035584 EVENT Reported Date/Time Start Date/Time End Date/Time Date Indicator Report Type Report Involvement 10/09/2007 10/09/2007 12:10 10/09/2007 00:10 Forgery Case Status Case Status Date Exceptional Clearance Exceptional Clearance Date NARCAN Administered Arrest Not Applicable Commonplace Name Address District Reporting Area IDAHO CENTRAL 649 POLE LINE RD, TWIN FALLS 83301 58 CREDIT UNION Synopsis OFFENSE(S) State Code Offense Felony/Misdemeanor/Infraction 118-3605 FORGERY-POSSESSION OF FORGED NOTES OR BANK BILLS FELONY OR CHECK OR CHECKS UCR/NIBRS Code State/City Code Reportable Counts 250 FORGERY-POSSESSION OF FORGED NOTES 118-3605 0 1 OR BANK BILLS OR CHECK OR CHECKS Offense Location Attempted/Completed Bias Motivation Number of Premises Entered Method of Entry Residence/Home Completed None Offender Suspected of Using Criminal Activity/Gang Info Cargo Theft Identity Theft Not Applicable Possessing/Concealing Weapon Types Weapon Automatic 1 Weapon Automatic 2 Weapon Automatic 3 2 State Code Offense Felony/Misdemeanor/Infraction 118-711 OBSTRUCT-IMPERSONATING AN OFFICER FELONY UCR/NIBRS Code State/City Code Reportable Counts 90Z OBSTRUCT-IMPERSONATING AN OFFICER 118-711 0 1 Offense Location Attempted/Completed Bias Motivation Number of Premises Entered Method of Entry Residence/Home Completed None Offender Suspected of Using Criminal Activity/Gang Info Cargo Theft Identity Theft Not Applicable Possessing/Concealing Weapon Types Weapon Automatic 1 Weapon Automatic 2 Weapon Automatic 3 "I=American Indian or Alaska Native, A=Asian B=Black or African American P=Native Hawaiin or Other Pacific Islander Page 1 of 7 Date and Time Ran U=Unknown, W=White 9/6/2024 12:58:43 PM SUSPECT(S) Name(Last, First Middle Suffix) Date of Birth Sex Race Ethnicity License Number/State SSN MALSON, MICHAEL GREGORY / Arrested? Address Cell Phone Home Phone Email HGT WGT Eye Hair Clothing Misc ID Type Misc ID Number Misc ID State FBI Number Local ID SBI Number Alternate Address OCCUPATION INFORMATION Employer Name EmployerAddress Employer Phone Employer Email Related Offense(s) I18-3605, I18-711 Name(Last,First Middle Suffix) Date of Birth Sex Race Ethnicity License Number/State SSN 2 HALPER, RACHEL ANNE / Arrested? Address Cell Phone Home Phone Email HGT WGT Eye Hair Clothing Misc ID Type Misc ID Number Misc ID State FBI Number Local ID SBI Number Alternate Address OCCUPATION INFORMATION Employer Name EmployerAddress Employer Phone Employer Email Related Offense(s) "I=American Indian or Alaska Native, A=Asian B=Black or African American P=Native Hawaiin or Other Pacific Islander Page 2 of 7 Date and Time Ran U=Unknown, w=white 9/6/2024 12:58:43 PM VICTIM(s) Name(Last, First Middle Suffix) Date of Birth Sex Race Ethnicity License Number/State SSN JANES, JEFF G / Address Cell Phone Home Phone Email HGT WGT Eye Hair Clothing Misc ID Type Misc ID Number Misc ID State Alias Name(Last,First Middle Suffix) Date of Birth Sex Race SSN Address 1 JAMES, JEFF G Alternate Address OCCUPATION INFORMATION Employer Name EmployerAddress Employer Phone Employer Email Injuries Suspected Of Using Aggravated Asault Circumstances Justifiable Homicide Circumstances Related Offense(s) 118-3605, 118-711 PERSON(S) INVOLVED Name(Last,First Middle Suffix) Date of Birth Sex Race Ethnicity License Number/State SSN JOHNSON, KATHERINE KRISTINE / Address Cell Phone Home Phone Email HGT WGT Eye Hair Clothing Involvement Type Misc ID Type Misc ID Number Misc ID State OCCUPATION INFORMATION Employer Name EmployerAddress Employer Phone Employer Email BUSINESS/ORGANIZATION INVOLVED Organization Name Victim Type Invovlement Type Organization Email IDAHO CENTRAL CREDIT Business Victim of Incident UNION Commonplace Name Address Organization Phone 1 Organization Phone 2 (208) 733-4777 (208) 733-4777 Related Offense(s) 118-3605 "I=American Indian or Alaska Native, A=Asian B=Black or African American P=Native Hawaiin or Other Pacific Islander Page 3 of 7 Date and Time Ran U=Unknown, w=white 9/6/2024 12:58:43 PM PROPERTY NIC Number Property Status Property Class STOLEN OTHER Related Offense Description Make Model Quantity OTHER - NOTHING STOLEN 0.0000 Serial Number Owner-Applied Number Property Value 1.00 Recovered Date Recovered Quantity Recovered Value /0.0000 0.00 Damage Description Recovering Officer Recovery Address Recovery Location Released To Owner Released To Owner Date/Time Releasing Officer Hold Reason 2 NIC Number Property Status Property Class EVIDENCE RECORDINGS -AUDIO &VIDEO Related Offense Description Make Model Quantity DIGITAL AUDIO RECORDING -A230 0.0000 Serial Number Owner-Applied Number Property Value 0.00 Recovered Date Recovered Quantity Recovered Value /0.0000 0.00 Damage Description Recovering Officer Recovery Address Recovery Location Released To Owner Released To Owner Date/Time Releasing Officer Hold Reason 3 NIC Number Property Status Property Class COUNTERFEITED/ FORGED NON-NEGOTIABLE INSTRUMENTS Related Offense Description Make Model Quantity CHECK-AMOUNT OF FORGED CHECK $400 - COPY 1.0000 ATTACHED TO REPORT Serial Number Owner-Applied Number Property Value 400 Recovered Date Recovered Quantity Recovered Value /1.0000 Damage Description Recovering Officer Recovery Address Recovery Location Released To Owner Released To Owner Date/Time Releasing Officer Hold Reason "I=American Indian or Alaska Native, A=Asian B-Black or African American P-Native Hawaiin or Other Pacific Islander Page 4 of 7 Date and Time Ran U=Unknown, W=White 9/6/2024 12:58:43 PM INITIAL -ISAIAH DAY 2007.10.10 Initial Report 0705770A.230 Supervisor: S. Sgt. Ron Fustos 10/9/07 Felony Crime Report Forgery of Checks On Tuesday, 10/9/07, at approximately 1209 hours, I was dispatched to the Idaho Central Credit Union, located at 649 Pole Line Road, in reference to an attempted forgery of a check. I made contact with employee, Katherine Kristine Johnson. Ms. Johnson stated that a male with dark hair and brown eyes with acne on his face, identified by his Idaho driver's license and social security card as Michael Gregory Malson, brought in a personal check from credit union member, Jeff G. Janes, in the amount of$400. Ms. Johnson stated that it is their policy when a non-member attempts to cash a check from a member that they check the signature on the check. The signature on the bottom of the check that Mr. Malson had did not match the signature on record for Mr. Janes' account. This was brought to Mr. Malson's attention and he stated that his girlfriend, Rachel Ann Halper, signed the check as she was Mr. Janes'former girlfriend. Mr. Malson told Ms. Johnson that he was an Idaho State Police Trooper and he knew what he was doing was okay. Ms. Johnson stated Mr. Malson should have known if he was a Trooper that it was a forgery, which was against the law. Ms. Johnson called Ms. Janes via cell phone and she was advised that Mr. Janes was currently in Arizona and he was on his way back to his residence in Boise. Mr. Janes stated he never authorized anybody to write Mr. Malson a check in the amount of $400. Mr. Janes told Ms. Johnson that he knew who Mr. Malson was and said he was Ms. Halper's current boyfriend. Mr. Malson stated that the check was for him helping Ms. Halper move out of Mr. Janes' residence. Mr. Janes stated that Mr. Malson was there for a short period of time to move a mattress; however, nobody ever talked about a payment. Mr. Janes suspects that his checkbook or one of his checks was stolen during the move at his residence in Boise. The actual theft of the check occurred in Boise. Mr. Malson and Ms. Halper live out of the Twin Falls area. Mr. Malson and Ms. Halper were not contacted by law enforcement. Idaho Central Credit Union did not accept the check from Mr. Malson. The credit union seized the check. I obtained a copy of the check. The signature printout sheet for Mr. Malson that he signed for the check to get the cash withdrawn from the account and a copy of the check are attached to this report. The credit union has changed the account number for Mr. Janes. A statement and the information for Mr. Malson are attached to this report. My digital audio recording has been downloaded. Officer Isaiah Day I D/tkl , : EMPLOYER: MALSON, MICHAEL: HOME: HALPER, RACHEL: HOME: JANES, JEFF: HOME: JOHNSON, KATHERINE: HOME: IDAHO CENTRAL CREDIT UNION, : HOME: Supplement#1 0705770.A57 Supervisor: S. Sgt. Terry Thueson 2/22/08 "I=American Indian or Alaska Native, A=Asian B=Black or African American P=Native Hawaiin or Other Pacific Islander Page 5 of 7 Date and Time Ran U=Unknown, w=white 9/6/2024 12:58:43 PM Felony Arrest Report Forgery of Checks Impersonating an Officer On 09/05/07, Gary Motzner, Branch Manager for Idaho Central Credit Union, located at 649 Pole Line Road, reported check kiting activity. Mr. Motzner stated that Idaho Central Credit Union member, Chad Vanskike, and Bank of America member, Michael Gregory Malson, had conspired together and formed a check kiting network between their accounts. Mr. Motzner stated that from 07/04/07 through 07/13/07, Mr. Vanskike wrote $3,300.00 in checks to Mr. Malson. Mr. Malson deposited these checks into his account via ATM at Bank of America and then withdrew the funds via ATM. The withdrawals were made before the checks cleared the banks. Mr. Motzner further stated that from 07/30/07 through 08/02/07, Mr. Malson wrote $3,675.00 in checks to Mr. Vanskike. Mr. Vanskike deposited these checks into his account via ATM and withdrew the funds via ATM. On 07/01/07, Mr. Vanskike's account had a balance of$22.64. The checks that Mr. Vanskike wrote to Mr. Malson were between $200.00 and $500.00. Mr. Vanskike did not have a balance to cover any of these checks. According to Bank of America statements, Mr. Malson's account had a balance of-$837.63 on 07/20/07. This account did not have a positive balance after this date. Mr. Malson's account had to be forced closed on 09/06/07 with a balance of-$2,046.69. On 08/09/07, Dillon Steed, Adjustments Officer for Idaho Central Credit Union, had a phone interview with Mr. Vanskike. Mr. Vanskike said, "Michael told me that I have an account, let's use it." Mr. Vanskike admitted that he and Mr. Malson planned it together. They wrote the checks back and forth to pay for Mr. Malson's rent. Mr. Vanskike further admitted that they used ATMs to make all deposits and withdrawals to avoid check holds. On 01/15/08, 1 met with Mr. Vanskike at the Twin Falls Police Department. I gave Mr. Vanskike the Standard Miranda Warning and he agreed to speak with me voluntarily. Mr. Vanskike stated that Mr. Malson had coerced him into writing checks to pay for a motel room and food. Mr. Vanskike was under the impression that Mr. Malson was going to reimburse him for the checks he had written. 118 DatePayeeMakerCheck#Amountl08 07/04/07MalsonVanskikel02 ICCU$500.00108 07/05/07MalsonVanskikel05 ICCU$500.00108 07/05/07MalsonVanskikel06 ICCU$500.00108 07/05/07MalsonVanskikel07 ICCU$200.00108 07/11/07MalsonVanskikel08 ICCU$200.00108 07/11/07MalsonVanskikel09 ICCU $200.00108 07/11/07MalsonVanskikel10 ICCU$200.00108 07/13/07MalsonVanskikel 11 ICCU$500.00108 07/13/07MalsonVanskikel 12 ICCU$500.00108 07/22/07VanskikeMalsonl74 B of A$150.00108 07/31/07VanskikeMalsonl81 B of A$350.00108 08/01/07 VanskikeMalsonl84 B of A$175.00108 08/02/07VanskikeMalsonl89 B of A$500.00108 08/02/07VanskikeMalsonl91 B of A$500.00108 08/02/07VanskikeMalsonl93 B of A$650.00108 08/02/07VanskikeMalsonl94 B of A$600.00108 08/02/07VanskikeMalson195 B of A$750.00108 $6,975.00 On 10/09/07 at 1142 hours, Mr. Malson walked into Idaho Central Credit Union, located at 649 Pole Line Road. Mr. Malson met with ICCU teller Katherine Johnson. Mr. Malson presented check#145 drawn on the Jeff G. Janes account with Idaho Central Credit Union, . Check#145 is written pay to the order of"M. G. Malson," dated 10/06/07, and in the amount of $400.00. Ms. Johnson examined the check and contacted the owner of the check to verify its validity. Mr. Janes told Ms. Johnson that he did not write the check. Ms. Johnson informed Mr. Malson that the check had been forged. Mr. Malson said that it had not been forged, and that he should know since he is an Idaho State Police Trooper. Mr. Malson stated that he had received the check for helping his girlfriend move and that Mr. Janes was her ex-boyfriend. I contacted the Idaho State Police and verified that Mr. Malson was never employed by them. On 01/03/08, 1 met with Mr. Malson's girlfriend, Rachel Halper, at the Twin Falls Police Department. Ms. Halper was given a Standard Miranda Warning and she agreed to speak with me voluntarily. Ms. Halper told me that she had filled out Mr. Janes' check and gave it to Mr. Malson to cash. Ms. Halper also advised that Mr. Malson had told her that he was an Idaho State Trooper and that he was an Iraqi war veteran. It should be noted that Mr. Malson washed out of basic training when he was in the armed forces and never served beyond that. A probable cause has been completed and forwarded to the Twin Falls County Prosecutor's Office for review. Mr. Malson has been arrested for these crimes. Detective Sgt. Dave Heidemann DH/tkl Related metadata: Date filed: Feb 22 2008 12:OOAM Report Type: SUPPLEMENT Case Number: 07005770 Date Reported: Feb 22 2008 12:OOAM DOW Reported: FRI "I=American Indian or Alaska Native, A=Asian B=Black or African American P=Native Hawaiin or Other Pacific Islander Page 6 of 7 Date and Time Ran U=Unknown, w=white 9/6/2024 12:58:43 PM Entered Date: Feb 22 2008 9:42AM Workflow Status: APPROVED Approved by: Thueson, Terance Date approved: Feb 26 2008 5:55PM OFFICER(S) Involvement Date Involvement Type Officer Name 10/09/2007 12:09:00 Reporting Day, Isaiah 12230 "I=American Indian or Alaska Native, A=Asian B=Black or African American P=Native Hawaiin or Other Pacific Islander Page 7 of 7 Date and Time Ran U=Unknown, w=white 9/6/2024 12:58:43 PM Twin Falls Police Department � 321 2nd Ave East Case Number: 07005770 faulopTwin Falls,Idaho 83301 Report Number: 07005770-1 r' (208)735-4357 EVENT Arrest Date/Time Report Date 02/21/2008 11:30:00 Address TFSO, , Arrest Date/Time Multiple Arrest Segments Holding Facility Is Juvenile Disposition Under 18 On View Not Applicable N/A CHARGE(S) Offense UCR/NIBRS Code 250 FORGERY/COUNTERFEITING Felony/Misdemeanor State Code UCR Hierarchy Reportable FELONY 118-3605 0 Counts Attempted/Completed Warrant Number 1 02 2 Offense UCR/NIBRS Code 90Z ALL OTHER OFFENSES Felony/Misdemeanor State Code UCR Hierarchy Reportable FELONY 118-711 0 Counts Attempted/Completed Warrant Number 1 02 ARRESTEE Last Name First Name Middle Name Suffix Moniker Resident Status MALSON MICHAEL GREGORY Non-resident Sex Race Ethnicity Date of Birth Age SSN Cell Phone Home Phone License Number License State Height Weight Eye Color Hair Color Clothing Misc ID Type Misc ID Number Misc ID State Address Email Arrestee Armed With Unarmed Weapon 1 Make/Model Weapon 1 Automatic Weapon 2 Make/Model Weapon 2 Automatic Employer/School Name Employer/School Phone Address ALCOHOL/DRUG TEST 1 Test Type Consent Results OFFICER Involvement Type Officer Name Date Reporting Heidemann, David 1257 02/21/2008 11:30:00 INVESTIGATION CASE LOG CA SE #: 7 -_770 CRIME: Ck Victim: Suspect. Q Date Case Information Detective I I I I j I I I l I I j I f I I I I I I I I cw.y 145 JEFF G JANES 92-738v3241 : 1 Pay to the (Y� �„ rn r i $ Order of o ars Idaho Central Your cy. CREDIT UNION Your trusted choice NP For ✓ �� w p�� 1 � ' � i � e PO Box 2469 , Pocatello, ID 83206-2469 Idaho Central Credit Union Twin Falls www. iccu. com Date: 10/09/2007 11 : 42 Member Number: - Teller: 1028 Branch: 50 Term: 1099 Cash Box: 222 CASH -$400 . 00 Acct# Seq# - Total Received: -$400 . 00 New Balance: -$153. 89 Hold Information: Hold Amount Available Date Member Signature Thank you 7IWIN. LLS POD 10ANO UNIFORM CITA 1`fbN IN THE DISTRICT COURT OF THE 5TH JUDICIAL DISTRICT OF THE STATE OF IDAHO,IN AND FOR THE COUNTY OF TWIN FALLS STATE OF IDAHO ) COMPLAINT AND SUMMONS j r. / / ,t��s' ) Infraction Citation f ( fy! OR , Last Name �'] Xmisdemeanor Citation t t L � d—a-.1 ) �Accident Involved first Name Middle Initial 1PUC# USDOT TK Census# ❑Operator.E]Clan A 0 Class B ❑class c 0 class D ❑Other ❑GVWR26001 + ❑,16.+ e °ns El Placard Hazardous Materials DR#©?f � Home Address Business Address Ph# J Model Color ,�Did commit the follows, act(s)7 no t'�c" '7... r` /�'; 20 at !� o'clock M. VIO.#1 � �r a f /� g f season Vio. #2 / Code Section A U. Hwy, MID. TWIN FALLS Cour�y,Idaho. Dateofficer/Party arty� �y?..i�'' - �`7f►�,^t/. �*'j —�cer/ Serial#/Address Dept. Date Witnessing Officer Serial#/Address Dept. 1 THE STATE OF IDAHO TO THE ABOVE NAMED DEFENDANT: i You are hereby summoned to appear before the Clerk of the Magistrate's Court of the 4District Court Of TWIN FALLS county, TWIN FALLS Idaho, 5 located at 425 SHOSHONE ST.N. on the day of 20 ,at o'clock M. i acknowledge receipt of this summons and t promise to appear at the time indicated. 1 a H Defendapfs Signature _ I hereby certify smios upon the defendant personally on 2 offber NOTICE: See reverse side of your copy for PENALTY and COMPLIANCE instructions. -�v (` ' _TFP1 Digital Plioto's _ Digital Audio Recording TWIN FALLS POLICE DEPARTMENT Case No. o—,r s-1-7 . r1 2 3 Report Date / MAV Tape Submitted INCIDENT REPOIUT ® Crime Report R.D. S _ O Warrant Requested Connecting Reports/Citati.ons ❑Arrest Report O Use of Force Complete O Charging Request ❑ Supplement ❑K-9 10 Dictated ❑ Officer's Report ❑P.C. Occurred on/between: NCIC OFFENSE DESCRIPTION F/M A/C Day /xS Date J cJ le- l� 7 Time 17 _ =S o F c vu Lr Day Date—/ / Time BIAS MOTIVATION OF OFFENDER 88 10 None 15 O Anti Multi-Racial Group 25 O Anti Other Religion 33 O Anti Other Ethnicity 99 O Unknown 21 ❑Anti Jewish 26❑Anti Multi Religion 41 ❑Anti Male Homosexual 11 ❑Anti White 22 O Anti Catholic 27 O Anti Atheist 42 O Anti Female Homosexual 12 O Anti Black 23 ❑Anti Protestant 31 O Anti Arab 43❑Anti Homosexual 13 ❑Anti Am.Ind. 24 ❑Anti Islamic 32 O Anti Hispanic 44 GAnti Heterosexual 14 O Anti Asian 51 ❑Anti Physical Disability 52❑Anti Mental Disability 45❑Anti Bisexual LOCATION OF OFFENSE(Check only one) OFFENDER(S)USED: 01 O Air/Bus/Train Terminal 14 O Hotel/Motel/Etc. ❑Alcohol 02■Bank/Savings&Loan 15 O Jail/Prison ❑Computer Equipment 03 O Bar/Night Club 16❑Lake/Waterway ❑Drugs 04 O Church/SynagoguwTemple 17 O Liquor Store ®N/A 05 ❑ Commercial/Office Bldg. 18❑Parking Lot/Garage 06 O Construction Site 19 0 Rental/Storage Facility TYPE.OF CRIMINAL ACTIVITY-. 07❑Convenient Store 20 O Residence/Home O Buying/Receiving 08 ❑Department/Discount Store 21 0 Restaurant O Cultivating/Manufacturing/Publishing Buying/Receiving acturing/Publishing 09 O Drug Store/Dr.'s Office 22 0 School/College D Distributing/Sellingfa 10 O Field/Woods 23 ❑ Service/Gas Station I 1 O Government/Public Buildings 24❑ Specialty Store(TV,Fur,etc.) ❑Exploiting Children 12 O Grocery/Supermarket 25 13 El Operating/Promoting/Assisting Other/Unknown 0 Possessing/Concealing ]3 O Highway/Road/Alley ❑Transporting/Transmitting/Importing O Using/Consuming ❑Juvenile Gang 41 No Gang Involvement TYPE WEAPONNORCE INVOLVED: 11 ❑Firearm(type not stated) 20❑Knife/Cutting Instrument 50 0 Poison 85 O Asphyxiation 12 O Handgun 30 E3 Blunt Object 60❑Explosives 90 O Other 13 ❑ Rifle 35 O Motor Vehicle 65 O Fire/Incendiary 95 O Unknown 14❑ Shotgun 40 D Personal Weapons 70 O Narcotics/Drugs 99®None 15 ❑ Other Firearm CASE DISPOSITION ASSAULTIHOMICIDE CIRCUMSTANCES: 1 O Exception 3 O Unfounded 5,P Inactive 1 ❑Argument 06 O Lover's Quarrel 2 ❑Arrest 4 O Active 2 0 Assault on L/E 07❑Mercy Killing EXCEPTIONAL CLEARANCE ONLY: 3 ❑D r i ony Involved A 0 eat 4 Gangl d 09❑Other Circumstances B LJ Prosecution Declined E ❑Juvenile/No Custody / 5 ❑Juve Gang 10 O Unknown Circumstances kAOFFICER NUMBER: *23 o SIGNATURE: APPROVED BY: �`��;��\�� *$ DATE:- I C� `�—Zs�O`7 ASSIGNED/COPY TO: PERSON/ENTITY DETAIL Enter Arrestee & Suspects first followed by Victim & Others kase# U-,O s-7-7 y ,A-z- _ O PERSON CODE S— NCIC CODE PERSON CODE S" 2 NCIC CODE AME C re C,f, A M'e' s NAME FACIAL HAIR FACIAL HAIR 01 ❑ CLEAN SHAVEN oa ❑ MUSTACHE ONLY of ❑ CLEAN SHAVEN 06 ❑ MUSTACHE ONLY p2 ❑ BEARD ONLY 07 ❑ SCRAGGLY BEARD 02 ❑ BEARD ONLY 07 ❑ SCRAGGLY BEARD 03 ❑ FULL BEARD AND MUSTACHE 08 ❑ SIDEBURNS 03 ❑ FULL BEARD AND MUSTACHE 08 ❑ SIDEBURNS 04 ❑ GOATEE ONLY 09 ❑ UNSHAVEN/STUBBLE 04 ❑ GOATEE ONLY 09 ❑ UNSHAVEN/STUBBLE o5 ❑ GOATEE AND MUSTACHE 10 ❑ OTHER 05 ❑ GOATEE AND MUSTACHE 10 ❑ OTHER POB POB ATTIRE ATTIRE DLN SSN OLN SSN OCC/GRD EMP/SCH OCC/GRD EMP/SCH 1.SCARS,MARKS TATTOO LOCATION 1.SCARS,MARKS TATTOO LOCATION DESCRIBE DESCRIBE 2.SCARS,MARKS,TATTOO LOCATION 2.SCARS,MARKS,TATTOO LOCATION DESCRIBE DESCRIBE COMPLETE ONLY IF PERSON IS VICTIM COMPLETE ONLY IF PERSON IS VICTIM (ON NCIC CODES(0900-1399) (3604) (ON NCIC CODES(0900-1399) (3604) *LIST VICTIM RELATIONSHIP CODE TO ARRESTEE OR SUSPECT(S) *LIST VICTIM RELATIONSHIP CODE TO ARRESTEE OR SUSPECT(S) OFFENDER 1 2 3 4 5 OFFENDER 1 2 3 4 5 TYPE OF INJURY TYPE OF INJURY ❑ N-NONE ❑ M-APPARENT MINOR INJURY ❑ N-NONE ❑ M-APPARENT MINOR INJURY ❑ B-APPARENT BROKEN BONES O-OTHER MAJOR INJURY ❑ B-APPARENT BROKEN BONES ❑. O-OTHER MAJOR INJURY ❑ I-POSSIBLE INTERNAL INJURY T-LOSS OF TEETH ❑ I-POSSIBLE INTERNAL INJURY ❑ T-LOSS OF TEETH ❑ L-SEVERE LACERATIONS ((( U-UNCONSCIOUSNESS ❑ L-SEVERE LACERATIONS ❑ U-UNCONSCIOUSNESS IF ARRESTED COMPLETE ALL ITEMS BELOW IF ARRESTED COMPLETE ALL ITEMS BELOW ARREST# FBI# STATE# ARREST# FBI# STATE# ARRESTED FOR: ARRESTED FOR: ; (LIST BY NCIC CODES) (LIST BY NCIC CODES) WEAPONS ON ARRESTEE WHEN ARRESTED WEAPONS ON ARRESTEE WHEN ARRESTED ARRESTED AT ARRESTED AT DATE TIME DATE TIME BOOKED AT BOOKED AT PRINTS ❑ YES 0 NO PHOTOS ❑YES ❑NO PRINTS ❑YES ❑ NO PHOTOS ❑YES ❑NO OTHER CASES-CLEARED BY THIS ARREST OTHER CASES CLEARED BY THI$.ARf3EST COMPLETE THE FOLLOWING IF JUVENILE ARRESTED COMPLETE THE FOLLOWING IF JUVENILE ARRESTED RELEASED TO GUARDIAN RELEASED TO GUARDIAN GUARDIAN.SIGNATURE: GUARDIAN SIGNATURE RELATIONSHIP OF GUARDIAN RELATIONSHIP OF GUARDIAN DATE TIME DATE TIME VICTIM.RELATIONSHIP TO OFFENDER(Place Code attar Offender#). OF-OTHER FAMILY MEMBER BE-BABYSITEE(The Baby) ER-EMPLOYER RU-RELATIONSHIP UNKNOWN SE-SIBLING IL-IN-LAW AQ-ACQUAINTANCE BG-BOY/GIRL FRIEND OK-OTHERWISE SE-SPOUSE CH-CHILD SP-STEPPARENT FR-FRIEND HR-HOMOSEXUAL RELATIONSHIP KNOWN CS-COMMON LAW SPOUSE GP-GRANDPARENT SC-STEPCHILD NE-NEIGHBOR XS-EX-SPOUSE ST-STRANGER PA-PARENT GC-GRANDCHILD SS-STEP SIBLING VO-VICTIM WAS OFFENDER EE-EMPLOYEE TFQ4 PERSON/ENTITY DETAIL Enter Arrestee &Suspects first followed by Victim &Otis ers LCase# 0-7o s:T-lv. nz-5 PERSON CODE V- NCIC CODE PERSON CODE Vv- ( NCIC BODE NAME 1 e f� Cf>- _\ ANY-S NAME K&tt h sow SKIN:Describe the subject's akin complexion appearance of the skin. ALB ❑ ALBINO LGT ❑ LIGHT OLV ❑ OLIVE. BLK ❑ BLACK LBR ❑ LIGHT BROWN RUD❑ RUDDY ORK DARK MED❑ MEDIUM SAL ❑ SALLOW OBR DARK BROWN MBR❑ MEDIUM BROWN YEL ❑ YELLOW FAR FAIR FACIAL HAIR 01 ❑CLEAN SHAVEN 08 ❑ MUSTACHE ONLY 01 ❑ CLEAN SHAVEN 06 MUSTACHE ONLY 02 ❑ BEARD ONLY 07 ❑ SCRAGGLY BEARD 02 ❑ BEARD ONLY 07 SCRAGGLY BEARD 03 ❑FULL BEARD AND MUSTACHE 08 ❑ SIDEBURNS 03 ❑ FULL BEARD AND MUSTACHE 08 SIDEBURNS 04 ❑GOATEE ONLY 09 ❑ UNSHAVENISTU13BLE 04 ❑ GOATEE ONLY 09 UNSHAVEN/STUBBLE OS ❑ GOATEE AND MUSTACHE 10 ❑ OTHER 05 ❑ GOATEE AND MUSTACHE 10 OTHER POB POB ATTIRE ATTIRE DLN SSN DLN SSN OCC/GRD EMP/SCH OCC/GRD EMP/SCH 1.SCARS,MARKS TATTOO LOCATION 1.SCARS,MARKS TATTOO LOCATION DESCRIBE DESCRIBE 2.SCARS,MARKS,TATTOO LOCATION 2.SCARS,MARKS,TATTOO LOCATION DESCRIBE DESCRIBE COMPLETE ONLY IF PERSON IS VICTIM COMPLETE ONLY IF PERSON IS VICTIM (ON NCIC CODES(0900-1399) (3604) (ON NCIC CODES(0900-1399)(3604) *LIST VICTIM RELATIONSHIP CODE TO ARRESTEE OR SUSPECT(S) *LIST VICTIM RELATIONSHIP CODE TO ARRESTEE OR SUSPECT(S) OFFENDER 2 3 4 5 OFFENDER 2 3 4 5 TYPE OF INJURY TYPE OF INJURY ❑ N-NONE M-APPARENT MINOR INJURY ❑ N-NONE ❑ M-APPARENT MINOR INJURY ❑ 8-APPARENT BROKEN BONES O-OTHER MAJOR INJURY ❑ B-APPARENT BROKEN BONES ❑, 0.OTHER MAJOR INJURY ❑ 1-POSSIBLE INTERNAL INJURY ❑ T-LOSS OF TEETH I-POSSIBLE INTERNAL INJURY T-LOSS OF TEETH' ❑ L-SEVERE LACERATIONS ❑ U-UNCONSCIOUSNESS L-SEVERE LACERATIONS g U-UNCONSCIOUSNESS IF ARRESTED COMPLETE ALL ITEMS BELOW IF ARRESTED COMPLETE ALL ITEMS BELOW ARREST# FBI# STATE# ARREST# FBI# STATE# ARRESTED FOR: ARRESTED FOR: (LIST BY NCIC CODES) (LIST BY NCIC CODES) WEAPONS ON ARRESTEE WHEN ARRESTED WEAPONS ON ARRESTEE WHEN ARRESTED ARRESTED AT ARRESTED AT DATE TIME DATE TIME BOOKED AT BOOKED AT PRINTS ❑YES ❑NO PHOTOS ❑YES Q NO PRINTS ❑YES ❑NO PHOTOS ❑YES ❑NO OTHER CASES-CLEARED BY THIS ARREST OTHER CASES CLEARED BY THI$.A T .COMPLETE THE FOLLOWING IF JUVENILE ARRESTED COMPLETE THE FOLLOWING IF JUVENILE ARRESTED RELEASED TO GUARDIAN RELEASED TO GUARDIAN GLARDIAN,SIGNATURE: GUARDIAN SIGNATURE RELATIONSHIP OF GUARDIAN RELATIONSHIP OF GUARDIAN DATE TIME DATE TIME VICTIM.RELATIONSHIP TO OFFENDER(Place Code after Offender#). OF-OTHER FAMILY MEMBER BE-BABYSITEE(The Baby) ER-EMPLOYER RU-RELATIONSHIP UNKNOWN SB-SIBLING IL-IN-LAW AQ-ACQUAINTANCE BG-BOY/GIRL FRIEND OK-OTHERWISE SE-SPOUSE CH-CHILD SP-STEPPARENT FR-FRIEND HR-HOMOSEXUAL RELATIONSHIP KNOWN CS-COMMON LAW SPOUSE GP-GRANDPARENT SC-STEPCHILD NE-NEIGHBOR XS-EX-SPOUSE ST-STRANGER PA-PARENT GC-GRANDCHILD SS-STEP SIBLING VO-VICTIM WAS OFFENDER EE-EMPLOYEE J 1, 77 r Digital l?hoto's Digital Audio Recording TWIN FALLS. POLICE DEPARTMENT Case No. 7 ?�rZ S-2 Report Dat—,�Z-mil•-c� _ MAV Tape Submitted INCIDENT REPORT O-Crime Report R.D. . 0 Warrant Requested Connecting.Reports/Citations *Arrest Report ❑Use of Force Complete 0 Charging Request ❑Supplement 0 K-9 Q'Dictated O Officer's Report 0 P.C. Occurred ontbetween: NCI! OFFENSE DESCRIPTION F/M A/C Day Date/-/ Ti IfTme Day Date / / Time y _ Location• BIAS MOTIVATION OF OFFENDER 88 O None 15 0 And Multi-Racial Group 25 0 And Other Religion 33 O Anti Other Ethnicity 99 0 Unknown 21 ❑Anti Jewish 26 O Anti Multi Religion 41 O Anti Male Homosexual 11 0 Anti White 22 0 Anti Catholic 27 0 Anti Atheist 42 0 Anti Female Homosexual 12❑Anti Black 23 0 Anti Protestagt 31 0 Anti Arab 43 O Anti Homosexual 13 O Anti Am.Ind. 24 O Anti Islamic 32 O Anti Hispanic 44 0•Anti Heterosexual 14 O Anti Asian 51 0 Anti Physical Disability 52 0 Anti Mental Disability 45 0 Anti Bisexual LOCATION OF OFFENSE(Check only one) OFFENDER(S)USED: 01 O Air/Bus/Train Terminal 14 O Hotel/Motel/Etc. ❑Alcohol 02 0 Bank/Savings&Loan 15 0 Jail/Prison ❑Computer Equipment 03 0 Bar/Night Club 16 0 Lake/Waterway O Drugs 04❑ Church/Synagogue/Temple 17 O Liquor Store ❑N/A 05 O Commercial/Office Bldg. 18 0 Parking Lot/Garage 06 0 Construction Site 19 0 Rental/Storage Facility TYPE.OF CRIMINAL ACTIVITY: 07 0 Convenient Store 20 0 Residence/Home 08 0 Department/Discount Store 21 0 Restaurant ❑Buying/Receiving i anu 09 Cl Drug Store/Dr.'s Office 22 0 School/College ❑Cultivating/Melling turing/Publishing 10 O Field/Woods 23 ❑Service/Gas Station 0 Exploiting Children 11 ❑ Government/Public Buildings 24 0 Specialty Store(TV,Fur,etc.) ❑Exploiting Children 12 O Grocery/Supermarket 25 ❑Other/Unknown ❑Possessing/Concealing osseOperating/Promoting/Assisting g/Concting 13 O Highway/Road/Alley ❑Possessing/Concealing O Transporting/Transmitting/Impor6ng O Using/Consuming O Juvenile Gang Cl No Gang Involvement TYPE WEAPON/FORCE INVOLVED: 11 O Firearm(type not stated) 20 0 Knife/Cutting Instrument 50❑Poison 85 0 Asphyxiation 12 O Handgun 30 O Blunt Object 60 O Explosives 90 O Other 13❑.Rifle T 35 O Motor Vehicle 65 O Fire/Incendiary 95 O Unknown 14 0 Shotgun 40❑Personal Weapons 70 O Narcotics/Drugs 99 0 None 15 O Other Firearm CASE DISPOSITION ASSAULT/HOMICIDE CIRCUMSTANCES: 1 0 Exception 3 O Unfounded 5 ❑Inactive 1 D Argument 06 O Lover's Quarrel 2,&Arrest 4 O Active 2 0 Assault on LIE 07❑Mercy Killing EXCEPTIONAL CLEARANCE ONLY: 3 ❑Drug Dealing 08 O Other Felony Involved A 0 Death of Offender D O Victim Refusal 4 0 Gangland 09 O Other Circumstances B O Prosecution Declined E O Juvenile/No Custody 5 0 Juvenile Gang 10 D Unknown Circumstances OFFICER NUMBER: SIGNATURE: APPROVED BY: DATE: ASSIGNED/COPY TO: PERSON/ENTITY DETAIL Enter Arrestee &Suspects first followed by Victim & OthersFcase# � PERSON CODE NCIC CO E PERSON CODE I/ NCIC _01 - NAME C ,NAME SKIN:Describe the subject's skin complexion appearance of the skin. SKIN:Describe the subject's skin complexion appearance of the skin. AUS ALBINO LGT LIGHT OLV OLIVE ALB ALBINO LGT ❑ LIGHT OLV OLIVE BLK BLACK LBR LIGHT BROWN RUD RUDDY BLK BLACK LBR ❑ LIGHT BROWN RUD RUDDY DRK DARK MED MEDIUM SAL SALLOW DRK DARK MED MEDIUM SAL SALLOW DBR DARK BROWN MBR❑ MEDIUM BROWN YEL YELLOW DBR DARK BROWN MBR ] MEDIUM BROWN YEL ❑YELLOW FAR FAIR FAR FAIR FACIAL HAIR FACIAL HAIR 01 ❑CLEAN SHAVEN 08 MUSTACHE ONLY Ot CLEAN SHAVEN 08 MUSTACHE ONLY 02 ❑BEARD ONLY 07 SCRAGGLY BEARD 02 BEARD ONLY 07 SCRAGGLY BEARD 03 FULL BEARD AND MUSTACHE 08 SIDEBURNS 03 FULL BEARD AND MUSTACHE 08 UNSHAVEN/STUBBLE 04 GOATEE ONLY SIDEBURNS 09 UNSHAVEN/STUBBLE 04 GOATEE ONLY 05 GOATEE AND MUSTACHE 10 OTHER 05 ❑ GOATEE AND MUSTACHE 10 OTHER POS POB ATTIRE ATTIRE DLN SSN DLN SSN OCC/GRD EMP/SCH OCC/GRD EMP/SCH 1.SCARS,MARKS TATTOO LOCATION 1.SCARS,MARKS TATTOO LOCATION DESCRIBE DESCRIBE 2.SCARS,MARKS,TATTOO LOCATION 2.SCARS,MARKS,TATTOO LOCATION DESCRIBE DESCRIBE COMPLETE ONLY IF PERSON IS VICTIM COMPLETE ONLY IF PERSON IS VICTIM (ON NCIC CODES(0900-1399) (3604) (ON NCIC CODES(0900-1399)(3604) *LIST VICTIM RELATIONSHIP CODE TO ARRESTEE OR SUSPECT(g) *LIST VICTIM RELATIONSHIP CODE TO ARRESTEE OR SUSPECT(S) OFFENDER 2 9 4 5 OFFENDER 2 3 4 5 TYPE OF INJURY TYPE OF INJURY ❑ N-NONE M-APPARENT MINOR INJURY ❑ N-NONE M-APPARENT MINOR INJURY ❑ B-APPARENT BROKEN BONES O-OTHER MAJOR INJURY ❑ B-APPARENT BROKEN BONES 0-OTHER MAJOR INJURY O 1-POSSIBLE INTERNAL INJURY T-LOSS OF TEETH I-POSSIBLE INTERNAL INJURY T-LOSS OF TEETH ❑ ERE LACERATIONS U-UNCONSCIOUSNESS L- U-UNCONSCIOUSNESS g L-SEV SEVERE LACERATIONS I IF ARRESTED COMPLETE ALL ITEMS BELOW F ARRESTED COMPLETE ALL ITEMS BELOW ARREST# FBI# STATE# ARREST# FBI# STATE# ARRESTED FOR: ARRESTED FOR: ; ; (LIST BY NCIC CODES) (LIST BY NCIC CODES) WEAPONS ON ARRESTEE WHEN ARRESTED WEAPONS ON ARRESTEE WHEN ARRESTED ARRESTED AT ARRESTED AT DATE 2-1 �("-_TIME 3 a- DATE TIME BOOKED AT 7`i�a BOOKED AT PRINTS M YES ❑ ❑NO PHOTOS YES IWNO PRINTS ❑YES ❑NO PHOTOS ❑YES ❑NO OTHER'CASES-CLEARED BY THIS ARREST OTHER CASES CLEARED BY THI$.A T COMPLETE THE FOLLOWING IF JUVENILE ARRESTED COMPLETE THE FOLLOWING IF JUVENILE ARRESTED RELEASED TO GUARDIAN RELEASED TO GUARDIAN GL)ARpIAN,SIGNATURE: GUARDIAN SIGNATURE RELATIONSHIP OF GUARDIAN RELATIONSHIP OF GUARDIAN DATE TIME DATE TIME VICTIM AELATIONSHIP TO OFFENDER(Plaee Code after Offender#j. OF-OTHER FAMILY MEMBER BE-BABYSITEE(The Baby) ER-EMPLOYER RU-RELATIONSHIP UNKNOWN SB•SIBLING IL-IN-LAW AQ-ACQUAINTANCE BG-BOY/GIRL FRIEND OK-OTHERWISE SE-SPOUSE CH-CHILD SP-STEPPARENT FR-FRIEND HR-HOMOSEXUAL RELATIONSHIP KNO WN NE-NEIGHBOR XS-EX-SPOUSE ST-STRANGER CS-COMMON LAW SPOUSE GP-GRANDPARENT SC-STEPCHILD VO-VICTIM WAS OFFENDER EE-EMPLOYEE - PA-PARENT GC•GRANDCHILD SS-STEP SIBLING