I N C I D E N T D A T A MO

Agency Name

HICKORY POLICE DEPARTMENT

ORI

INCIDENT/INVESTIGATION REPORT

OCA

14-001357

NC 0180200
Crime Incident(s)

#1 #2 #3

Assault - Other Dangerous Weapon

Crime Incident Crime Incident

T W T F S Date / Time Reported S M = Month Day Yr Time 02 18 2014 08:45 Hrs. S M= T W T F S S M= T W T F S At Found Last Known Secure Att Month Day Yr Month Day Yr Time Time X Com 02 18 2014 08:45 Hrs. 02 18 2014 07:35 Hrs. Offense Tract Att Location of Incident Com 3020 S Nc 127 Hwy, Hickory NC 28602 BE Victim Residence Type Att Premise Type Com PARKING LOT/AREA Single Family Multi Family Forcible Yes X No Injury Weapon / Tools N/A

How Attacked or Committed

Force Used/Hit During Act

# of Victims Type X Person Business Society Government Financial Institute 1 L.E. Officer Line of Duty Other/Unknown Religious Victim/Business Name (Last, First, Middle)

Other Weapon

V I C T I M

V1

RUIZ, SANTOS JR

Home Address

Drug/Alcohol Use: None Minor Loss of Teeth Broken Bones Yes X Unknown Severe Lacerations X Unconscious Other Major No Internal N/A Victim of DOB / Age Race Sex Relationship Resident Status To Offender Resident Crime # 34 X Non-Resident 1, W M ST Unknown Home Phone

1711 CESSNA LN , Newton, NC 28658

Employer Name/Address Business Phone

828-238-4235
Mobile Phone

HICKORY SPRINGS
VYR Make Model Style Color Lic/Lis Vin

828-446-9036

O T H E R S I N V O L V E D

CODES: V- Victim (Denote V2, V3) O = Owner (if other than victim) R = Reporting Person (if other than victim) Type: Person Business Society Government Financial Institute Religious L.E. Officer Line of Duty Other/Unknown Victim of DOB / Age Code Name (Last, First, Middle) Crime # Home Address Employer Name/Address Type: Code Person Business Society Name (Last, First, Middle) Government Financial Institute Religious Business Phone Home Phone Mobile Phone

Race Sex

L.E. Officer Line of Duty Other/Unknown Victim of DOB / Age Crime # Home Phone Business Phone F = Found Make/Model
UNKNOWN/Unknown MAZD Mx-5 Miata DODG Ram Truck

Race Sex

Home Address Employer Name/Address

Mobile Phone

Status Codes

P R O P E R T Y

L = Lost S = Stolen R = Recovered D = Damaged Z = Seized B = Burned C = Counterfeit / Forged (Check "OJ" column if recovered for other jurisdiction) Victim DCI Status Value OJ QTY Property Description # 1 99 Z $10.00 1 WALKING CANE 82 NONE $0.00 1 1999 WHI , CEH4203 NC 82 NONE $0.00 1 1997 BLU , BJW8985 NC

Serial Number
JM1NB3530X0126521 1B7HC13Z8VJ585194

Number of Vehicles Stolen Officer ID

BECHTOL, N. E.

Number Vehicles Recovered 0 ID# Officer Signature Case Status X Further Investigation Inactive Closed/Cleared Closed/Leads Exhausted

Supervisor Signature

ISENHOUR, R. W.

Complainant Signature Status DCI-600F

Case Disposition: Unfounded Located Extradition Declined Cleared by Arrest Refuse to Cooperate Cleared by Arrest by Another Agency Page 1 Death of Offender Prosecution Declined Rev.3/92

Incident Report Additional Name List

Hickory Police Department Additional Name List
Victim of Crime #

OCA: 14-001357 Page 3

NameCode/#

Name (Last, First, Middle)

DOB

Age Race Sex

Address Empl/Addr

H: B: Mobile #:

R_CS7NC

02/19/2014 14:09