I

N
C
I
D
E
N
T
D
A
T
A

Agency Name

INCIDENT/INVESTIGATION
REPORT

GREENSBORO POLICE
NC 0410200
Crime Incident(s)

Assault - Domestic Violence

#2

Crime Incident

#3

Crime Incident

How Attacked or Committed

Forcible
Yes
X No

MO

V
I
C
T
I
M

# 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)

V1

2014-0202-030

Date / Time Reported =S M T W T F S

Month
Day
Yr
Time
02
02 2014 01:32 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
02 2014 01:32 Hrs. 02 02 2014 01:15 Hrs.
Offense Tract
Att Location of Incident
Com 2026 Chapel Park Ln, Greensboro NC 27407
P206
Victim Residence Type
Att Premise Type
Com HOME OF VICTIM - SINGLE
XSingle Family Multi Family

ORI

#1

OCA

Injury

FOX, JAMAL TREVON

Home Address

Weapon / Tools
N/A

Not Applicable/none

Drug/Alcohol Use:
Minor
Loss of Teeth
X None
Broken Bones
Yes
Unknown
Severe Lacerations
Unconscious
Other Major
Internal
N/A
X No
Victim of DOB / Age
Race Sex Relationship Resident Status
To Offender X Resident
Crime #
26
Non-Resident
1,
B M BG
Unknown
Home Phone

336-327-2272

2026 CHAPEL PARK LN - 809, Greensboro, NC 27405-2797

Employer Name/Address

Business Phone

Mobile Phone

REFUSED
VYR

O
T
H
E
R
S

Make

Model

Style

Color

Lic/Lis

Vin

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 Phone

Home Address
Business Phone

Employer Name/Address
I
N
V
O
L
V
E
D

Type:
Code

Person
Business
Society
Name (Last, First, Middle)

Government

Financial Institute

Religious

Mobile Phone

L.E. Officer Line of Duty

Other/Unknown
Victim of DOB / Age
Crime #

Race Sex

Home Phone

Home Address
Employer Name/Address

Status
Codes

Race Sex

Business Phone

L = Lost S = Stolen R = Recovered D = Damaged

(Check "OJ" column if recovered for other jurisdiction)
Victim
DCI Status
Value
OJ
QTY
#

Z = Seized

B = Burned

C = Counterfeit / Forged

Property Description

Mobile Phone

F = Found
Make/Model

Serial Number

P
R
O
P
E
R
T
Y

Number of Vehicles Stolen

Officer
ID

Number Vehicles Recovered

0
ID#
Officer Signature

ROYAL, M. D. (EAST, D) (P13889)

Complainant Signature
Status
DCI-600F

Case Status
Further Investigation
X Inactive
Closed/Cleared
Closed/Leads Exhausted

Supervisor Signature

HUNTER, J. S. (EAST, D) (P11863)

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/INVESTIGATION REPORT

Status L = Lost
Codes

S = Stolen

DCI Status

R = Recovered

Quantity

OCA

Page 2

Greensboro Police Department

D = Damaged

Z = Seized

Type Measure

B = Burned

2014-0202-030
C = Counterfeit / Forged

Suspected Type

F = Found

Possess

Check up to 3 types of activity for each

Buy
Sale Mfg
Importing Operating

D
R
U
G
S

O
F
F
N
D
R

Offender Used
Yes
Alcohol/Drugs X No

Offender 2

Unk
N/A

Computer

Yes
X No
Name (Last, First, Middle)

Unk
N/A

Age:
Offender 4
Age:
Race:

Sex:

DOB.

Race:

Sex:

Offender 5
Age:
Race:

Sex:

Race:

Sex:

Offender 6
Age:
Race:

Sex:

Primary Offender
Resident Status
Resident
Non-Resident
Unknown

Home Address

Business Address
Race

/ Age

Sex

Hgt

Build

Wgt

Hair Color

Hair Style

Hair Length

Eye Color

Glasses

Scars, Marks, Tattoos, or other distinguishing features (i.e. limp, foreign accent, voice characteristics)
Hat

Jacket

Was Suspect Armed?

VYR

Make

Shirt/Blouse

Tie/Scarf

Coat/Suit

Type of Weapon
Model

Style

Color

Lic/Lis
D.O.B.

WIT
NESS Home Address
Suspect Hate / Bias Motivated:

Home Phone

Yes

Pants/Dress/Skirt

Direction of Travel

Name (Last, First, Middle)

N
A
R
R
A
T
I
V
E

Age:

Also Known As

Occupation
S
U
S
P
E
C
T

Offender 3

Socks

Shoes

Mode of Travel
Vin

Age

Race

Employer

Sex

Mobile Phone

Phone

No

On 02/02/2014 at 0130 hours, I responded to 2026 Chapel Park Lane in reference to

suspicious activity call. Upon my arrival I met with the complainant, who advised that
on 02/02/2014 between 0115 hours and 0125 hours, an Assault occurred.
The investigation is ongoing at this time.