INCIDENT/INVESTIGATION

Agency Name

Roswell Police Department

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

ORI

REPORT

04/27/2016 20:15 Wed

Last Known Secure
Premise Type

615 W Crossville Rd, Roswell GA 30075-

#2

Crime Incident(s)

Suspicious Activity
0020
(

Crime Incident

Crime Incident

At Found

B1

Parking Lot /garage

( Com )

04/27/2016 20:15 Wed

Zone/Tract

04/27/2016 20:15 Wed

Activity

Weapon / Tools NOT APPLICABLE/NONE

Entry
Exit

Security
Activity

Weapon / Tools
Entry

#3

1604-001024

Date / Time Reported

GA0600500

Location of Incident

#1

Case#

Exit

Security
Activity

Weapon / Tools
Entry

Exit

Security

MO
Type:
# of Victims 0
Victim/Business Name (Last, First, Middle)
V
I
C
T
I
M

Domestic: N
DOB

Victim of
Crime #

V1

Race Sex Relationship

To Offender

Military
Branch/Status

Home Phone

Employer Name/Address
Make

Business Phone

Model

Style

Color

CODES: V- Victim (Denote V2, V3) O = Owner (if other than victim)
Type: INDIVIDUAL( NON LE)
Name (Last, First, Middle)
Code

IO

Lic/Lis

Mobile Phone

VIN

R = Reporting Person (if other than victim)

HAZELWOOD, JEFFREY

Injury:
DOB

Victim of
Crime #

Race Sex Relationship

To Offender

/1996
19
W

Resident Status

Military
Branch/Status

Home Address

Home Phone

11595 Northgate Wy Roswell, GA 30075

770-642-7246

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

Resident Status

Age
Home Address

VYR

O
T
H
E
R
S

Injury:

Business Phone

Mobile Phone

Compass Academy (STUDENT)

Type:

Injury:

Code Name (Last, First, Middle)

DOB

Victim of
Crime #

Race Sex Relationship Resident Status

Military
To Offender
Branch/Status

Age
Home Address

Home Phone

Employer Name/Address
1 = None

2 = Burned

Status
VI
# Code Frm/To

Business Phone
3 = Counterfeit / Forged 4 = Damaged / Vandalized
("OJ" = Recovered for Other Jurisdiction)

Value

OJ QTY

5 = Recovered

6 = Seized

Property Description

Mobile Phone

7 = Stolen 8 = Unknown
Make/Model

Serial Number

P
R
O
P
E
R
T
Y

Officer/ID#
Invest ID#

FAHIM, A. (650)
(0)

Status Complainant Signature

R_CS1IBR

Supervisor
Case Status

Miscellaneous Incident Report

Printed By: GTHOMPSON,

04/27/2016

Case Disposition:
Sys#: 1278346

MACDONALD, M. (447)
Page 1
08/08/2016 15:22

INCIDENT/INVESTIGATION REPORT
Roswell Police Department
Status
Codes

1 = None

2 = Burned

IBR Status

Case #

3 = Counterfeit / Forged

Quantity

Type Measure

4 = Damaged / Vandalized

5 = Recovered

6 = Seized

1604-001024

7 = Stolen 8 = Unknown

Suspected Type

D
R
U
G
S

Assisting Officers

SHIPSKIE, D. (606), HASTINGS, J. (546), LANIER, J. (83)

Suspect Hate / Bias Motivated:

Narr. (cont.) OCA: 1604-001024

INCIDENT/INVESTIGATION REPORT
Roswell Police Department

NARRATIVE

On 04/27/2016, Officer HASTINGS and I (Officer FAHIM) responded to 615 W Crossville Rd. where we met with Sgt. LANIER who
was out with a suspicious person. After speaking with the subject regarding his actions he was released from the scene.

R_CS2IBR

By: GTHOMPSON, 08/08/2016 15:22

Page 2