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WALLACE,

ELLIS,

FOWLER,

HEAD & JUSTICE

ATTORNEYS

AT LAW

FRANK C. ELLIS, JR. CONRAD M. FOWLER, JR. J. FRANK HEAD WILLIAM R. JUSTICE G. DANIEL HEAD JOSHUA D. ARNOLD FRANK HEAD (1891-1979) WALES W. WALLACE, JR. (1919-1986)

PHYSICAL

ADDRESS: AODRESS:

1 13 NORTH

MAIN

STREET

May 10,2012

MAILING

POST

OFFICE

Box 587
35051

COLUMBIANA.

ALABAMA

TELEPHONE: (205) 669-6783 FACSIMILE: (205) 669-4932

Mr. Joshua Antonelli, Case Manager Police Complaint Center Tampa Bay Office 10460 Roosevelt Blvd. #282 St. Petersburg, FL 33716 Dear Mr. Antonelli: I thank you for your letter of April 30, 2012, and am, in response thereto, enclosing herewith a copy of the Alabama Uniform Incident/Offense Report which was created as a result of this incident. This is the only portion of the police investigation records which is public and which is made available to the public. The names and critical portions of addresses have been redacted to protect the personal, privacy, identity and rights of the individuals named. Yours very truly, LLIS, FOWLER, HEAD & JUSTICE

,_

FCEjr:ph Enc. cc: Chris Curry, Sheriff, Shelby County, Alabama (w/enc.) John Samaniego, Chief Deputy, Sbelby County, Alabama (w/enc.)

.; DAM. 1,4
11'5Supplement Date

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D Attempted)
1'31 local

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l"'8I 011.",. 0Supplement

D,lnQdent

~ D Completed

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of Incident

orofrense

[j'Felony

D Misdem

nor

\5 Degree (Clrtla)

16 UCR Code

'

17 State Code/Local Ordinance

II ~

r.1~8~p~l::-ac=e~0~f~O~~~Ir~~~,ce~,~~_;~-L--~=-~~~~[]~c::-h-e-c"":'k-h-e-re-ff-e-ve--n-to-e-c-u-rre-d-a-I-v-ict-~--'.-r-es-~-e-n-ce---t--v.-,-ct-im--De--m-OQ-"r-a-p-hl~CS-L(Wh--.-r-.-vi-~-'m--js-a-n-i-n-di-vi~d-ua-I-)------------------------~g

/JJcl ..,,"'l;"''''' F:rt. ..",-, ,--C~ 6.. /lc.', L,


1.,.,1 CO

3
21 Ethnicily.

/), j,

~"

19 Sex D M

20 Race
D W OA

f22

Hispanic

0 Victims
[] []

Multiple

23 Age

/_~ ,;;

z .....
W
~
D []

If offense occurred at victim's residence, (For example, a block number should address should be listed here.

then only the approximale location should be listed In this section. be entered.) If the offense occurred elsewhere, then the specific

~[J~~F~U[]~e~[J~I~~D~~O~tn~e~r~==~~~=====JJ[]~L~E~O~ffi~-c~e~r_L~~~~ 24 On.nder Suspected 01'Using , 25 JuvGn'" Gang

26 Hat. Bias

27 Bias Code

i3
~

D [J

Alcohol Computer Equipment 34 Location

Drugs N/A

:?' c'5

D D

Adult Gang NonelUnmown

Ves
No Store

29 Point ofEntry
Door Window DRoof D Other

f30 Method 01 Entry


[] [] Forcible No Force DAltemptad Forcible

Use

& Natural
2 Moon 1 Ctear ~ Cloudy ; ~~gin

32 lighting

33 Weather

Type (Circle)

17 liquor

l-:::;::::=:-:-:-::c-:;-.,.-'::::;.,::-:-:::=::-:-rf::':;;--':'"::"--:-;=;-:--r
t

135 Occurred from MM/ODfYY

36

Time,

01 Event

B~~

__ ---..J_----j

13~lDa~

ai' ~vel":

I T 1'\"1 s

~ ~~~~:::~;r ~
41

l~i~1=-~IL_~~4~L_I~i-1.-~~rL'J~~~L)'~D_-~~~M~-I~L+.~,-L~2-~i3~1L_4~j~:~~rIX~~L~i7~5~U~n~<n-aw~n---4 5 &mw
380ccurredtoMMIDDlYY 39 Time 01 Even! [JAM 40 Day of Week

I
I

01 Te,",mal 02 Bank
03 Bar 04 Church 05 Gcmme:cia!

09 Orug Store 10 F.eld/woods 11 GovlJPublic Building


12 Supermarket 13 H!~hwayfSlre9! 14 Hotel/lJ.otel 15 Jail/Prison 16 LakeN"alerway

to> Residence/Home
21 Restaurant
24 Specialty 22 Sc.n.~ot'Colloge

18 Parking Lol/Garage , 9 Storage F aellily

1
42 Type Crirninal Activity

I~S 0
45 Property Code 46

~~~

I~I~ I~ I~IXI~ (8~~~;~


o
Operatin'glPromoting

# Premises

6 7

Hail Unknown

06 Construcllon
07 Cony Store 08 Dept Store Victim

23 Service/Gas

Slation

Store

25 Other/Unknown R Religious S Society Org

8 BuyingfReceiving Distributing/Selling D C Cultivating!Manu E Exploiling Children

!43 T Transporting/Importing

p Possess~nglConceaJjng
Property Description

U Using/Consuming

Type

I Individual B Business

CY

_Ii") Financial

(Bank) Govemment

44 Loss Code

aly

47

48 Dollar Value Stolen Damaged

49 Recovered Date Value

Include Make, Model. Size Type, Serial

#. Color, DruQ Type, Druo Qtv, Etc,

~~~--~_r--------~{~(~r~-~-)------------~--~---+--~~ 0:::' ~
W

o
~

~r---,_-----+---+------------------------------~------------------,_----~----~----~r---~

~r---~-----+---+--------------------------------------------------~~---+----~----~----~
o
Loss Code
(Entor letter In loss code column) B Burned F Forged! Counterfeited N None
Continued on Supplement

Property Code (Enter ~ In property


type column) 01 Aircraft 02 Alcohoi 03 Autos

07 Computer 08 Consumable. 09 Credit 10 Drugs 11 Drug Equip 12 Farm Equip 13 Firearms 14 GamblinifEqUipmem 15 Heavy Constru~on

16 Household 17 Jewelry 18 Livestock 19 Merchandise 20 Maney 21 Negotiable

Goods

25 Pu""""Valiet 26 RadioslTVNCR 27 .Recordings 28 RV's

34 Structure - Storage 35 Structure Other 36 Tools - Pow"rIHa"d 37 Trucks Dwelling 38 Vehicle Parts/Accessories 39 Watercraft T7 Other

S Stolen R Recovered o Damagedl Destroyed e Connscatedl Seized

Card

29 Structure
Instrument 30 Structure 31 Siructure 32 Struclure 33 Structure 52 Veh. Categories []Stolen

Single Occupancy - Other Dwelling - Other Commercial

04 Sicydes 05 Buses
06 Clothes ~Area Siolen ; [] [] [] Residence Rural 51 Ownership vertfied by:

22 Non-negotiable Insir'll 23 Office 'Equipment 24 Other Motor Vehicle

-il1oustrtali Manufacturing
- PublicICommunity [J [] Recovered Sus peers Vehicle OVlClim's

I
I

50 Stolen Vehicle Only

Business

D Tag Receipt [] D Bill 01 Sale 0

ntle
OL~e'

Vehicle Us.

[J

Abandoned

II

[J Unauthorized

~~5~3~v~e~h~id~e-Y~e-a~r~I'~--V-e-h-id~e~M~a-~e~~~------L5-5_v_e_h_id_e_M __od_e_I (.) 58 Vehicle Style 5 9opvehic:le olor C T BoHom

~L5_6_N_u_m_b_er_V_e_h_S_t_oI_e_n_rL5_7_v_e_h_icl_e_0e __ ~_~_-p_ti_oTn~~----------------~~~~~~_,~~~~ 60 Ucense

__

-j

r61 LST
0

162 LIY

a5~64~V~e~h~lcl~e~V~I~N~N~u-m~b-e-r_L~~============================~==~-===================~========~+6~5~W~'~arra--n~I~S~~-n-e~d--~W~arra-.--n~t~N-um~be-r_L----~------------1

1'63 Tag

Color

>
j_

I
Motor Vehide

I
For 24XX

I
Recovery

I
Only

I
:[]

I
ves

I
[]

I
No

liD
67 Recovered [J Ves []

;66 Stolen in your jurisdiction?


Where?

Yes No in your junsdJcfion? No Where?

Required
68 Case

UCR Code

)73 SFX

I ! J
77 Case Disposition
1 2 3 4 5 Cleared by Arrest (Juvenile) Cleared by Arrest (Adult) Unfounded Exceptional Clearance Administratively Cleared

I
75 Multiple Cases Closed Lisl"d AbOve < Multiple Cases Closed Listed On Supplement 78 Exceptional

74 Cas.

Status Pending

3 Closed t----------------i II(/) 76 Entered NCIC/ACJIC

a:::
Z

<C

i=

()l

D Ctearance (Circle One) 79 Reporting Officer

2 Inactive

231

Officer 10 Number

[] Ves

ONo

2
NICIAIN

I
#;

Date (MMIDD/yy)

A SuspedlOffender Dead B Prosecution Doelinec!/ Other Prosecution C Ex1radition Denied D Victim Refused to Cooperate E Juvenile (No Custody) F Dealh of Victim

80 Assisting

Officer

Officer 10 Number

81 SupeNlsor

Approval

Officer

lD Number

82 Watch Commander

Officer ID Number

"

lr,cidentJo.Ffense
.'

D Check
MUltipl

96
Suffix

97

Address (Slree, City, State, Zip]


100 Other Phone

103 Address

(Street. City, Stale. Zip)

104 Work Phone


105 Other Phone

114 Complainant

SSN

D Handgun

DRifte

D Shotgun

LdPNone

: 8 Broken Bones

M MinorInjury T LossofT eeth o Other Ma)or Inju~i U Urrcor.S-;lcU!::


131 Treatment for Rape?

: I hereby affirm thai I have read this report and that all the information given by me correct to the best of my knowledge, I will assume fuli responsibility for notifying the agency if any stolen property or missing person herein reported is returned,

i.

ADDITIONAllNCIDENT/OFl-cNSE NARRATIVE CONTINUED

>~------------------------------------~~------~~--------------------~
0:::.

~~--------------------------------------------------~----------------------~ IX:

<~------------------------------------------------------------------~
Z

. TYPE OR PRlNT IN BLACK INK ONLY

ALAtsAMA UNIFO~M INCIDENT/OFFENSE

REPORT SUPPLEMENT

Age

27 Bicycles

S R 0 C B
32 C1(.odiUOeb:t C2rdo 33 Drugs!Na<cotiCil

S R 0 C
B

R
0
C B

R
D C B
34 On.;gs!N~r~tbs Equipment

S R
D C B

S R
D C

S R 0
C B

S R
D C

R
D

C
B

B
37 Gambling Equipment

B 40 JewelrylPrecious
Metals

3S Farm Equipment

36 Firearms S
R

S R 0
C B

S R D
C

S R 0
C B

00 ",0:

D C B

41 Uvestock

Merchandise

43 Money

46 OffICe Equipment S R
D C R D

:J

S R D
C B

...J

>

od:

C
B

"
c::t:
C

F
47 Other Motor Vehicle S R 48 PurseSiHandbagsiWaliets

B F 49 RadioslTVNCR 50 Recording Auo-IO/Visual S R


D

...J ....J

51 Recreational 5
R

Vehicles

52 S R
D C

St~-Sio9l.Oecup.ncyOweWng

s
R D C
B

S
R
n

D C B 53 snuctureOther

D
C B

C B

B
Structure - Storage S

C 8 F 58 Structure
:.-~.-.

Dwelling S R D
C B

Other

R 0
C

--------.:.....~

B
SO Trucks

59 Tools S
R D C

63 Other S R 0
C

S R
D C

S
R D

S
R D

8
F

.C 8 F

C B F

1 Cleared by Arrest (Juvenile) 2 Cleared by Anest (Adult) 3 Untounded 4 Exceptional Clearance 5 Administratively Cleared

A SuspecVOfiender

Dead

8 Prosecution Declined/Other Prosecution C Extradition Denied D Victim Refused to Cooperate E Juvenile (No Custody) F Death of Victim

10'

10 #

78 Watch Crndr

IDLI:

TYPE OR PRINT IN BLACK

INK ONLY

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