Anda di halaman 1dari 3

INCIDENT/INVESTIGATION

Agency Name

Roswell Police Department


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

ORI

REPORT

05/11/2012 19:34 Fri


Last Known Secure
Premise Type

11595 Northgate Wy, Roswell GA 30075-

#2

Crime Incident(s)

A1

Residence / Home
( Com )

Domestic Trouble
LW9999
(

Crime Incident

Zone/Tract

Crime Incident

05/11/2012 17:55 Fri


At Found

05/11/2012 17:55 Fri


Activity

Weapon / Tools UNKNOWN/NOT STATED


Entry
Exit

Security
Activity

Weapon / Tools
Entry

#3

1200-031401

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

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

RP

Lic/Lis

Mobile Phone

VIN

R = Reporting Person (if other than victim)

HICKS, SHERRI LYNN

Injury:
Victim of
Crime #

Race Sex Relationship


To Offender

Resident Status

Military
Branch/Status

Home Address

Home Phone

112 Dupree Rd - B6 Woodstock, GA 30118


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

Bargain City (NONE)


Type: INDIVIDUAL( NON LE)
Code Name (Last, First, Middle)

IO

Injury:
Victim of
Crime #

HAZELWOOD, WALTER CLAUDE

947
5

Race Sex Relationship Resident Status


Military
To Offender
Branch/Status

Resident

Home Address

Home Phone

11595 Northgate Way Roswell, GA 30075

770-642-7246

Employer Name/Address

Business Phone

Mobile Phone

N/A (RETIRED)
1 = None

2 = Burned

Status
VI
# Code Frm/To

3 = Counterfeit / Forged 4 = Damaged / Vandalized


("OJ" = Recovered for Other Jurisdiction)

Value

OJ QTY

5 = Recovered

6 = Seized

Property Description

7 = Stolen 8 = Unknown
Make/Model

Serial Number

P
R
O
P
E
R
T
Y

Officer/ID#
Invest ID#

BRUNS, B. (16)
(0)

Status Complainant Signature


R_CS1IBR

Supervisor
Case Status

Miscellaneous Incident Report

Printed By: GTHOMPSON,

05/11/2012

Case Disposition:
Sys#: 1147837

WESCOTT, J. (209)
Page 1
08/08/2016 15:33

Incident Report Additional Name List


OCA: 1200-031401

Roswell Police Department


Additional Name List

Name Code/#

1 ) IO

2
Address

Victim of
Crime #

Name (Last, First, Middle)

DOB

HAZELWOOD, MARTHA

H:
B:

Empl/Addr

Mobile #:

2 ) IO

- - - -

Juvenile

Address

H:

Empl/Addr

B:
Mobile #:

R_CS7NC

Age Race Sex

Printed By: GTHOMPSON,

08/08/2016 15:33

- - - -

Page 2

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

1200-031401

7 = Stolen 8 = Unknown

Suspected Type

D
R
U
G
S

Assisting Officers

Suspect Hate / Bias Motivated:

Narr. (cont.) OCA: 1200-031401

INCIDENT/INVESTIGATION REPORT
Roswell Police Department

NARRATIVE

-------------------------Incident Miscellaneous Re------------------------Reporting Officer:


(16) BRUNS, BROOKE
Added By Employee: (16) BRUNS, BROOKE
Added Date:

05/11/2012

On 051112 at approximately 1800 hours, I responded to the parking lot


of 12070 Crabapple Road (CVS). Upon arrival, I met with SHERRI HICKS
who stated she wanted to go get her 15 year old son J.H from his
grandparents (MARTHA and WALTER HAZELWOOD) house at 11595 Northgate
Way for a visitation. HICKS stated the HAZELWOODS were the legal
guardians of J.H, but she had a court order that showed she had
visitation rights whoch she showed me.
I followed HICKS to 11595 Northgate Way where I made contact with
WALTER and MARTHA and advised them the reason I was there. I showed
MARTHA the copy of the court order I had and she stated it was not the
right one and she went and got the correct copy.

WALTER stated she has shown proof and they were supplying supervision
so HICKS could have visits but they had an incident last Monday and he
stated she would have to find her own supervision from then on.

e
. I advised WALTER he could he held in
contempt of court if he went against the courts order and he got
visibly upset.
WALTER stated J.H could go with HICKS but she was to have him back by
no later that 1400 hours on Sunday 051312. I advised HICKS if she did
not have J.H back by then she could loose her visitations. HICKS
stated she would have J.H back on time.

R_CS2IBR

By: GTHOMPSON, 08/08/2016 15:33

Page 3

Anda mungkin juga menyukai