Contains Restricted Names : Forsyth County Sheriff'S
Contains Restricted Names : Forsyth County Sheriff'S
N
C
I
D
E
N
T
D
A
T
A
Agency Name
INCIDENT/INVESTIGATION
REPORT
** Contains Restricted Names **
Missing Person
#2
Crime Incident
#3
Crime Incident
V
I
C
T
I
M
Forcible
Yes
X No
V1
Injury
RESTRICTED
Home Address
O
T
H
E
R
S
Make
Model
Style
Color
Lic/Lis
Mobile Phone
Vin
CODES: V- Victim (Denote V2, V3) O = Owner (if other than victim)
R = Reporting Person (if other than victim)
Type: X Person
Business
Society
Government
Financial Institute
Religious
L.E. Officer Line of Duty
Other/Unknown
Victim of DOB / Age 57 Race Sex
Code Name (Last, First, Middle)
Crime #
RP
Business Phone
Type: X Person
Business
Society
Code Name (Last, First, Middle)
IO
Home Phone
Home Address
Government
Financial Institute
Religious
Mobile Phone
69
Race Sex
Home Phone
Home Address
Employer Name/Address
Status
Codes
Not Applicable/none
Business Phone
Employer Name/Address
I
N
V
O
L
V
E
D
Weapon / Tools
N/A
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 #
Non-Resident
1,
/ /
Unknown
Home Phone
Employer Name/Address
VYR
201603425
ORI
#1
OCA
Business Phone
Mobile Phone
F = Found
Make/Model
Serial Number
LEXU Gs300
JT8BD68S9Y0090586
LEXU Rx400
JTJHW31U360021886
P
R
O
P
E
R
T
Y
WETTER, B. M. (2296)
Complainant Signature
Status
DCI-600F
Supervisor Signature
DENTON, J. A. (1088)
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
Page 2
1 ) IO 2
Victim of
Crime #
DOB
Address
H:
Empl/Addr
B:
Mobile #:
2 ) IO 3
H:
Empl/Addr
B:
Mobile #:
Empl/Addr
B:
Mobile #:
H:
Empl/Addr
B:
Mobile #:
H:
B:
Empl/Addr
Mobile #:
H:
B:
Empl/Addr
Mobile #:
7 ) IO 8
H:
Empl/Addr
B:
Mobile #:
8 ) IO 9
H:
Empl/Addr
B:
Mobile #:
9 ) IO 10
H:
Empl/Addr
B:
Mobile #:
R_CS7NC
05/04/2016 11:28
39
W F
40
W M
32
70
W F
- - - -
Address
W M
- - - -
Address
88
- - - -
Address
W M
- - - -
Address
67
- - - -
Address
6 ) IO 7
W F
- - - -
Address
5 ) IO 6
48
52
H:
4 ) IO 5
W M
- - - -
RESTRICTED
Address
Restricted
55
- - - -
Address
3 ) IO 4
- - - -
Page 3
10 ) IO 11
Victim of
Crime #
DOB
Address
H:
Empl/Addr
B:
Mobile #:
11 ) IO 12
H:
Empl/Addr
B:
Mobile #:
H:
Empl/Addr
B:
Mobile #:
13 ) IO 14
H:
Empl/Addr
B:
Mobile #:
14 ) IO 15
H:
B:
Empl/Addr
Mobile #:
15 ) IO 16
H:
B:
Empl/Addr
Mobile #:
16 ) IO 17
H:
Empl/Addr
B:
Mobile #:
17 ) IO 18
H:
Empl/Addr
B:
Mobile #:
18 ) IO 19
H:
Empl/Addr
B:
Mobile #:
R_CS7NC
05/04/2016 11:28
W F
61
W F
68
W M
31
W M
56
49
- - - -
Address
88
- - - -
Address
- - - -
Address
35
- - - -
Address
W F
- - - -
Address
80
- - - -
Address
W F
- - - -
Address
71
- - - -
Address
12 ) IO 13
- - - -