~~~cyro95' ~~TEDIij""lCIRCLEONE OFFENSE-INCIDENT REPORTII'T."..,-+:,.IU_~.,-I0I_:-_.J'I,-1'4_..••IWhite Pink Blue Yellow

DaleofSupplement MIAMI-DADE POLICE DEPARTMENT

JuveniteIn Report

~ Juvenile n 1. Original r-:;l11 l~ I Warn/Dismiss 2. Supplement 1 -,

lime Completed {MU)

IAgencyReportNumberPD100219075751D.to Time (Mil) I Tlmarn,p''''OdIM;245 I TlmaAnly.d(Mil)2245

Time(Mil)

Original DayReported 02/19/2010 2245Friday 2337

Sbltul. Violation Humber NCICJUCR Cod.

Date Time(Mil) Day Date2000 I ToI Incident: Day

',om Friday5. Ordinance9. Other

Incident Type 3. Misdemeanor1. Felony 4. Traffic2. Traffic Felony Misdemeanor 02/19/2010

7---------7OFFI1N.C

#2

OFFliNe Type Description A-AttemptedC·Committed IInformation#1 9

Incident Location (Street, Apt. Number)

6411 NW 162nd Street

A-AttemptedC-Committed

City Zip 0i5trict IGrid "' .. I

Zone

Miami Lakes 33014 LK 0317 03Forced Entry I OccupancyO.N/A 2. No ! O.N/A 2. Unoccupied 01. Yes o 1. Occupied 3. Abandoned

Business Name/Area Identifier

Miami Lakes Optimist Park

99. OtherLocation Type01. Residence-Single02. ApartmenVCondo03. Residence-Other04. Hotel/Motel05. Convience Store

21. Airport22. Bus/Rail Terminal23. Construction Site24. Other Structure25. Parkina LoVGaraae

26. Highway/Roadway27. ParklWoodlandslField2B. LakelWaterway29. Motor Vehicle30. Other Mobile

06. Gas Station 11. SpedaltyStore 16. Storage07. UquorSales 12. Drug Store/Hospital 17. Gov'VPublic Bldg.OB. Bar/Nightclub 13. BankiFinandallnst. 1B. School/University09. Supermarket 14. Commercial/Office Bldg. 19. Jail/Prison10. Dept./Discount Store 15. tndustrial/Mfg. 20. Reliaious Blda.

27

07. Hands/Fist/Feet08. Poison09. Explosives

10. Fire/Incendiary11. Threat/intimidation12. Simulated Weapon

00I·OffO·ndO·~ I ·P'O·m

O·En!. I' Vah. stol~ I TypeWeapon 02. Rifle

00 ~:~a~gun ~. ~~~:;

OS. Knife/CuttingInstrument

06. Blunt Objed

Race SexN-N/A I-American Indian N-N/AW-White O-OrientaJ/Asian M-MaleB-Black U-Unknown F-Female

U-Unknown

Residence TypeO. N/A 3. Florida1. City 4. Out-of-State2. County

Residence StatusO.N/A1. Full Year2. Part Year3. Non-Resident

Victim TypeO. N/A 4. Business1. Juvenile 5. Government2. L. E. Officer 6. Church3. Adult 9. Other

VIWCodeV - victim P- Proprietorw- Witness Z- otherC - Reporting Person

13. Drugs88. Unknown99. Other

Extent of InjuryO. None1. Minor2. Serious3. Fatal

Injury Type 03. Laceration 07. Loss of Teeth I Victim Relationship To Offender00. NlA 04. Unconconscious 08. Bums 00. NJA 03. Spouse01. Gunshot OS. Poss. Broken Bones 09.Abrasions/Bruises 01. Undetermined 04. Ex-Spouse02.Stabbed 06.Pass. Internal lnlurv 99.Other 02.Stranger OS. Co-Habitant

14. Teacher15. Child of Boy/Gin

Friend16. BoV/GiMFriend

17. Friend18. Neighbor19. SitterlDay Care20. Emolovee

21. Employer22. LandlordfT enant23. Acquaintance99. Other Known

06.Parent07. Brother/SisterDB. Child09.Stec-Perent

10. Step-Child11. In-Law12. Other Family13. Student

OfFnNc Indicator I VNI C~e V. T

3YPO I NL~o·~~je"·zFi'S,tMG~~e·~o"""r~:e')

;:; 3.80'" 1 C i 1 '1-" 'M'

R.aichnce Phon.

305-725-7872CIIy Stat. ZipAddress (Street, Apt. Number)

15700 NW 67 Ave #301 Miami Lakes FL 33014Other Contact Info. (Time AV8ii8bie, interpreter, etc.) I T~:~I"~fMi'ami Lakes Councilmember

Susln.as Phone

tfVIWCode

V,W,orP

OFFnNc Indicator

~:: 3.Bolh ! 1 I zT' 1Cl", ZipStateAddress (Slreot. Apt. Number)

15700 NW 67 Ave #301 Miami Lakes FL 33014Other Contact Info. (Time Available, Interpreter, etc.]

ausiness Phone

UnknownOa'e of Birth or Age

IfVIWCod.V,W.OfP

OFFnNC Indicator I Suspect Code1. #1 3. 80th s.susp«:t E-Esc~

2. #2 A·Arr"t.. z-omer

I Juvenile I Name (Last, First, Middle or Business)

Residence Phone

Last Known Address (Street, Apt. Number) Zip Business Phone

I Nickname/StreetName I PlaceofBirthMaiden Name

City State

I Employer/SchoolOccupation Address Social Security Number

I OBTSNumber(Anested)I Other 1.0. NumberDriver's License State/Number FCIC/NCIC

Clothing (Oescribe) ScarsiMarksfTattoos (LocationIDescribe)

I Oat.ofBirthorAge I Height I HairlengthI Weight I Ey.ColorSexRace

I Build I FacialHair I Teeth I SpeechNoiceComplexion I SpecialIdentifiers

C#1 (Mr. Lopez) was contacted (by phone) reference wanting to file an information report. C#1 (Mr. Lopez) advised that hewas volunteering his time by serving food for a Haiti Relief fundraiser at the above location. C#1 (Mr. Lopez) advised that atapproximately 8:00 p.m., Mr. Richard Pulido approached and stood approximately two feet from him and began verballydemeaning him by making numerous statements which were intimidating and insulting and directed at him. C#1 (Mr. Lopez)stated that Mr. Pulido said that his wife was supposed to come to the event tonight but if she did, she would probably slapone of the council members. C#1 (Mr. Lopez) advised that Mr. Pulido also said "you're not a man" and that he (Mr. Pulido)

Hair Style

Person/Unit Notified Time I ~elatedReportNumber(.)

Officer ($) Reporting

Sgt. E. RuesgaUnIt

LK610Dale

10. Number(s)/Locator Code

1930-LK4Date

02/19/10

IClearance Type1. Arrest2. Exceptional

Jail Numbar Number Arrested

Officer Reviewing (If Applicable) 10. Numbor Routed To Referred To Assigned To By

5. Prosecution Declined6. Juvenile I No Custody

OBTS Number

Case Status3. Unfounded I I A - Adult4. Open Pend.' J - Juvenile

2. Arrest on PrimaryOffense Secondary OffenseWithout Prosecution

Exception Type1. Extradition

Declined

3. Death of Offender4. VIW Refused to

Cooperate

32.02.091 Rev 2/99 MIAMI DADE POLICE DEPARTMENT 1585 v2.0

Page Page

1 I of [ 2

CIRCLE ONE Gang IN NARRATIVE CONTINUATION Juvenile rNl 1. Original /1White Blue Rglated In Report 2. Supplemant

Date of Supplement I Agency Report Number

PD100219075751MIAMI-DADE POLICE DEPARTMENTOriginal Date Reported Original Primary Offense Description Victim #1 Name Original NCIC/UCR Code

02/19/2010 Information N/AOriginal OFfliNe Location Primary Offense Changed To

,

INew Statute Violation Number New NCIC/UCR Code

A-Attempted,

C -Committed ,

won with 3500 votes and you (Mr. Lopez) got four votes and that you lied to people to get those votes. C#1 (Mr. Lopez) statedthat he walked away and ignored Mr. Pulido but that Mr. Pulido continued with the insults. C#1 (Mr. Lopez) advised that Mr.Pulido's actions are a result of a pending agenda item that C#1 (Mr. Lopez) has that Mr. Pulido does not support.

Suspect Code

ICode # I Offense Indicator I Residence Type

ICitizenship I Drug Indication I Alcohollndication, t #t 3 Both , 1 City 3 Florida , 1 Yes 8 Unknown , 1 Yes 8 Unknown ,

S - Suspect A - Arrestee 2 #2 2 County 4 Out of State 2 No 2 NoDrug Activity 5 Sell R Smuggle K Dispensel M Manufacturel Z Other I Drug Type B Barbiturate H Hallucinogen P ParaphemaliaJ U Unknown

N N/A B Buy o Deliver Distribute Producel : N N/A ~ Cocaine ~~~,~!~~~~.C' Equipm.ent Z Other :P Possess T Traffic E Use Cultivate -~,-01 Parent Name of Parent or Custodian (Last, First, Middle) Residence Phone02 Legal Guardian03 Other

Address (Street, Apt. Number) (City) (State) (Zip) Business Phone

Notified By: (Name) I Date I Time I Juvenile Disposition1. Handled/Processed Within 2. Turned Over to DYS/CYF IDept. and Released 3. Incarcerated (County Jail)

Released To: (Name) Relationship I Date I Time

Person/Unit Notified Time I Related Report Number(s)

Officer (s) Reporting 10. Number(s)/Locator Code Unit Date

5gt. E. Ruesga 1930-LK4 LK610 2/19/10Officer Reviewing (If Applicable) 10. Number Routed To Referred To Assigned To By Date

Case Status I Clearance Type I A-Adult IDate Cleared Jail Number Number Arrested

1. Arrest 3. Unfounded , ,2. Exceptional 4. Open Pend. J - Juvenile, ,

Exception Type 2. Arrest on Primary 3. Death of Offender,

OBTS Number Page Page1. Extradition Offense Secondary Offense 4. VIW Refused to 5. Prosecution Declined

Declined Without Prosecution Cooperate 6. Juvenile I No Custody , 2 of 2, ,32.02.09·2-1585-PG2-1.0