I Agency Name

INCIDENT/INVESTIGATION OCA
N UNC POLICE 2017-001712
C
ORI
REPORT Date / Time Reported S M T W T F = S
I Month Day Yr Time
D NC 0680400 04 14 2017 21:56 Hrs.
E Crime Incident(s) Att At Found S M T W T F
= S Last Known Secure S M T W T F = S
N #1 Month Day Yr Time Month Day Yr Time
T Vandalism / Property Damage X Com 04 14 2017 21:15 Hrs. 04 14 2017 21:11 Hrs.
Crime Incident Att Location of Incident Offense Tract
D #2
A Com 1 Mccorkle Place Unc, Chapel Hill NC 27599 2
T Crime Incident Att Premise Type Victim Residence Type
A
#3
Com OPEN LAND AREAS Single Family Multi Family
How Attacked or Committed Forcible Weapon / Tools
MO Yes N/A
Vandalism By Spray Painting Silent Sam X No Not Applicable/none
# of Victims Type Person X Business Injury X None Minor Loss of Teeth Drug/Alcohol Use:
Society Government Financial Institute Broken Bones Severe Lacerations Yes Unknown
1 Religious L.E. Officer Line of Duty Other/Unknown Unconscious Other Major
V Internal X No N/A
I Victim/Business Name (Last, First, Middle) Victim of DOB / Age Race Sex Relationship Resident Status
C Crime # To Offender Resident
T V1 UNC-CH Non-Resident
I 1, NA Unknown
M
Home Address Home Phone

Employer Name/Address Business Phone Mobile Phone

VYR Make Model Style Color Lic/Lis 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
O Code Name (Last, First, Middle) Victim of DOB / Age 22 Race Sex
T Crime #
H OT TANNER JAY W M
E
R Home Address Home Phone
S
Employer Name/Address Business Phone Mobile Phone
I
N Type: Person Business Society Government Financial Institute Religious L.E. Officer Line of Duty Other/Unknown
V Code Name (Last, First, Middle) Victim of DOB / Age Race Sex
O Crime #
L
V Home Address Home Phone
E
D
Employer Name/Address Business Phone Mobile Phone

Status L = Lost S = Stolen R = Recovered D = Damaged Z = Seized B = Burned C = Counterfeit / Forged F = Found
Codes (Check "OJ" column if recovered for other jurisdiction)
Victim
# DCI Status Value OJ QTY Property Description Make/Model Serial Number
1 99 D $750.00 1 STATUE
1 99 Z $3.00 1 SPRAY PAINT WHITE GLOSS/

P
R
O
P
E
R
T
Y

Number of Vehicles Stolen 0 Number Vehicles Recovered 0

Officer ID# Officer Signature Supervisor Signature
ID SMITH, C. K. (PATL, CSQD) (720276737) TICKLE, T. D. (PATR, CSQD)
Complainant Signature Case Status Case Disposition:
X Further Investigation Unfounded Located Extradition Declined
Status Inactive Cleared by Arrest Refuse to Cooperate
Closed/Cleared Cleared by Arrest by Another Agency
Closed/Leads Exhausted Death of Offender Prosecution Declined Page 1
DCI-600F Rev.3/92