Page} GEORGIA BOARD OF PRIVATE DETECTIVE AND 237 COLISEUM DRIVE - v; MACON.GA. 31217 WEAPONS DISCHARGE REPORT FORM Please Note: All defamation must be prowdeo'. AND COMPANY INFORMATION: Employee?s Name Brian Nelson License Number $505583? Type of Weapon Permit IExposed lYeg No Concealed. Yes No isep?rag??sjmn? Employers Addrese 1900 The Exchange City, State Atlanta, GA Suite 365 Supervisor's Name Jeff Arko Phone Number. 770-272-9702 WEAPON DISCHARGE INF ORMA TION: Date of Discharge I Time of Discharge 9 053;} Time Supervisor Noti?ed. 9:15am Supervisor Noti?ed Jeff gm?, Give exact location including city where weapon was Location Citizens Trust Bank I discharged Street 2592 South Hairston Road . C?y; Decatur T193 of Weapon 91m ??yetailed arming theoremgueamn .Use addmanai pages as needed I suspect Mr. Gerry Sanders_ etjzegpped to Seourity Officer Brian Nelson (remanded suspect to drop weapon and freeze. when the seepect pointed his weapon. and ran toward the officer he fired 4 shots. sticking Eurip? eat in the leg. He held suspect on the ground outside bank until DeKal?b Police arrive a few moments later. Stray bullet fragment struck Bank Teller Linda Cagner in It lee. E?F?Iease attach fry-house report with witness statements. Please see police report attached. mere-$3 polige noti?ed? rema?? @Esih'm [13: @935 7?73? ii?? @319 o. Where there any injuries resulting frOm the weapon discharge? Yes No Robbery Suspect Hr. Gerry Sanders shot in leg. Bank Teller Linda _Gagner struck in right leg by bullet fragment. Name oflnjured Party Robbery Susgect Linda Gagner Bank T9319: AddresEd?nj?i??d Perty? 22_?_Windsong LN 5w Lilburn, GA 30047 Gerry Sanders Del-{an County Jail Page 2 DISCIPLUVARYA CTION. ?b?i??mjva Was disciplinary action taken? Yes ?1 No If so. what action was taken additional pages as needed. I _h i? Su_bmit ceg?cgtig1_q_most recent ?ring range scores +gate? i Firearms Instruction; ..- Date; Firearm Firearm Instructor?s Signature Lre-iraining is required) I certify and declare that the above information is true and correct. [farther declare that 1 have recounted the weapons discharge incident to the best of my knowledge. Date of Rape? /0 3 a. I Employee Signature 4/24?. AIM, Epemsocgsmuem em; Sworn nd subscribed to before me Attachments.- Company Incident Report Witness Statements Police Report (if noti?eco New Range Scores Training Certification I Action Taken: -