DME CONTACTED HEM HELM ED cam 1's. Lm 115mm?: 5: mum at: {If GONMCT DIHISTREEU I'Il?l n1 ?cm Emc- Hnau m? VICTIM PERSON HEATED (FENDER um: 1 ml - FIRST. MJ.) mamas?; Maw mm APTELOOH CITWSTATE IEIP ,u I'm' .v mu HEIGHT mm man was Hm mam r- mam-I L!an LI I mum; mum-R PHONE ll 1 m1th mess CELL INK-J TEHF um: um 'Ht MAKE urinal. EDDYHIYLE amen NMIIE VEHFIED DRIVERS US I SOMLSEC OTHER DH MEAN-5 1? LD. 1' an. 351.5769} {1:9 - I nor SPOT even-nu scans ulssmu TO BE IF ?Hi! may: mveoama amas KNOWN rams HPEH arm I I - a m" fr irmia RELATED cm 5 j?m, MW 5 mm - assume I [was] - acnww OFFICER - NAME .9: PREPAHBHG - NAME STAFI I -NWE lD1f?avm?} Immum CARD DEPT. INVESTIGATORY STOP REPORT ISR NO. JUVENILE ADULT CHICAGO POLICE DEPARTMENT EVENT NO. TIME OF STOP DATE SUBMITTING BEAT NO. BEAT OF OCCURRENCE LOCATION CODE NO. ADDRESS OF STOP (Number/Direction/Street Name) NAME (Last, First, Middle) RECORDED: NICKNAME(S) IN-CAR CAM. HOME PHONE NO. ADDRESS OF RESIDENCE (Number/Direction/Street Name/Apt./Floor/City/State/Zipcode) BODY WORN CAM. CELL PHONE NO. AGE / ESTIMATED AGE RANGE RELATED ISR NO. (To Identify Associates) DATE OF BIRTH WHICH OF THE FOLLOWING DO YOU BELIEVE IS THE RACE OF THE PERSON STOPPED? BLACK OR AFRICAN AMERICAN NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER AMERICAN INDIAN OR ALASKA NATIVE WHITE HISPANIC OR LATINO ASIAN WEIGHT HAIRSTYLE SEX HEIGHT HAIR COLOR BUILD EYE COLOR COMPLEXION SCARS/MARKS/TATTOOS CLOTHING TYPE/COLOR FACIAL HAIR EMPLOYER'S ADDRESS EMPLOYER'S NAME SCHOOL'S NAME SCHOOL'S ADDRESS EVENT ASSIGNED BY ON VIEW WAS THE SUBJECT OF THE STOP HANDCUFFED YES NAME VERIFIED BY ID WAS THE VEHICLE CURBED AS A RESULT OF THIS STOP YES NO VEHICLE YEAR MAKE DID THE STOP INVOLVE A VEHICLE YES NO V.I.N. NO. MISSION NO. YES NO LICENSE PLATE NO. TYPE/STATE/EXP. (OR TEMP. TAG NO.) MODEL BODY STYLE HOT SPOT NO. BOC-I NO. GANG/NARCOTIC RELATED ENFORCEMENT DRIVERS LICENSE NO/STATE ID NO. OTHER ID TYPE OR MEANS NO YES NO DISPATCHED OTHER DISPERSAL TIME COLOR RD NO. (If Related) NUMBER OF PERSONS DISPERSED AS SPECIFIED IN S10-02-03. COMPLETE BELOW ONLY IF INCIDENT/SUBJECT HAS GANG INVOLEMENT: GANG/FACTION GANG KNOWN HANG-OUTS TYPES OF GANG CRIMINAL ACTIVITIES (Describe in Investigatory Stop Narrative) GANG LOOKOUT GANG SECURITY INTIMIDATION SUSPECT NARCOTIC ACTIVITY OTHER (Describe ) DISPOSITION OF THE STOP: IF YES, CHECK APPLICABLE BOX BELOW. ENFORCEMENT ACTION PERSONAL SERVICE CITATION (CIT. #) ARREST TAKEN? OTHER ANOV(CIT. #) NO YES (Specify) CITED VIOLATIONS/CHARGES WHAT WERE THE REASONABLE ARTICULABLE SUSPICION FACTORS THAT LED TO THE STOP? (Check all that apply. All checked items must be described in the Investigatory Stop Narrative.) ACTIONS INDICATIVE OF "CASING" VICTIM OR LOCATION ACTIONS INDICATIVE OF ENGAGING IN DRUG TRANSACTION PROXIMITY TO THE REPORTED CRIME LOCATION FITS DESCRIPTION FROM FLASH MESSAGE GANG/NARCOTIC RELATED ENFORCEMENT FITS DESCRIPTION OF AN OFFENDER AS DESCRIBED BY VICTIM OR WITNESS OTHER INVESTIGATORY STOP NARRATIVE (Must include factors that support Reasonable Articulable Suspicion to justify the Investigatory Stop) Continued on back. CPD-11.910 (1/16) SIDE 1 INVESTIGATORY STOP NARRATIVE CONTINUED (Must include factors that support Reasonable Articulable Suspicion to justify the Investigatory Stop) WAS A PROTECTIVE PAT DOWN CONDUCTED? YES WAS THE PROTECTIVE PAT DOWN BASED ON CONSENT? NO RECEIPT GIVEN? YES NO YES NO WHAT WERE THE REASONABLE ARTICULABLE SUSPICION FACTORS THAT LED TO THE PROTECTIVE PAT DOWN? (Check all that apply. All checked items must be described in the Protective Pat Down Narrative.) VIOLENT CRIME SUSPECTED VERBAL THREATS OF VIOLENCE BY SUSPECT KNOWLEDGE OF SUSPECT'S PRIOR CRIMINAL VIOLENT BEHAVIOR/USE OF FORCE/USE OF WEAPON SUSPICIOUS BULGE/OBJECT OTHER REASONABLE SUSPICION OF WEAPONS ACTIONS INDICATIVE OF ENGAGING IN VIOLENT BEHAVIOR PROTECTIVE PAT DOWN NARRATIVE (Must include factors that support Reasonable Articulable Suspicion to justify the Protective Pat Down.) WAS A WEAPON OR CONTRABAND DISCOVERED AS A RESULT OF THE PROTECTIVE PAT DOWN? IF SO, DESCRIBE THE WEAPON(S) AND/OR THE TYPES AND AMOUNTS OF CONTRABAND FOUND. HEROIN Wgt. FIREARM COCAINE Wgt. OTHER WEAPON Describe: STOLEN PROPERTY ALCOHOL INVENTORY NUMBER(S) CANNABIS Wgt. DRUG PARAPHERNALIA YES NO YES NO OR HIS/HER EFFECTS? YES NO HEROIN Wgt. OTHER Describe: OTHER WEAPON Describe: CANNABIS Wgt. OTHER CONTROLLED SUBSTANCE Describe below: STOLEN PROPERTY DRUG PARAPHERNALIA FIREARM ALCOHOL Wgt. INVENTORY NUMBER(S) FIRST OFFICER'S NAME AND STAR NO. CPD-11.910 (1/16) NO IF NO, EXPLAIN BELOW THE BASIS FOR THE SEARCH AND ALL THE REASONS THAT YES WAS CONTRABAND FOUND AS A RESULT OF THE SEARCH? IF SO, DESCRIBE THE TYPES AND AMOUNTS OF CONTRABAND FOUND. COCAINE Wgt. NO OTHER Describe: OTHER CONTROLLED SUBSTANCE Describe below: Wgt. WAS A SEARCH BEYOND A PROTECTIVE PAT DOWN CONDUCTED OF THE PERSON? WAS THE SEARCH BASED ON CONSENT? LED TO THE SEARCH. YES SECOND OFFICER'S NAME AND STAR NO. SIDE 2 SUPERVISOR APPROVAL NAME AND STAR NO.