Medical Record 33 -
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ASSAULT HISTORY

Nm incluurng the sexual assault dust:er rn llus repunr when was your last sexual emnunkar teensensual otherwtu)?

SEXUAL ASSAULT EXAM REPORT 5

 

 

naue >120 hauls

that encuulfler and ether fluent encounters. have you used: [1 Condoms (brand) Lubncant (bland) 
Sparmiclda' (mamaelly Douche Enema Vaginal Suppna'mnas (brawni

DURING THE SEXLML ASSAULT IN THE REPORT: gendlr' Female CI Omar

Assailant's R363. Hlspanic Native Amenuan i

Number of assailants Name Pf; Win/Vb (ll known) Appmx Hl. Aoprmc wt

Wcfim's W1 5W: 7 flu 1'5 EMLW 

lamesseun ,mm at Max .

A Body Brim>>: lrwalvea ln assault. fl Veg-net t:l Oral 13 Rental :1 Unsure 
5. Did unilanus) use gunsure a Na Yes 7 mm (If known)
Vaglnz' Iubrilznl (bunmi hamr'afly (blind)
Douche (Mand)r ,7 Vagina! suapos'lor'es (bland) -- 7
c, Did penetrallen take plan? El Unsua Attempted Na jail/es 7K yss. describe 

 

 

 

 

 

DY D'lu ejawtat'run occur? fiansurs a No a yes 7 lfyes. spedly where
E. mu (he mouth oltne ll-ye canted wi|h any part at your bum/7 Unsure We 3 Ves 7 ll yes speclly

 

Fa mu your mum me Contact mm the may of [he assailanfls)? unsure Mt>> El Yes 7" yea. Specfiy ff

(3, Were you sexually in any were Unsure 1m 1: Yes 7 tr yes. spacify i --V,

H. Dlu stranguleunn occur? Unsure RfNo Dyss7lfyee, specify i 7 ,7

I, Did luhocafinn occur? I: unsure 064:: CI Yes 7 ll yes' 

 

J. Did esesllenlts) keep anyihlnu nelungs (a you? [i . clothing, jewelry. purse, underwear elcl Xunsum Ll No
DVesrilyas' describe 
K. Did you scratch me assailantts) duflqu me mauh'l Unsure first: Yes 7

 

yes. whele' 

 

Did you lnrure assallant(s) ln any othur way? Unsure Bf Na El yes 7 desu'me 7 

M. Describe any sexual ayslunuran renurtell a a premalure ejaultallm, dtfliclmy achleyulg and/or malnlaining an ensure/n, unable tn resell
elawlalory phase, 5th 
live/m3 (We 
N. slnce assault, pattern slates mall sha/hl has Bathad showered zurlnated gamma Mad met mat/smart! W496.

Mme/menu fiffimshed teeth/user: moulhwash fiWesnea bedding ,zj clothes MW 7

0. Were drugs and/or almhal lrwotvaa assault any way>> Nu Unsure El Ves - lf yes or unsure. 

 

 

 

FY other

 

SAME 

0,0,3-

REPORT
Medical Record a: -

'j -

ASSAU LT HISTORY (continued)

lanl'sAcDounl ennui-19m confirmed 

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2 1 W40 A212 "Ma: 7" 9412 mm cm
In 46
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mad/7m. WW Wax/(47%
MM WK 14/ 

 

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