STATE OF W. UNIFORM INC REPORT OPCRSAPEIY RESP ASGN INCIDENT deQDdS Police Department imam? I I nn 1 Apr? CC/qo [90 ?5 IIPERSONS IIVENIOLE I IPPIOPEPTTY I IARREST I I I IINPORAIATION I IPHONE REPORT I TIT-mn??rt SJIMFH I IALCOHOI. RELAEQ . WFICATION (INC. ROW. NUMBER) IBR .3 6 8 IA OFFENSE ADORESSADCATION OP INCDENT PREMISE CODE GEO CODES f? CPI . unknown MONTH DAY YEAR TIME Dow MONTH DAY YEAR TIME Dow MONTH DAY YEAR TIME 00w 3 28 90 wed unkann Hm 000a: V-VICIIM . D-DECEASED TYPE I-INDIVIDUAI. P-POUCE ON I . W-WITNESS mqagamgn 5. FI-FEIJGIOIS O-OTHEFI INAWTWE (LOTT-TEES (3.9m?wm CODE: B-m??n No. NON- NAME ILAST. FIRST. MIDDLE) RACE ETI-I SE): 005. HGT WGT HAIR EYES V?l Mellssa D. 3 IF 04?22?88 510 STREETADDHESS APT. II CITY STATE ZIP FES. - ms 7503 228th St SIT Edmonds Wa 98020 I RESIDENCE PHONE BUSINESS PHONE EMPLOYMENTICOSUPATIONOOHDOL TYPE INJ. VIch 0F RELATIONSHIP 0T5NO. NON- NAMEILAST. FIRST. MIDDLE) RACE sEx 0.0.3. HGT WGT HAIR EYES DISC. W-l Lisa D. 12?20?65 APT: CITY STATE ZIP RES. . ATLS 7503 228th St SW Edmonds Wa 98020 gm RESIDENCE PHONE TYPEVIOT. TYFEINJ. VICTIM OP RELA OFNSJ NUMBEROPSUSPEOTSIARRESTED A-AHREST S-SUSFECT - . R-RUNAWAY - - - . NO. NAME ILAST. FIPST.MIDDLEI PACE D.O.B. AGE HGT WGT HAIR EYES "5 8?1 Hansen, Siqurd J. 4?28-6523 505 140 blo blu I: we NAMEISI IDENTIFIEPS STREET ADDRESS APT. II CITY STATE ZIP PIES. OENCE PHONE A ..C 18361 8th Ave NW Seattle a PP . BUSINESS PHONE S00. SEC. NUMBER DFWEFB CARD NC. 5mg 5 H2INSESB42J8 Wa IBRARREST BOOT-TING: CHARGES BAIL OFFENSENO. 1. -J - MEATS LOCATIDNOPARREST 2. . I IGANG I ITRIBE I IAPPILLATION ON VIEVI CTTEO STATEMENT CHARGES IDENRPIOATION NUMBER MULTI ARREST I IOFW- I 1 IWFITN. I IDEHIED .. .ILIV. PARENT: NOTIFIED NOTIFIED BY OPJUVENILE GDN.NOIIPIED - ?r NEWDJE I ISTOLEN I ILOCATED I I IDAMAGEDTVANDALDED I IVIOTIMSVEH I CODES: I IFECOVERED: I ITOWED I IASANDONED I IDTHER: I.ISUSPEOISVEH 7 NO. LICENSE NUMBER STATE WNJHUU. No. YEAR MAKE MODEL STYLE COLOR SPECIAL VALUE 5 DFWEFI IS: REGBTERED OIVNETS NAME I TWO 8 I IPEFSONII I VEHICLE Tow STATE Tow NO. REGISTERED OWNEFS ADDRESS I ILEPTATSCENE . I IDPIVEI. AWAY I ITOWEI: 0 LOCKED ITEYS IN DELINO. VICTIM DRIVE- DAMAGE TO SPECIFY DAMAGE BY 1 5 DAMAGE A VEHICLE PAYMENT INS. ABLE VEHICLE SHADING DAMAGEDAREA IILIPIIUNDERSIDE 5 2 .S MAKING FALSE -I OREIIAGGEPMTEDSTATEMENTINANY I2: MNGAFNSEFEFOHTBAHISDEMEANOHJ- EPRDPERIYCHME-IDIDNOTGIVE L1 -. ANYONE PERMISSION TOENTER MYPREMISES TAKEIREMOVE MY IF IHAVE ADVISEDOP CI-LAPTERIIBOPTHE (1-. - AVOI IIDOII 4 IRELEASED I IIHAVE READ. UNDEFSTAND AND AGREETOTHEABOVE I IIACOEPTUABILITY FORTOWING AND STORAGE . ITHE I MISSING .7: SIGNATURE 0: PERSON DATE 5 DP AREA OFFICER NAMEINUMBER AREA APPROVED BY CI 1 M.Marsh 435 i152 WE ADMIN CLEARANCE DISTRIBUTEN I HD EXCEPTIONAE IIAR-FVA IIWARRANT IIOA IIJUV IIDET IIAPIRIJ IIUNP IIPA IIDSHS IIMH IIPAT EDMONDS POLICE DEPARTMENT . PAGE I 05?} STATEMENT OF: Egikii??rt?vk.. LAEBCLJ gall LRST NAME F1 RST AGE DATE OF BIRTH ?75061253369 ??LL-Laklo?? ADDRESS CITY, STATE PHONE NUMBER :2 Anm: 1mm: ?47m; 4521/- MA A MAL. A334: LAMA MAM) JAA ACAAZZ: A 767:2 Aiz?uiA) dzgiyEA??alAA?? may Wm 14:? AAKA: JM 7%7 AA 5.4.2224 I CERTIFY 0R DECLARE UNDER PENALTY 0F PERJURY UNDER THE LAWS OF THE STATE OF HASHINGTON, THAT THE FOREGOING IS TRUE AND CORRECT. THIS STATEMENT HAS COMPLETED AT LOCATION GNATU OF PERSON GIV N6 WITNESS EPD #112 REV 8-81 Ls-r'rurct? EDMONDS POLICE DEPARTMENT lac DATE 421 0&1. ?5/7?292?94, 716#7503 2732?: 9,0 gimmds 4094 43m; "77?7?7/?75525 km??u [$497 Mrwa Cf?i?? ?t b; am a. gab/L . 1/ 4/75? raj? UN EX . SIGNATURE OF PERSON GIVINE STATEHEI EPD #112 REV 8-81 [8?8 A33 ZEH Gd} IJHELHLS JO W7 17.3? 7 :3 Wm sijq?fw' :f ?6 77775 77L. 7777;2ij 7(11 77 JCYL tp'ryt/jpx 774/ if? far/?g, 7722: 777777777 777 7777 777m 777 ?7 W77 77 777777 777 7 TWW W72 :77? 777 Tap 7 39M (7577/7317 m? EDMONDS POLICE DEPARTMENT DATE PAGE 2567? mgr/w mm . 12375 5&2: @455 532? 57M 52- ?zgmf? 15w, Lag/5?- 65.36.; 315M I 3 L22 f3 7L IL/K/%3xncx mmZi/L- Vol/7; 5/7 1-7/ 7 63.3 C454) {:73 Hm" jq/Jh 3417:} 53?- 5). {gem/rm 55.544 in IT (/4315 5.5.532; .333 $15, 3554 #412 3:275an . 24% #733,411; 9?132; 0/76 (x 5/ MT .. A {5'4 ?i 0 n5sr? PERSON GIVINE STATEF EPD #112 3 REV 8-81 A33 (MB mawawis 9+4on :10 auniwsugNUIIVJOT I E) 57.93:: 25 lV G3l31dH03 SVM SIHL UNV 3031 SI BNIOUHHOA :10 3H1. HECINH 3lVlS fail if? SSHHUGV a a 33V 1-110 1331 5? 3 - =30 [397? 33ch 'Wwa - 'l 33 33l'lOd SCINOWCIEI EDMONDS POLICE DEPARTMENT LC 4041/? DATE IPAGETT STATEMENT OF: 63?ij 510 LRST NAHE FIR HIBQLE AGE I Mum/E Ass-76%? EDORE CITY STATE PHONE NUMBER Q94: 2mm mg mg, rum Nanak - 54$ {my/7 V1: 00 Troy?hr r1 xvi-?ns: (3'ka FLEECE I IL: ?Kl/k [4.1111 x01] vii (MOT [um/f dEr-Qmiz (10.51;? CERTIFY OR DECLARE UNDER PENALTY OF PERJURY UNDER OF THE -TATE OF THE FOREGOING IS TRUE AND CORRECT. STATEMENT NAs COMPLETED AT [Lylmoh?g . LOCATION . 940. . I . SIGNATURE OF PERSON GIVING STRTEHEN7 $9 ITNESGJ EPD #112 9-91 EDMONDS POLICE DEPARTMENT DATE zg?g?o PAGE UFL. I A EMENT OFLAS AME V?s ABGE Bf {Eff-(L, 1095?53 340:. a 5753231 34/ 648923 3/ CITY STATE PHONE NUMBER (pm 746. 5? IQQO ?f??wms ?i'u'JLaZw ?hn?uyf?ifdg? 7:51}? QED #5411: 3 RSI. 1/3-3; "IL/Trot Lr'_ ?fty V33: urf?w?hjlz/x yQZ/yx tat/r- Sg? (?71324-16 . Tkega I {4179'}: if . 3:13" x? 34-1/1; D1 . (7/33? 3 Jul/rm Qua?? mp: [Ah-<15 T2313 3 A?M-ru: 57:05 Lilla/33 [.er :9!qu 4 ?13/ 3/2111: Err? baLm/Avh manta! LEMMA [qud'nrm fol/:Ii? (69/4/01. hfll- H?g?f?i?xz 342333 1" 'gf/Q'P ?17 {/Irm v?vzf/?/?achf Ami/3 SUE: fay/E [335-53 {195/433; Franz/712a3r5'ilk-353?? 7L0 t?it'ij?c? '3?1'51'7135? bar {c?mrx 2747;557cr Emir: (4r. 5-132? ES {-f?hwz 1th T?i?n? (arr 11/190 [.1563 LJJULQ ML?L?f?f-Lf?t??rif?mQ?Zm Erynaq/ ?34312; 2/53,! imam 74:3 diiw?/? ?(mum (9- gr? {(05213 THE: Linn $31. it"f?d 1:111! 3r SJTAJT j/H! LEM: Jch, Tim/Tmnjifig?' ?33ng gar/n rnimgwg ?TL/wu fut-:1 hart; he; ?0 ?Ed/faint CERTIFY OR DECLAREVS UNDER UNDER THE LAMS (boa/P STATE OF NASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT. THIS STATEMENT NAS COMPLETED AT T373525 $133,433 5/ LOEATTON 2MPERSON GIVING STATEHEN WITNESS EPD #112 REV 8-81 ,4 01073 WIW 2W Wm/ EDMONDS POLICE DEPARTMENT FT-qo PAGE 'l i STATEMENT OF: [5955+er Lari Arm Q0 02-06-90 3 LAST NAME FIRST RTOOLE AGE 0.0.3. - I I anL OWE [M?s OPS-0.3 ADDRESS CITY, TATE . ONE NUMBER LOH. ELKSi-r?om Hm Melr<