Londonderry Police Department 1 Call Number Printed: 06/27/2012 For Date: 03/30/2004 - Tuesday Call nn can Aezxm 04-5153 1413 Walk-In - ILIIAIT Arrost(s) lhdo 3 Call Taker: DISPATCIIER MARIA SCHALHT Location/Address: 239] LONDONDERRY POLICE DEPARTMENT - 268 MAMMOTH RD Apt. #2 Jurisdiction: LONDONDERRY ID: SRRGEAHT GLENN APRILE Disp-14 :15:00 Arvd-14:15:00 Clrd-14:49:00 Narrative: MARK LACASSE, IN STATION T0 TURN IN ON A IARRANT. Refer To Arrest: 04-202-AR Arrest: LACASSE, MARK DANIEL Address: 22 RED DEER RD LOHDONDERRY, NH DOB: 06/30/1986 Charges: WRONGFUL FALSE NAME Londonderry Police Department P?9o* 1 Arrest Report 06/27/2012 . Arrest 04-202-AR Call lz 04-5153 Warrant 04-60-WA Incident 04-81-OF Date Time Reported: 03 30 2004 0 1413 Arrest Date/Time: 03/30/2004 0 1413 BOOk1ng Date/Time: 03/30/2004 1420 TI O: Court: Derry Dist Court, Rockingham Court Date: 06/28/2004 0 0900 Reporting Officer: SERGEANT GLENN APRILE Assisting Officer: OFFICER MICHAEL CORL Booking Officer: SERGEANT GLENN APRIL Approving Officer: CAPTAIN GERARD DUSSAULT . Signature: Signature: rt A I r1 {Hell}; 1 LACAIIE, IARI DANIEL I I 17 019-G0-0643 22 RED DEER RD LONDONDERRY NH 03053 HEIGHT: 600 HEIGHT: 155 HAIR: BRONN EYES: BROWN BODY: NOT AVAIL. COMPLEXION: NOT AVAIL. DOB: 06/30/1986 PLACE OF BIRTH: LAWRENCE MA STATE ID: NH664452 FBI ID: LICENSE NUMBER: NH 06LEM86301 ETHNICITY: HISPANIC [Dunne:} GLASSES WORN: NO - MARITAL STATUS: SINGLE NAME: LACASSE, MICHAEL NAME: WOOD, LHS HANHOTH RD LONDONDERRY NH 03053 RIGHTS ADVISM BY: SERGEANT GL 2-wr APRILE 03/30/2004 0 1420 PHONE USED: PHONED 03/30/2004 1420 ARRESTEE SECURED: FINGERPRINTED: D: SUICIDE CHECK: Performed PERSONS: Not Performed NCIC VEHICLE CHECK: Not Performed INJURY OR ILLNESS: Londonderry Police Department 2 Arrest Report 06/27/2012 Arrest 04-202-AR Cell 04-5153 Ilerrent I: 04-60-WA Incident la 04-81-OFLOCATION TYPE: School/College/University zone: Center LONDONDERRY HIGH SCHOOL 295 HAIMOTH RD LONDONDERRY NH 03053 1 nmomrur. vornm/usuu run un as ?1?donoo??= A 659 34 II A OCCURRED: 01/27/2004 1100 Londonderry Police Dopartmont Page 1 IARIATIVI lo! 04 -- 2 02 --AR ON 03-30-04 AT 1400 HRS MARK LACASSE TURNED HIMSELF IN ON A LPD WARRANT. HE WAS BOOKED AND PROCESSED WITHOUT INCIDENT. COURT DATE SET FOR APRIL 20, 2004 AT 0830. Supporting Atlidavlt For Request To Issue Arrest Warrant INSTRUCTION: PROIABLECAIISEISDEITIIWEDAS: State of New Hampshire ROCKINGHAM COUNTY DERRY DISTRICT COURT 03f28M004 I. defendant: Defendant'sName: MarkLacasee I have information tbata crime or offense has been conmnitted by the defendant as follows: (describe .s?aurce,facts brdicating reliability and credibility ofsaurce, and nature afinfarmatabn; ifbased in personal knowledge, sa state): Ylyearoldsuadentwbontayhave hisfatherlater. Based above. before the court having jurisdiction. SignatureofApplicant Onthiadatetheabove-named istrue JusticeofthePeace And I, have penonallyexaminedtbecomplaint any information contained in the above aflidavit, and have orally examined the above applicant. Based upon such information, Icooclude there probablecauaefortlneisnrance oftheArre:tWan?antsought. - Justiccofth?Pca?c