Charlotte-Mecklenburg Police Department Incident Report
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· ·· · - ·

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Copy Status: PUBLIC RELEASE

Public Releas.t:dnddent Reporf · · · ·
Incident Report Data as of 10/06/2015

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Report Status: Approved
<

INCIDENT

CHARLOTTE, NC

Location Description:

~l ~;~~ '

I

Was CSS Called?

28213

I

I Location Type:

Location of occurrence

Parking Lot

Daterrime of Incident:
(At/From)
10/06/2015 0136

Complaint#: 20151006-0136-00

>

Location Of Incident:

1408 W SUGAR CREEK ROAD

·

' fcensus Tract:

I

!

iH

¥

Daterrime of Report:

10/06/2015 0136

Place Type:

Hotel/Motel -- Commercial Place

to

CSS Technician:

No
Clearance Status:

I Clearance Date:I Case Status:

Normal Clearance --Cleared by Arrest

10/06/2015

1
Close/Cleared

Reporting Agency:

Charlotte-Mecklenburg Police Department
Document#

4

I

I

Reporting Officer:

I B M THOMAS 005303

Approving Officer:

I L A VEITH 003237
I Person Assigned :

Follow-up Section Assigned :

07 -NORTH TRYON DIVISION

B S OVERCASH (003839) (704 336-2983)
.

UCR CLASSIFICATION

...

Highest Classification :

13B- Simple Assault
<

VICTIM PERSONS

<•

<

Victim#:

1 of 3
Name:

Primary: JOHNSON, JUSTIN
Victim Type:

Person/Individual (not acting as a Law Enforcement Officer)
DOB:

01/03/1981

34

M

Black

Information
No
Withheld?

IResident Status:

I Ethnicity:

I Age : I Sex: I Race:

IVictim

l is Victim Also Reporting
No
Person?

Unknown/Refused

Incapacity Types:

None
Injury:

No Injury or Threat

.I

Medical Treatment:

injury Type:
I

I Treated/Pronounced By:

Location Treated/Pronounced :
Place of Employment:

I

I

Daterrime:

School:

Address :

Home: 325 CAYMAN WAY

CHARLOTTE, NC

Phone/Other Number:

Home: 803-554-0311
;VICTIM PERSONS"'

"

\

Victim#:

2 of 3
Name:

Primary: OVERCASH, OFFICER
Victim Type:

l is Victim Also Reporting
Yes
Person?

Law Enforcement Officer in the line of duty
DOB :

I Age: I Sex: I Race:
M

White

I Ethnicity:

IVictim

Information
No
Withheld?

IResident Status:

Unknown/Refused

Incapacity Types:

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 Charlotte-Mecklenburg Police Department Incident Report
Public Release Incident Report
Incident Report Data as of 10/06/2015

I

Copy Status: PUBLIC RELEASE

I

Report Status: Approved

Complaint#: 20151006-0136-00

None

I

Injury:

Minor Injury

Injury Type:

Medical Treatment:

Bruises/Scratches

Refused Treatment to Medic

Location Treated/Pronounced :

I
I Treated/Pronounced By:

I Date/Time:

I School:

Place of Employment:
Address :

Home: 4045 N TRYON STREET

CHARLOTTE, NC

Phone/Other Number:

Business: 704-336-8398
VICTIM PERSONS
Victim#:

3 of 3
Name:

Primary: THOMAS, OFFICER
Victim Type :

l is Victim Also Reporting
Person ?
No

Law Enforcement Officer in the line of duty
M

White

Withheld?

No

IResident Status:

I Ethnicity:

I Age : I Sex: I Race:

DOB :

IVictim Information

Unknown/Refused

Incapacity Types:

None

I

Injury:

Minor Injury

injury Type:

Medical Treatment:

Bruises/Scratches

Refused Treatment to Medic

Location Treated/Pronounced:

I
I Treated/Pronounced By:

I Date/Time:

I School:

Place of Employment:
Address :

Home: 4045 N TRYON STREET

CHARLOTTE, NC

Phone/Other Number:

Business: 704-336-8398
VICTIM BUSINESS/OTHER
Business#

1 of 1

I NORTH CAROLINA
Legal Name:

l

Doing Business As :

NORTH CAROLINA

Victim Type:

Society/Public
Address:

Phone/Other Number:

REPORTING PERSON

......

Name:

Primary: OVERCASH, OFFICER
Address :

Home: 4045 N TRYON STREET CHARLOTTE, NC
Phone/Other Number:

Business: 704-336-8398

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 Charlotte-Mecklenburg Police Department Incident Report
Public Release Incident Report
Incident Report Data as of 10/06/2015
Copy Status: PUBLIC RELEASE

Report Status: Approved

Complaint#: 20151006-0136-00

'

VICTIM/SUSPECT RELATIONSHIP
Victim#
I Relationship to Suspect

Suspect#

I Not Known to Victim
I Not Known to Victim

1

2
3

I

1

1

PROPERTY
Property#
1 of 16
Make:
Ruger
Burned:
$0.00
Lost:
$0.00
PROPERTY
Property#
2 of 16
Make:
Luger
Burned :
$0.00
Lost:
$0.00
PROPERTY
Property#
3 of 16
Make:
Ruger
Burned :
$0.00
Lost:
$0.00
PROPERTY
Property#
4 of 16
Make:
Ruger
Burned :
$0.00
Lost:
$0.00
PROPERTY
Property#
5 of 16
Make:
Burned :
$0.00
Lost:
$0.00
PROPERTY
Property#
6 of 16
Make:
Hornady
Burned :
$0.00

1

Not Known to Victim

IType:

Firearms
Model:
SR9C
Damaged :
$0.00
Recovered :
$400.00

IType:

Ammunition
Model:
Damaged :
$0.00
Recovered :
$0.00

IType:

Other
Model:
SR9C
Damaged :
$0.00
Recovered:
$0.00

IType:

Other
Model:
SR9C
Damaged :
$0.00
Recovered:
$0.00

IType:

Ammunition
Model:
Damaged :
$0.00
Recovered :
$0.00

l

Type:
Ammunition
Model:
Damaged:
$0.00

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Description:
9mm Ruger
Year:
Forged:
$0.00
Seized :
$400.00

Vin# I Serial#
334-52594
Found :
$0.00
Stolen :
$0.00

Description:
Live Luger 9mm Rounds
Year:

Vin# I Serial#

Forged :
$0.00
Seized :
$20.00

Found:
$0.00
Stolen :
$0.00

Description:
Ruger Magazine containin~ 17 live rounds.
Year:
Vin# I Serial#
Forged :
$0.00
Seized :
$50.00

Found :
$0.00
Stolen :
$0.00

Description:
Ruger Magazine containing 10 live rounds
Vin# I Serial#
Year:
Forged :
$0.00
Seized :
$50.00

Found:
$0.00
Stolen:
$0.00

Description:
9mm Luger Round
Year:

Vin# I Serial#

Forged :
$0.00
Seized :
$2.00

Found :
$0.00
Stolen :
$0.00

Description:
12 38 special Hornady rounds
Year:
Vin# I Serial#
Forged:
$0.00

Found :
$0.00
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 Charlotte-Mecklenburg Police Department Incident Report
Public Release Incident Report
Incident Report Data as of 10/06/2015
Copy Status: PUBLIC RELEASE

Lost:

Report Status: Approved

Recovered :

$0.00
PROPERTY

$0.00

Property#

Type:

7 of 16

Other

Complaint#: 20151006-0136-00

Seized :

$25.00

Stolen:

$0.00

Description:

Hotel Room Key

Make:

Model :

Year:

Vin# I Serial#

Burned:

Damaged:

Forged:

Found :

$0.00

$0.00

Lost:

Recovered :

$0.00
PROPERTY

$0.00

Property#

Type:

8 of 16

Money/Cash

$0.00

$0.00

Seized :

Stolen:

$2.00

$0.00

Description:

80.00 in US currency. 4 20.00 bills

Make:

Model:

Year:

Burned :

Damaged :

Forged :

Vin# I Serial#

Withheld
$0.00

$0.00

Lost:

Recovered:

$0.00
PROPERTY

$0.00

Property#

Type:

9 of 16

Other

Sig Sauer

P250

Burned :

Damaged :

$0.00
Recovered :

$0.00
PROPERTY

Stolen :

$80.00

$0.00

Sig Sauer p250 magazine
Model:

Lost:

$0.00

Seized :

Description:

Make:

$0.00

Found :

$0.00

$0.00

Property#

Type:

10 of 16

Drugs/Narcotics

Year:

Vin# I Serial#

Forged :

Found :

$0.00

$0.00

Seized :

Stolen :

$25.00

$0.00

Description:

6.5 grams of suspected cocaine

Make:

Model:

Year:

Vin# I Serial#

Burned :

Damaged :

Forged :

Found:

$0.00

$0.00

Lost:

Recovered:

$0.00
PROPERTY

$0.00

Property#

Type:

11 of 16

Drugs/Narcotics

$0.00

$0.00

Seized :

Stolen :

$650.00

$0.00

Description:

7.8 grams of suspected marijuana

Make:

Model:

Year:

Vin# I Serial#

Burned :

Damaged :

Forged :

Found:

$0.00

$0.00

Lost:

Recovered :

$0.00
PROPERTY

$0.00

Property#

Type:

12 of 16

Ammunition
Model:

Smith & Wesson

40S&W

Burned:

Damaged:

$0.00

Lost:

Recovered :

$0.00
PROPERTY

$0.00

Seized:

Stolen :

$78.00

$0.00

Description:

Make:

$0.00

$0.00

$0.00

20 smith & wesson .40 caliber speer rounds
Year:

Vin# I Serial#

Forged:

Found:

$0.00

$0.00

Seized:

Stolen :

$25.00

Property#

Type:

Description:

13 of 16

Drugs/Narcotics
Equipment/ParaQ_hernalia

Digital Scale

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Charlotte-Mecklenburg
Police Department Incident Report

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·· · · Public Release Incident Report · ·

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•

·

•••

•

•

Incident Report Data as of 10/06/2015

Make:

Complaint#: 20151006-0136-00

Report Status: Approved

Copy Status: PUBLIC RELEASE

Model:

Year:

Vin# I Serial#

Damaged :

Forged :

Found :

CD-V2-500
Burned:

$0.00

$0.00

Lost:

Recovered :

$0.00

$0.00
PROPERTY
Property#

14 of 16

$0.00

$0.00

Seized :

Stolen:

$0.00

$50.00

\'

1

IType:

Black holster with strap

Other

Make:

Model:

Year:

Vin# I Serial#

Burned :

Damaged :

Forged:

Found:

$0.00

$0.00

Recovered:

Lost:

$0.00
PROPERTY
Property#

15 of 16

$0.00

$0.00

$0.00

Seized :

Stolen :

$0.00

$25.00

.

1

>

••
Description:

Type:

Black holster with hood

Other

Make:

Model:

Year:

Vin# I Serial#

Burned :

Damaged :

Forged :

Found :

$0.00

$0.00

Recovered :

Lost:

$0.00

$0.00
PROPERTY
Property#

16 of 16

g

Description:

$0.00

$0.00

Seized :

Stolen:

$0.00

$25.00

;;

f

IType:

Description:

Vehicle Keys

Other Motor Vehicle

Make:

Model:

Toyota

CAMRY

Burned:

Damaged:
Recovered :

$0.00

$0.00

Forged :

Found:

$0.00

$0.00

Seized :

Stolen :

$0.00

$10.00
"'

OFFENSE CLASSIFICATION

Vin# I Serial#

JTDBA32K860026196

$0.00

$0.00
Lost:

Year:

..

.

'W'

-x ' · .,., ..

~..,_._,.,,.

~ 0=,

_ _,_

Incident Classification (UCR):

138 - Simple Assault
All Offenses Involved:
NIBRS Attempted/Completed

NC Offense Category

Completed

Narcotics I Drug Equipment Violation

Drug Equipment Violations

~58

Completed

Miscellaneous criminal/ Other Unlisted
Criminal Offense
Miscellaneous criminal/ Possession of
Stolen Goods: Misdemeanor or Felony

All Other Offenses

90Z

Stolen Property Offenses

280

Completed

Miscellaneous criminal/ Weapon Law
Violation

Weapon Law Violations

520

Completed

Assault I Assault: on Government Officer
or Employee

Simple Assault

138

Completed

Narcotics I Drug/Narcotic Violation

Drua/Narcotic Violations

35A

Completed

WEAPONS

::

Code

NIBRS Classification

if

'l'

::::

Personal Weapons (hands,feet,teeth,etc.)
Personal Weapons (hands,feet,teeth,etc.)
Handgun
Handgun

ISTOLEN VEHICLE • NONE REPORTED
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 Charlotte-Mecklenburg Police Department Incident Report
Public Release Incident Report
Incident Report Data as of 10/06/2015
Copy Status: PUBLIC RELEASE

I

Report Status: Approved

I

Complaint#: 20151006-0136-00

NARRATIVE
Type:

Public Release

I Entered Date/Time:

Reporting Officer:

B MTHOMAS

005303

10/06/2015 2210

Narrative:

On Tuesday October 6th, 2015 at around 1:36AM at 1408 W. Sugar Creek Rd. the suspect assaulted two
government officials, possessed drug paraphernalia, was in possession of two controlled substances,
possessed a stolen firearm, unlawfully concealed a firearm , and was found in possession of a firearm as a
convicted felon.

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