Agency Name Case# 18 000070 Lam?ana Pollce Department REPORT Date I Tim Reported I 0R1 01/11/2018 15:50 Thu FL 0502000 Last Known Secure (1: Location of Incident Premise Type ZonefTract At Found 01/11/2018 15:50 Thu 1) 139 13th St, Lantana FL 33462- Single Family Residence Z1 01/11/2018 15,-50 Thu Crime-Inlcident(s) . (Corn) Weapon Tools APPLICABLE I Activaty Inczdent Entry Exit Security SP1 Crime Incident Weapon Tools I ACtiVitY A it 2 Entry Exit Security A 3 Crime Incident Weapon Tools I ACUVEW Entry Exit Security MO 0f Victims 0 I TYPE: Injury: Domestic: Victim/Business Name (Last, First, Middle) Victim of DOB Race Sex Relationship Resident Status Military VI Crime To Offender Branch/Status I Age Home Address Home Phone 1?14 Employer Name/Address Business Phone Mobile Phone VYR Make Model Style Color Lie/Li's VIN CODES: V- Victim (Denote V2, V3) 0 Owner (if other than victim) Reporting Person (if other than victim) 0 Type INDIVIDUAL Injury: Code Name (Last, First, Middle) Victim of DOB Race Sex Relationship Resident Status Military RP PADILLA, CA HERINE MRISA Crime 02/12/1964 To Offender Branch/Status Age 5 3 Resident Home Address Home Phone 3 139 North 13 St Lantana, FL 33 462 5 61 ~30] ~8691 Employer Name/Address Business Phone Mobile Phone 1 NONE (CARETAKER) 561 ?586?01 01 Type: INDIVIDUAL Injury: Code Name (Last, First, Middle) Victim of DOB Race Sex Relationship Resident Status Military SB STEWART, DA VID JOHN Crime 04/26/] 9 5 3 To Offender Branch/Status Age 64 Resident Home Address Home Phone 720 Atlantic Dr Lantana, FL 33462? 5 61 ?588?421 2 Employer Name/Address Business Phone Mobile Phone Town OfLantana. 500 Grevnolds Circle OR) 561 -54 0-5 000 Lost Stolen Recovered Damaged Seized Burned Counterfeit] Forged Found Recovered for Other Jurisdiction) VI Status . . . . Code Fun/To Value OJ QTY Property Description Make/Model SerIaE Number 16 0 S3. 000.00 I 2012 WHI . AETH08 FL FORD Escape IFMCUOD7XCKB58472 Of?cer/ID# Vallis, Garrett Lee (PA TL) (8 78) (0) Oquisf, Matthew UNI) (793) Complainant Signature Case Status Case Disposition: Status Inactive 01/11/2018 Inactive 01/11/2018 Page 1 RMC31 IBR Printed By: KDIPOLITO, KAREN Sys#: 50053 01/12/2018 15:09 REPORT Lantana Police Department Case 18-000070 Egg: 2 Lost Stolen Recovered Damaged Seized Burned Counterfeit Forged Found UCR Quantity Type Measure Suspected Type Up to 3 types of activity Assisting Of?cers Suspect Ham 1? Bias M0tiV?t?d3 Unknown (O?ender motivation not known) A A I On January 11th, 2018 at approxiamtely 1552 hours I was dispatched to 139 13th St, Lantana in reference to an unwanted guest. Upon my arrival on scene I met with w/f Catherine Padilla (02/12/1964). Padilla advised me of the following: Padilla stated that at approximately 1545 hours she was inside her residence when she heard loud banging on her side door. The side door is located on the north side of her property. Padilla advised that she went to the door to see who was knocking. Padilla told me that she opened the door and observed w/In David Stewa1t (04/26/1953). Padilla stated that based on Stewart?s appearance he seemed angry. Padila told me Stewart had a "red face" and "looked as if he was ready to kill somone". Padilla told me that she feared for her safety and shut the door, looking it. Padilla advised me that she heard the door knob shake as if somone was trying to enter her home. Padilla closed her blind in the home and called 911 for police response. Padilla advised she took pictures of Stewart in his vehicle as he left. Padilla stated she observed Stewart walk away from her door, enter his vehicle and leave her property. Padilla told me that Stewart and her never spoke during the incident. Padilla advised she knew Stewart from previous encounters. Padilla ?lled out a sworn statement and was provided a Lantana Police Case number. I travelled to 720 Atlantic Dr, Lantana and met with Stewart to obtain his story of events. Stewart advised me of the following: Stewart stated he arrived at 139 13th St at Padilla?s residence at approximateiy 1545 hours. Stewart told me he had received an ethic?s complaint and arrived at Padilla?s home to speak with her about the complaint. Stewart told me that he approached Padilla?s side door located on the north side of the residence. Stewart advised he knocked on the door and Padilla answered shortly after. Stewart stated that Padilla saw him and then immediately closed the door. Stewart told me that Padilla and him never spoke and her never attempted to gain entry into the home. Stewart told me that he left in his vehicle shortly after. Stewart filled out a sworn statement and was provided a Lantana Police case number. I left the location with no ?nther incident. No further information at this time. By: KDIPOLITO, KAREN 01/12/2018 15:09 Page 2 Lantana Police Department Incident Report Related Vehicle List OCA: 18?000070 Veth/Make/Model Style Color Lic/Lis lDecal VIN 1 2012 FORD, Escape UT WHI AET 08 FL 2018, 03448651 1FMCUOD7XCKB584 72 EBR Status Date Location Other 01/11/2018 LANTANA FL Condition Value Offense Code Jurisdiction State NIC GOOD 000.00 9999 Locally Name (Last, First, Middle) Also Known As Home Address Services Experts Incorp, 1521 NW 89TH CT . DORAL, FL 33172 Busmess Address DOB Age Race Sex Scars, Marks, Tattoos, or other distinguishing features Notes Printed By: KDIPOLITO, KAREN 01/12/2018 15:09 Page 3 LANTANA EQLTCE 508 Geeynell?s (Girdle 6 Lemma, Reside 33462 Te1epheme(561) 540-57111 '3 Tax (561) 54185711 STATEMENT Witness Vie?i?m 13 Suspect CaseNumberri 8? @0967 0 Dag-8:130 4?14 Lg Time; [5'50 . @Tfeese: in?rm 9r Location 0f?eeumeneez 13? IV )3 ?74" 57% meme TNEQEMATTQN Name of Person Presiding Si?temen?: N, DUEL 1 1A, Address: 1%qM-13% 81" BBLHOL Place of Employment: $3 (Occupation: mevar Date ofBirfth: 111 119i Homemme??al Workshone? CellularJPhone: Sfol 1,3301%qu 1 0mm - Location Statement was taken: I 3 Cf 73 5 gemssame mm we 57? SEE REVERSE SIDE FOR STATEMENT - Page: 1 of 2 Form: 1322 Rev: 8/23/2013 I one violet/storm fernttizing this sworn/affirmed statement to a rep: esetztotive 0f ?Lemme Police ?epm tment Statement: 0% (mm. 1% amt aperoxfmw?rdy 32Lt?em heart towing 0h WW door ?30 :H?owi [mt Wu]: metal!) bot" Mow loan&_i_ Opened HM CHDOF Omci SUM H?e ?Wor\ Danie gimme/N. Si 61M: not [Dob (1mm Fed 96684, Shawl? H6 dew and {ed/teat Pr and H6, Hen it?) eat. it) HIM) the (3130?? tho}? H) Cid? Hf) I MU Gel} (3de HEY) HJDK Hob bf )Wig DH mm SkH?im 1mg meron HC HeteHro-iew mime-Fa (in) them 1 Mai \ed QmeCtiot with Hne Stoke Veaovci?im MMN grew)? Omd he, Came H) rm Henge H) Wu?; HHS. g??tm ?mS red Hi0? Mode the U-Qeei UELFV I am requesting criminal charges. 7 Yes. 0 I fun then understand that I will be required to appeal in court if subpoenaed Have Witnesgl Victim] Suspect/ 0ther raise their hand! and administer the fo?lowing oath: ?Do you swear or a ?rm that this statement is true and correct?? ?5 . Sworn to and subscribed this I day of a Vl Lair/V 20 Lg Officer? 5 Signature: 6: i/ 51) WID 537$ Witness/ Victim] Suspect/ Other Signature: l??i?w Date: 2 2 of PAGE: A copy ofthz?s statement can be obtained through the Lantana Police Department Form: 1322 Rev: 8/23/2013 LANTANA POETCE DEPARTMEN 5610 Grewe?dg Cin?e?e a Lantema, Eiarida 334162 Telephone (5611) 540?5701 0 Fax (5611) 5410371111 Witness Vie?iim 1T1 Suepee? (Either . (Case Number: 7Q Da??e: LI Time: Offense 5115?"? 0006 aide Leem??on of Ueeul?n?eneeTNEGRTTATTQN Name of Person Pn'ev?t?mg Statement: 01 if +1310 ?11m}? Address: 7&0 A+lam?h Place of Employment: Occupation: Date ef'BirIth: fig 13% 3 Home mane: (56 i Cel?ular Themed 1 Othei':( STATEMEN Location Statement was taken: '7 (10 Pg 1} 01h Hie, Of?cer?s Name GM 6111 HS 1.13.11} 5?75)? SEE REVERSE SIDE FOR STATEMENT 1 Page: 1 of 2 Penn: 1322 Rev: 8/23/2013? I am voluntarily femieking this sworn/affirmed state?zerzt to represerz tettve oflantoao Police Department. As Amy 3 we AM <91; TAvesoA SAW l? 1 WC 0M5 EA6M5 Q?atcoesessw I 914g WW5 [fiber/x917; ?exes/{09f M1331 pwosewsy O?ru?wm, Awe) Kweezzeo 0w Swag); [0636/ {?rsts-AA get/C??- 66511" We Pei/cage EMMAE (2?0 [Mg D?b?v ?ew 711% Emmi el? 70/0 NW TWP: To 79.00? Hat 7e;- ?eece/2': Imje Wit/A . LC FW/W/efm ?Aags?/A?Aj ]i am requesting criminal charges. 7 Yes No ]i further understand that I will be required to appear in if subpoenaed. Have Witness/ Vietim/ Suspeet/ (Diner raise their hand and adminieter the following oath: ?Do you Swear or a?irm th at this statement is true and correct?? i i ?Hm dayof ?e?MmV/i/ ,20 75 Sworn to and subscribed this Of?cer?s Signature: 77 ,1 D. N73. Witness/ Victim] Suspectl Other Signature: Date: M3 2 PAGE: of 2 A copy of this statement can be obtained through the Lantano Police Department Form: 1322 Rev: 8/23/2013