CHICAGO POLICE DEPARTMENT ORIGINAL CASE INCIDENT REPORT 3510 S. Michigan Avenue, Chicago, Illinois 60653 (For use by Chicago Police Departmenl Personnel Only) CPD-11 seats/03m) T0 FIELD IUCR: 0110 - Homicide - First Degree Murder Occurrence 2525 Michigan Ave Location: Chicago IL 233 - Hospital Building/Grounds Occurrence Date: 19 November 2018 15:14 INCIDENT Beat: 01 :33 Unit Assigned: RD JB522024 EVENT 1832309527 Case ID: 11512075 CASR229 0141 R0 Arrival Date: 19 November 2018 15:16 Domestic Related Incident Offenders: 1 Individual 3 Name: JIMENEZ, Samuel Chicago, Il 60609 1: 312-747?8366 Sobriety: Sober ?61139; communEan?gng?pngugbinty Business 312?747-8366 'Phone: 09:00:00 - 21:00:00 1 Available Time ivICTIM-Indivtdual Name: LESS, Dayna Chicago, ll Pharmacy Assistant Sobriety: Unknown Indiviidttal Name: Tamara NON Empl: MERCY HOSPITAL I Chicago, Il Attending Physician Sobriety: Unknown - Individual oi Name: QUIJANO, Bernardo Chicago, 312 - 745 - 4290 Sobriety: Sober 5101 Wentworth St Beat: 2525 Michigan Ave Beat: 2525 Michigan Ave Beat: 73 1718 State St Beat: 3100 1221 0133 4100 0133 0131 Demographics Dams-graphics :33 Female 1 White I I I I I Gray Eyes Brown Hair Natural Hair Style Demographics Female Black Demographics Age: DOB: Age: Age: Police Officer Years 24 Years 3* a an?: gee ae that? 38 Years Police Officer Years ou I Print Generated By: Page 1 of 4 w. ,agifql'b Tquluytu 27-Nov-2018 13:46 Chicago Police Department - Incident Report RD JB522024 .Egogri'erj Communications and Availability - Business 312-745-4290 Phone: 09:00:00 - 21:00:00 Available Time 3: lwamess individual 3 :i g. Name 1 R85: Beat: 0933 BlaCk 3' 60 LI. . Age: 58 Years 0 6 05, :2 Beat: 5100 320 3 Unknown Hair 3: Unknown Unknown Hair Style I Tther.Gemmunisatiensen? availability Cellular Phone: 09:00:00 -21:00:00 AVailable Time Print Generated By: Page 2 of 4 enamel-1m Enamnulugg 8 13:46 Chicago Police Department - Incident Report Injury info - Victim) injured by offender Injury Extent: Fatal CPD First Aid Yes Hospital: Given? CFD First Aid Yes Physician Name: Date (Homicide) 19?November -2018 Responding Unit: Type Weapon Used Gun Shot Wound Handgun injury Info Victim Injured by offender Injury Extent: CPD First Aid Yes Hospital: Given? CFD First Aid Yes Physician Name: Gimohnced Date (Homicide) 19-November -2018 . Responding Unit: .2, Type Weapon Used 3, Gun Shot Wound Firearm (Type Unknown) inlii'ty info?(O?NEALTamara - 1ii'iistim injured by offender Injury Extent: Fatal CPD First Aid Yes Hospital: Given? CFD First Aid Yes Physician Name GWnced Date (Homicide) 19-November -2018 Responding Unit: Type Weapon Used Gun Shot Wound Firearm (Type Unknown) Injury (O'UiJ?NO'?ernar'dom- Victim") Unit: i Ramada Unit .. . azssga RD JB522024 Suspect_#1__ Name: in Unknown 205 in Brown Eyes Us) Black Hair Other Communications and Availability LOPEZ, Juan Demographics Res: Beat: 1712 Male . . White Hispanic 5'11, . Natural Hair Style Light Brown Complexion Age: 32 ears Suspected of Using: Weapon Print Generated By; Page 8 of 4 C1251 ?tmi?in ulhgg 27-NOV-2018 13:46 Chicago Police Department- Incident Report RD J3522024 Injury info l? Responding - . zUnItRELATIONSHIP (Victim) (Offender) . JIMENEZ, Samuel is a No Relationship of LOPEZ, Juan IE I (Victim) Offender) I9 I Dayna is a No Relationship of Juan '5 (Victim) (Offender) LT: Tamara is a Ex Girlfriend of LOPEZ, Juan (Victim) Offender) QUIJANO, Bernardo LOPEZ, Juan is a No Relationship of 1 Order of Protection Info 33:: . Order of Protection - IL Reason: Victim Deceased Reason: Victim Deceased i RESPONDED TO AN ASSAULT IN PROGRESS WHICH DEVELOPED INTO AN ACTIVE SHOOTER INCIDENT PLAN. ALL DETAILS REGARDING THIS EVENT WILL REFER TO DETECTIVE SUPPLEMENT REPORTS NOTIFICATIONS- "t CPIC @1805 HOURS (FREUND #2502), ZONE4 @1813 HOURS, NEWS AFFAIRS @1905 HOURS (ROCCO #15049), AREA CENTRAL DETECTIVES 1902 HOURS (BARRIENTOS #20981). ON SCENE, CAR 100, BT 190, BT 160, GAR 41, SWAT, CANINE, AND VARIOUS SUPPORT UNITS. - 8200 NAME: CHAD BOYLAN BEAT: 0141 - 12967 NAME: TRI TRAN BEAT: 0141 - 18626 NAME: BERNARDO QUIJANO BEAT: 0163A - 8045 NAME: RASHAD KILGORE BEAT: 0165E 10571 NAME: RAYMOND HARAN BEAT: 0165E - 11199 NAME: JACOB HICKS BEAT: 0113 9877 NAME: JESSICA RODRIGUEZ BEAT: 0113 7913 NAME: MATTHEW MINER BEAT: 0165E - 10320 NAME: MEGHAN LENNHARDT BEAT: 0133 6373 NAME: LEOBARDO NAVARRETE BEAT: 0133 . DOMESTIC Star No Emp No Name User Date Unit Beat Approving Supervisor 330 STUART, Stephanie, 19 Nov 2018 22:53 001 Detective/Investigator 20847 Scott, 20 Nov 2018 16:44 610 PERSONNEL Reporting Officer 8200 BOYLAN, Chad, A 19 Nov 2018 22:45 001 0141 Page 4 0f 4 27-NOV-201813246 Print Generated By: .vnnr'hpr a. gamut-,9; CHICAGO POLICE DEPARTMENT RD ORIGINAL CASE INCIDENT REPORT EVENT 1832410436 3510 S. Michigan Avenue, Chicago, Illinois 60653 . (For use by Chicago Police Departmenl Personnel Only) Case ID. 11512592 CASH229 CPD-11 seats/0317c) This Document is not an official copy. It is a computerized version Of data entered from an original case report. A copy Of the original case report can be obtained from the Records Division ASSIGNED T0 FIELD - IUCR: 5103 Law Enforcement Related Death: Officer Involved Shooting meager OH I . g' Occurrence 2525 Michigan Ave Beat: 0133 . Unit Assigned: 5134 a Location: Chicago IL 60616 RO Arrival Date: 19 November 20181520 '3 233 Hospital Building/Grounds I Occurrence Date: 19 November 201815:15 19 November 2018 15:15 D: UJ h- a Name: LOPEZ, Juan 1 ?09'3" "35 . Lu . Male DOB: 1985 Res. Beat. 1712 White Hispanic Age: 32 Years 0 . 7 Beat. 5100" [w injury Info - Victim 7 LIJ 11% Other Wea on Used 2 Gun Shot Wound Other - M4 Rifle 2 Gun Shot Wound Other 9mm Event#10436 !?l.lJ 1 This report should be cross referenced to Event#09527. The reporting Detective is creating this report for documentation and tracking purposes only. The investigation Of the Officer D: Involved Death is the responsibility Of the Civilian Office of Police Accountability(COPA)per the Police and Community Relations Improvement Act Star NO Emp NO Name User Date Unit Beat I Approving Supervisor 2244 RONEY, Brian, 20 Nov 2018 17:40 610 ?2 'g Detective/Investigator 21503 HERMAN, Mikel, 20 Nov 2018 17:Reporting Officer 20847 REIFF, Scott, 20 NOV 2018 17:31 610 5132 0. Reporting Officer 21503 HERMAN, Mikel, 20 NOV 201817:31 610 5134 Page 1 of 1 13:47 Print Generated By: .. uttulugzgt: