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PERTH AMBOY POLICE DEPT
{ PERTH AMBOY, Nd
| 2{REPORT# OFFICER Rayk REVIEW Straus
7 13005650 /1 BUCIOR, MICHAEL PATROLMAN APPROVED.
50 DATA
INCIDEN
As Of o2/ox/2013 17:46:19,
#130051
BASIC INFORMATION
Case Location anus
Ee Dee ol
‘DATE/TIME REPORTED ‘DATE/TIME OccuRRED
01/30/2013 22:17:58 01/30/2019 22212 to 03/30/2089 22:37
INCIDENT TYPE(S)/OrPEsE(8)
{S10)ASSAULT SIMPLE DOM/VIO 2cit2-4
PERSONS
Row Name SEX Ract AcE DOB Puowe
Th a Sa a a 0M
PRESS: a
“OFFENDERS
srATUS Name SEX RACE AGE. DOR Puowe
DEFENDANT 2. Sens (0M!)
ADDRESS: ET ed
[NO VEHICLES]
[NO PROPERTY]
MICBAEL (9)
| IME OF REPORT ‘SPE OF REPORT REVIEW STATUS |
J o/g1/201g 010145 INCIDENT APPROVED |
NARRATIVE
0m 01/30/2013 at 22:17 hours, Iwas dispatched tot sor a ponestic
that had occurred. Upon arrival, I observed a Aispanic nate, later identified as
packing 2 Dok bag for his sen, I wes then advised by 2.0
23 QUEER ac a cispute and that SME es Loseing
Rosario that
for the night, (See P.O. Rosarsevs susplenental)
pon exiting the resid that! ohe didn't have a cay and wasn!
sure how she would get then told qgggggll thet 1 would
port her to her x
in,jspagency=PE..
http://192.168.12.13/QED//policepartner/common/crimeweb/ineview/mMain Form Page 2 of 2
CUM es12 crensport ing MMMM, 2 could hear her talking to someone
PRONG abOUE the incident that occurred. was calz and not nervous,
cver the phone that he didn't push her BNE DuMped bis chest into her cheat.
QM 55200 that che was tized of the arguments and mentiones that she might £1
fou 8 restraining order in the future
I then artived st, the destination and uae advised by aE cha
her husband's ca: was parked in erent 6 locations
the vehicle. after I stated this toa Twas a
to transport the female to Headquarters.
she believed that
to stay in
d by the watch cormander
1 then transported the female to Headquarters and dropped her off in the front and
savised nor the lobby. I then parked ay vehicle in the Police
Readquarcers parking lot, and entered the building. I was then advised by the wati
comnande:, Lt. Carnaneia, that @YMMMMMB wanted to file = complaint and vanted a
Temporary Restraining Order.
i then escorted (QJM to the Donestic Violence. room and completed @ Supplenental
Tonestic Violence Report and Complaint W2013000154
Wie genecating the complaint, QM stated thet sho came bone fron bingo and
her husbana, , was agizated that she didn't tell hin where she
she didn't have to tell bin, ag then becane: irate
a began yelling at her and welked ia her dizection chon stated tie Millie
(UM venped nic chest against here two tines. 1 then asked the wes hurt
te ns and. sha stated no but thet her right leg hurt fron when he lunged at
her and he ost his balance and stepped on her fight foot which was inva foot cast.
Bg pez phone. conversation wit
2023000164. Judge Boyd then granted a
\stosy and residency.
Judge Boyd, bail was set at R.O.R. on arzant
straining order and geve QM child
Mille completing tho complaint, qUUMMNMN 424 been claces under arcest
tesidence and charged with simp: 2t, MMMM vas given a copy o:
complaint and wae served the Resttaining Order and released. A Wictia Noteficatton
form, Supslemental SosescicVioionce form end Reterrel jeted and’ faxed
hig
REPORT OFFICERS
Reporting Officer: BUCIOR, MICHAEL 19
Reviewing Officer: SIMONE, NICHOLAS 161
Approving Officer GUZMAN, LUIS 184
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PERTH AMBOY POLICE DEPT
PERTH AMBOY, NJ
INCIDENT#/REPORTS —QEFICER BANK Review Srarus
19005650 /2 ROSARIOJOSEF PATROLMAN APPROVED.
3005650 DATA
| As Of o2/or/2013 w7ig69
BASICINFORMATION
caseTm Location aru
—_———e ——
DaTe/Tme Rev Dare/Ite oocunnED
01/30/2013 22:17:58 01/30/2013 22:12 to 01/30/2013 22:17
Isctpenr-TveE(s)/OreeNsA(s)
(Gio)ASSAULY SIMPLE DOM/VI0 at-1241
Pensovs
Rou NAME Sex Race AGE DOR Puoxe
1c i a SO
ADDRESS SS ae
OFFENDERS
status Nae sex ace Aa Puoxe
Ace DOB
DEFENDANT [> Psy: Se (0
[ENO VEHICLES 1
[NO PROPERTY]
RT: RIO.JOSE F (49)
| aver or ReroRt TYPE OF Report Review Srar
| or/a1/2013 on:4a:s8 SUPPLEMENI ‘APPROVED
NARRATIVE
20/2013 st 22zihes I was dil
on the report of @ domestic
sd that she went to Bingo and when she ret
{t wheze she was and why she did not leav
GMM became agitated and pusi
Hoadguarters.
ne vissble sighs of injuries. Same had ¢ cast on her
hattp://192.168.12.13/QED/ipolicepartner/common/crimeweb/ineview/main.jsp?agency=PE...Main Form Page 2 of 2
that she had previously injured her foot in an unrelated incident. Sane was
complaining of pain but refused medical attention.
OMIM et ated that he was only involved in a verbal dispute wii
a RO time did ne push or aseault nie wise.
SOE oes cree
Ofeicess Notes: MIMIMIMM ves advised of nex Domestic Violenes cights an
she wanted nothing done at this tine and that she didn't wont to sign a complaint.
dene Would follow up with the courts ata later tine if a further
ine spe signed the victin notification for stating that ene dis not
Same stated that she would leave the residence for the night and go te a family
renber's residence, £0 M, Sucior assisted and transported 0 her family's
residence. See Fo M. Bucior's report for further information regarding incident.
REPORT OFFICERS
Reporting Officer: ROSARIOJOSE F 49
Reviewing Officer: MCKEON, ROMAN 173
Approving Officer: KACSO, TIBOR 224
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