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Main Form Page | of 2 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/m Main 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 hattp://192.168.12.13/QED /policepariner/common/crimeweb/ineview/main,jsp?agency=PE... Main Form Page | of 2 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 http://192.168.12.13/QED//policepartner/common/crimeweb/ineview/main jsp?agenc’

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