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CARTERSVILLE POLICE DEPARTMENT

SA GA0080100

CASE NUMBER:

20134483

INCIDENT REPORT
COUNTS

OFFENSE: INCIDENT CODE

ASSAULT/BATTERY
PREMISE TYPE 1 - HIGHWAY 3 - CONVENIENCE STORE 5 - COMMERCIAL 2 - SERVICE STATION 4 - BANK 6 - RESIDENCE 8 - ALL OTHER

INCIDENT TYPE

AGGRAVATED BATTERY - OTHER WEAPON 16-5-24

1315

INCIDENT LOCATION (STREET #, STREET NAME, APT. #)

CITY

ZIP CODE

ZONE LOCATION CODE

7 - SCHOOL/CAMPUS WEAPON TYPE 1 - GUN 3 - HANDS/FISTS

EVENT

1400

JFH PKWY RM 135


TIME DATE TO

CARTERSVILLE
TIME

30120
YES NO

4
UNKNOWN
CITY

INCIDENT DATE

STRANGER TO STRANGER

2 - KNIFE/CUTTING TOOL OTHER ZIP PHONE NUMBER

10/25/2013 DEHAVEN
VICTIM LAST NAME

2250

10/25/2013
FIRST NAME

2305
MIDDLE NAME

COMPLAINANT LAST NAME

COMPLAINANT ADDRESS NO., STREET

STATE

BARRY
FIRST NAME

EDWARD
MIDDLE NAME

1400

JFH PKWY RM 135 W M


SEX DATE OF BIRTH

CARTERSVILLE 47
AGE SSN:

COMPLAINANT:

GA 30120 678 ___-__-____


BUSINESS PHONE

RACE

RESIDENCE PHONE

VICTIM

DEHAVEN
ADDRESS NO., STREET

BARRY
CITY

EDWARD
STATE

W
ZIP

M
SSN:

47
CENSUS TRACT

678 274-7664
EMPLOYER OR OCCUPATION

1400
STUDENT?

JFH PKWY RM 135


YES NO

CARTERSVILLE

GA 30120

___-__-____
RACE SEX DATE OF BIRTH AGE SSN

IF YES, NAME VICTIMS SCHOOL

OFFENDER LAST NAME, FIRST NAME, MIDDLE NAME

JOHNSON
WANTED ADDRESS NO., STREET

JAMES

CHARLES
CITY STATE ZIP

B GA 30120

M
CENSUS TRACT HEIGHT WEIGHT

53 600 195

___-__-____
EYES

HAI R COLOR

OFFENDER

32
WARRANT

AKRON ST

CARTERSVILLE

BLK

BRO

CHARGES

COUNTS OFFENSE CODE

OFFENSE / ARREST JURISDICTION CODES

AGGRAVATED BATTERY - OTHER WEAPON 16-5-24


ARREST

1315

1. CITY 2. COUNTY 3. STATE 4. OUT OF STATE 5. UNKNOWN

TOTAL NUMBER ARRESTED

ARREST AT OR NEAR OFFENSE SCENE YES NO YEAR V.l.N.

DATE OF OFFENSE

01
VEHICLE
STOLEN RECOVERED SUSPECTS TAG NUMBER

10/25/2013

STATE

PLATE ONLY

VIN PLATE ONLY

YEAR

MAKE

MODEL

STYLE

COLOR

MOTOR SIZE (CID) AUTO

TRANSMISSION MAN. CITY SPD.

INSURED BY

WITNESS

WITNESS LAST NAME

FIRST NAME

MIDDLE NAME

ADDRESS NO., STREET

STATE

ZIP

PHONE NUMBER

WITNESS 1 - DOB / Age: VEHICLES STOLEN

SSN:

___-__-____

WITNESS 2 - DOB / Age: FURS

SSN:

___-__-____

CURRENCY, NOTES. ETC

JEWELRY, PREC. METALS

PROPERTY RECOVERY INFO ONLY THEFT/RECOVERY JURISDICTION CODES 1. CITY 2. COUNTY 3. STATE 4. OUT OF STATE 5. UNKNOWN

PROPERTY

RECOVERED CLOTHING STOLEN RECOVERED FIREARMS STOLEN RECOVERED CONSUMABLE GOODS LIVESTOCK OTHER TOTALS OFFICE EQUIPMENT TV, RADIO, ETC. HOUSEHOLD

DATE OF THEFT

0 0
WARRANT MISSING PERSONS VEHICLE ARTICLE BOAT GUN SECURITIES

ADM.

GCIC ENTRY

DRUG

DID INVESTIGATION INDICATE THAT THIS INCIDENT WAS DRUG-RELATED? IF YES, PLEASE INDICATE THE TYPE OF DRUG(S) USED BY

YES

NO

1 - A M P H E T A M IN E 6 - M A R IJ U A N A

2 - B A R B IT U R A T E 7 - M E TH A M PH ET A M IN E

3 - C O C A IN E 8 - O P IU M

4 - H A LL U C IN O G E N 9 - S Y N T H E T IC N A R C O T I C

5 - H E R O IN U - UNK NOW N

CLEAR

REQUIRED DATA FIELDS FOR CLEARANCE REPORT DATE OF CLEARANCE

CLEARED BY ARREST

EXCEPTIONALLY CLEARED JUVENILE

UNFOUNDED REPORT DATE

10/25/2013

ADULT

10/25/2013

NARRATIVE

REPORTING OFFICER

NUMBER

APPROVING OFFICER

NUMBER

Page

Page of

ELLINGTON, S.N.

116

ROGERS, V.L.

35

PERSON(S) REPORT
Date of Supplement

1. Original Juvenile 2. Supplement in Report Agency Report Number

ADM

CARTERSVILLE POLICE DEPARTMENT


Original Date Reported Primary Offense Description Victim #1 Name (Last, First, Middle)

20134483 BARRY EDWARD


Residence Status 0. N/A 1. Full Year 2. Part Year 3. Non-Resident Extent of Injury 0. None 1. Minor 2. Serious 3. Fatal

10/25/2013
CODES

ASSAULT/BATTERY
Victim Type 0. N/A 1. Juvenile 2. L.E. Officer 3. Adult 4. Business 5. Government 6. Church 9. Other Race N-N/A W-White B-Black

DEHAVEN
I-American Indian O-Oriental/Asian U-Unknown Sex N-N/A M-Male F-Female U-Unknown Residence Type 3. Georgia 0. N/A 4. Out-of-State 1. City 2. County

V/W Code O - Other V - Victim W - Witness C - Reporting Person Injury Type 00. N/A 01. Gunshot 02. Stabbed

03. Laceration 04. Unconscious 05. Poss. Broken Bones 06. Poss. Internal Injury V/W Code #

07. Loss of Teeth 08. Burns 09. Abrasions/Bruises 99. Other V. Type

Victim Relationship To Offender 0. N/A 1. Present Spouse 2. Former Spouse 3. Parent 4. Child 5. Step Parent 6. Step Child 7. Foster Parent 8. Foster Child 9. None of the Above Residence Phone

VICTIM / WITNESS

OFF/INC Indicator 1.#1 2.#2 3.Both

Name (Last, First, Middle or Business)

Address (Street, Apt. Number) Other Contact Info. (Time Available, Interpreter, etc.)

City

State

Zip Synopsis of Involvement

Social Security Number

Business Phone

___-__-____
Dom. Violence If V/W Code is V, W or C Fill in this Line V/W Code # OFF/INC Indicator 1.#1 3.Both 2.#2 Address (Street, Apt. Number) Race Sex Date of Birth Age Res. Type Res. Status Extent of Injury Injury Type(s) Relationship Ethnicity Will Victim prefer charge?

Yes
V. Type Name (Last, First, Middle or Business) City State Zip Synopsis of Involvement Social Security Number Residence Phone

No

VICTIM / WITNESS

Business Phone

___-__-____
Other Contact Info. (Time Available, Interpreter, etc.) Dom. Violence Res. Type Res. Status Date of Birth Age Race Sex If V/W Code is V, W or C Fill in this Line Suspect Code OFF/INC Indicator Code Susp. # Juvenile Name (Last, First, Middle) 1.#1 3.Both S-Suspect E-Escapee R-Rec. Missing 2.#2 A-Arrestee M-Missing Z-other Maiden Name Nickname/Street Name Extent of Injury Injury Type(s) Relationship Ethnicity Will Victim prefer charge?

Yes

No

SUSPECT OR MISSING PERSONS

Place of Birth

Residence Phone

Last Known Address (Street, Apt. Number)

City

State

Zip

Business Phone

Occupation

Employer/School

Address

Social Security Number

Driver's License State/Number

Immigration and Naturalization Number

Other ID. Number

OBTS Number

SCIC/NCIC

Clothing (Describe)

Scars/Marks/Tatoos (Location/Describe)

Race

Sex

Date of Birth or Age

Height

Weight

Eye Color

Hair Color

Hair Length

Hair Style

Complexion

Build

Facial Hair

Teeth

Speech/Voice

Special Identifiers

SUSPECT OR MISSING PERSONS

OFF/INC Indicator 1.#1 3.Both 2.#2 Maiden Name

Suspect Code S-Suspect E-Escapee R-Rec. Missing A-Arrestee M-Missing Z-other

Code Susp. #

Juvenile

Name (Last, First, Middle)

Nickname/Street Name

Place of Birth

Residence Phone

Last Known Address (Street, Apt. Number)

City

State

Zip

Business Phone

Occupation

Employer/School

Address

Social Security Number OBTS Number SCIC/NCIC

Driver's License State/Number

Immigration and Naturalization Number

Other ID. Number

Clothing (Describe)

Scars/Marks/Tatoos (Location/Describe)

Race Complexion

Sex Build

Date of Birth Facial Hair Teeth

Age Speech/Voice

Height

Weight

Eye Color

Hair Color

Hair Length

Hair Style

Special Identifiers

Incident Type

Foul Play Suspected ? 7. Voluntary Adult 8. Unknown Time Last Seen 1. Yes 2. No

Missing Before ?

Fingerprints Available? 1. Yes 2. No 8. Unknown

Photo Available? 1. Yes 2. No 8. Unknown Accompanied By

Dental Record Available ? 1. Yes 2. No 8. Unknown

MCIC Form Provided ? 1. Yes 2. No

MISSING PERSON / RUNAWAY

1. Runaway 4. Disabled 2. Parental 5. Endangered 3. Involuntary 6. Disaster Victim Date Last Seen

1. Yes 2. No 8. Unknown Location Last Seen (Address, City, St.)

Mental/Physical Condition

Medication Required/Type

Doctor/Dentist (Name, Phone Number)

Property Carried

ID. Type/Number

ID. Type/Number

Probable Destination

Name/Address

Transportation Mode

Recovery Information Officer(s) Reporting

0. N/A 1. Voluntary

2. LocatedNot Returned ID. Number(s)/Locator code

3. Hospitalized 4. HRS Custody Signature of Officer Reporting

5. Law Enforcement Custody 6. Returned to Parent Unit

7. Deceased 9. Other Date

ADMINISTRATIVE

ELLINGTON, S.N.
Officer Reviewing (If Applicable)

116
ID. Number Routed To Referred To Assigned To

UNIFORM
By

10/25/2013
Date

ROGERS, V.L.
Signature of Officer Reviewing

35
Page Page of

PROPERTY REPORT
Date of Supplement

1. Original 2. Supplement Agency Report Number

ADM

CARTERSVILLE POLICE DEPARTMENT


Primary Offense Description Victim #1 Name (Last, First, Middle)

20134483 BARRY EDWARD


Theft Type 11. By Computer 12. Fraud 99. Other

Original Date Reported

10/25/2013
THEFT
Theft Type Codes 00. N/A 01. Burglary Person Codes V - Victim S - Suspect

ASSAULT/BATTERY
04. Pocket Picking 05. Purse Snatching Status Codes 1. Stolen 2. Recovered

DEHAVEN
06. Embezzlement 07. From Coin Oper. Machine 08. From Public Access Building

02. Robbery 03. Shoplifting

09. From Vehicle 10. Extortion

CODES

A - Arrestee O - Other

3. Stolen and Recovered 4. Recovered for Other Jurisdiction J. Jewelry/Precious Metal K. Clothing/Fur L. Livestock M. Musical Instrument N. Construction Machinery Property Type Quantity Name

5. Lost 6. Found

7. Safekeeping 8. Evidence/Seized O. Office Equipment P. Art/Collection Q. Computer Equipment R. Radio/Stereo S. Sports Equipment

9. Other

Damage Codes 0. N/A 2. Criminal Mischief 1. Arson 3. During other Offense T. TV/Video/VCR U. Currency/Negotiable V. Credit Card/Non-Negotiable W. Boat Motor X. Structure

9. Other

Property Type A. Auto Accessory/Parts B. Bicycle C. Camera/Photo Equipment D. Drug Code Person Item #

E. Equipment/Tool. F. Food/Liquor/Consumable G. Gun H. Household Appliance/Goods I. Plant/Citrus Status Damage

Y. Farm Equipment Z. Miscellaneous

Brand

Model Name/Number

PROPERTY

Serial Number

Owner Applied Number

Description (Size, Color, Caliber, Barrel Length, Etc. )

Value $ Code Person Item # Status Damage $

Value Recovered

Date Recovered

SCIC/NCIC

Property Type

Quantity

Name

Brand

Model Name/Number

PROPERTY

Serial Number

Owner Applied Number

Description (Size, Color, Caliber, Barrel Length, Etc. )

Value $ Code Person Item # Status Damage $

Value Recovered

Date Recovered

SCIC/NCIC

Property Type

Quantity

Name

Brand

Model Name/Number

PROPERTY

Serial Number

Owner Applied Number

Description (Size, Color, Caliber, Barrel Length, Etc. )

Value $ Code Person Item # Status Damage $

Value Recovered

Date Recovered

SCIC/NCIC

Property Type

Quantity

Name

Brand

Model Name/Number

PROPERTY

Serial Number

Owner Applied Number

Description (Size, Color, Caliber, Barrel Length, Etc. )

Value $ Code Person Item # Status Damage $

Value Recovered

Date Recovered

SCIC/NCIC

Property Type

Quantity

Name

Brand

Model Name/Number

PROPERTY

Serial Number

Owner Applied Number

Description (Size, Color, Caliber, Barrel Length, Etc. )

Value $ $ $ $ R. Smuggle D. Deliver E. Use K. Dispense/Distribute

Value Recovered

Date Recovered

SCIC/NCIC

TOTALS

Property Stolen Property Recovered Activity P. Possess S. Sell B. Buy T. Traffic Activity

Change in Property Stolen Value Change in Property Recovered Value M. Manufacture/Produce/Cultivate Z. Other Type A. Amphetamine B. Barbiturate C. Cocaine E. Heroin H. Hallucinogen M. Marijuana O. Opium/Derivative P. Paraphernalia/Equipment Quantity

$ $ Unit 1. Gram 2. Milligram 3. Kilogram 4. Ounce

CODES

S. Synthetic U. Unknown Z. Other

5. Pound 6. Ton 7. Liter 8. Milliliter $

9. Dose Unit/Item

Type

Description

Unit

Estimated Street Value

DRUGS

Activity

Type

Description

Quantity

Unit

Estimated Street Value

Activity

Type

Description

Quantity

Unit

Estimated Street Value

PROP. DETAIL / NARR.

ADMINISTRATIVE

Officer(s) Reporting

ID. Number(s)/Locator Code

Signature of Officer Reporting

Unit

Date

ELLINGTON, S.N.
Officer Reviewing (if applicable)

116
ID. Number Routed To Referred To Assigned To

UNIFORM
By

10/25/2013
Date

ROGERS, V.L.
Signature of Officer Reviewing

35
Page Page of

NARRATIVE CONTINUATION
Date of Supplement

1. Offense 2. Arrest

Juvenile Warn/Dismiss

1. Original 2. Supplement

CARTERSVILLE POLICE DEPARTMENT


Case Reference

Agency ORI Number

Agency Report Number

ADM

GA0080100
Original Date Reported

20134483

10/25/2013

AGGRAVATED ASSAULT

On Friday, October 25, 2013 at approximately 2302 hours I was dispatched to 1400 JFH Pkwy, rm 135, Parkway North, in reference to a fight that had occurred in which the complainants finger was bitten off. I made contact with complainant/victim, Mr. Barry DeHaven. When I made contact with Mr. DeHaven I observed his right ring finger bleeding, as well as a piece of the finger missing. I also observed blood around Mr. DeHavens mouth. There were blood drops on Mr. DeHavens shoes and on the side walk and around his room. Mr. DeHaven stated Mr. James Johnson had come over to his residence and asked him for a ride. Mr. DeHaven stated he refused to give Mr. Johnson a ride. Mr. DeHaven stated a small verbal altercation occurred but Mr. Johnson did leave. Mr. DeHaven stated approximately 5-10 minutes later Mr. Johnson returned. Mr. DeHaven stated he met Mr. Johnson at his front door where Mr. Johnson continuously tried to force his way into his residence. Mr. DeHaven stated he did push Mr. Johnson away from his front door and stated to him he could not come into his room. Mr. DeHaven stated that Mr. Johnson then punched him in the mouth and then began to attack him. Mr. DeHaven stated he ended up on the ground with Mr. Johnson on top of him. Mr. DeHaven stated he was attempting to protect himself from Mr. Johnson when Mr. Johnson bit his finger off. Mr. DeHaven stated as his finger was being bitten he was reaching for a bat to try to strike Mr. Johnson with. Mr. DeHaven stated he did not strike Mr. Johnson with the bat. At approximately 2311 hours Officer Cole advised he was out with a black male matching Mr. Johnsons description in the area of Grassdale Rd and Skyview Circle. It was determined the subject was Mr. Johnson and Mr. Johnson was transported back to Parkway North. I had Mr. Johnson step out of Officer Coles patrol vehicle and placed him in front of my car. I read Mr. Johnson his Miranda Warnings from my department issued Miranda Warnings Card. Mr. Johnson stated he did understand his rights and did wish to speak to me. Mr. Johnson stated he had gone to Mr. DeHavens room to ask for a ride back to his home. Mr. Johnson stated Mr. DeHaven had refused to give him a ride home at which time he left. Mr. Johnson stated he was confronted by Witness 1 who stated that Mr. DeHaven was looking for him and wanted to fight. Mr. Johnson stated he then went back to Mr. DeHavens room. Mr. Johnson stated Mr. DeHaven stated to him that if he came into his room he was going to beat him up. Mr. Johnson stated Mr. DeHaven stated this information while holding a bat. Mr. Johnson stated he and Mr. DeHaven did begin to fight and they ended up on the ground. Mr. Johnson stated at some point he felt an unknown object in his mouth and therefore he bit down. Mr. Johnson stated he felt something fall into his mouth when he bit down and then spit out the unknown object. Mr. Johnson stated it wasn't until he spit the object out that he realized it was Mr. DeHavens finger. Mr. Johnson stated at this point he advised Mr. DeHaven that they should stop fighting. Mr. Johnson stated he then left to walk home. Witness 1 stated she was over at Mr. DeHavens residence when Mr. Johnson knocked on the door. Witness 1 stated she was sitting on the bed and could hear Mr. Johnson yelling at Mr. DeHaven about telling his wife that Witness 1 was at their residence. Witness 1 stated Mr. Johnson then began to push his way into Mr. DeHavens room. Witness 1 stated once it became physical she left the scene. When EMS arrived Mr. DeHaven refused transport. Mr. DeHavens finger was located in his room under a recliner at which point Mr. DeHaven placed the finger on ice until someone could arrive to take him to the hospital. Photos were taken of Mr. DeHaven, Mr. Johnson and the scene and placed with the case file. Witness statement form was filled out by Witness 1 and placed with the case file. Mr. Johnson was placed under arrest for Aggravated Battery, 16-5-24. Mr. Johnson was transported to CPD for processing and then to BCSO without incident. Mr. Johnson was searched before and after transport and found to be clear of any contraband. The patrol vehicle was searched before and after transport and found to be clear of any contraband. No further.

NARRATIVE

Report Contains

Related Report Number(s)

ADMINISTRATIVE

Signature Officer Reporting

ID. Number(s)

Unit

Date

116
Reviewing Officer Signature Routed To Referred To

UNIFORM
Assigned To By

10/25/2013
Date

Case Status

Clearance Type

1.Arrest 2.Exceptional

3.Unfounded 4.Open Pend.

A - Adult J - Juvenile 3. Death of Offender 4. V/W Refused to Cooperate

Date Cleared

Arrest Number

Number Arrested

10/25/2013
5. Prosecution Declined 6. Juvenile / No Custody OBTS Number Page

1
Page of

Exception Type

1. Extradition Declined 2. Arrest on Primary Offense or Secondary Offense Without Prosecution

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