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CARTERSVILLE POLICE DEPARTMENT

SA GA0080100

CASE NUMBER:

20140090

INCIDENT REPORT
COUNTS

OFFENSE: INCIDENT CODE

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

INCIDENT TYPE

RECKLESS CONDUCT PUBLIC DRUNK


INCIDENT LOCATION (STREET #, STREET NAME, APT. #) CITY ZIP CODE

1 1

7399 7399
ZONE LOCATION CODE

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

EVENT

1348

JFH PKWY
TIME DATE TO

CARTERSVILLE
TIME

30120
YES NO

INCIDENT DATE

STRANGER TO STRANGER

2 - KNIFE/CUTTING TOOL OTHER ZIP PHONE NUMBER

01/08/2014 MARTIN
VICTIM LAST NAME

1118

01/08/2014
FIRST NAME

1124
MIDDLE NAME

UNKNOWN
CITY

COMPLAINANT LAST NAME

COMPLAINANT ADDRESS NO., STREET

STATE

JAYME
FIRST NAME MIDDLE NAME

52
COMPLAINANT:

BLACK OAK RD W
RACE

CARTERSVILLE 07/26/1967
DATE OF BIRTH

F
SEX

46
AGE

SSN:

GA 30120 770 547-4305 ___-__-____


BUSINESS PHONE

RESIDENCE PHONE

VICTIM

STATE OF GEORGIA
ADDRESS NO., STREET CITY STATE ZIP SSN: CENSUS TRACT EMPLOYER OR OCCUPATION

1
STUDENT?

CAPITAL AVE
YES NO

ATLANTA

GA 30303

___-__-____
RACE SEX

GOVT
DATE OF BIRTH AGE SSN

IF YES, NAME VICTIMS SCHOOL

OFFENDER LAST NAME, FIRST NAME, MIDDLE NAME

FOUBERT
WANTED ADDRESS NO., STREET

JOHN

F
CITY STATE ZIP

W GA 30120

M
CENSUS TRACT HEIGHT WEIGHT

56 508 110

___-__-____
EYES

HAI R COLOR

OFFENDER

106
WARRANT

PIEDMONT AVE

ADAIRSVILLE

GRY

HAZ

CHARGES

COUNTS OFFENSE CODE

OFFENSE / ARREST JURISDICTION CODES

ARREST

RECKLESS CONDUCT PUBLIC DRUNK


TOTAL NUMBER ARRESTED ARREST AT OR NEAR OFFENSE SCENE YES TAG NUMBER STATE NO YEAR V.l.N.

1 1

7399 7399
DATE OF OFFENSE

1 1

1 1

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

1
VEHICLE
STOLEN RECOVERED SUSPECTS

01/08/2014

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

01/08/2014

ADULT

01/08/2014

NARRATIVE

REPORTING OFFICER

NUMBER

APPROVING OFFICER

NUMBER

Page

Page of

IBARRA, J.A.

118

HAWLEY, R.P.

85

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)

20140090
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

01/08/2014
CODES

MISCELLANEOUS REPORT
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

STATE OF GEORGIA
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

IBARRA, J.A.
Officer Reviewing (If Applicable)

118
ID. Number Routed To Referred To Assigned To

UNIFORM
By

01/08/2014
Date

HAWLEY, R.P.
Signature of Officer Reviewing

85
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)

20140090

Original Date Reported

01/08/2014
THEFT
Theft Type Codes 00. N/A 01. Burglary Person Codes V - Victim S - Suspect

MISCELLANEOUS REPORT
04. Pocket Picking 05. Purse Snatching Status Codes 1. Stolen 2. Recovered

STATE OF GEORGIA
Theft Type 06. Embezzlement 07. From Coin Oper. Machine 08. From Public Access Building 09. From Vehicle 10. Extortion 11. By Computer 12. Fraud 99. Other

02. Robbery 03. Shoplifting

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

IBARRA, J.A.
Officer Reviewing (if applicable)

118
ID. Number Routed To Referred To Assigned To

UNIFORM
By

01/08/2014
Date

HAWLEY, R.P.
Signature of Officer Reviewing

85
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

20140090

01/08/2014

MISCELLANEOUS REPORT

On Wednesday, January 8, 2014 at 1118 hours, I was dispatched to 1348 Joe Frank Harris Parkway, Microtel, in reference to a drunk subject. On arrival, I made contact with the complainant, Ms. Jayme Martin. Ms. Martin stated that she had observed one of her patrons, Mr. John F. Foubert, outside his room in a heavy state of intoxication. She stated that a small child was with him, his 6 year old daughter (Victim 2). Ms. Martin stated that Mr. Foubert could not stand on his own power and was falling. Ms. Martin stated that with the help of personnel at location, Mr. Foubert was placed inside his room and the child was taken to the front office. Ms. Martin stated that she then called 911. I observed Victim 1 to be with Ms. Martin in the front office. She stated that she was with her father because her mother had gone to court. I then made contact with Mr. Foubert who was asleep on the bed with his legs hanging from the side of the bed. I then attempted to wake Mr. Foubert and could only get a mumble as a response to my questions. I then turned Mr. Foubert on his side as he seemed to be gagging on his tongue. After a few minutes, I was able to get Mr. Foubert to sit upright and asked him where the "little girl" was and he could not get a sentence straight. I attempted to have Mr. Foubert to stand and he was not able to do so without assistance. Then using a cell phone that was in his pocket, I was able to make contact with the girl's mother, Ms. Cathy A. Gunter, who stated that she was a few minutes out. After a few minutes, Ms. Gunter arrived and stated that she had left just before 9 this morning to see if she could drop a temporary protection order that had been placed on Mr. Foubert. She stated that when she left Mr. Foubert was fine and she would not have left her child with him if he had been in this state. Mr. Foubert was then placed under arrest for Reckless Conduct (OCGA 16-5-60b) and Public Drunk (OCGA 16-11-41). He was placed in handcuffs, checked for fit and double locked. He was then searched for contraband and weapons to no avail. Victim 1 was then turned over to her mother, Ms. Gunter. Mr. Foubert was then transported to the Cartersville Police Department for processing. Once processed, Mr. Foubert was left in the custody of jail staff at the Bartow County Jail. My patrol Vehicle was searched for contraband prior to the start of my shift to no avail. My patrol vehicle was searched prior to and after transport for contraband to no avail. Warrant # CE-0100449 was obtained for Reckless Conduct and warrant # CE-0100448 was obtained for Public drunk on Mr. Foubert. The criminal investigations division was notified of the situation and advised that they would follow up if needed.

NARRATIVE

Report Contains

Related Report Number(s)

ADMINISTRATIVE

Signature Officer Reporting

ID. Number(s)

Unit

Date

118
Reviewing Officer Signature Routed To Referred To

UNIFORM
Assigned To By

01/08/2014
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

01/08/2014
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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