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Albany Police Dept Su .

ect Resistance Report


location of Incident:
Supervisor Notified:

Sit,

~'S'. yY1cCel1

~------------'i

On Scene? @'No

Ofcerts) Deploying Force: .


Interviewing/Filing Officer (if lerent):

--.
.,
__

---'-

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. Subjecfs Name:

Sex:.lrL

Height:

Age: 2 ~
~()l,'

Weight:. 1~ o

'-~J

Incident #: O (l-d/git
.

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OaylDatemme of Incident:

':..

oOB: .

Race: jJ~(J:. Charge(s): rlUo,/&


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.

Force Used/Displayed by Subject: [7~e('!\.. r . h;5 kwh.; I Q cr-e~ ,\


Injuries to Subject: nOl'\.e
I
Treated by:
. Hospital Adl11ission?: ---:.
__
Subject Under Influence of: Drugs/Alcohol/OtheF List, jf Known: _.

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o.c. Administrative

--":;,

Warning

TO BE GIVEN TO ANY PERSON EXPOSED TO O.C.


You have been contaminated with Oleoresin Capsicum (OC), a natural product derived from cayenne
peppers. I am going to treat you to reduce the discomfort you are feeling, as long as you cooperate.
2. OC is non-toxic and the effects will dissipate in a short time, The effects of OC may, however, mask or
cover other medical conditions, induding overdoses or toxic levels of drugs like cocaine, amphetamines,
barbiturates, PCP and other hallucinogens, heroine and other opiates, or alcohol
3. I am going to ask you 5 questions for your own safety. Not answeng my questions, withholding
nformaton, or giving false or misleading answers could delay medical treatment and may seously
jeopardize your health and safety. .
.
1.

4. Do you understand everything fhave told you?

YesfNo
(over)

.1,

Revised 312004

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TO BE ASKED.

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2.

re you currently under the Influence of tlne, Amphetamines. !Barbiturates, PCP


, Uinqgens, HetaRa or ot,her Opiat~. 91'Alc.q!lol?
_
No _
It Yes. Whidt 000(5)1
--------Re
ed.to AO$Wer:;...,.-,.-pate!Tiroe:
Initials ----

you take Cocaine. Amphd:3min~, BarbitwJ~t~, p-p or other Hait~in09ens,


othl" Opials, or: lcobol in the LAST 8 HOURS?

Have

YS~

No

DateITime:

Initials ----

No __

to Answer.

diabetes. high bl~d

.fY8S;WhichOn

=\~

o you fflWe lilYallergies?


Yes__
No ~
!tYS, Which Onc(s)? _~~~--Refused to Answer: __
o;tarrllm:

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mRleted the above

20.......

By

Tase!' Use Repqrt

Tasar Serial #:'

- Number of Cartridges Fired: . .,.....-l"1~-~


Number of Stun CQf1tacts: ~..:::C/::;.........__
laser sight ~ctivatedonly;
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LO~Q.n f eah prolle conti-Gt: - .......


------------/-------~--~
.Dis;bnCt!between probes (in inches): _-_~---

Approximate distal'!ce of probe lau~h=


20 P'~ J-- '.
Did the application cause' injuryto the ~bject andiOr oth~?
.

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Did the appliciloilofth T~rgain cQffiplianc~ from.the $u~1

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5 sec- t1long~rlshorte!"J 9 ~o~ than

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If yes~explain:

Yes/N

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.Describe tM .subjet'$ deme~oor atter ~e raser w~ Qisplaye(i!or ~~ployed: -,--..--,-----,.""':


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Where were the

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cartridge Seal #(s)!


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Numoor of Probe COntacts: .....,.._")='-'-~---.,..--~
Number Qi pfObes penetrating skin: "_...;f""2:>.--<=-. ----.......;..-'..

Length of Time for Elctrical CUrrfl~ AppliC<ltlon: () Pr~~mmed


oneappflcation. explan total time frame involved:. .~

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..

EVERY TIME TH\; TA$EHIStjSEP,

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Qf CQinple(oo .'.

Ti

TO B COMPLETa)

mterview with

day of

WitneSsed

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thi! undersigned officer, ha.ve

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condition?
Yes__
Refused

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4.. Do you hav~ heart prblems, ILUngptll,

5.

Of

ifYf;'$~Which OI1~~}? --------~---

Refused to Amwe

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Questions
OF mY PER$qN EXPOSED TO o.c,

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Albany Police Dept Subject,Resi.~talu~e Report


DayJOatelTime of Incident: fr. o J'
location of Incident:

id~nt'#:

.,.

1 ~Q 30 $)J
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Supervisor Notifi~d: .

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Interviewing/Filing Officer (if Different): _.---..---.....:-:.:..-..:.....c,---.:....:

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Subject's Name:
Sex:
Height:

r-

.Age:

L/"

Race:

Force sediOisplayed by Subject: Lv're)i-IIh

7)',008:
1515{

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17

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Injuries to Subject;
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Treated by:
'(9-Hospital Admlsslonv: __ -Subject Under influence of: Drugs/Alcohol/Other . List,lfl<ll()\JVn:
;.

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Narrative Description of Incident (Include.actions taken by both the 'Su"bject and the
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O.c. Administrative Warning' .


",'.I'
TO BE GIVEN TO ANY PERSON EXPOSEOTOOJ;.
You have been contaminated with Oleoresin Capsicum (OC), a natural productderived fr>fn<1yen~e
peppers. 1am going to treat you to reduce the discomfort you are feelinq, as 19n9a~. y()ucqpprate .....:, ....
OC is non-toxiC and the effects will dissipate in a short time. The effects of OC may,howevr, mask
cover other medical conditions, including overdoses or toxic levels of drugs likecocainei,amphetamines,
.'.
barbiturates, PCP and other hallucinogens, heroine and other opiates, or alcohol.
.
.'
I am going to ask you 5 questions for your own safety. Not answengmy questions,withholding
~,
irifomiation, or giving false or misleading answers could delay medical treatment and may seriously
jeoparize your health and safety_
:.. -: :,~"
i ,~""
Do you understand everything I have told you?
YesINo
..'...
(over)
.

or

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O.C. Adminsrraive Questions


TO aE ASKED OF
ANY
PERSON.
EXPOSED
TO .O.C.
,
. ,
", ':",.~ ; ;' :,.;-:', ; ~ '-' -,
s~'8f'biturates', PCP

1. Are you currently under th


Hallucinogens, Heroine Of. other Opiates, Qf Alcohol?
Yes__
No __ ' '_ if Ye~,:'M1iij~One(s}?I_~=,
Refused to Answer:
Datemme:. ..

2.

Ha
ou taken Cocaine, An:tphetamines;B
other
lates, or Alcohol in the LAST 8 HOURS?,'..
Yes
No __ , If Yes, Which One(s)? __
R,efllse to-Answer:
. '~O~tmme:",
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condition?

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No_- _'_ If Yes,
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emme:

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5. Do you have any allergies?


Yes __
No __
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the uodef'$igned officer; have cmpletd th abv irite'riiiew with


~on this
day of'
.20 -:

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TaserUse Rp6rt'"
TO BE COMPLETED EVERY TIME THE TASER IS USED "
,

T~ser Serial 'If.: .


'""Numberof Cartr ges .red: _
. .;::::__
Number of Stun Contacts: _.-:.f
_
Laser sight activated only: __
Loca,tion of each pro~e contact
--..
Distlnce between probes (in inches): __ -

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Number of Probe Contacts. _0"-"Number of probes pe~,etrating skin: ~.---1,<IL

------_'

'-'-

,:-

Le,-lgth of Time for Electrical Current Application: () Programmed 5. ~ec. If longerfshort:~ ~r more than
explain total time frame nvory-ed,
: _-=OLry-l-~_5>LI--'_J..:.A""IJ~e.'_"l_,~:..:r:::.r'_.C,--,' .J.a<lf12fl.iOtco-'"'<.I1-'f-- fM.::":c.>'S,-,-t""e.,-,-! f--V_->oS,,-__
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Approximate distance of probe launch:
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[lid the application cuse injury to the subject and/at otherS? Y@
Ifyes,~xplin:~.,""_:-,-'~'-,->~
_

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ea.ppliption,
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Did the application of the Taser gain compli~nce from the subject?
Describe the subject's demeanor after the Taser was displayed

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I Page 2 0[2

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Albany Police Dept. Sub iect Resistance Report


DayfDateTrime of Incident.Ti
Location of Incident:
Supervisor Notified:

/~I7''7 J j)

" ~.

. cident

#-0'(- G7. ' ":Sy


r

o6.u:cs

"'OnSeene?@INo

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Officer(s) Deploying Force:


Interviewing/Filing
Officer {if

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Subject's
Sex: ~

Name:
Height:

Co (.g

Weight:

I~

Age:L \
Race:
6ft{

DDB::

.' Gharge(s):

3 ::-/(.;: "2o"G...p

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Treated by:
..
.
Hospital Admission?:- _'--~--,-,-,-,:";c-::!~--:-:'---:"-,;-".,.,...""='-.=.'::='"
Subject Under Influence of: DrugsfAlcohoUOther
List,if Ktiown:--,("-UIN~(.(~_~ ___
Narrative Description of Incident (Include actions taken
Officer(s):
t.

. "

by-boin' the S~I~!4~8~':~I;.'mE~:':_'~'.:::";~T:':';:~:;";:~";L.!0;i


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O.G. Administrative Warning
-..,..
. ',::::}-~~..:.fH>J'
.
TO BE GIVEN TO ANY PERSON EXPOSED TOO.C.
.
.. ' .~<
.
'

1.
2.

You have been contaminated with Oleoresin Capsicum (oq, a natural product derived fromcayenne'
peppers. I am going to treat you to reduce the discomfort you are feeling, as long as you cooperate.
OC is non-toxic and the effects will dissipate in a short time. The effects of OC may, nowever.rnask or
cover other medical conditions, induding overdoses or toxic levels of drugs like cocaine; ampnetamins,

barbiturates,

PCP and other haucnoqens.herone

.:,~~}>{,;~

and other opiates, or alcohol.

3. I am going to ask you 5 questions for your own safety, Not answering my questions, withholding
infonnation, or giving false or misleading answers could delay medical. treatment and may seriously
jeopardize your health and safety.
4. Do you understand everything!
have told you?
Yes/No
.'

Revised 312004

f)

~~~~;.~'~:>

(over)

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O.C. Administrative

Questions

o.o.c. ...

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1. Ar
ou currently under the influence of Cocaine, Amphetamines, Barbiturates, PCp .or other,
Hallu [noqens, Heroine or other Opiates, or Alcohol?,. ' ,,'';_''~'
. ~~_'.. _, ~::,:_,
"',,,
.
J '., ' '
Yu
No
ff~~W
h~e
Refuse to Answer:
"
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. ':(,:,-'~,
.: . -: '-,,/.:.::{'-::~-,:!y, '::r,~i:
Have you taken C aine, Amphetamines, Barbiturates, PCP orother Hallucihoqens,
other.Opiates, or Ale. ol in the

2.

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4. 00 YOll h~~e heartproblems, lung problems, dl etes, high p.IQodpre,~slfre,,or anY9t.tler medical
condition?',
",;',
'. ~'".,i:V1.;iT' .:i ...
.'{.~{~!~i):;;. .C:"
Ye~~
No _.__
If Yes, Which One(s)? __ ~-.:'~'=,-<--=-_" _'
_
Refused to Answer:
DateTrime:
~_____ Initials _'\;-'
_

'\

5. Do you have any allergies?


. '-~",,
YS_._
No __
If Yes, Whic!1 One(s)?
Refused to Answer:
DatefTime:

l,

~ _

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sed By

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...."., ... . Completion':,.
.... ;''', """""" , .,. ". " .....:J.';",j:;~.;.,:.:,..;, .. "

~.,>_'., .\.

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T aser Use Report

.'

TO BE COMPLETED
"'.-,

'

------..
Initials _~

the undersigned officer, have completed tfW.a.b()veillt~rlieW,.Vt(iJ~(~,


:.;2;"\Vt:&~~{,~'ii~Wtli,
on this ....
day of'
.
20~: .."".',')
:,;~.{;~%:';(

__:__~--=--__:__-_

----=--- __ -'--__

'\

EVERY TIME THETAS ERIS USED ,.'.

,.".

~ T ~~e'tS'~riai#~
Number"of Caftndges Fire . _Y<--I-'-"_
NUfpber of Stun' Contacts: ~
Laser sight activated only:.~
Lqcation of each probe contact:
Dstance !Jetween probes (in inches):

Cartridge Serial #(s):_~~p~-,,I-'


"'-' =-c,-"+'_" "--"--"--"--_
Number of Probe Contacts: ---'-='--<<--~+-'ir-'-----~...=.;"
Number of probes penetrating skin: --d.\.Ljff-<J==----~

~r:---------------_~

~!.:.A--,,---_~

,'

': _.~,,:~:

:}

Length of Time for Electrical Current Application: () Pro rammed 5se~.lfr~gerlshorte


one application, explain total time frame involved:
,.Jul: '"
fot.'i.'

~
, or~. or~than

If;.

b:.:-r.

.-:A~p-p-r,-o-x:-im-a,-te--:d:-is,-t-an-c-e-
-o-=-t
-p-ro-b;-e--:-Ia-u~n-c--::h-:~'--,P"-:-'
+-=-"------'"~-----------~--'--"'!...,.,.,------:;-0-..-,.::Did the application cause injury to the subject a.nd/oroti1ers? Yes

c'.

' If yes,e<plain: ..,.'


_~-.-.,--,-.,._:~,."..,.~
'"<

~'.

:-1

:" r~<;-

Did the application of the Taser gain compHance from the subject?

No

:~..:' ..' ~.'~-~.<" ~... ;: .'y

Describe the subject's demeanor after the Taserwas displayed

o~:-~q.h:J

ik~i~t):J;)'!(!b;yJ)"",,}~~'>r ~;

N'fl-

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.
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Albany Police Dept. Subject Resistance Report


DaylOate/Time of Incident:THU 03/05/09 1352
Location of Incident:
Supervisor Notified: Commander Ryan

Incident #:09-078962

On Scene? No

Officer(s) Deploying Force:


Interviewing/Filing_.9fficer (if Diff&rel11t:~

__

=~~~~~~~~~~~~~====~~~~====
..._..._..- ..

Subject's Name:~'
Age: 21
DOB~
.
Sex: Male Heighf:6'2" \"Jeight: 165 Race: Black Charge(s): C.S.C.S\ s" Degree

Force Used/Displayed by Subject: Resisting Arrest


Injuries to Subject: None
Treated by:
Hospital Admission?:
Subject Under Influence of: Drugs/Alcohol/Other List, if Known: __

--,-__

_
---'-:-_"''

..

Narrative Description of Incident (Include actions taken by both the SubJe~tandth"'"


Officer(s): :"'was
observed exiting
and entering NYReg.1IIIJM_as
the operator.~as
wanted by Menands r.o. under the stren~thof aCoJpty Cpurt
Warrant for Failure10 Appear after having pled guilty to C.S.C.S~5 h."TI. sentence-was
deferred for drug court however~absconded
and is facing.a sentenceot-z % years .
.~
has been a wanted fugitive in excess of five months. Upon initiatingatraffic stop
.in the area of
immediately exited thevehicle and
began running towards the Henry Johnson Charter Sch901.T prevent
.frorn
gaining access to the school and escaping the undersigned detective deployed (1)Taser
. cartfidge at which time both probes struck fl. sweatshirt but did not puncture~
skin .....
discarded his sweatshirt and continued to flee on foot West across'
Watervliet Av. and into the yards between.
...
. was
subsequently located hiding in a garage. IItI was transported to CIU a processed.
was notified.

O.C. Administrative Warning


1.
2.

3.

4.

.J

Revised. 3/2004

TO BE GIVEN TO ANY PERSON EXPOSED TO O.C.


You have been contaminated with Oleoresin Capsicum (OC), a natural product derived from cayenne
peppers. I am going to treat you to reduce the discomfort you are feeling, as long as you cooperate.
OC is non-toxic and the effects will dissipate in a short time. The effects of OC may, however, mask or
cover other medical conditions, including overdoses or toxic levels of drugs like cocaine, amphetamines,
barbiturates, PCP and other hallucinogens, heroine and other opiates, or alcohol.
1 am going to ask you 5 questions for your own safety, Not answering my questions, withholding
information, or giving false or misleading answers could delay medical treatment and may seriously
jeopardize your health and safety.
Doyou understand everythingJ have told you? Yes/No
(over)

I Pagel 00 I

.'

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O.C. Administrative

Questions

TO BE ASKED OF ANY PERSON EXPOSED TO

d'

o.c.

1. Are you currently under the influence of Cocaine, Amphetamines, Barbiturates, PCp' r other
Hallucinogens, Heroine or other Opiates, or Alcohol?
'
,
Yes__
No __
If Yes, Which One(s)?
---,._'_-._.-_--_.
--:----:--:----::r--Refused to Answer:
Date/Time:
Initials
7-----

2.

Have you taken Cocaine, Amphetamines, Barbiturates, PCP or other allucinogens, Heroine or
other Opiates, or Alcohol in the LAST 8 HOURS?
Yes__
No __
' If Yes, WhichOne{s)? ------r----:--:------Refused to Answer: __
Date/Time:
.Initials
_

3.

Do you normally take any illegal or prescription dru


Yes_'_
No __ - IfYes,WhichOne(s)?
Refused to Answer:
Daterri me: -r----,--,------,-'In-i:-:t:-"'a-:-s-----

----

,4.

,5.

Do you have heart problems, lung prable s, diabetes, high blood pressure, or ny othermedical
condition?
Yes__
No __ , _ If Yes, W fch One(s)?
Refused to Answer:
DateiTime: -----'------:-in-=-it'a-:-:-s'\---.;,---, '\
Do you have any allergies?
Yes__
No
If Yes, Which One(s)?
--:-:-:-"'-:_
Refused to Ans er:
Date/Time:
Initials '
__

I, -....,-_,..----,_-r-

the undersigned officer, have completed the above intervi~wwit~


on this
day of
"
.",;;;~;~>-,,

-.-.---,------::r----------Offic:,eF gnature

',"~O "",,:,_::',:,,'

Witnessed By ,

Time, of Completion

-:-7~--~-----------------------------__--

~----

Taser Use Report

~.

TO BE COMPLETED

EVERY TIME THE T ASER IS USED

Taser Serial #: ~
Cartridge Serial #(s): Unknown (lost ,during foot chase)
Number of Cartridges Fired: 1
Number of Probe Contacts: 2 in sweatshirt
Num,berofStun Contacts:
O
, Number of probes penetrating skin: O
, Laser sight activated only: - -Locatton of each probe contact: left arm of sweatshirt and left side of sweatshirt
.'Di~tanc between probes (in inches): Approx. 18

~.

""",:,.,:.:"

, Length of Time for Electrical Current Application:


one application, explain total time frame involved:

(X) Programmed 5 sec. If longer/shorter, or more than


_

Approximate distance of probe launch: Approximately 10 feet


Did the application cause injury to the subject and/or others? No
Didth application of the Taser gain compliance from the subject?

No

.'Describe the subject's demeanor after the Taser was displayed ordeplayed: Continued to run.
Where were the probes disposed of? Placed in sharps container and t.o.t. Det.Sgt. Welyczko =-~.,.....~...,..,..
"

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Albany Police Dept. Subject Resistance Report

.~:~~~~~~n:;::~~t~id:nt#:.~?:.~~0~ _.
-

..

..

Sf!'

Supervisor

OevK.v

Notified: ..

~.~~cene?

Officers] Deploying Force:


!nterviewing/Filing Officer (if Different):

Subject's
Sex:.!.rL

Name:
Height: -"SL...""--_

'.~.>; .

eight ZiQ
no"

..,...-,::",;"
"

Age::Ll~",'Dor

Force Used/Displayed by Subject:

Injuries to Subject:
Treated by: '.

~N0 .

Race:

ekle

.; /'1f 1ic.~cJ)

Charge(~~L

116~~I~~(:]~~W~~Jc

F(e:~QJ .'h'~scmei/r-

1f::--"cfli,,1-

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'-

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Hospital Admission?: __ Subject Under Influence of: Drugs/Alcohol/Other.


l.ist,-if Known: __ -_~

--'
--"--'~ ..".._--,--.,.........

__

Narrative Description of Incident (Include actions taken by both the ,Subject and the
Officer( s):'
.,'
'L):,:;;?:;i,j:[:i~:i;f,;.:;;i~01~',,'
,

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O.C. Administrtive

Warning .:-.

',..

, ~.,/_',
'::::/.,~::],;~
~'.:',:):,";"""''',':;'.'
.

'~~""'.'

TO BE GIVEN TO ANY PERSON EXPOSED TO O.C.


You have been contaminated with Oleoresin Capsicum (OC), a natural projuctderivedorncaY~l1ne
peppers. I am going to treat you to reduce the discomfort you are feeling, as long as you cooperate,:t:','2:
2. OC is non-toxic and the effects will dissipate in a short time. The effects of OC may, however, mask or ..
cover other medical conditions, including overdoses or toxic levels of drugs like cocaine. amphetamines; .
barbiturates, PCP and other hallucinogens, heroine and other opiates, oralcohol,
,
<':};";
3_ I am going to ask you 5 questions for your own safety. Not answeng my questions, withholding
information, or giving false or misleading answers could delay medical treatmentand rn~Y ~eriously
:),/',.:,
jeopardize your health and safety.
.
. r.
....,.....
1.

4. Do you understand everything l have told you?

.I

R.e<i~d 3/1004 .

,I

Yes/No

.,~!).~!~.;~

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O.C. Administrative

Questi911s

TO BE ASKED OF ANY PERSON XPSED


".o ~'{'

1. Are yo

'

;~ ., ;~\~:

currently under th

..'

\.';"".

~ ,:-, :.);

i1es,BrlJtr~tes}P'P'br'oth~r

i'

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o?
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~---:----?:I-i.r~t?ai'ls='\'::-_'.'i',i'C:';;"":::;::-----'--"-;

Hall~~n
ensN~e_ro_i_ne_o~o~e::wh~::;{S)~o
Refused
Answer:
Date/Tme:

2. Have you taken

,.

' .'

ro o'.C.
;.f,':--

i '.

ine, Amphetamines, Barbi

other Opiates, or A ohol in the LAST ~ HQ!JR.S,? ." ....


Yes __
No
Ii Yes, Which One{s)? __
:::-::-------:--c---;:----;:---,----;:--;-::::::--:-::;===~
r- . -Befuse<ito
Answ:~r.
" ;Jla,teffime:
---".y.iiE ,"
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4. ;~:.Llli~~~veheartprQbf(m~~~,un9P
Yes__

No __

,:'t;::

. if Yes, Which

ne(s)?

'~A';('.:;;".'},,--\+ ."
.,

Refused

to Answer: _ .'_

.:);tl~{Q).:~t;w'~i.},f>

biem:, diabetes;h,~9~~.~9.?~.i~~~o~f;~i

Date

e:

- ',.-

. , . , ..

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'

officer, -"l"VCn1Pletedlh~
da of

~----~--~---------------------

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.~) l' "i":"!?''.!'"

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...:::.:.,\-',-"-, .......,.-'-'.,"'-.:,"",.,'-

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the undersigned
on this

,o

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;'.,;IP~~:;7i!~.:i,1';:~;'''::~i,~:'?';!;'
'~r~""i'iV.'"

'o

5. Doy~~:_av_' e_an~~I_le_rg_ies_
?ItYes, Which One(s)? -T-~----~'---:'-"5"'i-;--''
Refused to Answer: __
Dateflme: .
initials

I, --,--

~(';.-~;~

:l:lOV'iate~~'W:w.tt1~;j;;}'J~:;;*l;j
""""o"'-;'20~,;'

s, ';;:_,?>!;ijt:(,~\-r::1 ~t',;;ii;:;''':~~;,'~;fYt:'
';r:;':R;W~';;i\;l~~\.-.,

Officer Signature
.

Witnessed'
..

By

: -:~...

'

.~x
TOBE COMPLETED
.:

Tasen Serlait(-,
Number of Cartridges. Fire _~=,=,I~~
Number of Stun Contacts: . . O
Laser sight activated only:
~

'Cartridge
Numbero;:~~::$(~~~:~~~~~~~~~~~~~'~_:~~n~~
Number of probes

Location of each probe conta~c_;t~:~he:;~7;====-_~_~


Distance between probes (in If
Length of Time for Electrical Current Application:
one pplicaton, explain total time frame involved:

() Programmed

5 se . If lngerlshorter,'"c0' more than

(.JJ;-S=~A?fl:~~t>,o..S

-:A-p-p-ro-x-:i:-m-a-:t-e-d=is-ta=--n-c-e-O-::f-p-ro-:b:-.
e--:-'a-u-'-n-c-::'h-:
-,:"-.
Q-'-.. ~. -Fi:=-ee.-;-t-_ ------,..-:-----,..::----.,....,
Did the application

cau~einjury

to the subjectandlor

_"

_'7,-.,-,,-:... -:;0'.:_::;-.,;,-c~;. -"'---C',";-;,_.-:C-:o ..';::-:',-:,-::;, ,2'.'\.,:;;:"

~_~'.~r?l::;-)o";-,.-:.:-.

(jthers?Y~lfye.~,

.,---:'".-,TC" . ,7. 7.

, . """.':.

Did the application

f the Taser gain c9mpliance

Describe Ihe subiocfs ~m..

from

no,afterlheTase,

was d~Pla;~

~~It,.

APO#

422

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_.

Albany Police Dept. Subiect Resistance Report


OaylDatemme of Incident:!; Y\..
Location of incident:
.Supervisor Notifie?:

0& 60 00.%fncident #.

SJ +. O Or h()e.....

.ir

'-

,;~.:;'j::':)

.-

-- -

_ ..

.-

Officer(s) Deploying Forcel---'-_:_:~'


Interviewing/Filing

Officer (i_-"

._
..-",.,;,;:.;,.,

..L

Subject's Name:
Sex:
Height: '/

fl&.

(r ...Weight:

A~({:Jl-:3" '''':;OS:
(75:

Race: .l'6

.." Char-gets):"
.1

.'

,1..\

(e"~'f[;r(,

Force Used/Displayed by S~bject:Pl


'I
ft
Injuries to Subject: rh I ("
(",
-t..:
~ k' l.
Treated by:
Hos . al Admissi
7: 4.l..lt.E.iL.l..J'-+PJ:.:..LL.!.(.L.!1;;~~~
ubject Under In ence of: rugs/AlcohoVOther list,if Known:

l
"':~,o~.~J.to,

",,'

O.c.
1.
2.

3.

4.

Revised

312004

Administrative Warning

(~NOr

Y';,

~.\.-v-

__+>::

..;,.,<;~."ito;~~;;C.:~;:"

TO BE GIVEN TO ANY PERSON EXPOSED TOO.C.


.
You have been contaminated with Oleoresin Capsicum (OC), a natural product d~rived. fromq:.yenne., l." " ;'::(';'; 'n'Ci'
peppers. l am going to treat you to reduce the discomfort you are feefing, as long as you cooperate.
OC is non-toxic and the effects will dissipate in a short time. Theeffeds OfOCTl~Y; hw~vr;jlaSkr;,;'
;;'~ , '
cover other medical conditions, induding overdoses ortoxc lvelsofdrugs likecoqine,lrl1ph~tal11in~s" ... ;.c
barbiturates, PCP and other hallucinogens, heroine and other opi<ltes,or aconot,
I am going to ask youS questions, for your own safety. Not answering my questions; withholding ..
information, or giving false or misleading answers could delay medical treatment and may seriously
jeopardize your health and safety.
.
....
.
.'
"
.. "
Do you understand everything I have told you?

YesiNo

.(Ove.' r) ': . '"

. :.C"

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QUestions::,.

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1. A
ou currently undr the influence of Cocaine, Amphetamine.s,Barl:itlirate.::.PCP
i. '__
;,' ,,'
\'
Halluc ogens, HroinetotherOplates,or
Alcohol?2~":;.,
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:\

3'.

4.

Do you have heart problems, lung problems, dia


condition?',
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Yes__ . No _'_ .._' . If y-es, Which. Orie(s)1
Refused to Answer:
Dateff'irne:

tes, high blood pres~uf;or

".1.,;,,',

Inifials

----~--

Do you have any allergies?


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yes_ .__... No __ '_"'If Yes; which Ooe(s)?
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Dateffime:
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~ the undersigned

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.

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officer, have cOrnplete(tt~e


on this . ..
, 'day cf .. .
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.

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rasr Us Report
. TO BE COMPLETED EV8R.YTIME THE TSER IS
;-'

Taser $erial#:
Number

It, .

.. u);

'Cartridge
ir

...

Serial#(s): -,,-J'::!I.f.:f::.:..2.:+:;:::'::~=I:::
NumberofProbe
Confao 5.:

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_b_~_r
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. -,-;~'-,-,~;""l,~=:;~;'"",~I.:;:~~:::~'(':'~x:;.'J'!.;'

Length of Time for Electrical Current APPlication;

(.yP;o~rammed

one application, exp,lain total time_frame involv~o:

-~sec. If IOngerlShorter::r
...

Il)0re than
",

Approximate distance of probe launch: ---:--."-~L.L-:-:---,'-~


__ ---:-:----:':=r~_",---Did the application causeiojury to the subjectand/or
others?
Ye INo' If yes;~:x;plain:-,.li
Did the application of the Taser gain compliance from the subject?

o
C

Vs/No
I'

scribe the subj

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Albany Police Dept. Subject Resistance Report


Day/Date/Time

of Incident:_04/09/2009@1809_lncident#:_09-125637

Location of Incident:
Supervisor
Officer(s)

Notified:

D/Sgt Roberts

Deploying

On Scene? @No

Force:
Officer (if Different):

Interviewing/Filing

;i :.:.

'"------

,:;.

".....

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"

. <

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Subject's

Jtltil~

Name: .....

Age: _29_

DOB::Ii~,-:

__

-.
Sex: _M_

Height: _5'10"_

Force UsedlDisplayed
Injuries

Weight: _184_

by Subject:

to Subject: _NONE,'"- __

Treated by:

Subject Under Influence

Race: _Blk_ Charge(s):

Taser, Physical

contact

---'Hospital

OfBAICholfOther

..c-

Admission?:
list,

--_--

if Known: Marijuana,_---,-

__

~ '. Narrative Description of Incident (Include actions taken by both the Subject and the .:
Officer(s): On 04/091209 at approximately l809hrs the above g,fficers attempted to place the above'
subject under arrest for a NYS Parole warrant, when first approached the above subject did run into"
_was
pursuing when the above subject did slam the frn:t door on the arm of
-n continued to attempt to close the door. Once inside the above subject did continue to
resist his lawful arrest by swinging his arms and legs about, at which time a drive stun contact was
administered to the chest area. 'Due to the leather jacket the defendant was wearing th"Contact stun did
not have any effect on the subject. The subject then rolled over and an area near his buttock was exposed
and the subject was then given a stun contact to said area, subject did continue to resist by continuing to
swing his arms and legs. The subject was then given a second stun contact in the same area at which time
he complied and was able to be
While beina search at the scene the defendant began to
attempt to pull away from
nd come-along techniques were used to
walk the subject to a patrol unit for transport to CRU. Once the above subject was placed in the back seat
of Unit #501 he began to kick the door and window of said unit. The subject was then removed and
placed on the ground to be shackled for transport. No further incident occurred.

--

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raser Use Report
TO BE COMPLETED
Taser Serial #:~
Number of Cartridges Fired:
Number of Stun Contacts: _._3.
Laser sight activated only:
Location of each probe contacti ,
Distance

_
_
_

Cartridge Serial #(s):


Number of Probe Contacts:
Number of probes pen~.~r~~jngskin:

_
_
-'---'_.
~_

between probes (in inches):

Length of Time for Electrical Current Application:


.. one application, explain total time frame involved:
Approximate

EVERY TIME THE TASER IS USED

(3) Programmed

5 sec. If longer/shorter,

distance of probe launch:

or more tha'1
._
.

Did the application

cause injury to the subject and/or others?

Did the application

of the Taser gain compliance

Describe the subject's demeanor after theTaser


follow orders given to him by arresting officers.

Y~fyeS,

explain:

tram the subject~o


was displayed

or deployed:

Subject was coni:i!.">::'! tI) nd


\.\
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Where were the

APD # 422

robes dis osed of?

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Albany Police Dept Subject Resistance Report


Day/DatelTime of Incident:04118/2009 0616
Location of Incident:
Supervisor

Notified: Sgt. E. Donohue

Incident #:09-136671

On Scene? .Ye.s

Officer(s} Deploying Force:


InterviewingiFilihg
Officer (if Different).

Subject's Name: .....


~
Age: 30
008:"_
.
Sex: Male Height: 5'10 Weight: 201 Race: Black Charge(s): pl 140.15/205.30/NYS Parole
Warrant
_
"
Force ,Usedlqisplayed by Subject: Barricaded himself in bedroom/s~\creted arms under
body, ignored directives to exit bedroom
lnjurfesto Subject: Non~(~~~~;~;}"
Treated by: AFD Engine 'f"~-' Hospital Admission: Albany Medical Center
Subject Under Influence of: Unknown amount of alcohol
\

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Narrative Description of Incident. (Include actlons takenpy.bthtleSUbjectrllth:<';


.' .'.';;",:;;:i'~,;,,~:.;::);
Officer(s): On 04/18/2009 while at approx 0551hrsandwhilea
'. .'.
.
. . ........
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the above defendant did knowingly and unlawfully enter and remain inside ofhis,ex~
'j:.t!
girlfriends (~lJr'I
house uninvited through anunlocked front door, The
.
r-. :
defendant, who was known to arresting officers as to having an activeNYS Parole.,
'.
warrant, refused to leave said residence causing the victim to flee theresidencE!infear'f;,
"her safety. Upon attempting to make contact with the above defendant heddbarrlcade
v:":"
himself inside of the victims' bedroom stating to officers that if wewantedhim,come
in
and get him. Reporting officers attempted to give verba! directives for the defendant to
, ..
exit the bedroom, which he ignored and began verbally challenging officers to a physical
confrontation upon entering the bedroom. The defendant stated thathe was.notqoinq..
back to' prison and officers would do whatever they had to place hrnInfo.custody.ttter
severalattemptsto
summons the defendant out of said bedroom
pushed
said bedroom door open and reporting officer entered the bedroom. Upon entering the
bedroom the defendant did not show arresting officers his hands upon request
subsequently resulting in him being tased by taser X26 serial number '_~and
cartridge number -.-ali
: Said probes did penetrate defendants' right thigh and
right chest, AFD engine 7 did respond and defendant was transported to Albany Medica!
Center via Mohawk Ambulance where probes were removed. No injuries to officers or
. defendant.
.
'.

"

--~-----------------------------------------------------~---.. _~
O.C. Administrative Warning

.
TO BE GIVEN TO ANY PERSON EXPOSED TO o.c.
1.. You have been contaminated with Oleoresin Capsicum (OC), a natural product derived from cayenne
. poppets. I alii gOiA=l:B-j]
eat 'Youto leduce tilO discOllifolt 'Youa~$
~tt=eolJemt-e-,",",-c=:~,,,,=

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2. OC is non-toxic and the effects will dissipate in a short time. The effects of OC may, however, mask or
cover other medical conditions, including overdoses or toxic levels of drugs like cocaine, amphetamines,
barbiturates, PCP and other hallucinogens, heroine and other opiates, or.alcohoi,
3.. I am going to ask you.5 questions for your own safety. Not answering my questions, withholding
!n;formation,or giving false or misleading answers could delay medical treatment and may seriously
jeopardize your health and safety.
4. Do you understand everything l have told you?
Yes/No
i
(over)

,.

Revised 3/20.04 /

_I

Pagelof2,1

O.C. Administrative Questions


:

TO BE ASKED OF ANY PERSON EXPOSED TOO.C.

1.; Are you currently under the influence of Cocaine, Amphetarnnes.Barbturates,


Hallucincqens.Heroms
or other Opiates, or Alcohol?
VeS__.. . No __ . .z: UVes, Which One{s)?
~~~-~---Refused to' Answer: __
DatelTime:
Initials
2.

Have you taken Cocaine, Amphetamines, Barbiturates,


. other Opiates, or Alcohol in the LAST8 HOURS? .
Yes__
No __
If Yes, Which One(s)? _~
Refused to Answer: __
DatefTime:

Yes__
No __
Refused to. Answer:

PCP or other Hallucinogens,

Heroine or
_
_

Initials

3. Do you normally take anyUlegal or prescription

PCP or other

"

/\

drugs>

If Yes, Which One(s)?


DatefTime:

_
Initials __

-_

4. Do you have heart problems, lung problems, diabetes, high blood pressure, or any other medical
ondition?
.
Yes__
Refused

..
No __

!tYes, Which One(sJ?


DateJTime: __

to. Answer: __

-'-,_~:-----initi~ls....-'-_--,-~

-------,--,

5.-Oo you haveany.qllergies?


,
Yes__
No __
If Yes, Which One(s)?
Refused to Answer:
DatefTime: _------

-I,
--:

....':...-.,
the Undersigned
--.--on this

~~--.---Initials "~-"-'---:~_

officer, have completed theabove interview with


day of
, 20_.
I

Off~ber Signature

..

Time of Completion

Witnessed By

,:....

~~

Taser Use Report


TO BE COMPLETED EVERY TIME THE TASER IS USED

Taser Serial #: _....


Cartridge Serial #(s): ifI.J ..
Number of CartridgesF=ired: One
Number of Probe Contacts: Two
Number of Stun Contacts: Number of probes penetrating skin: Two
Laser sight activated only: No
Location.of each probe contact: 1) upper right thigh 2) upper right chest approx 24 inches apart
Length of Time for Electrical Current Application:
Programmed 5 sec .
. Approximate distance of probe launch: Eight to Ten Feet
Did the application cause injury
the subject No

to
~~.~~~~~~~~~~~~~--~--~~~--~~----~--------.~~
Did the-appllcatton

of the Taser. gain compliance from the subject?

Describe the subject's


Imo~" Jihat bei~lt

demeanor after the Taser was displayed


lilce, stated he 108t his breath, ~flg

Where were the probes disposed of? Albany Medical Center

Yes

or deployed:

Subject stated he wanted to


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Page 2 of1
'--------'

APD. #422,

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Albany P?lice ~ept:-ubj~ct.~e~is~nce R~ort


Day/Date/Time of Incid
Location of Incident:
,. Supervisor

..

. c/.

,/

N~tified~
.,_-;{fe:<---..4..J______

..

'//().3>JL-J

O(l.S~ne,?~~;'

Officer(s) Deploying Force: ~:.-'

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..__

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Subject's
Sex:

Name;
Height: --'---'-_

Age:

Welg t: cS) 30

Race:

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Force Used/Displayed by Subject:
7AJ-f1\
.-;
Injuries to Subject:
AJ.iJ~
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..
Treated by:iif:1L1 AH C
Hospital Admission?:."..' ,..",.,.....;!~e:-:-')""'.=. =-c-='-,';'.,.",'
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Subject Under Influence of: DrugsfAicohoUOther
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.

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TO BE GIVEN TO ANY PERSON EXPOSED TOO.C.


.. .. .
.,
1. You have been contaminated with Oleoresin Capsicum (OC), a natural product denved frdrh cayenne
-,
peppers. I am going to treat you to reduce the discomfort you are.feeinq, ..as langas you cooperate. . .
....
2. OC is non-toxic and the effects will dissipate in a short time. The effects .of OGmay~howver, maskot';",
cover other medical. conditions; induding overdoses or toxic levels of drugs like cocaine; amphetamines;'
barbiturates, PCP and other halfunogens, heroine and other opi!tes, or alcohol,
3. l am going to ask you 5 questions for your own safety_ Not answering my questions, withholding
;". >
infonnatioo, or giving false or misleading answers could.delay medical treatment and may seriously
jeopardize your health and safety.
4. 00 you understand everything I have told vou? Yes/No

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Ouesfions

O.C. Administrative

'~
l, (

TOO.C.
',- ~
"
1.

Refused to Answer:

2.

DateITime:

Have you taken Cocaine, Amphetamines,


other
LAST 8

~;~~"

:.

, ,.;i .....,
..Y,...._,

Are you currently under


e influence of Cocaine, Amphetamines, Barbiturates,
Hallucinogens, Heroine tit other Opiates; or Alcohol?
__
~_~...'
<.,
Yes__
N __
If Yes, Which One{s)?
__

~~

PCP or other;'
>;i!;!!;,';U:, ,

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Halluciiogens,Hroine
at' .

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PCP orter

Barbiturates,

3'..

4.

Do you

problems, lung problems, diabetes, high blood pres~ute, or any other medical

condition?,
Yes__
No __
Refused to Answer:

'.
'ItYes, Which One{s)?

--

5. Do you have. any allergies?


Yes__
No __
Refused to Answer:

'.

',.

Date/Time:

__
--:
-'---'...:''-"._.

..l

Inltlats:

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i \

If Yes, Which Ones}? ---~Date/Trne: ~ __

:---C~-';-'-""'-'..:....--;-

---'-'-_--'--

the undersigned
--'-_._~_
on this,'

';::.:,(':<~;, '~._

.;'

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officer, have comp'let~d~h~ ab()v~}r1tervte",,:Y"ith ./'


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Taser Use Report

. cl,i

TO BE COMPLETED EVERY TIME THE TASER..IS'USED,:


Taser Serial

c "",o.c.'

#:

Cartridge Serial #(s):

Number of Cartridges-Fired:
.Nu~ber of Stun Contacts:
La~r sight activated only:
..Loca.tion of each probe contact:
. Distance between probes (in inches):

,,' .. ? ),;",'.

,/ .

_.

Number of Probe Contacts: __ --'~----,""'""---,--"""'..,-..


Number of probes penetrating
skin:_->.;;>..~.

_-lfDd(!:jq~h.L.f;.....:S:::::..L,-,~e~

_
~

(~. Programmed

5 sec_

if longer/shorter,

or more than

..;

Approximate distance of probe launch:


~
Did the applicatiQncau.-?e .injury to the subject and/or others? . Yjfyes,

\
exP'~~n;
"'/:

oUhe Taser gain compliance

..

~~

--s=d----

Length of Time for Electrical Current Application:


one application, exp~~jn total time fr.arne involved:

. Did the application

. ~':;7

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from the subject?

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"-

Albany Police Dept. Subject Resistance Report


Day/~atefTime .of Incidentw-".'-Il4
Location of Incident:

'S;T

Supervisor Notified:

<1J~CD;(~t

Ind~.:nt;#: <D.q ,I s \?ss


'.. .....\

-'

-"

.Officer(s) Deploying Force:

:- ~.'.:

_.'.'

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---C-~---:-----

get

Subject's Name: .r.'J ~r...~i~!!:C 1,:~7:.:;}: ~~r.


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;:i:.~:;.;~g~.
:-?,;:.,::~.~
Sex:...t:::L Height: S l CD Weight: \""}
Race:
~,I

..-._.-c--c-

,.-

;OnS~e~e?~o
..

interviewing/Fiiing Officer (if Different):

.'

~--------------------

ThOMpson

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,

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Narrative Description oflncldent (Includeactinstkn.~Y.botfithe

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O.C. Administrative Warning

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TO BE GIVEN TO ANY PERSON EXPOSED TO O.C.


You have en contaminated with Oleoresin Capsicum (OC), a natural product derived frorn.cayenne..
peppers. I am going to treat you to reduce the discomfort yo.t..are feeling, as long as you cooperate:
OC is non-toxic and the effects will dissipate in a short time ..'
effects of OC rny,. however, rn~sicor
cover other medical conditions, induding overdoses or toxic levels of drugs like cocaine, amphetamines,
barbiturates, PCP and other hallucinogens, heroine and other opiates, or alcohol.
J am going to ask you S questions for your own safety. Not answering my questions, withholding.
inrormaton, or giving false or misleadiri.g answers could delay medical treatment and. mayseriqusly
jeopardize your health and safety,
'.
'.'
."
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"i:,-:;-' ~.~.

The

2,

3.

4. Do you understand everything I have told you?

,,":.:

Yes/No

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(over)

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, . O.C.AdministrativeQuestiQns",
;,
TO BE ASKED ad.," 'ru':;~
:..
:~~~~~~~~m
TC;:>,
0;0,;
.
.~~t$~6~~~.~~~

. ,

r~~...
r. .'.,

-.

1. Are you currentlYllndert~e influence of Cocaine, Amphetamines, Barbiturat~s:!PCP,orptDe;,


Hallucinogens, HerQinor other Opiates, or Alcohol?,
';
""""
."."
Yes__
N.o__ ' _ If Yes, Which One(s)?
'.'
Refused to Answer:
DatefTime:
2.

Have you take~GOCine,Amphetamines, Barbiturates; flCP orother ~~uucr09~hS, H'~;~~::~;:'


other Opiates, or Alcohol in the LAST 8 HOURS?
..""
.,,,'
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4, Dyou have heart problems, lung problems, diabetes, high blood pressure,
other medical
condition? ,..>'-:-';~ .'
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'yes_'._
N_'_'_' (fYes, Which One(s)?
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Refused to Answer:
OatefTime:
_
Initials ~\
_

-,

r.'\

5. Do you have any allergies?


'~".,
Yes__
No __
1fYes,WhichOne(s)?
Refused to Answer:
Daternrrie:

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____________

-t-r-

the undersigned officer, have comp(eteditr~abov~.i[lterVi~w,lNi~h


'--_---"---'-_
on this
day of
....' '"'
'"
,20~,
.'."

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;!,

faser Use Report

TO BE COMPLETED EVERY TIME THE TASER IS USED


Taser Sedat#: 11IIIII
Cartridge Serial#(s): ...,.L_...!....:~~---,-'.:::..:.Numqer of Cartridges Fired: ~
Number of Probe Contelets:
""'""'~_'-'-"- __
Number(Stun Contacts:
,
Number of probes penetrating skin: _--".f-LLeiser sight ilctivatedon Iy:
"\
L
....
catiO. n of each probe contact: ~,r--'(~~!d.!..l.f..!
.. =-~So..2lh..:,~I\..\.\)+
Pistance between probes (in inches): ~..LA,---_
...."

_
--'-'--"..::.='.

~
~~

...::.-e:.

Length of Time for Electrical Current Application:


total time frame involved:

@ Programmed 5 s]9

If longer/shorter, ormore than

one- application~explain

'c',;

,.(~~

Approximate distance of prbelaunch: ----~---,---,-;'-r-""'-:--_:__.,.---,.,


Did the application causeinjur)tto the subject and/or oth~rs? Ye)
,IfYes, explain:_~_~_.,.",,",.
"

."

' .

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__

>.'.",',,,,'

Did the application of the Tase',)gain compliance from the SUbjec:@No


Describe the subject's demearyorafter the Taser was displayed ordepioyd:
~.' '... '-'

~inp:.(n

r-

.',

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,,t,;~;:,.'

; Where Were the <'~h's is os~d of.?

f;''.I:~1,

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Albany Police Dept. Subject Resistance Report


Incident #: 09-155287

DaylDatefTime of Incident: FRI 05101/2009


Location of Incident:
->.,':

Supervisor

Notified: Yes Geraci

On Scene? Yes

Officer(s) Deploying Force:


Interviewing/Filing
Officer (if Different):
'.

' ....
'7 ",~, :
'-'-'.';',",'

,~:"

'

-------------------------------------.
,"

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,

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Subject's Name: .............


Age: 27 DOBJIUlfl_
Sex: _M __ Height: __ 5'7"_' _
Weight: _160 __
Race: _~ __
~PL 220.03, 220.45205.30 GeO 10S-24A
.\

Charge(s):

ForceUsedlDisplayed
by Subject: RUNNING , REFUSING TO RELEASE HANDS FROM
WAISTBAND
'
Injuries to Subject: NONE
Treated by: REFUSED Hospital Admission?:
Subject Under Influence of: Drugs/Alcohol/Other'

--'
list, if Known:

--..,;;~-'--

Narrative Description of Incident (Include actions taken by both the SubJect and the
'Officer(s):
On 05/01/2009 at approx 2053 hrs undersigned officer observed the defendant
,consuming an open alcoholic beverage onthe corner of
Upon
confrontation by the Police the defendant did run Westbound orr-SprinqSt, I pursued the
defendant and was able to grab his jacket from behind; when I did the defendant did flail
~ his hands in an attempt to keep me from grabbing on to him. I then was ruilningabout
five feet behind him when I observed him reaching into-the front of his waistband.
Fearing.thathe
might be grabbing a weapon I deployed the x26 taser striking him in the
back, The taser barbs struck him in the right arm and back, due to the heavy clothing
that the defendant was wearing it had a minimal effect. I allowed a five secondcycle
from the taser. The suspect fell to the ground and continued to bury his hands further in
his waistband. Eventually I pried his hands out of his waistband and placed him in cuffs.
The defendant was not in possession of a weapon, he was attempting to destroy two
glassine baggies of heroin which were in his possession
O.C. Administrative

Warning

TO BE GIVEN TO ANY PERSON EXPOSED TO O.C.


1. You have been contaminated with Oleoresin Capsicum (OC), a natural product derived from cayenne
peppers. J am going to treat you to reduce the discomfort you are feeling, as long as you cooperate.
2_ OC is non-toxic and the effects will dissipate in a short time. The effects of OC may, however, mask or
cover other medical conditions, including overdoses or toxic levels of drugs like cocaine, amphetamines,
barbiturates, PCP and other hallucinogens, heroineand other opiates, or alcohol.
3. l am going to ask you 5 questions for yur own safety. Not answering my questions, withholding
information, or giving false or misleading answers could delay medical treatment and may seriously
jeopardize your health and safety_
4.

Do you understand everything I have told you?

Yes/No

c"

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O.C. Administrative

I Page l of 2 "

Questions

TO BE ASKED OFANY PERSONEXPOS

TO O.C.

1. Are you currently under the influence of Cocaine, Amp


amines,Barbiturates, PCPor other
Hallucinogens, Heroine or other Opiates, or Alcohol?
Yes__
No __
/fYes, Which One(s)? -7-----_
Refused to Answer:
Dte/Time:r-______
Initials
_
2.

Have you taken Cocaine, Amphetamines, arbiturates, PCP or other Hallucinogens, Heroine or
other Opiates, or Alcoho/ in th LAST 8 OURS?
Yes__ " No __
If Yes, Whi
One(s)?
_
Refused to Answer:
atelTime:
Initials

----

3~ 00 you normally take anyille


/ or prescription drugs>
Yes__
No __
I es, Which One(s)?
Refused to Answer:
DateITime:~
4.

Do you have heart


condition?
Yes__
Refused

5.

~.: .' " -:.'~,',.

Initials

ob/ems, lung problems, diabetes,high blood pressure, or any other medical

0 __

Answer:

If Yes, Which One(s)?


DateITime:

'\
Initials \

----

00 you h e any allergies?


YE7'__
No __ If Yes, Which One(s)?
Rfused to Answer: __
DateITime:

I, --,..._~--------------_
:.::

,--Initials __

_
-_

the undersigned officer, have completed the abovejnterView~ith


.
on this"
day of;
20:.i.:

:..

9fficerSignature

Witnessed By

::':-::."<

...:'~

TlmeofCompeton

Taser Use Report


TO BE COMPLETEDEVERYT/ME THE TASER /S USED

Jaser Serial #.
NJmberof Cartridges Fired: _ ....
1__
N~mber of Stun Contacts:
O
Laser sight activated on/y: __ ---::-__

o",

Cartridge Serial #(s):


Number of Probe Contacts: ...-1.-=Number of probes penetrating skin: -'OI....L.

~f~i:~~:
~::;=:~~~~e~o(~~~~t~he~~:Mb~LL

_
~ .

.' ""Mth of TIme for Ele.ct"ca' Current Application: l.Gg",m~


one applicatlon, explain total time frame Involved:

ff lonqer/shorter

o, more than

-..,.

Approximate distance of probe launch: ---".....


-~'-""<>....<:I-___,..__.::---Did the application cause injury to the subject and/or others? Yes No It yes, explain:

bjef the application of the Taser gain compliance from the subject? @NO
Describe the subject's demeanor after the Jaser was displayed or deployed:

AJ tk,j.:vJ. ) fiQJJJ:,1
t/

Whe~e were the probes disposed of?

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Reportingo'ff.ier:

APD# 422

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Albany Police Dept Subject Resistance Report


DaylDatemme of Inci~lncident#:
Location of Incident: _'
Supervisor Notified:

'

a~r6/?

Sri

.?9- /C:.O)
-

On Scene? Ye~
,

Officer(s) Deployinq Force:


Interviewing/Filing Officer (if Different):

"

Subject's Name:
Sex: - Heigh:SI/

Age:
IP
Race: c!::

eig t: /60

008:,_--"",,'" ,
Charge(s): )a,a, !cv",,7':

b/:\s

.caP?

Force UsedlDispfayed by Subject: ZO"(/19


RojCR)
!
l
Injuries to Subject: _-"'-'(...I-"'o..:../f.=:
--:Treated by:
/"
Hospital Admission?:
/
Subject Under Influence of: Drugs/AlcohoUOther
List, if Known: __
Narratve Description of Incident(lnclude
Officer(s):

,I

,.....5i:b..,~

o/

76.7; ~ ~
ff.

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....;0'7

~ 7

actions taken by both the Subject andthe

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CC2.r./dp', O.C. Administrative

Warning

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Tt

'/5clft2tjJ-C! '

u''706G-4 bC,de<;<',:

~.':.

','

To3E GIVEN TO ANY PERSON EXPOSED TO O.C.


1. You have been contaminated with Oleoresin Capsicum (OC), a natural product derived from cayenne
peppers. I am going to treat you to reduce the discomfort you are feeling, as long as you cooperate.
2. OC is non-toxc and the effects will dissipate in a short time. The effects of OC may, however, mask or
cover other medical conditions, including overdoses or toxic levels of drugs like cocaine, amphetamines,
barbiturates, PCP and other halludnogens, heroine and other opiates, or alcohol.
3. I am going to ask you 5 questions for your own safety. Not answering my questions, withholding
information, or giving fafse or misleading answers could delay medical treatment and may seriously
jeopardize your health and safety.

4. 00 you understand everything I have told you?

Revised

312004

Yes/No
'0:'

(over)

P~gel f2

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O.C. Administrative

Questions

TO BE ASKED OF ANY PERSON EXPOSED TO O,C,

Are you currently under the influence of Cocaine, Amphetamines, Barbiturates, PCPor other
Hallucinogens, Heroine or other Opiates, or Alcohol?
.
Yes__
No __
If Yes, Which One{s)?
_
Refused.to Answer:
Date/Time:
._,._-'_'_,
....,..Initials
_

1,

2. Have you taken Cocaine,Amphetamines, Barbiturates, PCPor other Ha!!ucinogens, Heroineor.


other Opiates, or Alcohol in the LAST 8 HOURS?
Yes__
No __
If Yes, Which One(s)?
--'-_
Refused to Answer:
Date/Time:
Initials
_
Doyou normally take any illegal or prescription drugs>
Yes__
No __ ._ If Yes, Which One(s)?__
Refusedto Answer:
Date/Tme:__ ~

3,

--Initials

__
_

4, 00 you have heart problems, lung problems, diabetes, high blood pressure, or any other medical
condition?
Yes__
No __
Refused to Answer:

If Yes, Which One(s)?


Datel'ime:

--'-__

5. Do you have any allergies?


..~"'.,
Yes__
No __ _ IfYes,WhichOne(s)?_-'-Refused to Answer:
Daterl'ime:

I,
_-,-~

:~~,;
"
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.\

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_
_

Initials

the undersigned officer, have completed the above interview with


on this
day of
,

.... .'.'Pff)c:;erSignature

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,,-.

e)

-:-~-:-----Initials

Witnessed By

:rimeofGompletion.

, , . -.; ~,>
"_v

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'>:

:;..\

Taser Use Report


TO BE COMPLETED

,...

Faser.Serial #:
Number of Cartridges Ired:
/
Number ofStn Contacts:
Q
. Lser sight activated only:
.Location of each probe contact: ~_,Distancebetween probes (in inches): ::::::::

EVERY TIME tHE

TASERIS

USED

Cartridge Serial #(s): __ ""y~~_::.:;_----~--Number of Probe Contacts; __ -,=O~ _-=_~


Number of probes pnetrating skin: --'O"""~

__
_

/'

iLength of Time for Electrical Current Application: programmed 5 sec. If long~rishorttf or more than
one application, explain total time frame involved:
--'~----'-Approximate distance of probe launch:
.
Did the application cause injury to the subject and/or others? ye>

Did the application of the Taser gain compliance from the subject?

If yes, explain:

.yeJ

Describe t e subject's demeanor after the Taser was displayed or deployed:


o

//1

/)/)

Where were the probes disposed of?


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05/05/2009

07:48

5184477895

PAGE 03/17

SSTA

Albany Police Dept Subject Resistance Report


t ~

DaylDatemme of incident:

#30,]

"'1-

.,lP c? 3~6

location of incident:

;':"j'.,:-

Supervisor Notified:

_...!.~.::;'.;;;.S

Onsne?

Officerts) Deploying Foree:


Intervi.ewinglFiling Officer (i

ifferent): __

__

~O

~----~-~~--~-

:',

Subject's

Sex.:.!:L Hight~ s
c::E~lDisplayed

(I)

Wtiight
beNc

Treated by: /JF/)


I/xn
Subjct Under Influence

rlEf)lCljL

.:.'

Narrative

31.

Chacge(s):

Race: wAde

/~{J

....
'\? ~

IN..,&r

~ ~ I'O',;t i'lPNr

n,

ct:

Hospital Admission?:

cohollOther

,,'!ta/,( I/er

>1-5

,q,

tf cA e.f;/

8!&a,llY

List, if Known: 'Ntf""

rt./J
k'NdWN'

IJ;~'s.

'.

Description of Incident (Indude actions taken by both theSUbj~~rldlli~;\:\?:i

OffiC~'JJ~J'

tut:u'

h I/~c/

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v,

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CtJ
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arid f~.r je
r

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by Subject~ ---,--=5'=..:.;e-=---;.;:..Lk~J,,~::!.::J..;"":""""""'

injuries to SubjCt: (J ImllIme,"

AJe:

Nam:

008:.....

j'(': I tr(Z?/I1('

(Jf.

a...

O.C. Administrative Wam_g

. ~'<Y sr..v

id,

d'

tf' A:'

/,l

o-"~.

TO BE GIVEN TO ANY PERSON EXPOSED TO O.C.


1. VOll have been contaminated with. Oleoresin capsicum (OC), a natural produd derived from cayenne
peppers, Iam going to treat you to reduce the discomfort you are feeling, as 10ng as you cooperate,
2. OC is non-toxic and the effed.s will disslpate in a short time. The effects of OC may, however, mask or
. cover other medical condlUooS, including overdoses Of toxic levels of dOJgSfike cocaine, amphetamines.,
bartiturntes,pcp and other hallucinogeos,heroine and other opiates, or alcohol.
3. I am going to ask. you 5 questins for your own S<lfety. Not answering my qeestons, withholding
infollllatioo. or giving f3lse or misleading answers collld detay medicaf treatment.and may seriously
jeoP<lrdz~ yournealth and safety.
4. Do you understand everything I ha~ told you?
YeslNo

(over)

R.e1lsd 31'2004

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on

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,
-

O.C. Administrative

Questions

TO BE ASKED OF ANY PERSON EXPOSED TO O.C.

1-

Are you ,currently under the influence of Cocaine, Amphetamines Barbiturates,

Hallucinogens, Herone or other Opiates, or Alcohol?


Ye$~_
No __
!tYes, Which One(s)?
R.efusedto Answer: __
DatefTime:
2.

PCP or other
'

,. ,,_."
..,-,

Initials ..,.-

HaVeyou taken Cocaine, Amphetamines, Barbiturates, PCP or other Hallocll1ogens, Herotnecr '
other Opiates, or Alcohol in the lAST 8 HOURS?
'
y~__
No ~_
fVes.,Whlcf1One(s)? ~
~~
_
Refused to Answer. __
oateJTime:
l"(tials
_

3~ Do you normally tak arly Ulegal or prescription dr'!9S>


y'es~_
,No
- H'Yes,Which One(s)?_~_~
Refus$d to Answ,er: __
DatefTin:

__

~...,.....
........
..,...;._-.,.. _
Initi;ls _----...........,.~
;

4. 00 you have heart problems, lung problems. diabetes, high blood pressure, or any other medical

condition?
Yes__

No __
, Refusedto Answer:

ff Yes, Which One(s}?_~


lJatemme:

5, Do yoo have any allergies?


Ye$__

No __

Initials _--'::__

. '-""

'\

If Yes, Which One($}1

Refused to Answer:

DatelTime:

a,

the undersigned
on thls

________________

:.Off'iCer

.,----:---,-,-,---o-

Signature

Witnessed

_
-

Intials

officer, have completed the above inteMewwth


day of
'
,20_,

By

Time of.GQmpltioh

~~~~--~~~----------------~----------------~~~~--~~~

'~'

Taser Use Report


TO BE COMPLETED EVERY TIME THE TASER IS USED
_Tilsec-:Serial#:
Number of Cartfl '
Numb

s Fired: _.-:..'

of Stun Contacts: _~/

__

,t~sersight activated only: __

Cartridge
Sedal#(s): ,"1"Number of Probe contacts: -__
-~---"'-'p.p'-')__
_,_--_-Number of probes pen~tl'ati\ig 5I\io:..,.,.;("';:...)<--

-:-4.:.:;i.;:.:d..,::d..:.,Ir;...(

between probes (in Inches):

.r~

-.,;.d.:../--!.<.!,,~c~' ---..::.6::.:;,:.:..k:.:.:..;",;.;.>v:..-~...r:.:..:.'4...;;D<J:.;:/";:d.;,;;,t::...r....,;::"j..;.I.,:;;,.';;,.:.,,,h;;,.:."

Approximate
distance of probe launch: ...;,.....:
..:1::,.......I-;...-..;.{
Oid the application cause injury to thesubjei:t and/or others?

'Dd the appliction of the Taser gain compliance

5 sec, If longer/~or

---:".--

Ye~

from the ,subject?

obesdis

ed of1

'1v

fYI,) ...
..v"1'

Ye~

P ,,'

'?

mor than
' ""-",,,

If yes, expaln: ........

Describe the subjet's demeanor after the Taserwas displayed or deployed: J.kcf
i~/,rOH cI~p!tIlJcd dr:c Io.r,{, AJ-w.!/
ew roth

,-- __

JRcJ.<f

LengthfTlme for ElectrIcal Current Application: ' ~rogrammed


"cne application, explain total time frame involved:

__

,....__--

--'~:-

Location of each probe contact:

9stance

,;M .1-,,,,,,-

"

..rAl

".".t

.. f./'"

(7-1J~

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06/06/2009

07:48

5184477896

. PAGE

SSTA

15/17

Albany Police DifiPt.


Subect Resistance Report
DaylDate!Tin:'ie of incident:
of Incident.

supervi~rNOtffied~~'

Inc.dent.#:

rJ

l~ol;Q

_.

'.

-.

..

.
"

.o9-.d?2.. G.
.. ..

.... ..

'-

O~-S~ne?@No

6\~v/'1

Officer(s) Depioying Foree

Interviewing/Filing Officer (if Different):

Subjecfs
Sex: H

--.:..

'0

Charge(s):

<Q

\ 9.
i

Force UsedlDisplayed by Subject: ---;.B,:::;"",,:,,:;~~~-';:.I':;t,-~J:..:.:.!:j"~<..:../'I~,.;,;;;..$.;:;..(..,....;~~("~~


IInjuries to Subject: "I'! vr
~\ltV
.h.,,...
.s c- j
Treated by:
. Q\.~. ft
. Hospital Admission?:
Subject Under Influence of~ Drugs/Alcohol/Other
Us~if Known:
Narrative DeScription

Qfficer(s):
0/\ ~

-b

'

of Incident

kr..

~~

;<JjfCtJL';J _~

::~""w

<

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2_

3.

4.

~v

TO BE GIVEN TO ANY PERSON EXPOSED TO O.C.


You have been cootainioated with OIeoresi Cap$I,ffi (OC)j a natura! product deved from cayenne
peppers. l am 90(09 to treat you to reduce Ule dscomfort you are feling, as long as you cooperate.
OC is non-toXic and tfle effects wiD dissipate lo a short time. The effeds of OC may, hOllVeVer, mask or
cover other medicsj condtoos, induding overdoses or toxic levels of drugs like <XlCSIOe,amphetamines.
bartlittlrates, PCP and other hallucinogens, heroine and other op~es. or atcohol.
I am going to ask you 5 questions foc your own safety. Not answering my Questions. wltt\holding
iflfomtatiOfl. orgMngfa1se Of mlsleMing answers could delay medical treatment and may seriously
jeoprdi2:e your heallhand safety_
,
Do you understan<t evel)fthing f have told you?
YesINo
(over)

~vi"ed 312004

I4-~~ +ir,.e-

le.Vi!).

: O.C. Admin!strative Warning


1.

.""

p/

'1X:>pz~r;,,_

. l..InJ...tr

,lj\

~\\

__

ckr

(Include actions takenbybotf'q the Subject andf,t1


.'
.: '. ..
_ .....
..... '.. .... .. '. .
d .~.'f'{.~ .~
.$.

IK..

Iv l~?.

008: '.. pc?

Name: Mi 118 4....


,
-_.. Age: 3 fe
Height: ~
<t
Weight rZ
Race: yJ

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05/B5/20B9

07:48

5184477895

SSTA

PAGE

15/17

~....

O.C. Administrative Queitions

..~.
..........
-:

TO BE ASKED OF ANY PERSON EXPOSE;DTO O.C.

2. Have you taken Cocaine, Amphetamioos, Ba.biturates, PCP O other Hallucinogens,


Q~r Op~a.tes, or Alcohol in the lAST 8 HOURS?
Yes__
No __
If Ves, Which One(s)?
R$fused to .Answer: __
Date!Time: -------::-In'7it~ia-:'-s----

--

Heroine '~r

3'~ Do you l'I(lfmalfy take any mag'll or prescription. drugs:>


. Yes__
No
ff Yes, Which One(s}?
. Refused to Answer. _
Datafrime;

-.-----~-c:-~-----.....--..
Initlals __
~_

4. Do !fou have heart problems, lung problems, diabet$,hi~h


condition?
Ves_
No __
ffVQ$, Which One(s)?

Refusedto Answer:

Datemme:

blood PN$$Ure, or anyothar medicj:1


.,
.

------,---:I:-n-:-:tj::-a7s-:-\--.~
.

5. Do ytJ have any allergies?


. ''''-~._
Yes__
No __
If Yes, Which One{s)?
RaftMiled to Answer:
DatelTime:

I, ~
" ' ::-.,
.~,.::-:,
~-:-- __
, ""'."~

.'

~ __
~

---';-

the undersigned
on thls

-'- __

~:::-;----:-Initials

__

officer, have compreted tf1e above lnte.rvleY/.with

day

of

.~?,':,:.:

:-, j,

,:

',:

" '

.'".... " .::;,'::_~':\:> )'.-';:",,,"


)\."

" -,,>'}"-"'<"':'

.";;~~t;$ignature

Witnessed By

.,:;.,

.Time (lf~mpletion.

;'

. ' './,:;' ..~ -"', "~o .

raser Use Report


TO BE COMPLETED EVERY TIME THE TASER IS USD
Cartridge Serial #(s):
...
TasarSeriaI fl.; ~_--""..-~
__
-'-_
Number of a.rtrldges fired:
_
Number of Probe Cqrttacts:
Number of probes perietratin-g---'s""1<;::-O-: ~~~----Number of Stun Contacts:
,las~r sig~t ac6vated only:------/Location of each probecontact:
/ Distance between probs (in ioch:-e-s'7)-:
-------------------~----

.,

-.U~ngthof Time for Electrical Currant Application: () Progr.:lmmed 5 sec. 1f longer/shorteri'or more than
Qneappllcationf.explain total time frame Involved:
~----_
APproximate distancQ of probe launch: -:--:-----,--:-:--_:---:-~:___:;_:__:_:__-_
. Did the application cause injury to the subjet and/or others?
YeslNo If yes,

D~Hhe application of the Tase( gain compliance from the subject?


Describe the subject's demeanor

.-

Where were the fobes dis

expIa.":

YeslNa

after the Taser was displayed or deployed~

sedaf?
"

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1. Ara you cUlUotJy uoor the influence of Co~lne, Amphet.amins, B~rbiturates. PCP or other
H;g(lulnQgen.s,Heroine or other Opiates, or Alcohol?
. - _. ...
.
Y$$__
No __
. If Yes, Which One(s}1
Refusdto Answar: __
Dat.a/TimQ;--------:in-:::-:t:a;-!s----

.-

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Albany Ponce Dept Sub" et Resistance Report


DaylDatf11meoUnciq? 'Jm c '&
'3"
ant fl: c:i:-.>ba~
Locaon of lncident:
Supervisor Notified: YeS,
Officer(s) Dep4o~g

~\

'O(lScene?~lNo

(;.n<,.<;lN

FO~

Snterviewin@~ om

-":..

Subjecfs Name~
Sex:~~
Heig~: "d

.Age: sr;,

""--_
t

It:>

l;;;lo

Race:

.OOB:

N)\.

'f'O

Charge(s)::Mt1L
'~

Foree Used/Displayed by Subject (orWY~ f~J1J:";;Vi- ft<lS /..;;"-; p.~1> ~4~~1$- fft5 601:1
Injunes toSubject:::J;,j~y
'11.:> c.oLl.-p.~ 'oN,
'l..A!';A'T%<'N,:' To /110"/,\(" Art.tA
Treated by: ~s;1)'L~~~Y
i""ICh. Hospital Admission?: _..L..Y;:::.~5",--_-,--..,.
Subject Under Influence of: DrugslAJcoholfOther
Ust, if Known: _+y~t$",-.
1

AP::ltI.ilJO.

.,..-

Narrativa Description of Incident (Include ~ons taken by both the Subject and th~. .,: ........
i
Officer(s):
.
. '.
. '"Kt$"'tn.~ .'"t" ~S"':lj.'S1 o'f:C.L(TC.:~....".;.fi/{ 4N .f'Ml~AI-I.-Yb;~j'kvifP
p~
w!\.o W'? "''i1-''~L.,'( h.S~
NrGU.-;<>'y A;.jl) ;:i.111'U7p.$r1U"'~;t'MA1(~(J.
i"'-~i ......
~.

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p_c. Administtatve
1.

r-(l,..r-lz-J~()

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5r?'o("l:(>(r'(.

w~)\

-;~t-J

..NM
~~

Warning

__

~;':".

TO BE GIVEN TO ANY PERSON EXPOSED TO O.C.


You have been contaCTlnated with Oleoresin Capsicum (OC), a natura product delived from cayenne
peppers. I am going to treat you to reduce the discomfort you are feefing , as long as )'()u cooperate.
oc is oon-to)Qc andfhe effects win dissipate in a short time. The effects of oc mall', hoWeVer, mask or
cover other medical conditions, induding overdoses or toxIc levels of drugs like. cocaine, amphetamines.
barbiturates, pcp and other haltunogens, heroine and other opates, or alcohol.
I am going to ask you 5 quesfons for your own safety. Not answering my questioos"wittlholding
information. orgMng ~Ise Of'misleading ao5WefS could delay medical treatmem.aod may ser!oosty
jeopardiz! your health and safety.
Do you l\o~erstaod everything I have told ~?
YeslNo
(over)

.1

Page IQ(2 J

.;

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05/05/2009

07:48

PAGE

SSTA

5184477895

05/17

'-

O.c. Administrative

Questions
_.

TO BE ASKED OF ANY PERSON EXPOSED TO o.C.


1.

2.

Ar~ you currently under the influnce of Cocaine, Amphetamines, Barbiturates,


Hallucinogens, Heroine or otht' Opiates, or Alcohol?
' - .....
Yes__
No ~_' _ If Yes, Which One(s)? _~
Refused to Answer:
Dateffim(1:
Initials

_
~

Have you taken Cocaine, Amphetamines,


Bar:blturates, PCP or other HalluCinogens,
other Opiates, or Alcohol in the lAST 3 HOURS?
Yes__
No __
If Yes, Whi<::h On(s}?

Refused
to Aoswl<1r.
__

pCP or other

Heroine

'or ..

OateITlme:~-------:-fn-:ti-:-:;'a~(:-s---i:

3.

Do you normally take any mgal or prescription drugs>


Yes__
No~'
_
If Yest Which Ooe{s)? _.

-:--=--:-- __

Datamme: _~

Refused to Answer. ~_

.,.-_

Inmals

"

,
f,

4.

00 you have heart pflJblems, lung problems, dijabe~S, high blood pressure, Or oy other me<jical
condition?
'
Yes__
No __
If Yes, Which One{s)?
~~flJ.$e<:l. to AnsWer; __
Date!Tme~ --------:'~n-i:-~I:-a-I$-__-

!~
t

_..,.;,:===--

5.

00 you have any allergies?


. ~"'Yes__
No_,__ ,lfYes,WhichOne{s)?
Refused to Ariswer:
'Oaterrime:

the Unde(sgned' offierl have completed


~_
on this
day of

I, _-_-:-

,~....-'-"--

fue ~bQve intervie'li/'~qth

' , ',,20
.,o'.'"., ......

Witnessed

<Office"'.- Signature
.
"':'-"

tnitials

.i:':

:..:.,

titrieQfC(l~PletiQn "

By

Taser Use Rporf

it:""" '

~
..

TO BE COMPLETED EVERY TIME THE TASER IS USED

-T~~:;~erial

Cartridge Serial #(s)~


Number of Probe Contacts: _.J<:......_..."..
~
Number of probes pen~trating skin: _Ed'---_--.,_---

Numoor of Cartridges Fired: _\-,--_


N.tlmber ofSwn Contacts:
D

,L,iser sightactivatedonly:

"

~~-::...,...,..-,..,

of each probe contact: ( S\\~'\",X..R p.,~


CI)
I)i$tanceb~twe~n
probes (in i.,ches):
(., 1'>"\ 't~\{i:S
~oC3tion

'0"

';i\\N-l-llbf<: :stAI'E., N(f.1t. ,>J'IX-(

<If r,A(..Kl""\V6N

. i ~ .

Did th application of tM Taser gain compliance fromth subject? @to


Describe

the subject's

c.b<"\.jIo.'~v6

Atli),

demeanor

'P,,;..,":t:fA.l,

aftet' th Taser was displayed


~.z,;:x;S7l'N6-

'$j"N;'

"",-'fH\>"

or deployed:
S",-;r;:i:.-r

w~S .$J;u ... '

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Wl'\$

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f'Y-K/(ol' pt;....WV1Njt.,

~Mi"NTS

..

~
,

:~~e: were the pJ:,~~es~:,>


~r

osed of?

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;

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05/89/2009

20:47

5184477895

SSTA

'PAGE

El1/02

Albany Potlee Dept. Subject Resistance Report


.

Day/Daternme of incide
location of lncldent:

,':.

'

shrs. Incident #~_09.:206675


...
.Jt-

Supervisor Notified:

'---On Scene? ~o

Sm.Roberts

Offlcer(s) Deploying Force: '


Interviewing!FilingOfficer
(if Different:

Subject'sName:_18iII~.
Sex:

-M.

Height: ~5'1~

Age:
_Weight: 145

18
Race:

008: ~
B

Charge,Cs):. PL 221.05..,....

Force UsedIDispl~yed by Subject: Pushing, shoving, and vlolenUlalllng


of both arms
Sm" laceration on the top of his head.
.
Treated by:
AFD-EMSJAMCH
Hospital Admission?: .....:.Y.::::;es=-'__
--,-..,
Subj~ct Under Influence of: Drugs/Aleohof/Other
list, if Known: .. 'ynknown
Injuries to Subject:

-----:"-----_
..........._-----------_ ........ _-_...-..;..... ........ -..---.-.---'-'-~~"
Narrative Description of Incident (Include actions taken by both .theSubJect andthai:;<
Officer(s): After "um in off a roof andrunnin
awa fro several officers theab(J1fe
listdsub'eet failed taco
wi h multi redirect commands b
to l'et
down on the round or ou will be lasedI"
contim.ied ive loud and clear
.verbal commands to the sub "eel and then atte
ed to fire his laser at the sub "eel
owever the robes malfunctIoned.
then rabbed!he
subject's anns and forced him to the ground while continuing to give the verbar
commands" ut Our ha ds e Ind our back!" and ~~sto resistin !" The sub eel
refused o com I clutchln
both af his arms under his c est twhlch
oint
removed the tser cartrid e and delivered
o 2 drive stuns to the SlIb"eC's
. lower buttocks area. The subject flnally complied and placed his arms behind hls~ack
and was [llaced In handcuffs.

','

:, ".~

"C:I.,...,.~.

----------~--------------------------~~-------------------"
O.C. Administrative Warning
TO BE GIVEN TO ANY PERSON EXPOSED TO O.C.
You have been contaminated with Oleoresin Capsicum (OC), a natural product derived from cayelle .
peppers, I am going to trsat you t reduce the discomfort you are feeling, as long as you cooperat
2, OC is non-toxic and the effects wlll dissipate in a short time. The effects 'of OC may, however, ma~or
cover other medical conditions, including overdoses or toxic levels of drugs like cocaine, amphetanines,
barbiturates, PCP and other hallucinogens, heroine and other opiates, or alcohol.
3. .I am going to ask you 5 questlonsfor your own safety. Not answering my questions, withholding
7Jnformaton, or giving false or misleading answers could delay medical treatment and may serousf
. " Jeopardize your health and safety.
4,. ~o you understand ev'rything I have told you?
Yes/No
(over)
L
-

Rcvit<Cd 312004

:"

palof2]

,---'-".:..,

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B6/B9/20B9

20:47

"PAGE 02/02

SSTA

5184477896

O.C-,dmlnlstrat!y Questions
,
TO BE ASKED OF ANY PERSON EXPOS ED 'TO O.C.

t. Are you urrently under the Influence 01 Cocaine, Amphetamines, Sarbit':9; es, PCP Or other
: Hallucinogens, Heroine or other Opiates, or Alcohol?
Yes__
No __
ff Ves, Which One(s}?
Refused to Answer: __
DatelTIme:

.-..
~ __
~,.~.
__

-....,.L-----

------..,1'

2.

'3.

Have you taken Cocaine; Amphetamines, Barbiturates, PCP


other Hallucinogens, Heroine
other Opiates, or AlcohOl iii the LAST 8 HOURS?
Yes~
No,
: If Yes, Which One(s)? ---,.L---------,---i=le1l1.1sed
to Answer: _'__
Date/Time:
Initials
_
Do you normall~ take any illegal or pr'Scriptin,~s>'
Yes__
No __
It y~, WhichOne(s)"?
Refused to' Answer: __
DateJTi.,m:
.
o

4. "'" you have

...:art problems,

condition?
Yes__ .. No __
, Refused to Answer:

.5.

niUats

.
.
Initials.

'ung pro~lm~ diabetes, high blood

./.
/
If Yes, Wflic:hOne(s)'?
..i" Datel"l1~

press ure, or .ny other medical


.\.

OateITlme:

_
_

Inltla.ls

bo youYe.shave
any allergies? //..... ~f~
__ . No __
.lfYes WhiehOn(s)?
Refused to Answer: ~

Of

Inltla.ls

_
_

/i
--,'/~ __

I, ---:-

_--::-'-

---,'/~'

.'OfficerSI:natu:y

the undersigned officer,. have Qmpletedthe above irtf~l!i'Viie....r.:WiittL


on this
day of __ -----_-~,:''''
....:.-.

Witnessed .By

Time
i,"

.::.

~.'

Tasel Use Repog

TO BE:COMPLETED EVERYTIME THE TASER.IS USED


Taser.Sedal #:~,:
Number of Cartridges Fired: ~O
Number of Stun Contacts~
,2 .
,l-aser sight activated only: . Yes
Loatioilof each probe contact: Probe.s pot
- Distance between probes (In Inches}: {)

Cartridge Serial #(s}::!!!TI_!lI'I~trlII.L~~---Number of Prone Contacts: ...........


~o~__ -,---_--Number of probes penetratlog akln: ~{J_. __
~
_
.,
deployed ..driVe ston to lower J?uttof,
,

,Length of Time 10r Electrical Current Application:


(x) Programmed 5 sec. Iflonger/.sbQrter, r more than
one ,application, explain total time frame Involved:
Two (2) drive stuns Nr' full five (5) seconds each.

. Approximat distance of probe

launch: -.;O!:!..!!ln~e:!.!hl:e:!.s~--:--__::---:-::___::_::____:_:__--__;_:__:
Did the application cause injury to the subject andlor others? YesINo ,If yes, expla.ln: ------

Oidthe application of the Taser gain compliance from the SUbject?

YesINo

Descr,ibe the subject's demeanor after the Taser was displayed or deployed:

Whete were the

Compliant

robes dis osed of?

Jr

P~e2of2

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05/09/2809

20:47

5184477895

SSTA

'PAGE

01/02

Albany Pollee Dept. Subject ReSIstance Report


DaylDatemme of Incident: T e

location of tncldent:

109fi 91735hrs. Uncident #:_09:20675


..

. .c"'On

Supervisor Notified~ Sgt. Robert$

Scene?~o

Offlcer(s} Deploying Force:


Interviewing/Filing Officer (if Different:

Subject's Name:
Sex: -M- . Height:. 5'1 t:-

Age: 18

eight= -.l45

Race:!l

008: ~
..,
. Charge(s): PL 221.05

Force U~edlDisplaved by Subject: Pushing, shoving. and violent.fl~lIIng of both arms


Injuries to Subject: Smlliaceratfon on the top of his head,'
. '.
Tremed by: . AFD-EMS/AMCH
Hospital Admission?: Yes
.'
Subject Under Influence of: Drugs/Alcohol/Other
List~ if Known:' . 'ynknowrl . '/i
";i::

'~'<f-~{;;

e,:::

,,;:T,';'::';'~(:\J

Narrative Description of Incident (Include actions taken by both the Subject and the "\ -: ::, 1.,' ~':.
Officer(s): After "urn in off a roof and runnin awa fro seve al officers the above
',
listd sub"ectfailed to 'co
wi h mul J le dlreot commands-b
to ~~et
down on the round or ou will be lasedi"
continued ive loud and clear
verbal commands to the sub"eet and then atte
ed to fire histaser atthesubOect
owever the robes malfunctioned.
then rabbedthe
subject s arms and forced him tofu.e ground while continuing to give tlJeverbal. ..
comma'nds, "put your hands gehlnd your back!" and '~stopresisting!"The
subject
.
refused o com I clutchln both of his arms under his c e
which oint
.
,
emoved the taser cartrid e and delivered
o 2 drive stuns to the sub"eo's
lower buttocks area. The sUblect1tQ.ally complied and placed his arms behind his back
aDd Wf!S glaced In handcuffs.
<

~~

.
:.,TO

O.C. Administrative Warning


BE GIVEN TO ANY PERSON EXPOSED TO O.Co

t..: Yoo have bean contaminated with Oleoresin Capsicum (OC), a natural product derived from cayenne
peppers. Iam going to treat you to (educe the discomfort you are feeling,

as. long as you cooperate.

2. OCis non-toxic and the effects wlll dissipate in a short time. The effects of OC may, however, mask or
cover other medical conditions, including overdoses or toxic levels of drugs like cocaine, amphetamines,
barbiturates, PCP and other hallucinogens, heroine and other opiates, or alcohol.
3. ,I am going to ask you 5 questons for your own safety. Not answering my questions, withholding
: Information, or giving false or misleading answers could 'delay medical treatment and may seriously
. '. ,jeoprdize your health and safety.
4.', ~o you understand eve'rything I have told you?

YeslNo
(over)

---

.. _---

Rcvi"cd 312004 :

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05/09/2009

20:47

5184477895

PAGE

SSTA

O.C. Administrative Questions

02/02

TO BE ASKED OF ANY PERSON EXPOSED TO O.C.


1. Ai's you c:urrernly under the Influence of Cocaine, Amphetamines, i3arbit';9;
: HaU(Jcfnogens, Heroine or other Opiates, or Alcohol?
-:
Yes__
No __
if Yes, Which One(s)? ----,-,..,:::-;-:-,---..,.L----Refused to Answer: __
DatelTIme:
---r ntlafs
o

2.

_--_-

Have you taken Cocaine, Amphetamines, Barbiturates, PCP


other Opiates, Ol' Alcohol jn the LAST S HOURS?
Yes-----, No.__ : It Yes, Which One{s)? __
..,.LRefused to Answer: .
Date/Time:

3. Do you normall~ take any iIIegalor presoription ~s>

__

Heroine or

other Hallucinogens,
~_

Initials..;..
-

Yes__
No__
If Y~' Which One(s)1
Refused to' Answer: __
DaterniJf:

"'>

es, PCP or other

Initiais

4. qo you have heart pro6ems, lung prOb_l~~, diabetes, high blood pressure, or any other medical
-..

condition?
Yes__ . No.__
. Refused to Aoswer:

/
If Yes, Wt'ich One(8)1
..,/ Paterrlrrv-----,-'--~-

5. ho you have any allergies? //


Yes__
No
Refused to Answer:

.
-::-::-:--:-- __
.'(rlillals

-_

/f ~.\,

JfYes1 Which One(s)?


LOateITlme: _-_-'-___

~~_-----Initials

. ::.::;. ,:.>,..\.":-:.>.....,~:-.'- .. ': -':,,,-,

_.'',~,.~:~t:{~~::;

Tase! Use 8eporj

TO Bl: COMPLETED

'I.'.~II~
_~

EVERY TIME THE TASER IS USED

,.'I,IP~i----~---

Cartridge Serial #(s): ~:JIIIaI,II

Number of probe Contacts: ~~O~


-_----:-Number of Cartridges Fired: ...;O~__
Number of probes,penetratlng skin: _O~-~
Number of Stun Contacts; _;.::.2:.....-__
L~$er sight activated only: _...!.Y..::::es~
__
. /Locatiollof each probe contact: PropeS. pol dployed -drive stun to fower);!Uttoks,
/ pistance between probes (In inches): ....;O~
_

T.~er.Seflal #: ....:

.!.Lengthot Time tor Electrical Current Application:

pne appflcaton,

explain total time frame Involved:

(x) Programmed 5 sec. It longerls~.9,rter, or more than


Two (2) drIve ~tuns for full five (5) secoods each.

Approximate distance of probe launch: _0!:L!!ln~eh~e2s-;;:-_::---::-::---;::---:::;-- :-;:~


Did. the application causinjury to the subject andlor others? YeslNo 11yes, expla.ln: _-----

Oidthe application of the Taser gain compliance from the $upject?

YesINo

DE!scr.lbe th~ subject's demeanor after toe Taser was displayed or deployed:

.Where Wre the

Compliant

robes dis osed 01?


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Albany Police Dept. Subject Resistance Report


9 1828

Day/DatelTime of Incident: Mon 6/ 5


Location of Incident:

incident #: 09-215100.
-'

Supervisor Notified: Sgt. Roberts

On Scsne~_X_es

Officer(s) Deploying Force:


Interviewing/Filing Officer (if Different):

~_--'---:

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. Subject's Name:
: Age: 32 DOB:~.
. ~
Sex: Male Height: 6'1" Weight: 270 Race: Black Chalge(s)~CPCS\1st, Conspiracy f"'
.

"

\,

Force Used/Displayed by Subject: Fied in vehicle, Pusllllng, punching and Kicking


'njuries to Subject: contusion and swelling to right eye~abrasion to left side of head
Treated by: ~efused Hospital Admission?: NIA
.
Subject Under Influence of: Drugs/Alcohol/Other
List, if Known:
......
Narrative Description of Incident (Include actions taken by both the Subjecfand.ihe
Officer{ s):
:

...

. On The above date during the culmination of a narcotcs investigation, the above
...defend. a.nt (.target).was to be arrested durin~.
sto. Th.e defendant. refused to.......
comply with emergency lights activated b~in
a marked polic vehicle,
and fled the Scene. Defendant was not pursued, The d~ferldant was then found to have ..
abandoned his vehicle in the area of
The Defendant was
- located in another vehicle as a passenger. Upon attemjJting to stop said vehicle, vehicle
began to flee,but then stopped. Upon stopping the defundant was observed in the front
passenger seat. I approached the front passenger sidelof vehicle and attempted to ope .....
thedoor, while the defendant was reaching down undet the seat. I struck thewindow and
ordered suspects to open the door. Doors were then u~(ocked, I believe by the driver,
. ,.and I opened the passenger side 'door, The defendant then exited the vehiJe and pushed
into the undersigned officer while swinging his right fist (punching) at the undersigned ..
"h~ed
then ..grabbe.d the defendant in the area of his waist and swept his legs
__
;.."'as..__arrived
to assist. Defendant landed on the groundfacefrrstand
- continued to fight by swinging his arms and elbows, and kicking trying to crawl away.
The undersigned De.tectjVe~stri~e
th~ def~ndant several time in ,the
.
shouldsr, arm and Side aS~ld
strlke tHe defendant several times with a
closed fist in the back and shOUlder area as additional Detectives arrived and all were .
attempting to handcuff defendant as he continued to resist and fight. _
then tased
the defendant (drive stunned) 4-6 times in the 'ow~r/m;dtlle back and the defendant
continued to fight and attempted to grab the taser. Defendant was finally handcuffed
requiring the utili2:ation of two sets of handcuffs, and cohtinued to kick and attempfto
crawl away requiring the undersigned,
to attempt to
hold him down.

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LPag,eI of2]
Taser Use

Rep@

TO BE COMPLETED EVERY TIME THE TASER ISUSED


Tasar SerIar #:-ClIM\t4;
Number of Cartridges Fired:. O
Number of Stun Contacts: 4-6
l,q$er sight activated only: NIA
location of.ach probe contact:. NIA
Distance between probes(fn fl'lcfles}:NIA

Cartridge Serial #(S}: NIA


Number of Probe Pontacts: O
Number of probesi panetratlng skin: O

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OnOapplication,
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due to defendants.></lr.intotar
fightIng andturniog.
Approximate distance of prob .. launch. NIA
Old the <lPPlicationcause injury to the $ubject andlor others?

Nb

Did the app/rcation of the Taser gain compliance from the subjef?

If yes, explain; No

No

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and O.tinu.~ to .act in.a "or.n. mann., and .... Is, a".. t and b.... m. m."'VOr.ntwh.n'djV.,~ti!nn<!<! .
Where were thaprObe$ disposedofiN/A
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: ',' 57

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Supervisor

:SGT. CUEHDON

Notifled:

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. Officer(s)'Depioying.

Force:

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(if Different)::.:', . "-.

'~.l!, "ewfng/FmngOfficer

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STAFF
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;.:
______.
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Albany Police Dept. Subject-Resistance Report


Day/Date/Time of Incident:FRI06/19/09
Location of Incident.

Incident 09#:220957_-,,- __

Supervisor Notified: SGT. CUERDON


''Officer(s) Deploying Force:
Officer (if Different):

lewing/Filing
'::":;':.::'.:.' . .

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NONE

by Subject: S-PUNCHING PO'S AND STAFF

,:!;?;,

Injuries. to Subject: NONE


Treated-by:
Subject Und~r Infieneeof:
w

Weight: 190Race:WHITECharge(s):

Force Used/Displayed

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D",gslAlcohollOther
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'Narrative OeScription of Incident (Indude actions taken by both the SUQei;t"fl<tthe


Officer( s): SWAS COMBATIVE WITH STAFF AS A RESU LT OF BEINGHI9HLY
. INTOXICATED. PO'S RESPONDED AND STAFF WAS ATTEMPTING TORESTRAINS~
PO'S ASSISTEDANDS BEGANTHROWING PUNCHESATPO'S.
REMOVED
JHETASERFROMTHE
HOLSTER AND ADVISED S TO STOP FIGHTING WITH US AND
THE STAFF. HE COMPLIED AND STAFF RESTRAINED S/WITH PO'S ASSISTANCE. NO
FURTHER INCIDENT.
RESPONDED.
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O.C. Administrative

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Warning

TO BE GIVEN TO ANY PERSON EXPOSED TO O.C.


...-.,..
1. You have been co
. ateo with Oleoresin Capsicum (OC), a natural product derived from cayenne
peppers. I am going to trea
reduce the discomfort you are feeling, as long as you cooperate.
2. OC is non-toxic and the effects will dis .
Irr a short time. The effects of OC may, however, mask or
Cover other medical conditions, including over
or toxic levels of drugs like cocaine, amphetamines,
barbiturates, PCP and other hallucinogens, heroine an
er opiates, ar alcohol.
3. I am going to ask you 5 questions for your own safety. Not ans
my questions, withhOlding
information, or giving false or misleading answers could delay medical
ent and may seriously
jeopardize your health and safety. .
4.
. Revised

Do you understand everything I have told you?

Yes/No
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Day/Date/Timeof Incident:07104/091912hrs
Location of Incident:

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Supervisor Notified: Sgt. Flack

Report

Incident #:09242004

On Scene? No

Officer(s) Deploying Force:


Interviewing/Filing Officer (if Different):

----,

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(c) O.C. Spray Taser(elBaton

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Subject's Name:.
Age: 35 DOB~m
Sex: M, Height: 5'08 "Veight: 185 Race: w Charge(sj: None
Force Used/Displayed by Subject: Throwing Kicks and Punches at ERstaff
Injuries to Subject: None
Treated by: St. Peters Hospital Admission?: ER
Subject Under Influence of: Drugs/Alcohol/Other List, if Known: Both
---.--.--

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Narrative Description of Incident (lncludeactons taken bybothth 'subjectaruithei,;'.:'",


Officer(s): (S) was at the ER for treatment andwas usinq unknown drug$tQday aswelras
being highly intoxicated. P.O. called to ER to assist staff wthrestratnts.'P'O. removed
'.taser from holster and displayed it to (S), he complied, no further incident.
......

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. .~.'.

O.C. Administrative Warning


1.
2.

3.

4.

.I

Revised 3/2D04

TO BE GIVEN TO ANY PERSON EXPOSED TO o.c.


You have been co
minated with Oleoresin Capsicum (OC), a natural product derived from cayenne
peppers. I am going
treat yciu to reduce the discomfort you are feeling, as long as you cooperate.
OC is non-toxic and the
ects will dissipate in a short time. The effects of OC may, however, mask or
cover other medical conditi
, including overdoses or toxic levels of drugs like cocaine, amphetamines, .
.barbiturates, PCP and other ha cinogens, heroine and other opiates, or alcohol.
..-:,
1 am going to ask you 5 questions
your own safety. Not answering my questions, withholding
information, or giving false or rnislead
answers could delay medical treatment and may seriously
jeopardize your health and safety.
Do you understand everything I have tal
u? Yes/No
(over)

Page l of2

O.C. Administrative Questio


TO BE ASKED OF ANY PERSON EXPOSED

O.C.

1. Are you currently under the influence of Cocaine, Amphetamines, Barb rates, PCP or other
Hallucinogens, Heroine or other Opiates, or Alcohol?
. Yes__
No __
If Yes, Which One(s)? ~
--:-~_--"'......-Refused to Answer:
DateITime:
Initials
"
2.

Have you taken Cocaine, Amphetamines, Barbiturates, PCPor other Hallucinogens, Heroi
other Opiates, or Alcohol in the LAST 8 HOURS? .

or

,...

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Refused to Answer:
3.

Do y

If Yes, Which One(s)?


Date!Time:

--

normally take any illegal or prescription drugs>


Yes
No __
If Yes, Which One(s)? __ -'-Refuse o Answer: __
Date/Time:

Initials

Initials

_
_

4.

Do you have heartj


blems, lung probterns.idiabetes, higli151d pressure, or any other medical
condition?
Yes__
No __
If
, Which One(s)?
_
Refused to Answer: __
ate/Time:
-'--__
Initials
_

5.

Do you have.any allergies?


Yes__
No __
If Yes, WhichOne(s
Refused to Answer:
Date/Time: .;_--=::,--..-

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Witnessed By

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the undersigned officer, have com


on this
day of

Officer Signature
..

..

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Initials
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ted the above interviewwith


~_=_------, 20 .

Time af Gompletia
\

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-.,

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raser Use Report


TO BE COMPLETED EVERYTIME THETASER IS USED
Taser Serial #: _na,_
_
Cartridge Serial #(s):
na.
~
Number.of Cartridges Fired: _0 __
Nmb~rf~tun
Contacts:O
~~~~:~ ~~:;~~:sC;;~:fr~t~ogg.-;.
Lasersight
activated only: .. no
Location of each probe contact: .; _._.none,
--:--,------,-'-~,-,--~~_---:-'___"---,,...c...--:-"'7_~~
..,pis.tar:lse.betweenprobes.(in
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forElectrical Current Application:
(l Programmed 5 s~c.lflng.erlshorter;orTl1orethan
ne~pplication, explain total time frame involved: _-,------_..,.,.,..~--'-:-. -,.Approximateqistance
of probe launch:
. ~
Did.the-appllcatlon cause injury to the subject and/or others? . Y?~

If yes, explain: -.-:.

""i'

Didtheapplicationof
, .
:

the Taser gain compliance


from the subject?
.

Yes

"-.

Pesrihe the subject's demeanorafter th Taser w~sdisplayed ordeployed:(S)


p<issiVe and apologetic until all parties left the room.

__ ._------_._---~--._---~-------------~--~.
__ _--_

Where were the probes disposed of? _-:.-

-----------..;..
._.~............_-----Reporting Officer:

APO # 422

wassil~l)t andb~anie
.

-.-:.

.-..

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Page 2 of2

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Albany Police Dept Subject Resistance Report


Day/DatefTime of incident: WED 07/08/09 0658 lncldent #: 09~246724
Location of Incident:
Supervisor Notified: Commander Ryan

On Scene? No

Officer(s) Deploying Force:


Interviewing/Filing Officer (if Different):
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Subjet1s Name;
~
Age: 28 DOB.*ii_Lf
\
.:
Sex: Maie Height: 6100" Weight: 180 Race: Hispanic Charge(s): Parol$ Warrant

Force Used/Displayed by Subject: Refusal to show hands concealedunder

wOQden door

after repeated verbal commands to do so.


Injuries to Subject: Minor abrasions due to Taser Probes
Treated by: Engine 11 and A.M,C.H. Hospital Adm;ssion?: EXlminedanddiscf1!rg~2
Subject Under Influence of: Drugs/Alcohol/Other
List, ifKnovyn:
i.';":;'?;:\<

.Narratve Descrlption of Incident (Include actions taken by both theSl.lbjecfal1dth~(


Officer(s):.~as
wanted under the strength of a N.Y.S. ParoleWarrant."IltM,

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attempted to elude capture by refusing to open the door. A key wasobtainedbythfi)


landlord at which tim~.!.~",girlfriend
came to the doorand;, ..
confirmed ~was
in the residence, Attempts were made by taskforcmem~rsto
.
-caU-_hi
out however _refused.
Entry was made into the seco.l1dfloorapanment
however~
was not located. A crawlspace leading up into the attic was located by .
the undersigned detective. Attempts to call _
out were cgainmade however.'iI4:IJ
refused, Entry was made into t,he attic by
'.
_
and I. A portion of . ~eg
was observed underneath a wooden docrwhlch
_was using in addition to nsulation to conceal himself between theflg.,9"r boards.
""'was
given numerous verbal commands to come out and show his hands however
.Ii.,.ef~.se~.
The undersig. ned ~etective deployed the taser. at ~hiCh~.
one robe
struck1llfl1lm the leg.~stlll
refused to come out at which tlme._...
..
deployed a taser strikingJ ....
VI(ithboth probes ....
then showedhls hands at
which time
he had to be physically pulled out from between the floor boards. A.F.O..
Engine 11 responded to thescene and
removed the probes.4dII;
was turned over at the scene to
and transported to
A.M.C.~. by Mohawk Ambulance#16 fO~was
discharged at.
approxImately 0920 and transported by _
to the Schenectady County
Jail.
.
'.

.-sn

o.c. Administrative

'

TO BE GIVENTO ANY P
EXPOSEDTO O.C.
1. You have been contaminated wth Ol
'
apsicum (OC), a natural product derived from cayenne
peppers. I am goIng to treat
reduce the discomfort you are feeling, as long as you cooperate.
Ol

-----~

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OC snon-toxlc and the effects will dissipate in a short time. The effects of OC may, however. mask or
cover other medica! conditions, including overdoses or toxic levels of drugs like cocaine; amphetamin
,
barbiturates, PCP and other hallucinogens. heroine and other opiates, or alcohol,
3. I am going to ask you 5 questions for your own safety. Not answering my questions, withhoidin
information, or giving false or misleading answers could delay medical treatment and may s ously
jeopardize your health and safety.
4. Ooyou understand everything I have told you?
YeslNo
(o r)
2.

Revised 312004 -

1'--'--

O.C. Administrative Questions


TO SE ASKED OF ANY PERSON EXPOSED TO

.C.

1. Are you currently under the influence of Cocaine, Amphetami


s, Barbiturates, PCP or other
Hallucinogens, Heroine or other Opiates, or Alcohol?
Yes__
N__ If Yes, Which One(s)? --:--~,L..-----=------:-,"::--c-:...,--....,---Refused to Answer: ~_
Date/Time:
Inifials __ ---'o

2.

Have you taken Cocaine, Amphetamines. Barbit~tes,


PCP or other Hallucinogens,
other opiates or Alcohol in the LAST 8 HOUR
Yes_o_-o Noo_'_~
If Yes, Which One }?
~~---Ret'usd to Answer:
Datel me: ......:.._----Initials _'",-:'
:\
, \

scription drugs>
3. Do you normally taka any illegal or
ich One{s}?
,
Yes__ _ No _-__
- If Yes,
DateITime: _-----Refused to Answer. __
4.

Initials

Heroine or

_
___

I lung problems, diabetes. high blood pressure.


or any othermedicl
Do you have heart proble
condition?
- Yes__
No
If Yes, Which One(s)?
-~~----.,.,Refused.to.An
er: ~
DateITime:
Initials
~_

5. Do you nave.a _allergies?


Yes
- liIo
11 Yes. Which One(s)?
Rafu
to Answer: __
Date/Tlme:

~_o

r-.

4,

__ ~7=--

~Cier

Signature

'.

~
:

-,,-.,..;,-.,.....-_--Initials

the undersigned officer, have completed the above interview with


onthls
- dayof
,,20_.
/

Time-of Completion

Witnessed By

Taser Use Report


TO BE COMPLETED EVERY TIME THE TASER IS USED

~~

Taser Serial #:' J I I


- 'a:. Cartridge Serial #(s)=--ml"

Number of Cartridges Fired: 1


Number of Probe Contacts: 1
Number of Stun Contacts:
Number of probes penetrating skin: 1 A.P.D.
Probes)
Laser sight activated only:
_
Location of each probe contact: left leg
Distance between probes (in inches): ~
_

(2 ,roy P,Q.

Length of Time for Electrical Current Application:(


X) Programmed 5 sec. If longer/shorter, or more than
one application, explain total time frame involved: (2) applications were applied due to lack of compliance
Approximate distance of probe launch: 10- 12. feet
Did the application cause injury to the subject and/or others? Yes If
explain: Rivera sustained minor
abrasions due to probes
-

yes,

~ .::.~?
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Where were the probes disgSEld of? A,f,O.

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displayed

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..J Resistance

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of Incideh.
~."" -

Day/DatelTime

Location of
Supervisor Notified: _D/Sgt

:~~::
.

..

Report

',P9@2148hrsIncident #:09-267029_

Incid1f~...

~:::~>.!.
.;;,:~;illf

Quinn

onscene@o

Officer(s) Deploying Force:


Interviewing/Filing Officer (if Differef1t)::iH~~.,

"

I
I

Subject's- Name: <ID__


ll!llir
, Sex: _M_ Height: _6'04"_ Weight:~';- ,

8.
(' B: :~,
_
. Ik_ Charge{s):\ PL 220,39-1 __
L' .

f~g on a foot

Force Used/Displayed by Subject: ~~~,: :.;...".;1


lawful arrestto stop that he was unde-r:arrr"

pursuit, fatling to obey

itl;

'}:;:C;,'i{i~::;~H

',,'

l;:'

Injuries to Subject: _' None


;.::'::
$.1::'-.' --,-----'-~~~#i',),:::",:".'.';.>'
Treated by:
" NIA
'
Hospital'!; .. ~"ission?:
No,
--.:-~Subject Under Influence 0~6~~I~c~t~~
' !~!ltist,if Known: _Marijuana----'--"~----'--,Narrative Description of Incident (Incl~~:a;
Ofcerts):
' \;:<>'(1
.i ..; ..

f.

f")en byiJoth the Subjectand the


i,:

~.,.;:if;jf;\

The undersi ned detective did exitve'filc


~derthe sub'ect to the.oroundstatin
to him that was under arrest.~Atthaim:'f'1
t.be an to run west on:
North throu h arkin lot of
:'efendant was cut offb a CRU
vehicle and made and a furtive movementiHac
; :'fJsme at which time Ide lo ed the '
tazer one time. The defendant wentdirectr':if
I .i78und
and com lied with all further
orders. When the defendant was rolled':overlt " .
the rohe was distod ed.

"arch

O,C. AdrtW~(g] ,

To..m.It'~g;.,

1.

TO BE GIVEN
You have been contaminated with Oleore$ir:i/p
, ,'~'" ~..~~\~'.,. J
peppers. I am going to treat you to redu~itP[ql
OC is non-toxic and the effects will dissi:p~~:imi;.i~l!
cover other medical conditions. ncludng;v~frdO'
barbiturates, PCP and other hallucinogen~l~H.rdl
I am going to ask you 5 questions for your,~As'
information, or giving false or misleading.a~sWif'
jeopardize your health and safety.
: ;UL:?El~jt
Do you understand everything I have.tolCi~Yo~;
I

2.

3.

4.

"

Revised 3/2004

I.:':;;!.

c-

"::4'
-

. --_.-

._.-

_.

i'{'
1.:

, arnin

!'pOSED TO O.C.
.). a natural product derived from cayenne
, u are feeling, as long as you cooperate.
The effects of OC may, however, mask or
~'~c
levels of drugs like cocaine, amphetamines,
'~.:er opiates, or alcohol.
~:arisweririgmy questions, withholding
:1ay medical treatment and may seriously

m;~..

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O.C. Admnistrali~lfb:tiestions
TO BE ASKED OF ANY PER,'

POSED TO O.C .

~::

..

1. Are you currently under the influence of Cocain'~" "'~hetamines, Barbiturates, PCP or other
Hallucinogens, Heroine or other Opiates, or Alcot1M?
'"
,
Yes__
No __
If Yes, Which One(s)?,-,'.:":":;~~!:!':-'
_
Refused to Answer: __
Daterrime:i",:ii
...._.
-,
Initials -'_
2.

"'ji::'

'

Have you taken Cocaine, Amphetamines, BarbitIj' lEis, PCP or other Hallucinogens, Heroine or
other Opiates, or Alcohol in the LAST 8 HOURS?" ''U;'
'
Yes__
No __
If Yes, Which One(s)7:
_""_"
_
Refused to Answer: _, _
' Datemme:~,
,,',
Initials
_
'!i~~

3. Do you normally take any illegal or prescriptioo'ij


Yes_'_
No __
Refused to Answer:

--

ih,,;;;

,t

;/~b;:

lfYes, Which One(s)1>1!1;;,.)~:",:-'


Date/Tfme: ;,'
;"

'.

_
Initials

:d,~i;,/

"

','

'

4.

Do y~~ have heart problems, lung problems, dja9'~(~~:;high blood pressure, or any othermedica
condition?
.
,:j:wHn:
"
.
Yes__
No __
If Yes, Which One(s)?..,.,i:.;;.":"-.J:..-.,
_
Refused to Answer: __
DatefTime:':~W'
Initials
_

5.

Do you have any allergies?


)';!'!,
Yes__
No__
If Yes, Which One(s)? -:.:_'''_'
Refused to Answer:
Date/Time: _''--

.!::U~!.

.1\
\

...:..-.._--:-'- ___ Initials

~,.:; .

QfficerSignature

\..

Witnessed By

Time of Completion,

:'.:

Taser Use~;R\"!~:"ort
TO BE COMPLETED EVERY\fHE

TASER IS USED

Taser Serial #: ~7
' ..
Cartridge", "li/")(S): !AJ.IIIII.I'IIIII.mID.III:,_,
Number of Cartridges Fired: _1__ ,
Number ofF.;t'Q'p:Contacts:_2,
,:I ..tl:"I';
Number of Stun Contacts:
0_. _
Number ofp~9bes penetrating skin:
La$ersight activated only: ~'j;!IJh:
.Locaton of each probe contact:
1-Left arm, second p~~bein shirt no penetration ~
Distance between probes (in inches): _' _4"-6"

'i;'1

~ _ __'~
-t-

1_-'-~ __
_

'-,

,Ln'gth of Time for Electrical Current Application: (1) P~~~rammed 5 sec. If 10ng;~/shortet, or more than
one application, explain total time frame involved: -_-'i!i~~~14:_'
_

~,:~mw:).."

Approximate distance of probe launch: _5'OO"

-.:.:~::;.I~~;.;.;di::.:.:,_---

JWH~(:;
Did the application cause injury to the subject and/or ot~~.:~~~J~7;;;.
Ye~

Did the application of the Taser gain compliance from

'!;~r~111

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th~!!.'p:bject?

If yes, explain:

Yes

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:~1!:~~::~~~~~~~:
07/24/2009 23:00

.:'~.-.::

4585552

'Aibail~/Fitice

S 1:rtl~1Hsthcf/Repor.f .... .

Dept.

7 J.l/ o

Day/Oate[ijme of Incidanti
location 'of-Incident:'

SOp'~tvisorNotified: .
.

CENTER

1~~~5inH!.:
:gt J ,. 9'%7.2

....:

- ~ -- o...

... _.....

-.. . ....

>~r-'G~tAC. 'l%iirv/l'~"'-"~:~';:~n~~'@~~'-:'~~'-

~.

."

Officer(s) DepoyingForce:

Interviewing/Filing Officer (if Different): .:__

.Height:

te

Age:

Subject's Name:
Sex:..M-.

---.;._~

DOB:'~

'.

Race: --=:8::......._
Charge(s}:P;

-=--0.'1_ Weight: l...w

i1tt:.#S$;Vt:'
T

eT

PL..

Lb". 3. e

f1L .1<1S, .!"

<Jr-fIJ

Admiss.ion?=

Subject Under Influence of: Drug~ther

r~. :>'.

t. t)iI1!:,drt..'{(..

tf".r.p

'.

pt.. /S'3;60(:5)

iOO. lib)

eL

Force Used/Displayed by Subject: PlyJ;Y/(1f


Injuries to Subject:
:&~ ?1'c>pe.:5
Tre~~d by: IIpfJ ff/Mcfi
-~..@a(

,'o

/Jml'rre-.TJ

;/'

list, If Known:

..

. .

. ': :.>::'" .::.,:,:;;.:;:;....:~~:'::;;i:::

-------------'-~---------------~;.;.,;...,..,;..:....;.;;.......,.;-,. -""''''''''''';'':'\':}\'
Narrative Description of Incident (Include actions taken by both the
Offie.er(s):

MYC..STl64!7,vb

//V7G&VJfP--/
wITH
7P>vA.f'
of-6'rL(Z.s'
tt)

A/tJ

c iV

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of
vTt; c.

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J)/J/I1l.P17C/)vr6rV(}rtN"

lir
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WAS

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er

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lA/S
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/J.

it)/I-C

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(),J

-/-r,,

.e

/)<.-

,,",div

/O

..,
.e.. p

TO BE GIVEN TO ANY PERSON

-It,

.4

c.--;Jh 'v4P

It.
-/:}-ctj2.s.

.
.""'--=WarniQ-!ii .

I?(:Nd~(<f-

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O~cNd.A r=

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-r-,

SED TO O.C.

1. You have. been cntaminated with Oleoresin Caps'


oq, a natural product: derived from cayenne '
peppers. I am going to treat you to reduce th
scomfort you are feeling, as long as you Cooperate.
2. OC is non-toxic and the effects win <:fiss' e in a short time: The effects of OC may, however, mask Of
cover other medical condtionS,in
109 overdoses or toxic levels of drugs like cocaine, amphetamines,
barbiturates, PCP and other
ucinogens, heroine and other opiates, or alcohol
3. l am going to ask you 5
estions for your own safety. Not answering my questions, wthholding
info~'ont
or giv'
seor misleading answers could delay medical treatment and may seriously
4.

jeopardize y.
ealth and safety.
Do y
derstand everything I have told you?

YeslNo

. .

(over)

Revised 312004

I
-~
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07/24/2009

23:02

4585552

CENTER

PAGE

01/01

~~~~~~~~~rif;=:f.:~~T~~~'2~-;~";':~;-~C,,",",;~_'~\::~~:~~~~;':~'~~~~~~~?~~~-!4;

::~-~-~:~:\?:'~-~'-~~;~:/~::;~~:~:;~~{+.~~~~:t"-,:~;j=-Ol~~~A-d~nFshti~~:r&~tfg~:;;'\%
TO BE ASKED OF ANY PERSON EXPOSEO TO O.C. . .
.

'

..

$;f'CP

1. Are you currently tander the influence of Cocaine, Amphtamnes, :?~rt>itu

"

Hallucinogens, Heroine or other Opates, or Alcohol?-.


. - .. - ..
Yes_.-No~
/tYes, Which One{s)? .-- .--.'" . "-"-'--"
-_ ...Refused to Answer. __
OtefTime:
initials
2_ Hqire you takelIl Coca/&;lG;Amphetamines; &rbiturates.
other Opiates, or Alcohol in the LAST 8 HOURS?
Yes_
No__
.tf Yes, Which One(s)?y
Refused to AnSWi':_
Date

3.

P or

91"other

,_.

....

other Hallucinogens, Heroine or


~

--:-

~....:......~--'"itials _-'--

__

Do vou normally take any Illegal (Jf p.-:


Yes__ ' No_-_

ption drugs>
IChOne(S)'l-.:......

ifYS,

4, . DQyou have heart prob!


. condition?

YS__
Refused

N __

-:--:-:--:--

Oatemme:

Refused to Ans\W1':
SJ

~_

__

-_

loiilals ~~

__

lung protems, diabetes, high blood pressure. or any other medlc~d

It Yes, Which One(s)?

swer, __

. Dateffime:

~___

~-,--:-:_:_---initials "".:,'.__---

,.\

5. 00 you ve any allergies?


es__
No __
.If Yes, Which On(S)? __
Refused to Answer: ~
Datemme:

--:--:-:::--:--. Initials

,nte<Vi~~,,:}:i~~
:.<.: ,~,

._I:.,.,.-.:::::::::_.-

- - ~~-

.:()ffi.~rSignature

ff1_e_u_n_~~~edoffcer,

~~.;""P'oIedthe above

~By

rnnof CQrtlpfetioo.

"':":',:!~;f{;~~:::-

-c-:

Taser Use Report


TO BE COMPLETED EVERY TIME THE TASER IS USED
Taser.Serial #::
Cartridg Serial #(s): ._
Number of Cartridges fired: ~l __
Number of Probe Contacts: __ .........:Q.:::."-.-::-~
Number of Stun Contacts; __ ~__
Number of probes penetrating skin! --=:-2.~__
--:-~~_
lfa$erSigtrt activa~ only: -:----:--_-::::location of each probe contact
Bcrr-N J.GP' ItrrY/
.O!stancebetween probes (in inches=-".
----:)""':""'-''-1~6".:Q'--'{;)G:---'--..:.......:''--'---'--------~------....-I

',.:,',''"_:"

lemgthOfTime for Electrical Current Appiication~


One apf:llicati(Jn.

~rograrnmed

5sec.1f longe('/short;Z~rm()r~

~~-~~
YS(P If yes, expfan:

.bIS

Did the application of the Taser gain cotnpHance from th subject?

w.!!..ere,.ll't~~_th.e. robes disposed of?


~ I

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TO BE GIVEN TO ANY PERSON


OSEO TO O.C.
1.. You have been contaminated with OleoresinCapsi
(OC), a natural produt9riVdfromcayenne.
pep~rs .. Iam going to treat you to reduce th Iscomfort you ar~ feeling, as long asyoucoope(at,,~<o'':;:::
2. OC IS non-toxic and the effects will dissi e in a short time. The effects of OC may, however, mask or
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TO BE ASKED OF ANY PERSON

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1. Are you currently under th


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Hallucinogens, Heroine or other Opiates, or. Alcohol?
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~ ave any allergies?


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No
If Yes, Which One(s)?
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TO BE: COMPLETED

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TASER IS USED

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Number of Probe Contacts:.~_~N..:...:7:...:B:..L_",;7
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Number ofStull.CQntacts:
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Di$tance between probes (in inches):
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Length of Time for Electrical Current j,pplication:
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. Describe the subject's demeanor ~tter the Taser wasdisplayedordepiy~d:;

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AibanyPolice

Dept Subject Resistance Report

DaylDatefTime of Incident WE 9/23/2009


Location of Incident..
Supervisor

Notified:

SGT GIPSON

Incident #: 09-354310

On Scene?--Ves

Offieer(s) DeploYing Force: ._

Interviewing/Filing
Officer (if Different):

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Subject's Name:~Age:
32 DOS: lMIIIUn_
Sex: M,\LE Height: 5'11" Weight: 230 Race: BLACK Charge(s): VTl1192
VTL 1180 VL T 1163 VTl 1111 Di
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VTL 0511-01

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.\TO WAIST

Force Used/Displayed by Subject: NON-COMPLIANCE REACHING


Injuries to Subject: SWOLLEN EYE .
Treated by: ALBANY MEDICAL CENTER Hospital Admission?: NO
Subject Under Influence of: Drugs/Alcohoi/OtherList,if
Known: ALCOHOL'

BAND.

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-Narrative
._--------------------------------------~----~--------~~
Description of Incident (/ncl ude actionsta~enby
boththSbjcta. .#lh\?;:l(Y:l>:!":i'::.';"i','
n

Officer(s): _ON WED 09/23109AT2052THEDEFENDANTVVAS()PERATlNGNYRE~\",;.,,"'".,.


."A
2000 CHEVY BLAZER COLORSILVERANDWASSTOPPEDFORNUMERlJ$VTL
->.
VIOLATIONS. UPON STOP OF THE VEHICLEBOTHPARTIE\I\(Ei1,EREACH/NG\RgUND
IN THE VEHICLE AND THERE WAS A LARGE SIZEPITBULL DOGACTIf\JGVICOUS':'
JUMPING AROUND AND GROWLING.
.AND
.
GONDUCTEOA .
-,FElONY STOP TO ENSURE aURSAFETY. BOTH PART/ESINTHEVEH/GLE/GNORED
'.,
COMMANDS FROM THE OFFICERS. AFTER SEVERAL M/NUTESBOJHPAf{TIES
EXITED.
THE VEHICLE AT THE SAME TIME ON THERE OWN STILL NOTf()LLOVVING~
'.
'.
COMMANDS. AT THIST/ME THE DRIVER
X/TED'THEVEHICLEWITH
.'
BOTH HANDS OVER HIS HEAD. OFF/CERS GAVE .....
Il.LOU
AND CLEAR
COMMANDS TO KEEP H/S HANDS /N THE AIR AND WALK BACKWARDS TOWARD MY
VOICE.It.m
.....
; THEN REFUSED TO FOLLOW COMMANDS AND [)/DTAKE HIS" -,'
HANDS FORM ABOVE H/S HEAD AND REACH TOWARDS HIS WAISTBAND W/TH HIS
BACK TO OFFICERS. FEARING FOR MY SAFETY I DEPLOYED THE TAZER-WH/LE
BEING TAZED THE DEFENDANT DID FALL FORWARD ON HIS FACE CAUSING A
SVVELUNG TO H/S LEFT EYE
-II . .. STILL DID NO i FOLLOW COMMANDS AND
WAS TAZED A SECOND TIME TO GAIN COMPLIANCE. AFTER;
,,'WASTAZED
THE SECOND TIME OFFICERS WERE ABLE TO GAIN COMPLIAMCE AND PLACE MR.
~NTO
CUSTODY. AFD/EMS RESPONDED TO THE S.SNE.THE DEFENDANT .
.WAS TRANSPORTED TO ALBANY MEDICAL CENTER FOR TRE;.ATMENT.
.

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O.C. Administrative Warning


TO BE GIVEN TO ANY PERSON EXPOSED TO.O.C.
You have been contaminated with Oleoresin Capsicum (OC), a natural product derived from cayenne
peppers. I am going to treat you to reduce the discomfort you are feeling, as long as you cooperate.
OC is non-toxic and the effects will dissipate in a short time. 'Theeffects of OC may, however, mask or
cover other medical conditions, including overdoses or toxic levels of drugs like cocaine, amphetamines:
barbiturates, PCP and other hallucinogens, heroine and other op.iates, or alcohol. .
I am going to ask you5 questions for your own safety. Not answering my.questions, withholding
information, or giving false or misleading answers-could delay medical treatment and may seriosly
jeopardize your health and safety.
Do you understand everything I have told you?
Yes/No

1.
2.

3.
4.

(over)

Revised 3/2004'

.O.C. Administrative Questions

Page l of2 ./

TO BE ASKED OF ANY PERSON E:XPOSED TO O.C.


1. Are you purrentlyunder the influence of Cocaine, Amphetamines, Barbiturates,
Hallucinogens, Heroine or other Opiates, or Alcohol?
.
Yes__
No __
If Yes, Which One(s)?
--:---:-:---:Refused to Answer:
Date/Time:
--:-___
Initials
.

PCP or other
_
_

'\

2.

Have you taken Cocaine, Amphetamines, Barbiturates, PCP or other HaHi}cinogens, Heroine or
other Opiates, or Alcohol in the LAST 8 HOURS?
Yes__
No __
If Yes, Which One(s)?
:-_
Refused to Answer: __ o
DateITime:
Initials
_

3.

Do you normally take any illegal or prescription drugs>


- Yes__
No __
If Yes, Which One(s)?i.,
Refused to Answe .
Date/Time' -~--'-~---.
.
.
.'.
r, -.'. .',
_-,--_--,--'_:_-

.4..

00 you hav heart problems, lung problems,diabetes,

.condition?

Yes_o_
No .__
Refused to Answer:

---,..

o"~

highbloodpressure,ot~yotfl~~rrledic'~I'

If Yes, Which One(s)?


Date/Time:

5. . Do you have any allergies?


Yes __
. No __
If Yes, Which Onts)?
Refused to Answer: __
DateITime: _~

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_
_

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the undersigned officer, have completed the above interview with


on this
dayof
,20_,
~"

Officer Signature

Witnessed By

-----,-

Time of Completion

----------_.-

-,------

Taser Use Report

_1.n.3

TO BE COMPLETED EVERYTIME THE TASER IS USED


Taser Serial #::".W,
Cartridge Serial #(s);
Number of Cartridges Fired: ONE
Number of Probe Contacts: TWO
.Number of Stun Contacts: f
Number of probes penetrating skin: 2
Laser sight activated only:
Location of each probe contact: CENTER OF THE SUBJECT'S BACK
Distance between probes (in inches): 3 INCHES
.
Length of Time for Electrical Current Application:
() Programmed 5 sec. If longer/shorter; or more than
one application, explain total time frame involved: THE SUBJECT WAS TAZED TWO SEPARATE TIMES
FOR APPROX. 5 SECONDS EACH TIME
.:.

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Did the application cause injury to the subject and/or others? Yes/No If yes, explain: YES
MINORSWELLING TO THE SUBJECTS lEFT EYE FROM FALLING TO THE GROUND
Did the application

of the Taser gain compliance

from the subject?

'-

Yes

Describe the subject's demeanor after the Taser was deployed: AFTJ;=R..
THE TAZER WAS DEPLOYED THE
SECOND TIME THE SUBJECT BECAME COMPLIANT AND DID FOllOW COMMANDS.
.
Where were the probes disposed of? YES BY ALBANY MEDICAL CENTER
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'Dept~-S--'bJe-=t-Re;~t~ri;~~"R~p-ort
'--.

_.Albany Police

DaylDatemme
of Incident
Location of incident:

Supervisor Notified:

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TO Bf. GIVEN TO ANY PERSON EXPOSED TOCrC_


You have been contaminated with Oleoresin Capsicum (OC). a natural productderiy~tr:o~caye1~,~.;-..:<;.:l~i~i;;
peppers. I am going to treat you to reduce the discomfort youaref~Hng,
aslongs,Y9'JJ~pef?te,.\.;.;",.
')"';';i;;i';:.q
OC is non-toxic and the effects will dissipate in a short time. The effects of OC may,' hwever, inask or
cover other medical conditions.. including overdoses or toxic revels of drugs like cocaine; all\lfJhetamines;""'",,-''''-'''''
barbiturates, PCP and other haflunogens, heroine and other- opiates, oralcoooL .. '.. "."
.....
I am going to ask:you 5 questions for your own safety: Notansweng my' questions; 'vm:tihaldirig''''~;c,
information, or giving false or misleading answers could delay medical treatr1eOt an~!l1aY~84sly
\ ...L , ' ", '.:'
jeopardize your health and safety. .
-.
-:"
'..
.;
.. '; ..'. .......
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Do you understand everything Ihave to/d you?
Yes/No
'_.'
(over:)'
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TO BEASKED

OF ANY. PRSON EXP.OSED.:TQ O~C~.


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1. Are y"oucurrently under th


.miht
or othe~\ .
. Hallucinogens, Heroine or other Opiates, orAlcoho?
. (".
!
j ... ,
"...........
. Yes__
No __
It Yes, WhichOne(s)? __ '''--~,,",.:,-,'
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_

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,
other Opiates, or Alcohol in the LAST aUOURS?

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No_. __

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4 .... 00 you have heart problems, lung problems, diab~tes, high,blood pressure, or a
". "condition?
.
. .
" ..... - ".:"':.
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.'No __
Refused to Answer:

UYes, Which One(s)?


DatelTIme:

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5. 00you have any allergies?


Yes_._

Refused

No -_e _ If Yes, Which One(s)?.,.....,.....,....... -:-:'-''---=--=..:-"


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DatelTime:
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the underslgned officer, have cOlllplet tlie above mtervlew With


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on this
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'N:imlber of Prol;eCobtactS: ...J;:l,~. :.r-:";-:-c:"".
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NUinber.lS~un Contacts.: ---:..I-C--__
'N'UIi1berof prb~ penetrating skin: -..!..\ _-:' .-...,........\-.'_...:..'' _-'~' La~ersightactivated only: -:--:-~_
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Approximate distance of probe launch: ....:l~....:..w"-""'-~:;-'-~:----::--::-:---e':rr-=....,....

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Did the applif~tion cause injury the subjet and/or others? Y ; N<If)'~ri~~RI~i.n.:-,:..-,-'-..."..",...---'~'-'--.

to

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Did the application oHheTas~rgaincomp~iance

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"Plfbany Police Dept. Subject Resistance Report


:
!

nt #: 09-337517

Day/DatelTime of Inciden .
Location of Incident:

Supervisor Notified: D/Sgt. Quinn

On Se-ene? Yes

Officer(s) Deploying Force:


interviewing/Filing

-:;."

Officer (if Differ~_--,-

Subject's Name:_T",,-a=z~(P..;;.i.;:...t
=B~u="..;;;D;...;o:..;;gLL)___
Age: 15mo.'
DOB :<--~
Sex: __
Height:
Weight:
:
Kace:
Charge(~l:

------

Force Used/Displayed by Subject: _.:::S.=;.ee=-:..N:,.:a:..:.r!.:ra::..::t:.:,.iv::,.:e::....=.be:=;l:.::o;.:.w::.-,----,.----,_-Injuries to Subject:


--...;...
---'
...:.--:-__
Treated by:
Hospital Admission?:
..-.,.
Subject Under Influence of: Drugs/Alcohol/Other
list, if Known:
----,..,..._-.,.

---------~..-,...--------~~--------,-~..;..,..--,,-:,c.;..__7'"*:'-...:.<
...
,

",

Narrative Description of Incident (J~clude action~take~ by both the Subject andthe. .'.. .
Officer(s):
While acting as part of the entry team, execting a search warral1t;th
team encountered a vicious do . While movin throu h the a artment the do bit
.
once in the u er torso and once in the shin.
hen tasd the do
which immobilized it for a roxirnatel two minutes. The do then char e
nd was. tased b
The do was then fitted
-.:with a col.lar and brought to a safe area without further incident. Troy animal control
arrived on the scene and took custody of the dog. The/dog appeared to have no physical
injuries at that time.
\

O.C. Administrative Warning


1.
2.

3.

4.

-.,-.

TO BE GIVEN TO ANY PERSON EXPOSED TO O.C.


You have been contaminated with Oleoresin Capsicum (OC), a natural product derived from cayenne
peppers. I am going to treat you to reduce the discomfort you are feeling, as long as you cooperate.
OC is non-toxic and the effects will dissipate in a short time. The effects of OC may, however, mask or
cover other medical conditions, including overdoses or toxic levels of drugs like cocaine, amphetamines,
barbiturates, PCP and other hallucinogens, heroine and other opiates, or alcohol.
I am going to ask you 5 questions for your own safety. Not answering my questions, withholding
information, or giving false or misleading answers could delay medical treatment and may seriously
jeopardize your health and safety.
Do you understand everything I have told you?
Yes/No
(over)

Revised 3/2004

l Page l afZ I

/.

O.C. Administrative Questions


TO BE ASKED OF ANY PERSON EXPOSED TO O.C.
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1. Are you currently under the influence or Cocaine,Amphetamines; Barbiturates, PCP or other
Hallucin~~s,
Heroine or other Opiates, orAleohoi?
Ye~__'_ No __
If Yes, Which One(s)?
.'
_
Refused to Answer:
Date/Time:
Initials~,
_

.2:
3.

,!,;t!I

Ha~e you taken Cocaine, Amphetamines, Barbiturates, PCP or other Hallucinogens, Heroine or
other Opiates, or Alcohol in the LAST 8 HOURS?
Yes__
,.N'__
IfYes, Which One(s)7
,_"'_"_'_
__ ~-:-_
Refused to Answer:
Date/Tims:
Initials __ -Do you normally take any illegal or prescription drugs>
Yes__
No __
If Yes, Which One(s)?
Refused to Answer: _.__'
Date/Time: _~

_
_

Initials

4.' Do you have heart problems, lung problems, diabetes, high blood pressure, or any other medical
. ,condition?
Yes__
No_. _-_ JfYes, Which One(s)?
Refused to Answer:
Date/Time:
5. Do you have any allergies?
Yes__
No __
If Yes, Which One(s)?
. Refused to Answer:
Date/Time:

---'_ Initial~.

--'-_
_

--=-_-,

Initials

,;,

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the undersigned officer, have completed the above interview with


. on this
day of
, 20_,

Officer Signature

Witnessed By

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',;':.;:.:','.,

Report

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L..engthof Time for Electrical Current Application: () Programmed 5 sec. If lonqer/shortervo more than
one application,explaintotal
time frame involved:
(Moscate/lo 1st. 10sec. 2nd 5sec~3rd 5se6.)
.. ..
fVnriard _1st -5sec.)
-.,.,
Approximate distance of probe launch: (Moscateflo 10ft.) (Vennard 10ft ..)
Did the application cause injury to the subject and/or others? Yes/No If yes, explain: Only the Dog.

Yes

De~cribe the subject's demeanor afterths Taser was displayed or deployed:


above.

Described in narrative

Where were the probes disposed of? Yes

.~_.

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IS USED

b:~~idS9e:~~~~lfl~#~(s~)~:
~ieinin~a~r~~e~n;n~a~'r~d~"'~=jMiiolsicate~~scatello
N4111.berofCartridges Fired: ~
Nl!rnl?e~,tProbe Contacts: ...".,::!4~~
---, __
_ Number-of Stun Contacts:' _..;:.0
fij'ihD'ff probes penetrating skin: ---:,4
Laser sight activated only:
N/A~ __
.Location of each probe contact:
Two in the head area, two in th upper chest area
Distance between probes (in inches): (Sin. Moscatel/o) (Sin. Vennard)

Did the application of the Taser gain compliance from the subject?

,-~

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TO BECOMPLETEDEVERYTIMETHETASER

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Taser Use

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Time of Completion

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Albany Police Dept. Subject Resistance Report ..


o n

DaylDateffime of Incident:
Location of Incident:
Supervisor Notified: ., -:39~__..

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t #: 09-3'l,53c/'

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On Scene?

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Officer(s) Deploying Force:_----I


Interviewing/Filing Officer (if Different):' .,

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Subject's Name:Ag~E'31
Sex:
Height:
lO

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F~rc~ UsedlDi~playeaby Subject:' .


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InJunes to Subject:
rv.s 1t1 e.he.s
".
. ..
.",
Treated by: '. AFD~fM on sc~e, -:~al
AdmissipPf:i""
l5. .. Jb.,
Subject Under Influence.of: Drugs~Othet~Ust,if"Known:.:.::.

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Narrative Description of Incident (Include actionstakenbybothttle.Subjectandthe


Officer(s).
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RviSM 3/2004

Do you understand everything I have told you?

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TO BE GIVEN TOANY PER?ONE)(PqSEDTO


9,C... .;,
.',"
1_ You have been contaminated with Oleoresin- CapsiCum (OC), a' natural produc:t derivedfromc:ayellne
........;,;".;' ..
peppers: Iam going to treat you to reduce the discomfort you are feeling,as long as you cooperate.
2_ OC is non-toxic and the effects will dissipate in a short time. The effects of OC may,' howeveCma~~of
cover other medical conditions, including overdoses otoxic levelsofdrugsIikecocainl,?n1Pheta!"l1i11e~i
'~~',t~.~
barbiturates, PCP and other hal!ucinogEms~,l1eroineand other opi<tes, alcohol. .
3. I am going to ':tskyou 5 questions for your own safety. Not answering myquestions, withholding'
infonnation, or giving false or misleading answers could delay medical treatment and may seriously
.
. ,',:'J.\:: ;'"J;:<,.~
jeopardize your health and safety.
.
.
4.

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Yes/No

'(ver)'

\/.;:~.

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I pagel0f21

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1. Are you currently under the influence of Cocaine, Amphetamines, Barbitu'rat~~,;PCP,otlR~~'rf,\i~~~ii~li~l:~rHallucinogens, Heroin or other' Opiates,or Alcohol?'"
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,
Yes __
No __
If Yes, Which ..
'.,;',
Refused to Answer: __
. Oat"
--;-::-:--~:-;-c~."..-t;n;'~!;'.' 'j:i;i,,2
2.

Have you taken Cocaine, Amphetami'es,B'bt'r-;;t~;:Pp'~r

other Hallucinoqens,

Her~ine or.,.,

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'. TOBE CbMPlEltEV~I\Y JIMETHg~f4E~;'

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Length of Time for Electrical Gurrent ApplicatiQn:


one application, explain total tinie frame involved:

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Approximate distant'e of probe launch:


.
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Did the application cuse injury
the subjec.tand/or

to

et.
ot~eis?,Ye

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oftheT~sergain

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compliance from the subject?

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Describe the subject's

ua

i.f.c..fed o,t0- : "", kJ..

Wherewretheprobt!s
:~ -.-.'
'-

deme!3n?r ~fter the Taser was displayed o~'d~Pl~~ed:"~'

disposed of?

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Albany Police Dept. Subject Resistance Report


DaylDatefTime of Incident:"
Location of Incident:

./ t>

Notified:

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Supervisor

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(J(,'7s"lncident #: ()

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!

Officer(s)

Deploying Force

nterviewi~g/Filing

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Subject's
Sex: ~

Nam
Height: ~' Il

eight:)

5?

Race:

Charge(s):Vl).:"l.-O\

~-:-

Force UsedlOisplayed by SUbject:e):".->


Injuries to Subject: N 0<""\ {....
Treated by:
'~.
~I
Subject .Under Influence of: Drugs~Other

. '.'.-.'_

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Narrative Description
Offi cer( s): .

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of Incident (Include actions takenbybotffthe Subjectand~th~ .. :-":,';,~~;!;,:


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Warning

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Do you understand

everything

uld delay medical t~tmerttan(j

I have told you?

ll1aysElou~IX."

.....

. '.

Revised 312004 .

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. ..... , '.'

Il
j

Yes/No.
. ,;-(~' f~.;::::'j::\:::';~;~
:.....
:.

r. (overj

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~ ' "1

TO BE GIVEN TO ANY PERSON EXPOSEOT90.G.


.
.....
.'T"
1. Yo
ve been contaminated with Oleoresin Capsicum (OC), anaturalproduct.defived
from aYE!fln~;"':;~t/.; -'.f;';'
peppers.
going to treat you to reduce the discomfort you are feeling, as long as you cooperate. .
'..
2. OC is non-toxic
he effects will dissipate in a short time. The effects ofOG.may; however, ~a~~or"';j..,.;qL.
cover other medical co .. ns, induding overdoses or.oxic lev~ls of drugs Iik~Cocaine, ampf}~tarnifl~s;,,::;:;!""" ;:<:
barbiturates, PCP and other h
. 9gens, heroine and other opiates: or alcohol.' , . .
.
3.. I am going to ask you 5 questions for y
wn safety.' Not answering my questions, withholding'"
.
.
information, or giving fafse or misleading answe
jeopardize your health and safety.'

.,

.. .

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Q.C. Admlni trative Que$tidriss,,'

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1.

re yo.u currentlyunder theinflu~nye of' Cocaine, Amp~etam.n~s; Bi'\~pj~~rates, PCI?)~r;9tl1~r:",:::;:~~::'~;i;J"i[r'


Ha cinoqens, Heroine or other Opiates, or Alcohol? '" """":;::';;:'::':"""-'''''''''' 'o"
Ye
'No
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.... '"",,
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Refu

d to An

2. Have yil taken

3'.

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,p yOu

.,

cane, Affi(lhtamli1~~';';'B

f'!O''riaIlYtal(eri'iII$~gJ,O;~~:!~~~~

"

4. Do you have heart problems, lung probl


s, diabetes, hign bloo&pressqr~;:J.)r,:",ny;oJhecmedi!?al
'<"'condition? ",,;,,',;"
,"
,',':t'i:~:i;;;)i';'!":~";<':"Y"(;C:;".ci',
'''.
Yes__ , No __ ,' UVes, Which One ?
' "
I,
'.
:Refused to Answer:
DatefTime:
Initials
'\

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..

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,

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5. Oyou have any allergies?


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.'
Pi
.Yes_,_
No __
' If Yes,Which One(s)? 'C"7"'-~~..,..,....~-:-:-:-::-:---'._-Refused to A!1swer: __ ' _
DateITime:":,
Initials,
j

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Officer Signature
.
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Witnessd,Ely

iTi~eofCompltton:

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,',
1-0

t .. ".,.

sr Use Reart

.,

EVERY TIME THE TASERls


..

TaserSedl#~' .11)
_''''''1, :.~~~._~~~::'.II !I'IItt:
':'-~'!,
Number of CartiidMsFitd:
r;.Jumber ofSturicariiacts:
laser signl actvatedny;
l

USED

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\)

Cartridge Serial #(s):


Number of Probe. Com
s: ~-'---.,--....
'-,--L",,:- __
Number of probes penetrating skin: ~~'L

~'~"'

__

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.......

'Location of each probe contact: ~-:-''?'-'''-'::::'''':''''-lM,--,C.!:~,-,-/_l.L.....!.;-,-r,,-,~,,-.-""("'--.LL~"~C-:..::\-...CO-.!.r-~-,...C>.:...--,--r--..~__


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Length of Time for Electrical Current Application:


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Did the applica:tincause injury to the subject and/or others? Ye.s,@j)lfyes,.~XJlI~)
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Albany Police Dept. Subject Resistance Report


Day/DatefTime of Incident: Wed 10128/2009
Location of Incident:
----' . ofified: Sgt Gipson
On Scene? Yes

'--

---

Officer(s) Deploying Force


~

InterviewingiFiling
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1239 hrs

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Incident 09-399411

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Explain:

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Subject's Name: .....


Age: 37
. 008:
Sex: M Height: 6'2" Weignt: 230 Race: H Charge(s): 220.06/220.6

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Force UsedfDisplayed by Subject: Pushing, Running, Refusing to release hands from


under his body
.
Injuries to Subject: Minor Scraps, Leg Pain
Treated by:
Hospital Admission?:
Subject Under Influence of: Drugs/Alcohol/Other

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List, if Known: ---,-'-,--_---'-

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Narrative Description of Incident (Include actions taken by both.the Subjecfandthe


Officer(s):
.. . .
..
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On 10/27/2009 at approx 1239 hrs while on the corner of


.....
..
..
the Defendant was approached by
in reference-to a drug investigation~ .

- ~po.nbeing approache~ by an on duty u~iformed Officer the Defenda.1iiIii


..t laced. hiS.h.a._
...
n..d.s
In his pockets, turnedhlsbackto
the Officer and began to walkaway.
.
ordered the Defendant to take his hands out of his pocket, and stop walking. The
Defendant refused, began speed walking away and began to remove crack cocaine from
his pocket, placed it in his mouth and began to chew. .
grabbed the
defendant, tld him to stop, and spit it out, The defendant refused, using his bOdytp"
.
prevent
from reventing him from destroying the Evidence= H refused,
. .
rabbed the Defendants hands and body scooped
him from his waist causing him to hit his body on the ground. The Defendant then
violently refused his arrest by pushing and kicking above listed Officers.
and
..
arrived and observed the Defendant violently resisting his arrest
and attempting to get up and get away. I Struck the Defendant twice in the left peroneal
nerve withmy knee in an attempt to have him stop resisting; the strikes did not have any
effect on the Defendant. After a brief struggle with all officers performing open hand
techniques the Defendant would not comply. I then deployed the X26Taser (cartridge #
jjt".UJa) for one five seconddeplyment.
The Taser had a minimal effect on the
defendant and he immediately began grabbing at the barbs in an attemptto remove them
from his body. I then deployed a second five second burst. The second burst was
effective, the Defendant stopped resisting and was placed in hand cuffs. EMS was called
to the scene but was refused by the Defendant. -During the struggle bothbarbs were
.pulled out by the defendant.

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Taser Use Report


TO BE COMPLETED

EVERY TIME THE TASER

rs USED

Taser Serial ~
Cartridge Serial #(s--'
Number of C:rfrfci~d:
2
Number of Probe.Contacts: 2
Number of Stun Contacts: O number of probes penetrating skin: 0,----=..::.;
..;::.
...:..:
.."-..
Laser sight activated only: Laser/Llqht
Location of each probe contact: Left Buttocks
Distance between probes (in inches): 4 Inches
Length of Time for Electrical Current Application:
. one application, explain total time frame' involved:
\'

() Programmed 5 sec. If Ionqer/shorter,


_TWO FIVE SECOND BURST
..

Approximate distance of probe launch: One foot


Did the application cause injury to the subject andror others?

No. If yes, explain: __

Did the application of the.Taser gain compliance from thesubject?


Yes
Describe the subject's demeanor after the Taserwas displayed or deployed:

APD# 422

Officer.

or morethan

Agitated

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Where. were the probes disposed of? Yes

Reporting

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Supervlscr Approving:~~~:::,.:::.

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O,C, Administrative

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Warning

TO BE GIVEN TO ANY PERSON EXPOSED TO O.C,


.1. You have.been contaminated with Oleoresin Capsicum (OC), a natural product rived from cayenne ..
peppers. l am going to treat you to reduce the discomfort you are-f-eeling,as ng as you cooperate,
2. OC is non-toxic and the effects will dissipate in a short time. The effects of C may, however, mask or
cover other medical conditions, including overdoses or toxic levels of dru s like cocaine, amphetamines,
barbiturates, PCP and other hallucinogens, heroine and other opiates r alcohol.
3, I am going to ask you 5 questions for your own safety. Not answeri my questions, withholding
information, or giving false or misleading answers could delay me ica' treatment and may seriously
jeopardize your health and safety.
,/
4_ 00 you understand everything I have told you?
YeslN
//
(over)/"

/. Revis~d 312004

//(.PaJ:!:IOf2
o.C, Administr

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11""14

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PCP or. other


.'
_

//
etami es, Barbiturates, PCP or' other Hallucinogens,
L
8 HOURS?
. //

Have you taken Cocaine, A


other Opiates, or Alcohol in

Yes__
No __
Yes, Which One(s)? ---L/
Refused to Answer: __
DatefTime:
../

--,__

00 you normally tak any illegal or prescription

Her " e or

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Initials -'-~.,L-~

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3.

..

Are you currently under the infle


o
ocaine, Amphetamines, Barbituf~tes,
Hallucinogens, Heroine or ot r Opiat s, r Alcohol?
/
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Yes __
No __
If es,
- h O e(s)?
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Refused to Answer:
. t" Date ime:
/"Initials
,

2.

ive Questions
RSON EXPOSED TO o.c.

TO BE ASKED OF ANY

........

drJ~s>

Yes__
No __
If Yes, WhichOne(s)}'_/
Refused to
swer: __
Date/Time:"

--'-'---'-+

Initial

.//

4, 00 you have
condition?

eart problems, lung problems, diabetes, high blood pre sure, or any other medical
/

Yes
No __
Re sed to Answer:

5.

00

If Yes, W!Jlh

One(s)?

--;':....-..

Date/Time:

u have any allergies?


Yes __
No __
I
Refused to Answer:

es, Which One(s)?


Date/Time:

-_.......,.L-7,.~/

----;f...!.---_

f, ---------------r"-----

the undersigned
on thisfo-

Officer Signatur

Witness

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Initials

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icer, have complete


he aboveterview
with
day of _~:....-----'----_,
20 _

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--,."-/_ Initials

Time of Completion'

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Albany Police Dept. Subject Resistance Report

"'ko,

Day/D.atelTime.of !nci~.
Location of Incident: _""'c-'_"_'

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Supervisor Notified:' SG,

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Subject's Name .....


Sex: J::L Height: S'1\

8:'I.jll

Age:25

Weight: lYO

Race: .

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Charge(s):

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PL 2l...JO_20(Z)':>/
PL-2.O'S ;"30.

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PLi; j"LO a'S - '3

Force Used/Displayed
by Subject:
-,~;:;.;h,-,-o~'.J,-_0"<::j:J-1-'~R..::.<..).;..:.I"\-=c.h:...:..:...:;
"-,:,j::r---' ""k""c-tk,,,,,u.' 0...1.;0:=1
. .... ......1 :,=,~:;.::.'j":'..~+.~7T .......Q"'7?~,,:.-.-'., b""f.9'f':".i"":n,-,:?~. i"\
Injuries to Subject: --'-N..:uo..,Jo..J,;e=---'----'.,--...."....-..,---:'-:-....,.:-;.-f,- __
~'---~
.. ""'....,-i
Treated by: :---:-:=--__ --:--=-~_.r.::_7H:..:o:.::s:c.:pital
Admission?
: __
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Subject Under Influence of: DrugstfohOther'st,
if'~now:.
__'
,.'. ,......

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,

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Narrative Description of Incident (Include actions takerrby both-the Subjectand.ttte,,:','


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:""'''':;'''+h2H'

TO BE GIVEN TO ANY PERSON EXPOSEQTOO.C.,..


. .. "
..ii
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1. You have been contaminated with Oleoresin Capsicum (oq,' a mltu'ialpiodl,ld derVed'fml11 aye!'loe.,;;,:,i;.;,.,:' ';o,; ,,'
peppers. I am going to treat you to reduce the {jiscomfort you are feeling: a510ng as you cooperate.
. ..
2. OC is non-toxic and the effects will dissipate in a short time. The effects of OCtnay, howeVer, inasj(9~. ";'," ...
cover other medical conditions, including overdoses or toxic levis of drugs' like cocaine, ~mphetamines,c,.;
barbiturates, PCP and other halludnogens, heroine and oiheropi~tes,r alCohoL
.. , .."
'. '''' .,'.
3.. l am going to ask you 5 questions for your own safety, .Not answering my questions, withholding ., .. . ,c
.
informatioo, or giving false or misleading answers could delay medical treatment and may seriously.

:,~i~, '..

4.

jeopardize your health and safety~


00 you understand everything I have told.yau?
....

..":
Yes/No

.. -

Il

'(ovf)

Revised 312004 ,

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TO BE ASK

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1. Are you currently under the nfluln;~ of Cocaine, AmPhetamin~~,iBClrbiNra~!5,PC.R.;.otqtll'~;~i~~i~,~~i~~~(t~;


Hallucinogens,
',es

Heroine or thei'pi~t~s,

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or Alcohol?

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Have youfakerr

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Cbo~;i~~;;;~;~~l~~~

4.

00 you have heart. problems, lung problems, diabetes,


condition?,"',,';':,::,!""
.
Yes __
., ~o_ ..__
,If Yes, Which One(5)1'
Refused to Answer:
Date/Time:

5,

00 you have any allergies?

high blood pressure.t9r;f1Y9tll.c:~r,m~dcClliz;:'(,<fJ'g


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Refused to Answer:

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Datemme:"

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the undersigned

---------------'---_

day of

on this

-:O-:ff-:i-ce-r-S'-'-.'-Ig~n-'-a-"t:c.u'-:-re..-:.-,~-'-'-~~-",'

,
::~':~,'"

r',

is USED"

TO B'~'2~OM~LET~D EVERY ,TIME THEtSER


TaserSerial tf.:~~
. Number of CartridgsFifed;

Cartridge Serial#(s):
Number of Prob~ Contcts:

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complianc'fromthe

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derrt~?-nor after the Taser was displayed

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Albany Police Dept. Subject Resistance Report


Day/DatelTime of Incident:Thu/11/19/09/1747
Location of Incident:

~
Supervisor

Notified:

Sgt. Sesock

Officer(s) Deploying Force:~IIII


interviewing/Filing
Officer (if Different):
i-

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Subject's
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Sex: _M_
PL 205.30

Name:

"iIIIh~~

Height:_S'7"_

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_
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Age: ., _16_

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Weight: _150_

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#:09-429391_'

."On Scene? No

.F orce. Dpl:by'dh1';fh:~:Offieer'fch~cK~t;?H~r';:::";':":~
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hrs_lncident

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Race: BLK_

Charge'(s): PL 140.10{a),.

Force Used/Displayed by Subject: Fleeing from officer and did not get on the ground and .
place hands behind back.
.
Injuries to Subject: Scrape to left hand,
Treated by:
Hospit.aIAdmission?:
,
SubjectUnderlnflunce
of: Drugs/Alcohol/Other
List, if Known: --'--'-~~~'---'--"7'"
'Na~rative Description of Incident (Include actions takenby~,?'~htheSubjectanqthe
Officer/s):
. ......>
.'
.
'.
",.On 11/19/09, approximately 1734 hours and at .
.
..... r: ' ... '
> '.observed'the
defendant, along with a group of black males, inside the interior,stairwlfofsaicj
apartment building on the north side of the building. An odor of marijuana was detectedi,'.'
in the stairwell where the defendant and others were congregated. The defendant along
.
with others were checked b~
and instructed to sit on the stairs of the. stoop
.
The defendant did then leaH~),fromthe stoop onto the sidewalk and fled eastboundorL.:
,
North Third Street. I yelledatthe
defendant to stop runninq and that he-was under arrest
and to stop running now. The-defendant did not comply with my commands and I
deployed the X-26 taser aiming at.the middle of the defendant's back. The taser'sprongs
did not make contact with the defendant and he continued to run southbound on.Walter
Street, then eastbound on North Second Street, northbound on Broadway and onto the
I yelled at the defendant to get on the ground and the
defendant did not comply. I swept.the defendant's leg and brought him to the grqund. I
placed my knee on the middle of the defendant's back and instructed him to place his
hands behind his back. The defendant eventually placed his hands behind his back and
was then handcuffed.
While at Central Booking, I observed that the defendant had a
scrape on his left hand. The defendantstated
he sustained the scrape when he fell as 'he
was runnin . The defendant stated he is fine and does not need any medical attention.
otified.
O.C. Administrative

Warning

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TO BE GIVEN TO ANY PERSON EXPOSED TO O.C.


1. You have been contaminated with Oleoresin Capsicum (DC), a natural product derived from cayenne'
peppers. I am going to treat you to reduce the discomfort you are feeling, as langas you cooperate.
2.0C
is non-toxic and the effects will dissipate in a short time. The effects of OC may, however, mask or .:
cover other medical conditions, including overdoses. or toxic levels of drugs like cocaine, amphetamines,
barbturates, PCP and other hallucinogens, heroine and other opiates, or alcohol.
.
.
3. .l am going to ask you 5 questions for your own safety. Not answering my questions, withholding
information, or living false or misleading answers could delay mdlcal.treatment and may seriously
jeopardize your health and safety.
.
4. 00 you understand everything I have told you? Yes/No

(over)

Revised 3/2004

o.C.

Page l 02

Administrative Questions

JO BE ASKED OF ANY PERSON EXPOSED TO O.C.


1. Are you currently under the influence of Cocaine, AmphetamineSiBarbiturates.
Hallucinogens, Heroine or other Opiates, or Alcohol? .
.
Yes__
No __
If Yes, Which One(s)?
---,-_--'Refused to. Answer:
Date/Time:
Initials

PCP or other
.
~
_

2.. Have you taken Cocaine, Amphetamines; Barbiturates, PCP or other Hallqcinogens; Heroine or
other Opiates, or Alcohol in the LAST 8 HOURS?
.
. ,\
Yes__
No.__
If Yes, Which One(s)?
~
Refused to Answer:
DateITime:
Initials
_
3. 00 you normally take any illegal or prescriptiondrugs>
Yes__
No __
lf Yes, Which One(s)?_--Refused to Answer:
DateITime: _.
4.

-..,..
.,-,....- Initials

_
_

00 you have heart problems, lung problems, diabetes, high blood pressure, or any other medical
condition?
.
'.
.
Yes__
No __ . _ If Yes, Which One(s)?
:.....,....
__ :.....,....-'-__
Refused to Answer:
Date/Time: .,
-Initials_---,---

. 5. 00 you have any allergies?


Yes__
No __
Refused to Answer:

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Officer Signature

If Yes, Which One(s)? --------:--'----:-..c..:,....,--~-.,;,DatefTime: __ ~


. Inltials __ --

the undersigned officer, have completed the above interview with


on this
day of'
., 20_.

Witnessed By

Time of Completion

:~.

Taser Use Report


TO BE COMPLETED EVERY TIME THE TASER IS USED
Taser Serial #: .
,
Number of Cartridges Fired:
1
Number of Stun Contacts:
Laser sight activated only:
_
Location of each probe contact:
Distance between probes (in inches):

Cartridge Serial #(s): .


Number of Probe Contacts:
0,__ __
Number of probes penetrating skin: _0

---rJ-

_
_
_

-__

Length of Time for Electrical Current Application: () Programmed 5 sec. If longer/shorter, or more than
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_
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_N/A.
_

Where were the probes disposed of? Turned over to Evidence Room

---....-,....".........,..,.-Rprting:ffcer:

APD # 422

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Albany Police Dept. Subject Resistance Report


Day/DatelTimeof Incident: 11/29/09 03' 6hrs Incident #09-44.840_
Location of Incident:
'
1,-/OJ708
Supervisor Notified: _Sgt. Harrigan_

On ~?Jle? @rNo

Deploying Force:
interviewing/Filing Officer (if Different):
Officer(s)

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Subjet'sName:_
Age:_24_
Sex:M_
Height: 5'07_ Weght: _160_ Race: _Black_

DOB: ~
..
Charge(~): Dis Con, Resisting
,

;:.

Force UsedlDisplayed by Subject: . Aggressively/Actively fighting police, punching and


kicking officers, pushing and grabbing onto officers as well asspitting,_
'.
Injuries to Subject: _None
.'
.
' .'
Treated by: _Refused
Hospital AdmiSSion?:,:,,:
Subject Under Influence of: Drugs/Alcohol/Other List, if Known: _AlcohoI/BeI.:.

c,

;;,

~,;

O.C. Administrative Warning

4.

Revised

3i2004

TO BE GIVEN TO ANY PERSON EXPOSED TO O.C.


You have been contaminated with Oleoresin Capsicum (OC), a natural product derived from cayenne
peppers, Iam going to treat you to reduce the discomfort you are feeling, as long as you cooperate.
OC is non-toxic and the effects will dissipate in a short time. The effects of OC may, however, mask or
cover other medical conditions, including overdoses or toxic levels of drugs like cocaine, amphetamines,
barbiturates, PCP and other hallucinogens, heroine and other opiates, or alcohol,
j am going to ask you 5 questions for your own safety. Not answering my questions, withholding
information, or giving false or misleading answers could delay medical treatment and may seriously
jeopardize your health and safety.
Do you understand everything I have told you?
Yes/No

1- ;

. --- (over)

Page 0[2

'~;"

>:,I"Y;

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--

3.

'x:;;'

Narrative Description of Incident (Include actions taken by both the Subject and the
Officer(s) On 11/29/09 at 0356hrs the undersigned officer observed a (argefight.inthe
area of
while officers arrived and attempted tocleartheqroups
listed subject did disregard aUof the officers verbal commands toleavesaidarea.phd ...
then became very combative, and actively started fighting wit~
~
..in-which I observed the subject trying to strike the officers witfloseclfi$t,
as well as pushing/shoving and grabbing onto officers/waistband nearthe officers"
.
eq(Jipment. The undersigned officer did observe that the subject was out of control and
l risk to the officers and/or himself. The undersigned officer did give numerous
commands, and then did give three warnings of a taser deployment. Undersignedofficer
did deploy (1) five second cycle from the taser, and the subject did continue to fight with
the police. The undersigned officer did deploy an additional (1) three second cycle and
the subject was able to be placed into custody without any further incident. The subject
refused any medical attention on scene and at central booking.

2.

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O.C. Administrative Questions'


TOBE ASKED OF ANY PERSON EXPOSED TO O.C.
"

"

1. Are you currently under the influence of Cocaine, Amphetamines, Barbiturates, PCP
Hallucinogens, Heroine or other Opiates, or Alcohol?
Yes__
-No __
If Yes, Which One(5)?_'--_--.,..-_
Refused to Answer:
DatefTime:
Initials
_

or other

.:...

Have you taken Cocaine, Amphetamines, Barbiturates, PCP or other Hallucinogens, Heroine or
other Opiates, or Alcohol in the LAST 8 HOURS?
Yes__
No __
If Yes; Which One(s)?
_
Refused to Answer: __
Dateffime:
. Initials
_

2.

3. 00 you normally take any iIIega/ or prescription drugs>


Yes__
No __
. ItYes, Which One{s)? -----------""7""---.,..--Refused to Answer: __
4.

Initials

Do you have heart problems, lung problems, diabetes, high blood pressure, or any other medical
condition?

.<"

If Yes, Which One(s)? ------------"'c-----DatefTime:


Inifial'S

Yes__
No __
Refused to Answer:
5.

DatefTime:

........

00 you have any allergies?


Yes__
No
If Yes, Which One{s)?
Refused to Answer: __
DatefTime:

\----

_
- __

Initials

_
.

'.

"'

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..

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the undersigned officer, haveompleted. theaboveinter:viewVfi~J!.


on this
.
day of ',20/;,:'

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JJfficerSignature

Witn.essed By

Time of Completion

Taser Use Report


TO BE COMPLETED EVERY TIME THE TASERIS USED
/

TaserSerlal #:
Sil..
Cartridge Serial #(s):'alllPJi!!LNI.Jf1.~er
of Cartridges Fired: _1___
Number of Probe Contacts: __ 2.
'----__
Ni.nber of Stun Contacts:
O
Number of probes penetrating skin: __ O-Clotlng Only__
.'L~$er, Sight activated only:
l..oc<iC>nofeach probe contact: Center Back and Lower back right side._
__
~,.
'. Distane between probes (hinches): _1 Foot.
_
.:Lengtlfof Time for Electrical CUrrent Application: () Programmed 5 sec. If longer/shorter, or more than
oneappiication, explain total time frame involved:
.,--_
_ .. __ (1)five second application; and additional (1) three second application_
Approximate distance of probe launch: _2 feet~
-=-Did the application cause injury to the subject and/or others? Yes(f) If yes, explain:
_

-=-0.

Didthe.application

of the Tasergaincompliance

from the subject?

Where
probes
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You have been contaminated with Oleoresin Capsicum (OC), a natural product derived fr?m cayenne:'jhW'f
peppers. Iam going to treat you to reduce the discomfort you are feeling, as long as you cooperate.
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cover other medical conditions, including overdoses or tOXIClevels of drugs like cocame, amphetamInes,
barbiturates, PCP and other hallucinogens, heroine and other opiates, or alchol
Iam going to ask you 5 questions for your own safety. Not answering my questions, withholding
information, or giving false or misleading answers could delay medical treatment and may seriously
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Albany Police Dept. Subject

esistance Report

DayfDateITimeof Incident:_12/5/09 118HRS


Location of Incident:
Supervisor Notified: _Sgl Flack

Incident#:_09-449547

On Seene?~No

Officer(s) Deploying Force:


Interviewing/Filing Officer (if Different):
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Subject's Name:_~j
SAY' M I-Iinht ~'11
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Age: _. 48_-_'
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Force Used/Displayed by Subject: _Actively combative, punching/kicking


injuries to Subject: _Injuries dueto a fallprior to officers arrival)
Treated by: _AFD
Hospital Admission?: _AMCH
_
Subject Under Influence of: Drugs/AlcohollOther List, if Known: _Unknown type
control substances
'"
Narrative Description of Incident (Include actions taken by both the Subject aild tne,' ..
Officer(s):On12/5/09 at 2118hrs inside o.
,undersigned
ofcerdtd .:
assistAFD with an EMS call. Upon arrival the victimwasvery combative with aU AFD "
members and police. The call was for an intoxicated malewith injuriestohts.facedue ~()'
_ a fall. The victim did make reference to said injuries occurring due'foHroughsex"in
..'
which the victim did continue to be uncooperative and aggressive towards.alpersonnef
on scene. Undersigned officer did advise the victim that the police would have to check
his apartment to make sure the female was unharmed. The victim then did physically
become combative towards police, in.which he did push, attempt to punch(several .
times). The officers on scene were unable to gain control of the subject due tovictir,tj
.
. being naked..Family member advised that victim was under the influence.of unknown
type control substance. Officer did give numerous verbal commands, with neg results.
The victim .did square off to undersigned officer and come rushing towards undersigned ..'
officer in an aggressive manner, in which the undersigned officer diddeploythetaser to
the victim, in which the victim did fall to the ground and was taken into custody without
any further incident. The victim did not receive any secondary injuries to the taser
deployment. Victim was transported to AMCH for his injuries to a fall.
_on
scene.
O.C. Administrative Warning
.
TO BE GIVEN TO ANY PERSON EXPOSED TO O,C.
You have been contaminated with Oleoresin Capsicum (OC), a natural product derived from cayenne
peppers. I am going to treat you to reduce the discomfort you are feeling, as long as you cooperate.
2_ DC is non-toxic and the effects will dissipate in short time. The effects of OC may, however, mask or
cover other medical conditions, including overdoses or toxic levels of drugs,like cocaine, amphetamines,
barbiturates, PCP and other hallucinogens, heroine and other opiates, or alcohol.
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3.

I am going to ask you 5 questions for your own safety. Not answering my questions, withholding
information, or giving false or misleading answers could delay medical treatment and may seriously
jeopardize your health and safety.
.
Do you understand everything I have told you?
Yes/No

4.

.'/

Revised 3/2004.

(over)

O.C. Administrative Questions

TO BE ASKED OF ANY PERSON EXPQSI;.O TO O.C.

Pag

i 0[2

1. Are you currently under the influence of Cocaine, Amphetamines, Barbiturates, PCP,ar other
Hallucinogens, Heroine or other Opiates, or Alcohol?
Yes__
No __
If Yes, Which One(s)?
_
Refused to Answer: .
Date/Time:
Initials
_
2.

Have you taken Cocaine, Amphetamines, Barbiturates, PCP or of her Hallucinogens, Heroine or
other Opiates, or Alcohol in the LAST 8 HOURS?
Yes__
No __ -_ If Yes, Which One(s)?
~---.,-----'---Refused to Answer:
Date/Time:
Initiars __ .,--_

3.

00 you normally take any illegal or prescription drugs>


Yes__
No __
lf.Yes, Which One(s)?
Refused to Answer:
DateITime:

_
Initials

.~

4.

Do yeu have heart problems, lung probiems, diabetes, high blood pressre, or any other medical
condition?
'
Yes__
No __
Refused to Answer:

If Yes, Which One(s)?


Date/Time:

--:-~----Initials __

-'--_

5. Do you have any allergies?


Yes__
No __
Refused to Answer:

If Yes, Which One(s}? --'-__


Date/Time:

--'

'"

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--:-~----Initials _...".-,--'-~

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the undersigned officer, have completed the.above illterviewwitt,'


on this
.
day of
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.
,20..:...:.
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Officer Signature

Witnessed By

.Time of Completion

Taser Use Report/


TO BE COMPLETED EVERY TIME THE TASER IS USED
....

.'

-=0_

Ta'~erSerial #: ~
Cartridge Serial #(s): .Ytf"'IIIlJUn
Number of Cartridges Fired:
1
Number of Probe Contacts: _2.
_
Nmber of Stun Contacts:
Number of probes penetrating skin: _._2 __
--"-=....
_
.'L~sersight activated only: __ 0__
,:.
Location of each probe contact: _BOTH
CENTER CHESTrrORSO__
--'-,--_
Distance between probes (in inches): _12,
_
. Length of Time for Electrical Current Application:
( Programmed 5sec. If longer/shorter, or more than
one application, explain total time frame involved:
_
Approximate distance of probe launch: __ 2 foot.__ ---,Did the application cause injury to the subject and/or others?

---;;"""'
:-Yes~ o If yes, explain:

Did the application of the Taser gain compliance from the subject?

8NO

Describe the subject's demeanor after the Taser was displayed or deployed: _subject became very
cooperative after taser deployment
.
were the probes dispose
Reporti!1g Officer:

.1

APD#422

:1

s container at AMCH

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_Supervisor Approving~'

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