Date: PALM BEACH POLICE DEPARTMENT Time: Incident Report
Case No. .. . : 1-05-000368 (Continued)
Can Identify . : Victim Sobriety:
Injury Extent : Injury Type 1
Injury Type 2 : _ Hospital ID :
Med Treatment : Phys First Name:
Phys Last Name
KKKKKEEKE OT HER PERSON INFORMATION KR KEKE KK Case Number . : 1-05-000368 t Name . . CoS
Street Number =: .
City .. : b6 Birth Date/Age : Employer? .. : b7C Occupation ... : STUDE Oper Lic No.
Home Phone No. : Race... . . : White
Sex .... . : Female Height ....: 0
Weight ... 0 Person Type . : OTHER PERSON
Other Phone Nbr: .
RRKEKEKEK O THER PERSON INFORMATION - # 2 xxxxKkKEE Case Number . : 1-05-000368 st Name :
Street Number
City . Z
Birth Date/Age : Employer? .. :
Decupation .. : Oper Lic No. . ‘[ dome Phone No. : Race... .. : White b6 sex . . . . . : Female Height... . : 510 b7c Veight ....: 0 Person Type . : OTHER PERSON
ther Phone Nbr:
tkkeREKEXK O T HER PERSON INFORMATION 3B KKEKKKKKE tase Number . : 1-05-000368 Name ..: coo SS YS street Number =: ‘
tity . .
3irth Date/Age Employer? ..
\ecupation Oper Lic No. . :
fome Phone No. Race... . . : White
‘eX . . ke, Female Height ....: 0
leight . 0 Person Type . : OTHER PERSON
‘ther Phone Nor: [
‘kkEKKERE OT HER PERSON INFORMATION KKKAKEE RK ‘ase Number . : 1-05-000368 Name .. : itreet Number :
‘ity .
sixth Date/Age Employer?
iccupation Oper Lic No. :
‘ome Phone No. Race... . . : White
ex se wa 8 Height ....: 0
eight i. ; 0 Person Type . : OTHER PERSON
ther Phone “Nbr:
KeKKKKEKK QO THER PERSON INFORMATI = 5 BRERKKKKE ase Number . : 1-05-000368 Last Name . . pees
ae —— : HOUSE_OVERSIGHT_018962