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Lewis County Sheriff's Office

Incident Report
Incident #:14C3709 Incident:Driving Under Influence Location:410 Central Ave When Reported:01:07:38 04/11/14

Area:LCW PeEll/Doty/Dryad Occurred Between:01:03:36 04/11/14 And:01:03:36 04/11/14

ARRESTEES: 1) Name:CORDER, ANTHONY KEITH DOB:12/23/86 Weight:218 Address:210 Central Ave Pe Ell, WA 98572 Home Phone:(360)880-5393 MENTIONED IN REPORT: 1) Name:MEYER, EBONNIE ELIZABETH DOB:4699299 Address:302 PIONEER ROAD TRLR 21 Aberdeen, WA 98520 Home Phone:(360)589-9954 Employer: VEHICLE INFORMATION: 1) Status:ARRESTED VIN: Make:FORD Color:BLK/ Description: NARRATIVE: Name: Mohr M

Race/Sex:W/M Hair:BRO

Height:5'09" Eyes:BLU

Work Phone:( ) -

Race/Sex:/F

Work Phone:( ) -

License:53711D Expires:04/11/15 Model:CROW N VI Doors:0

State:WA Year:1999 Type:PCAR Value:$

Narrative: While within the boundaries of Lewis County on 4/11/2014 at about 0108 hours I, Deputy M. Mohr, was dispatched to a suicide threat in the Town of Pe Ell. Dispatch had advised the Town of Pe Ell Marshal, Anthony K. Corder, had been making phone calls to his ex-girlfriend talking about suicide. I contacted Mr. Corder's ex-girlfriend, Ebonnie E. Meyer, and she told me Mr. Corder was highly intoxicated and gets like this when he is drinking. Ms. Meyer stated Mr. Corder told her he was going to shoot himself and he would burn her house down. Ms. Meyer advised me she did not have Mr. Corder's phone number because he was calling from a restricted number. Ms. Meyer told me she did not

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know where Mr. Corder was but last time he called her while intoxicated he was in his city office where he subsequently passed out. Deputy J.S. Humphrey and I headed towards Pe Ell. Deputy Humphrey arrived in Pe Ell a few minutes before I and located what appeared to be Mr. Corder driving his Town of Pe Ell patrol vehicle. The vehicle was traveling down Main Street with its head lights off. I heard Deputy Humphrey attempt radio contact with Mr. Corder on the Lewis County primary frequency with no success. Vehicle In Motion See Deputy Humphrey's supplemental narrative for details. Personal Contact I observed a Town of Pe Ell patrol vehicle parked at a residence to the north of the Texaco gas station I had met Deputy Humphrey at. I could see the driver's side door was fully ajar and nobody appeared to be occupying it. I observed a male subject approach the driver's side of the patrol vehicle, closed the door, and walk back to the residence. Deputy Humphrey called Mr. Corder's cell phone and got no answer. Within less than a minute Deputy Humphrey's phone rang and it was Mr. Corder on the opposite end. Mr. Corder agreed to come out and meet us at the Texaco station. I observed Mr. Corder walk out from the residence and past his patrol car. Mr. Corder paused for a moment and turned his back to us. Mr. Corder then turned in our direction and slowly walked over to the gas station. Mr. Corder stumbled and walked very slowly appearing to think about each step. Mr. Corder arrived at our location and began to speak with Deputy Humphrey. I could smell a strong odor of intoxicants coming from Mr. Corder when he spoke. I could see Mr. Corder's eyes were watery and bloodshot. Mr. Corder was slurring his speech and repeating himself. Mr. Corder could not believe that his ex-girlfriend had called us and told us he was suicidal. Mr. Corder referred to Ms. Meyer as a "Bitch" and a "Cunt". Mr. Corder told Deputy Humphrey that it was wrong of him to be driving his patrol vehicle after drinking but didn't seem to be too concerned about it. I asked Mr. Corder if he would submit to voluntary field sobriety tests and he told me yes. Pre Arrest Screening The tests were conducted in the parking lot of the Texaco gas station. The surface was paved and level, the concrete was dry. The parking lot was lighted by the overhead fluorescent lights from the gas pump awning and provided very good lighting comparable to daytime conditions. Prior to each test I verbally instructed and demonstrated each test to Mr. Corder. At the conclusion of each instructional/demonstrational phase I asked Mr. Corder if he understood and he told me yes. Horizontal Gaze Nystagmus I held up my pen with the black/grey button end up and asked Mr. Corder if he

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Incident Report

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could tell me what color it was. Mr. Corder stated it was red or blue. I checked Mr. Corder's eyes for equal pupil size and resting nystagmus, Mr. Corder had equal pupils and no resting nystagmus. I checked both Mr. Corder's right and left eyes and he displayed lack of smooth pursuit in both eyes. There was distinct and sustained nystagmus at maximum deviation in both eyes. Mr. Corder had onset of nystagmus prior to 45 degrees in both eyes. There was no vertical nystagmus in either eye. Mr. Corder displayed poor balance and was swaying from left to right throughout this test. Walk and Turn I instructed Mr. Corder to the starting position and he stated he would fail the test. I advised Mr. Corder to attempt the test and he placed his left foot on a line in the pavement. Mr. Corder proceeded to place his right foot in front of his left foot but could not keep his balance. When Mr. Corder established both feet on the line he started to walk down the line without me instructing him to do so. I instructed Mr. Corder back to the starting position. Mr. Corder struggled with standing in the starting position and again started too soon. I re-instructed Mr. Corder back to the starting position and finished the instructions. I told Mr. Corder he could begin and he took one step off line raising his arms for balance. Mr. Corder stopped taking steps and told me he could not finish. One Leg Stand Mr. Corder began in the starting position and displayed poor balance. Mr. Corder swayed to the left and right and also front to back. Mr. Corder began the test and raised his left foot for about 2 seconds before placing back on the ground. I instructed Mr. Corder to continue and he raised his left foot again. Mr. Corder would not look at his foot when instructed to do so. Mr. Corder again lowered his foot to the ground after about 3 seconds. I instructed Mr. Corder again to continue with the test and once again he raised his left foot for about 2 seconds before placing it back on the ground. Mr. Corder used his arms to balance and swayed from right to left throughout the test. Preliminary Breath Test Mr. Corder was asked to submit to a preliminary breath test which he agreed. The PBT was administered with a result of .235 at about 0214 hours. Arrest of the Defendant At about 0219 hours I told Mr. Corder he was under arrest for driving under the influence of intoxicants. I placed Mr. Corder in wrist restraints gauging them for tightness and double locking them. I searched Mr. Corder's person incident to arrest and placed him in the back of my patrol car. At 0241 hours I read Mr. Corder his Miranda Rights. Mr. Corder's mood changed from cooperative to argumentative and he kept repeating questions I had already answered for him. Mr. Corder stated he was going to get fired from his job as the Town of Pe Ell Marshal. Mr. Corder's patrol car was released to the Town of Pe Ell Mayor Spencer Nichols. Mr. Corder's duty weapon was retrieved from the patrol vehicle and

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booked into evidence by Deputy Spahn for safekeeping. I cleared the gas station en-route to the Lewis County Jail for the Breath Alcohol Concentration test at about 0306 hours. I arrived at the jail at about 0329 hours. Administrative Process I asked Mr. Corder if he would like to contact his attorney and he told me yes. I showed Mr. Corder the list of attorneys and he stated he wanted to use the Town of Pe Ell's attorney. Mr. Corder told me he did not know his attorneys name or phone number and he would have to look in his cell phone to retrieve it. I allowed Mr. Corder to look in his cell phone but he could not find the number. Mr. Corder wanted to call his family and the mayor but I directed him back to the attorneys on the wall. Mr. Corder became upset and stated he did not want to use any of the attorneys on the wall. I checked Mr. Corder's mouth for foreign objects and started the observation period for the BAC test at 0347 hours. Mr. Corder decided to choose the first attorney on the list and contacted David Arcuri. I called Mr. Arcuri and informed him who I was and that I had Mr. Corder in custody for DUI. I stepped out of the BAC room allowing Mr. Corder his privacy but continued to watch him through the window. After concluding his telephone call I re-entered the BAC room and checked Mr. Corder's mouth and started the second observation period at 0355 hours. At 0403 hours I read Mr. Corder the Constitutional Rights from the DUI Arrest Report which he stated he understood but refused to sign on the DUI Arrest Report. At 0408 hours, I again informed Mr. Corder he was under arrest for DUI and read him the Implied Consent Warning for Breath. Mr. Corder stated he understood and signed the consent form. Mr. Corder then agreed without question to give two breath samples and initialed the consent form. Mr. Corder told me he would not answer any interview questions in the DUI Arrest Report but he would submit breath samples. Additional Information I explained and demonstrated to Mr. Corder the manner in which he needed to blow in order to provide 2 valid breath samples. Mr. Corder told me he understood how to give 2 breath samples. Mr. Corder did not have anything to eat, drink, or smoke during the observation period. The BAC thermometer was within the required range of 34 degrees Celsius +/- .2 degrees Celsius. The RFI antenna was present and the breath tube was warm/hot to the touch. The external standard was within the required range of .072 to .088. After the observation period was satisfied, Mr. Corder provided 2 breath samples that were accepted by the BAC DataMaster with results of 0.184 and 0.186. (See attached Breath Test Analysis Sheet) Mr. Corder was then issued criminal citation # 4Z0430782 and booked into the Lewis County Jail.

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I CERTIFY UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT ALL STATEMENTS MADE HEREIN ARE TRUE AND ACCURATE AND THAT I AM ENTERING MY AUTHORIZED USER ID AND PASSWORD TO AUTHENTICATE IT (RCW 9A.72.085). Electronically Signed: Yes Signature: Deputy M. Mohr Chehalis/Lewis/Washington Date: 4/11/2014

SUPPLEMENTAL NARRATIVE: Name: Humphrey J Dep Date: 07:46:48 04/11/14


SUPPLEMENTAL/J. HUMPHREY/04-11-14 On 04-11-14, at approximately 0103 hours, I, Deputy J.S. HUMPHREY, was dispatched to assist Deputy MOHR and Deputy SPAHN with a suicide threat detail at 410 Central Avenue in Pe Ell. Dispatch advised they received a call from Evonnie MEYER in Central Park stating she had gotten a call from her ex, who she identified as Anthony Keith CORDER. Ms. MEYER told dispatch Mr. CORDER called her up and threatened to burn her house down and also made threats to harm himself. Ms. MEYER further explained to dispatch Mr. CORDER had recently been hired as the Pe Ell Marshall and had a .45 pistol. I responded down to the area and, after coordinating with Deputy MOHR, we stated we would meet at the Texaco station in the city limits of Pe Ell. Once I arrived down at the Texaco station, I was sitting in the parking lot waiting for Deputy MOHR to arrive and I noticed a patrol car driving eastbound on 2nd Avenue in Pe Ell. The vehicle then turned right in front of me onto Pe Ell Avenue E. I noticed the patrol car was a Pe Ell city police car. Prior to this I had never met Mr. CORDER, however, I could tell the patrol car was being driven by a younger white male with short brown hair and appeared to be in civilian clothes. Given the information we were provided earlier, I assumed this was Mr. CORDER. With the threats at hand, I decided to wait and not stop Mr. CORDER and wait for the backup of Deputy MOHR and Deputy SPAHN to arrive. I did follow the vehicle, which was being driven without its headlights. The vehicle then turned in the alley behind the Texaco and drove down into a trailer park just east of the Texaco and parked in front of a residence. I noticed the white male get out of the vehicle and go into the house. The approximate time I observed the vehicle driving on 2nd Street and turning onto Pe Ell Avenue was approximately 042 hours. Deputy MOHR and Deputy SPAHN arrived shortly thereafter. The decision was then made that I attempt to call Mr. CORDER on his cell phone, which I did and there was no answer. About a minute later, I received a call back from Mr. CORDER. I spoke with him on the phone and asked him if he would walk over to the Texaco and speak with us. While speaking with Mr. CORDER on the phone, he asked me if he was in trouble and if I was going to arrest him. At that time I told Mr. CORDER we just needed to talk to him about an incident we were investigating down here in Pe Ell. He then stated, "Come on man don't lie to me." Mr. CORDER finally did agree to come

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over and speak with us over at the Texaco, however, told us he was intoxicated and didn't know how that would look. Once Mr. CORDER came over to the Texaco, I watched him walk across the parking lot from the residence where he was and he was staggering and appeared to have trouble balancing. Once Mr. CORDER came over, I asked him what was going on with his ex down in Central Park and he stated she was a crazy ex and she had given the repo company an extra key to his car and his car got repo'd, which made him upset. He said several times he wasn't planning on killing himself and he would never do that and if he wanted to kill himself he would have done it over in Afghanistan. I then asked Mr. CORDER about driving the vehicle and he stated, "Yes I did do that. I made a mistake there." At that time, I had a conference with Deputy MOHR. We then decided for Deputy MOHR to take over the investigation from that point and ask Mr. CORDER if he would be willing to do some voluntary field sobriety tests. See Deputy MOHR's narrative for further information about the field sobriety tests and subsequent arrest. It should also be noted the exempt license plate on the patrol car is 53711D, which returned to a '99 Crown Vic, blue in color, registered to the town of Pe Ell. I CERTIFY UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT ALL STATEMENTS MADE HEREIN ARE TRUE AND ACCURATE AND THAT I AM ENTERING MY AUTHORIZED USER ID AND PASSWORD TO AUTHENTICATE IT (RCW 9A.72.085). Electronically Signed: Yes Signature: Jeffrey S. Humphrey Chehalis/Lewis/Washington Date: 04-11-14 Deputy Jeffery S. Humphrey, #224 Lewis County Sheriff's Office Chehalis, WA JSH:dt April 11, 2014

Printed: 10:51:40 04/11/14

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File Name: 14C3709 BAC.pdf 14C3709 CITATION 4Z0430782.pdf 14C3709 DUI ARREST REPORT.pdf 14C3709 DUI COST RECOVERY.pdf 14C3709 PROP IN CUST REPORT - ITEM 1.pdf 14C3709 PROP IN CUST REPORT VEH.pdf 14C3709.pdf Printed: 10:51:40 04/11/14

File Description: BAC 4Z0430782 DUI ARREST REPORT DUI COST RECOVERY PROP IN CUST REPORT - ITEM 1 PROP IN CUST REPORT - VEH AR & PC

File Type: Other Citation Other Evidence Report Evidence Report

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Fing91print

[]

Destroy:
~

[]

Yes Cl No

[] [] []

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Fin~rprint

[]

Destroy:

[]

Yes [] No

;.:
l

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[]Ral
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Cl Yes Cl No

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.

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.

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Finaerorint RELEASED TO L OR RECEIVED FROM U

[]

Destrov:

Yes Cl No

. ':'

.,
DATA ENTRY

[] Pp. Am.

RE_PORTING f"';R

'' CARROL:$ PAINTING INC

" - REV 03110

5P~

'-"J "

, Z3i::>

IAG~o

I RECEIVED-PROP. ROOM

'.I

....

...,..,__
a

I
CAGE

Evidence use only Roawed From. Temporary Storage.

EE

I a

WE

V'IB Hand

V'IB Mailbox

Case#:

/4C.3701

DUI COST RECOVERY REPORT & AGENCY RESTITUTION REQUEST


IN THE: LEWIS COUNTY Requesting Agency:

SUPERIOR

~DISTRICT

MUNICIPAL COURT

D D

Centralia Chehalis

[ZJ

LCSO Morton

D D

Mossyrock Napavine

D D

Pe Ell

0Vader 0Winlock

Toledo

Defendant Name: (Last, First, Middle)

Date of Birth:

C_-OMEJ< 1 ,A/VT/IO/VY/ A-E/T/7


Citation#: Officer/Deputy Name:

/2-.23-/936
Date of Arrest:

420430782
Start Time:

~..A-?o#A. End Time:

-j/-20/.:p-

Total Time:

0108

!008

C/ ;9ov..es

Washington State Law RCW 38.52.430 provides that the expense of response to the crime of DUI is a charge against the person liable for expenses and constitutes a debt of that person and is collectable by the public agency incurring those costs in the same manner as in the case of. an obligation under a contract, expressed or implied.
Cost Per Hour: Cost Per Minute: Were.there translator fees?
,,

D- i:: Yes :.0 ,, -''\->

-No

': '

If yes, invoice pending

Were there}ees associated with medical costs?,

-D

Yes

No

If yes, invoice pending

TOTAL RESTITUTION REQUESTED:

I 4d- 1-. ~ o
cJ.-_
(Plus pending invoices, if applicable)

I hereby certify under the penalty of perJury under the laws of the State of Washington that the foregoing is true and correct: Signed in Lewis County, Washington, this

/1 T//

day of --'-A-~_~_IL _ _ _ _ _ _ 20 Signature: ~-

11 .

For Court Use Only

Date of Conviction/Deferral: _ _ _ _ _ _ _ Restitution Ordered: $_ _ _ _ _ __ Clerk:

Distribution: Forward original to Records Division with all related reports.

WASHINGTON STATE

DUI ARREST REPORT REPORTOFBREATH/BLOODTESTFORALCOHOLOR REFUSAL TO SUBMIT TO BREATH TEST FOR ALCOHOL AND DRUGS
SUBJECT'S NAME (LAST, FIRST, Ml) SEX

DATE OF BIRTH

DATE I TIME OF ARREST

CoAOft.. J ANr#oA/Y. kF!Tf/


STREET ADDRESS

~M

OF

/Z-13-1?86
WA

41114

()Lif

CITY I STATE I ZIP CODE

2-10

CENTMi. AI/.

,PE &I!L /

DRIVER'S LICENSE NUMBER

I
1st

CDL ENDORSED? (CHECKIFYES)

C Oll.DEA k 145fi. 3
BAC Readings:

STATE

WA
2nd

COUNTY OF ARREST

I
Refused Test

CASE I

Cl~ NUMBER

L.WI5
Sample

#C.J;t;f_ ~J-0430782.

Sample .. /84

.j36

The subject was lawfully arrested. At that time, there were reasonable grounds to believe that the arrested person had been driving or was in actual physical control of a motor vehicle within this state while under the influence of intoxicating liquor or drugs, or both, or was under the age of twenty-one years and had been driving or was in actual physical control of a motor vehicle while having an alcohol concentration in violation of RCW 46.61 .503.
Check those that apply:

D D

A breath test was administered after providing the warnings required by subsection (2) of RCW 46.20.308, AND the results indicate the arrested person's alcohol concentration was 0.08 or more if the arrested person's age is twenty-one or over, OR was in violation of RCW 46.61 .502, 46.61.503, or 46.61.504 if the arrested person is under the age of twenty-one. The arrested person refused to submit to a test of his/her breath after receipt of the warnings required by subsection (2) of RCW 46.20.308. FELONY/UNCONSCIOUSNESS: The blood or breath test was administered pursuant to a search warrant, a valid waiver of the warrant requirement or exigent circumstances AND the arrested person was unconscious or I had probable cause to believe a felony DUI, felony physical control of a motor vehicle while DUI, vehicular homicide, vehicular assault or an arrest for DUI resulting from a collision in which there has been serious bodily injury to another person pursuant to RCW 46.20.308(3) was committed by the arrested person.
Driver's Hearing Request Information was given to the arrested person.

Notice of Right to Hearing: I have been given written notice of my right to a hearing, including the steps required to obtain a hearing, and understand that the notice of suspension, revocation, or denial of license will be mailed to the address of record on file with the Department of Licensing.

SIG

~~
D ER

YN~-20'/~
DA

Complete this box ONLY if the arrested person was driving a commercial motor vehicle as defined in Chapter 46.25 RCW at the time of the incident.

D Operating a Vehicle Requiring a Commercial Driver's License

1 BAC Readings: 1' Reading - - - 2"d Reading___ Refused Test _ __

There was probable cause to believe that the arrested person was driving or was in actual physical control of a vehicle requiring a commercial driver's license within this state while having alcohol/drugs in his/her system and that a test of his/her breath and/or blood disclosed an alcohol concentration of 0.04 ormore. OR There was probable cause to believe that the arrested person was driving or was in actual physical control of a vehicle requiring a commercial driver's license within this state while having alcohol/drugs in his/her system. The arrested person was requested to take a breath/blood test and informed of the consequences of refusal and his/her rights under Chapter 46.25 RCW. The arrested person then refused to submit to the requested test. Chapter 46.25 RCW
VEHYEAR

I MAKE

I MODEL

LICENSE PLATE NUMBER

STATE

I HAZARDOUSMATERIAL? D

YES

NO

NOTE: If applicable, sign and date this page after toxicology report is received. I certify (or declare) under penalty of perjury under the laws of the state of Washington that the foregoing and the accompanying reports/copies of documents and the information contained therein are true, correct, and accurate. (RCW 9A. 72.085.)

WAO~IOOOO
LAW ENFORCEMENT AGENCY ORI NO. (9 digits) OFFICER'S SIGNATURE DATE SIGNED

MAILING ADDRESS

PRINTED NAME OF OFFICER

BADGE NUMBER

CITY

STATE

ZIP

PLACE SIGNED (city I county I state)

CONTACT PHONE NUMBER FOR HEARING (include area code)

OFFICER'S E-MAIL ADDRESS

OFFICERS: Fax or e-mail completed report, breath test document, and supplemental reports to:

Department of Licensing Driver Records SwornReports@DOL.WA.GOV Fax: (360) 570-7026

Number of pages faxed _ _ _ __

USE THIS PAGE AS COVER SHEET


3000-110-196 (R 9113)

Page 1

WASHINGTON STATE

DUI ARREST REPORT


CASE I CITATION NUMBER

/4C~7oqj4Z04 3o78Z-

18' On the date, time and location of this arrest, I had authority to arrest pursuant to my agency's jurisdiction or RCW 10.93
CONSTITUTIONAL RIGHTS
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

I HAVE READ OR HAVE HAD READ TO ME THE ABOVE EXPLANATION OF MY CONSTITUTIONAL RIGHTS AND I UNDERSTAND THESE RIGHTS.

SUBJECT'SSIGNATURE

j.EFt/SEP

TO ..S/6/1/

I UNDERSTAND MY CONSTITUTIONAL RIGHTS. I HAVE DECIDED NOT TO EXERCISE THESE RIGHTS AT THIS TIME. ANY STATEMENTS MADE BY ME ARE MADE FREELY, VOLUNTARILY, AND WITHOUT THREATS OR PROMISES OF ANY KIND.

OFFICER'S SIGNATURE

~ ,74/
LOCATION(s)

"'"S,...,UB"'"J.,.;E6S'~~.S;:;S~I:;:;G""'NA;::T;:;U:;:;R~E~~-o;;::::=-----------

__d'

DATE /TIME

~ Constitutional rights (Miranda) were read in the field at 024 I


ATTORNEY REQUESTED l)JYES 0No EXPLANATION: ATTORNEY CONTACTED? TIME: 3~4/

hours from the department issued rights card.

ATTORNEY'S NAME

ATTORNEY'S PHONE NO.

DYES 0No OuNABLE

DAVIP Af{CVA I
)'t O:i.t:.
.ArrOA..v.:-~
00.:5

740-S511I
A/oT K.A;'ot.v" ATTa<..,v
./:"0~
4

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vvA/VrS

TO

TALic

To CJr .Y o~
#

:,Yj-

/VAME oft

)'fr"O#

.AI'V.MB6--~

/IE L..OOkE~

/A/ #15 eEL~ /.M::=>....VE


1

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ATTo.<A/sYS

/Vi/.,.,.,$A.

Dvr ~~:.o /Vor Fl.#.?

T.

DAvtP .AAcv.A..t.,

3000-11().196 (R 9/13)

Page2

WASHINGTON STATE

DUI ARREST REPORT


CASE I CITATION NU~R

ji/C37()C( /

4Z043073Z

I
~

IMPLIED CONSENT WARNING FOR BREATH


WARNING! YOU ARE UNDER ARREST FOR:
(check appropriate box[es])
RCW 46.61.502 OR RCW 46.61.504: Driving or being in actual physical control of a motor vehicle while under the influence of intoxicating liquor and/or drugs. RCW 46.61.503: Being under 21 years of age and driving or being in actual physical control of a motor vehicle after consuming alcohol or marijuana. RCW 46.25.110: Driving a commercial motor vehicle while having alcohol or THC in your system.

0
1.

FURTHER, YOU ARE NOW BEING ASKED TO SUBMIT TO A TEST OF YOUR BREATH WHICH CONSISTS OF TWO SEPARATE SAMPLES OF YOUR BREATH, TAKEN INDEPENDENTLY, TO DETERMINE ALCOHOL CONCENTRATION. YOU ARE NOW ADVISED THAT YOU HAVE THE RIGHT TO REFUSE THIS BREATH TEST; AND THAT IF YOU REFUSE: (A) (B)
2.

YOUR DRIVER'S LICENSE, PERMIT, OR PRIVILEGE TO DRIVE WILL BE REVOKED OR DENIED BY THE DEPARTMENT OF LICENSING FOR AT LEAST ONE YEAR; AND YOUR REFUSAL TO SUBMIT TO THIS TEST MAY BE USED IN A CRIMINAL TRIAL.

YOU ARE FURTHER ADVISED THAT IF YOU SUBMIT TO THIS BREATH TEST, AND THE TEST IS ADMINISTERED, YOUR DRIVER'S LICENSE, PERMIT, OR PRIVILEGE TO DRIVE WILL BE SUSPENDED, REVOKED, OR DENIED BY THE DEPARTMENT OF LICENSING FOR AT LEAST NINETY DAYS IF YOU ARE: (A) AGE TWENTY-ONE OR OVER AND THE TEST INDICATES THE ALCOHOL CONCENTRATION OF YOUR BREATH IS 0.08 OR MORE, OR THE TEST INDICATES THE THC CONCENTRATION OF YOUR BLOOD IS 5.00 OR MORE, OR YOU ARE IN VIOLATION OF RCW 46.61.502, DRIVING UNDER THE INFLUENCE, OR RCW 46.61.504, PHYSICAL CONTROL OF A VEHICLE UNDER THE INFLUENCE; OR (B) UNDER AGE TWENTY-ONE AND THE TEST INDICATES THE ALCOHOL CONCENTRATION OF YOUR BREATH IS 0.02 OR MORE, OR THE TEST INDICATES THE THC CONCENTRATION OF YOUR BLOOD IS ABOVE 0.00, OR YOU ARE IN VIOLATION OF RCW 46.61.502, DRIVING UNDER THE INFLUENCE, OR RCW 46.61.504, PHYSICAL CONTROL OF A VEHICLE UNDER THE INFLUENCE. THE DATAMASTER WILL NOT TEST FOR THC CONCENTRATION IN A BREATH SAMPLE.

3.

IF YOUR DRIVER'S LICENSE, PERMIT, OR PRIVILEGE TO DRIVE IS SUSPENDED, REVOKED, OR DENIED, YOU MAY BE ELIGIBLE TO IMMEDIATELY APPLY FOR AN IGNITION INTERLOCK DRIVER'S LICENSE. YOU HAVE THE RIGHT TO ADDITIONAL TESTS ADMINISTERED BY ANY QUALIFIED PERSON OF YOUR OWN CHOOSING.

4.

FOR THOSE NOT DRIVING A COMMERCIAL MOTOR VEHICLE AT THE TIME OF ARREST: IF YOUR DRIVER'S LICENSE IS SUSPENDED OR REVOKED, YOUR COMMERCIAL DRIVER'S LICENSE, IF ANY, WILL BE DISQUALIFIED. FOR THOSE DRIVING A COMMERCIAL MOTOR VEHICLE AT THE TIME OF ARREST: IF YOU EITHER (A) REFUSE THIS TEST OR (B) SUBMIT TO THIS TEST AND THE TEST INDICATES AN ALCOHOL CONCENTRATION OF 0.04 OR MORE, OR ANY MEASURABLE AMOUNT OF THC CONCENTRATION, YOU WILL BE DISQUALIFIED BY THE DEPARTMENT OF LICENSING FROM DRIVING A COMMERCIAL MOTOR VEHICLE. THE DATAMASTER WILL NOT TEST FOR THC CONCENTRATION IN A BREATH SAMPLE.
I HAVE READ THE ABOVE STATEMENT TO THE SUBJECT

A~
I TIME

I HAVE READ OR HAVE HAD READ TO ME THE ABOVE STATEMENT(S).

:Z?I
LOCATION

OFFICER'S SIGNATURE

SUBJECT'S SIGNATURE

4--14 0403
DATE WILL YOU NOW SUBMIT TO A BREATH TEST? Did subject express any confusion regarding the

Ch'Eh'..fU0c'-t'.S C~#/)'/ WA
"

11

h_,(JJYES

NO

implied consent warnings? If yes, explain below.

DYES lXNo

~At the time of this test(s), I was certified to operate the BAC DATAMASTER, the BAC DATAMASTER CDM, and PBT and possessed a valid permit
issued by the State Toxicologist. DO YOU HAVE ANY FOREIGN SUBSTANCE IN YOUR MOUTH? DYEs (XNo MOUTH CHECKED? TIME? MOUTH CHECK? (If Necessary) TIME?
2ND

034"'
NO

CJ355
D

ANY FOREIGN SUBSTANCES FOUND? BYES REMOVED YES

i8'YES D

~YES

~NO

EXPLAIN:

NO

NO

~
~

I observed the subject from the time of the mouth check through the completion of the breath test. The subject did not vomit, eat, drink, smoke, or place any foreign substance in his/her mouth during the observation time. I performed the PBT test in accordance with the State Toxicologist's protocols. (Chapter448-15 WAC)
RELEASED TO:

PBT READING

.2.35

PBTTIME

0.2.14

~BOOKED
PR"D

3000-110-196 (R 9/13)

Page 3

WASHINGTON STATE

DUI ARREST REPORT

CASE I CITATION NUMBER

DUI INTERVIEW
~ HAVE ANY PHYSICAL IMPAIRMENTS?

/4C370~~4Z04J079Z
NO YES 0 YES 0 NO NO

EXPLAIN:

13. ANYTHING MECHANICALLY WRONG WITH THE VEHICLE?

NO

YES 0

2.DOYO~ 0 YES 0
3. ARE YOU SICK /I~PLAIN:

14. HAVE YOU BEEN INJURED OR INVOLVED IN ANY COLLISION(S) IN THE PAST 24 HOURS? 15. HAVE YOU HAD ANY ALCOHOL TO DRINK SINCE BEING STOPPED I THE COLLISION? 15A. WHAT? 15B. HOW MUCH?

0 0

0 0 0 0 0 0

YES 0 YES 0 YES 0 YES 0 YES 0 YES 0

NO NO NO NO NO NO
7D. QUANTITY?

4. UNDER CARE OF A DOCTOR~~

16. TIME COLLISION OCCURRED?

5. ARE YOU DIABETIC I EPILEPTIC?

6. DO YOU TAKE INSULIN?

7. HAVE YOU TAKENR~NES/DRUGS IN THE PAST 24 HOURS? ES 0 NO

~~

17. WHERE WERE YOU GOING BEFORE STOPPED I THE COLLISION?

18. WITHOUT LOOKING, WHAT TIME DO YOU THINK IT IS? 19. WHAT STREET I HIGHWAY WERE YOU ON?

(ACTUAL TIME)

7A. PRESCRIPTION?

~~

&

20. DIRECTION OF TRAVEL? 22. TIME STARTED?

7B. NON-PRESCRIPTION?

7C. LAST DOSE?

7E. COCAINE?

MARIJUANA?

OTHER?

""'""
D
0

21. STARTED FROM?

23.~EWEEK?
Mon Tues

Wed

Thurs

Fri

Sat

0Sun

24. WHAT Cl~ ARE YOU IN NOW?

25. WHAT IS THE DATE?

YES 0

NO

YES 0

NO
8A. DO YOU WEAR CORRECTIVE LENSES? 26. HAVE YOU BEEN DR~~ ALCOHOLIC BEVERAGES? 26A. WHAT HAVE YOU BEEN DRINKING?

8. DO YOU HAVE IMPAIRED VISION?

YES 0

NO

YES 0

NO

YES 0

NO

8B. WERE YOU WEARING THEM WHEN YOU WERE STOPPED I BEFORE COLLISION? 0 YES 0 NO 9. WHERE DO YOU WORK? 9A. DID YOU WORK TODAY? 10. TIME YOU GOT OFF WORK?

26B. HOW MUCH?

........

26C. WHEN DID YOU START?

27. WHO HAVE YOU BEEN DRINKING WITH? 29. TIME OF LAST DRINK?

11. HOURS OF SLEEP LAST NIGHT?

12. WERE YOU DRIVING THE VEHICLE?

YES 0

NO

30. 00 YOU BELIEVE YOUR ABIL~AS AFFECTED BY YOUR ALCOHOL AND/ DRUG USAGE?

""

28. ~E YOU DRINKING?

31. HAVE YOU EVER BEEN ARRESTED FOR DUI BEFORE?

D YES

0No

IF YES, HOW MANY TIMES?

If drug

use indicated, please contact

WSP

Communications or local

ORE

after breath test and continue with

DUI

process.

PRE-ARREST OBSERVATIONS
1. ATTITUDE 2. COORDINATION 0GOOD 0 FAIR 3. CLOTHES
~ORDERLY

4. EYES 0 NORMAL IHWATERY 0 DROOPY

Ill COOPERATIVE
0 MOOD SWINGS 0 ARGUMENTATIVE 0 CRYING 0 LAUGHING 0 OTHER:

5. FACIAL COLOR 0 NORMAL

6. ODOROF INTOXICANTS ON BREATH 0NONE 0 FAINT 0 MEDIUM

7. SPEECH 0GOOD 0FAIR

""'

0 SOILED - EXPLAIN 0 OTHER: EXPLAIN

Ill POOR
0 FUMBLED FOR DRIVER'S LICENSE 0 OTHER:

Ia FLUSHED
0 PALE 0 OTHER:

0 REPETITIVE 0 FAST

lXI SHOES (Describe)


0}1 SHO& Ull TIED

IS BLOODSHOT
0 PUPILS DILATED 0 PUPILS CONSTRICTED 0 OTHER:

IS STRONG
0 OBVIOUS 0 OTHER:

If SLURRED
0 OTHER:

8. OFFICER'S OPINION (of subject's impairment due to use of alcohol/drugs)

9. SUBJECT'S NATIVE LANGUAGE

9A. SUBJECT APPEARED TO UNDERSTAND INSTRUCTIONS

0 SLIGHT

~OBVIOUS

~ENGLISH
0 EXTREME
EXPLAIN BELOW:

181
~

YES 0

NO

00THER
INTERPRETER PROVIDED

9B. INTERPRETER REQUESTED?

YES ~NO

TIME:

10. PASSENGER(S) INFORMATION

1
3000-110-196 (R 9/13)

Page4

WASHINGTON STATE

DUI ARREST REPORT


SOBRIETY TESTS

CASE I CITATION NUMBER

J4C 31oqj4-z 04 3o7SZ.


D MODERATE GRADE D D DAYLIGHT OTHER LIGHTING D DARK

!
D

SURFACE PAVED OTHER

GRAVEL

DIRT

GRASS

1:81
D

LEVEL OTHER

DsLIG~
GRADE

GRADE

~STREET
LIGHT

1. HORIZONTAL GAZE NYSTAGMUS {HGN}

[8J

I have been trained in the administration of HGN testing and performed the test in accordance with this training. L R

EQUAL TRACKING

~YES

0No

EQUAL PUPILS jg! YES 0No If Resting Nystagmus is present, please explain. COMMENTS:,M,R. c.,:O~O.~

WH&A/ ASA-ELJ

;-/AIJ TIWv<?.t. lr.E.If/1#& #IS !"1AL) ST/~.t. w.h'A T co.:..O/l. # Y ~TI.AAV~V,s: WAS" ~A. Ct:J~At!"~
15

~ ~ ~

~ ~ ~

Lack of smooth pursuit

VERTICAL NYSTAGMUS

DYES

jgl NO

Distinct and sustained nystagmus at max deviation Angle of onset prior to 45 degrees
ANP

FOc;v.:>iA/G ON .-M/ .ST/.Mv~V.f".


~.1) O.A.

,RE.f'~/&"">

Lh.. v,tF

W#.t:"".IV

/N

FAcr

.MJI

:>rt.MVI..i./S

6~)'./ .1'L.AC.k

IN Co.~-~~

2. WALK AND TURN

~ :i:ii .x'i" \:!: f i -,..!-:r.;: 1..r.J?"JI


.

1&1 Cannot keep balance


)
Stops Walking Miss Heel- Toe
1st

~ Starts too soon


2"d Nine Steps

Nine Steps

CF\

11.
~

~-l~ ,r

w'{. __, -f ..111 \. .!;{~

......

Steps off line


!0

Raises arms Actual # steps

X X I
SEVE~At.. ATT/f'IPI"$

DESCRIBE TURN

CANNOT DO TEST (EXPLAIN).4~TE~

.A-04
COMMENTS:

'To kEP 8,.,fL.ANCE, ,.-1-1/L C..O,W/l.

C.OV,t.O

OA/~)'

T.AkE ONE STEJ> /lETO.I. 6/WNG V.P.

3. ONE LEG

ST~D ~

~
~IS

R Sways while balancing Uses arms for balance Hopping

~
To
8.-'t.A~E

X
X

X
,A/f/.Jt) k&/'T S:WA ..Jd/1/G

Puts foot down


~FEW

COMMENTS: ,MI{. c:.oA.DA. ,/.A!St!P

.t..EFT Foor AN.::.> .PvT ;r &Ac-t- XJw"""' A,c:TEA o....v.::.>To

sc.-CO./V.:;J.f

TIM.>. ;1'1.1(., C..OME;f.

VS&LJ

,HIS

A-<I'H

T/YE Fr.

SUPPLEMENTAL TESTS
ABC'S A B

BALANCE

NOTES

FINGER DEXTERITY

FINGER TO NOSE

~
or... _ _ . , . , . _

o_.o!AII

'

r-~

~
3000-110-196 (R 9/13)

{_--:).

I - (~) @ ~ [!) ,. 00

PageS

WASHINGTON STATE

DUI ARREST REPORT

CASE I CITATION NUMBER

NARRATIVE
Vehicle in Motion (Initial Observation, Observation of Stop):

/4C370Cf/4Z.04 30782.

Personal Contact (Observation of driver, statements, pre-exit, sobriety tests, observation of the exit, odors, general observations

ch as speech, attitude, clothing, etc.)

Pre-Arrest Screening (Field Sobriety Tests):

1certify (declare) under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct. (RCW 9A.72.085.)

~
OFFICER'S SIGNATURE

~I
BADGE NUMBER

~.-4't?#~
PRINTED NAME OF OFFICER

AGENCY

PLACE SIGNED (citY I county I state)

DATE SIGNED

3000-110-196 (R 9113)

Page6

WASHINGTON STATE

CASE I CITATION NUMBER

DUI ARREST REPORT

/4C37~Z.C.5CJ/0"'2

READ THIS FORM WHEN THERE ARE EXIGENT CIRCUMSTANCES OR WHEN A SEARCH WARRANT AUTHORIZES THE BLOOD DRAW.

SPECIAL EVIDENCE WARNING


WARNING! YOU ARE UNDER ARREST FOR:

0 0 0 0 0

DUI ARREST RESULTIN

FROM AN ACCIDENT WITH SERIOUS BODILY INJURY TO ANOTHER

A TEST OF YOUR BLOOD WILL B ADMINISTERED TO DETERMINE THE CONCENTRATION OF ALCOHOL AND/OR ANY DUE TO THE CIRCUMSTANCES 0 OUR ARREST, THIS WILL BE DONE REGARDLESS OF YOUR CONSENT; YOU HA ADDITIONAL TESTS ADMINISTERED Y A QUALIFIED PERSON OF YOUR OWN CHOOSING. On (date) Officer Name/Title of Person who extracted the blood: Signature of Person who extracted the blood: Date: _ _ _ _ _ _ _ _ Time of Blood Draw: (defendant) Date Time

Distribution-Original Receipt placed in case file; 1 copy (person fr 1 copy (Prosecutor); 1 copy (Officer); 1 copy (person who extracted th

nor left with medical staff if person is unavailable);

I understand that I have the right to refuse to give consent to a voluntary blo I understand that the blood will be extracted by a physician, a registered urse, a license ractical nurse, a nursing assistant, a physician assistant, a health care assistant, a first responder, an emergency medical technic n, or a technician w is trained in withdrawing blood. I realize that if the test of my blood reveals the presence of any ale used as evidence against me in subsequent legal proceedings. I understand that I have right to additional tests administere If I wish to consult with an attorney before giving consen reasonable efforts will be made to put me in tel attorney of my choice. My consent has been given knowingly, freely, and vol honic contact with a public defender or an ol and/or drugs, that the c centration of alcohol and/or drugs in my blood may be

tarily, without threats of duress against my person or pro

Officer Consenter

Date Date

Time Time

eceipt placed in case file; 1 copy (person from whom the blood was drawn or left with medical staff if person is una copy (Officer); 1 copy (person who extracted the blood).

3000-110-196 (R 9113)

Page 7

CITATION # 4Z0430782 LCS CT

CRIMINAL
TRAFFIC IN THE DISTRICT NON-TRAFFIC LEA ORI#:

WA0210000

COURT ORI #:

WA021013J

CITATION #:

4Z0430782

REPORT #:

14C3709

MUNICIPAL COURT OF COUNTY OF

STATE OF WASHINGTON

LEWIS COUNTY DISTRICT COURT CITY/TOWN OF LEWIS


THE UNDERSIGNED CERTIFIES AND SAYS THAT IN THE STATE OF WASHINGTON PHOTO I.D. MATCHED NAME: LAST FIRST YES NO

, PLAINTIFF VS. NAMED DEFENDANT

DRIVER'S LICENSE NO.

STATE EXPIRES

MIDDLE

SFX

4699299
ADDRESS EMPLOYER EMPLOYER LOCATION DATE OF BIRTH

WA 210 CENTRAL AVE.

MIL

CORDER

ANTHONY
IF NEW ADDRESS CITY

KEITH
STATE

CDL YES ZIP CODE

NO

PE ELL CITY OF PE ELL PE ELL WASHINGTON


RACE SEX HEIGHT WEIGHT EYES HAIR RESIDENTIAL PHONE NO. CELL/PAGER PHONE NO. M.P. BLOCK #

WA

98572

WORK PHONE NO.

12-23-86
VIOLATION DATE ON OR ABOUT VEH LIC NO

W 04/11/2014 02:01

5'08"

180

BLU
AT LOCATION REF. TRAFFICWAY

INTERPRETER NEEDED LANG: EXPIRES

BRO SOUTH MAIN STREET

CITY/COUNTY OF

100
STYLE

PE ELL/LEWIS
COLOR

STATE

DID OPERATE THE FOLLOWING VEHICLE/MOTOR VEHICLE ON A PUBLIC HIGHWAY AND VEH YR MAKE MODEL

53711D
TR #1 LIC NO

WA
STATE AN DRIVER

04-11-15
EXPIRES

1999
TR YR

FORD

CROWN VIC POLICE INTCPTR


TR #2 LIC NO STATE

4-DOOR SEDAN
EXPIRES TR YR

BLACK

4699299
ADDRESS ACCIDENT

111 S. MAIN ST.


BAC

CITY

STATE

ZIP CODE

PE ELL NO .186
COMMERCIAL VEHICLE YES NO 16+ PASS YES NO HAZMAT YES NO EXEMPT VEHICLE FIRE LEA

WA

98572

1. VIOLATION/STATUTE CODE 46.61.502 (SEE ATTACHED CHARGING LANGUAGE) 2. VIOLATION/STATUTE CODE 3. VIOLATION/STATUTE CODE 4. VIOLATION/STATUTE CODE 5. VIOLATION/STATUTE CODE

DID THEN AND THERE COMMIT EACH OF THE FOLLOWING OFFENSES D V DUI DV DV DV DV

MANDATORY COURT APPEARANCE TICKET SERVED ON VIOLATOR TICKET SENT TO COURT FOR MAILING

APPEARANCE DATE

TIME

RELATED #

DATE ISSUED

04-11-14

TICKET REFERRED TO PROSECUTOR BOOKED

I CERTIFY UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT I HAVE ISSUED THIS ON THE DATE AND AT THE LOCATION ABOVE, THAT I HAVE PROBABLE CAUSE TO BELIEVE THE ABOVE NAMED PERSON COMMITTED THE ABOVE OFFENSE(S), AND I AM ENTERING MY AUTHORIZED USER ID AND PASSWORD TO AUTHENTICATE IT. OFFICER OFFICER

CORDER, ANTHONY K 122386

M. MOHR

# #

241

PAGE 1 OF 4

OFFICER REPORT

4Z0430782

VIOLATION DATE ON OR ABOUT:

CITATION # 4Z0430782 LCS CT

4/11/2014 2:01:00 AM

Probable Cause While within the boundaries of Lewis County on 4/11/2014 at about 0108 hours I, Deputy M. Mohr, along with Deputy J.S. Humphrey, was dispatched to a suicidal subject in the town of Pe Ell. I was advised by dispatch the subject was the town marshal, Anthony K. Corder, and he had been drinking. While en-route to Pe Ell, Deputy Humphrey advised me he had passed the town of Pe Ell police car driving down Main Street with its headlights off. Deputy Humphrey followed the police car to a residence north of the Texaco gas station at 504 Main Street North in Pe Ell. I met Deputy Humphrey at the Texaco station and observed the police vehicle parked at the residence with its drivers door open. I saw a male subject walk up to the police vehicle, close the drivers side door, and walk away back into the house. Deputy Humphrey called Mr. Corders cell phone and got no answer. Deputy Humphreys cell phone rang less than a minute later and it was Mr. Corder on the line. Mr. Corder agreed to come out and speak with us. Mr. Corder came out of the residence and slowly walked over to the gas station. Upon Mr. Corders arrival Deputy Humphrey began to speak with him about the phone calls he had made to his ex -girlfriend. I could smell a strong odor of intoxicating liquor coming from Mr. Corder when he spoke. Mr. Corder was also having trouble speaking clearly and was slurring his speech. Mr. Corder told Deputy Humphrey it was his own mistake for driving his patrol car after drinking alcohol. I asked Mr. Corder if he would submit to voluntary field sobriety tests and he told me yes. Mr. Corder performed poorly in all 3 tests which included Horizontal Gaze Nystagmus, Walk and Turn, and One leg Stand. I asked Mr. Corder if he would submit a voluntary preliminary breath test sample and he told me yes. Mr. Corder gave me a Preliminary Breath Test sample of .235. At about 0219 hours I told Mr. Corder he was under arrest for driving under the influence of intoxicants. I handcuffed Mr. Corder and checked the tightness of the wrist restraints and double locked them. I searched Mr. Corders person incident to arrest and placed him in the backseat of my patrol car. I read Mr. Corder his Miranda Rights at about 0241 hours. I transported Mr. Corder to the Lewis County Jail where he provided two breath samples on the BAC machine. Mr. Corders breath samples were .184 and .186. I issued Mr. Corder a Sector ticket and he was booked into jail.

...NARRATIVE CONTINUES ON NEXT PAGE...


TRAFFIC

LIGHT

WEATHER

CLEAR
PHONE

STREET

DRY

LIGHT

DARK
PHONE

WITNESS NAME (LAST, FIRST, M.I.) ADDRESS WITNESS NAME (LAST, FIRST, M.I.) ADDRESS WITNESS NAME (LAST, FIRST, M.I.) ADDRESS WITNESS NAME (LAST, FIRST, M.I.) ADDRESS CITY CITY CITY CITY

WITNESS NAME (LAST, FIRST, M.I.) ADDRESS WITNESS NAME (LAST, FIRST, M.I.) ADDRESS WITNESS NAME (LAST, FIRST, M.I.) ADDRESS WITNESS NAME (LAST, FIRST, M.I.) ADDRESS CITY CITY CITY CITY

STATE ZIP PHONE STATE ZIP PHONE STATE ZIP PHONE STATE ZIP

STATE ZIP PHONE STATE ZIP PHONE STATE ZIP PHONE STATE ZIP

CORDER, ANTHONY K 122386

PAGE 2 OF 4

OFFICER REPORT CONTINUED...

4Z0430782

VIOLATION DATE ON OR ABOUT:

CITATION # 4Z0430782 LCS CT

4/11/2014 2:01:00 AM

************************************** Officer's Report for Citation/Notice of Infraction # 4Z0430782. The information contained in and attached to this citation/notice of infraction is incorporated by reference into this report. I CERTIFY UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT ALL STATEMENTS MADE HEREIN ARE TRUE AND ACCURATE AND THAT I AM ENTERING MY AUTHORIZED USER ID AND PASSWORD TO AUTHENTICATE IT. Signature: M. MOHR #: 241

Date and Place: 4/11/2014 City/Town of Pe Ell, County of LEWIS **************************************

CORDER, ANTHONY K 122386

...NARRATIVE CONTINUES ON NEXT PAGE...

PAGE 3 OF 4

CITATION # 4Z0430782 LCS CT

CHARGING LANGUAGE It is alleged that on or about Friday, April 11, 2014, at 2:01 AM, ANTHONY KEITH CORDER, DOB: 12/23/1986, violated: 46.61.502 DUI as follows: DRIVING WHILE UNDER THE INFLUENCE OF INTOXICANTS IN LEWIS COUNTY

CORDER, ANTHONY K 122386

PAGE 4 OF 4

WASHINGTON STATE PATROL BAC DATAMASTER CDM 140016 SOFTWARE VERSION 76043-004 (04/28/04) APRIL 11, 2014 SIM TEMP 34c +/- .2c: YES OBSERVATION BEGAN: 03:55 CITATION NUMBER: SECTOR OPERATOR'S NAME (L/F/M): MOHR/M SUBJECT'S NAME (L/F/M): CORDER/ANTHONY/KEITH SUBJECT'S DOB: 12/23/1986 EXTERNAL STANDARD BATCH#: 13058

--- BREATH ANALYSIS --BLANK TEST INTERNAL STANDARD SUBJECT SAMPLE BLANK TEST EXTERNAL STANDARD BLANK TEST SUBJECT SAMPLE BLANK TEST ALL RESULTS IN g/210L .000 VERIFIED 1 84 .000 .081 .000 1 86 .000 04: 1 8 04: 1 9 04: 1 9 04:20 04:21 04: 21 04:22 04:23

AGENCY

----------------------------------

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