1. _____ 2. _____ 3.

_____
E
V
I
T
A
R
T
S
I
N
I
M
D
A
E
S
N
E
F
F
O
AGENCY NAME
CALL NUMBER
CLEARED
BY:
TOD
TOA
TOC
NCDENT NUMBER
*CLEARANCES
Death of Suspect G Arrest Juvenile
B Prosecution Declined H Warrant ssued
C Extradition Denied nvest. Pending
D VictimRefused to Coop. J Closed
E Juvenile/No Custody K Unfounded
F Arrest - Adult U Unknown
NCDENT (NON-CRMNAL)
OFFENSE
SUPPLEMENT
*CLEARANCE
DATE:
*GEOCODE
*REPORT DATE/TME
MONTH DAY YEAR TME
*NCDENT OCCURRED FROM
MONTH DAY YEAR TME
*NCDENT OCCURRED TO
MONTH DAY YEAR TME
NCDENT LOCATON (Street, Apt., City, State, Zip)
*OFFENSE *OFFENSE CODE *A/C F/M & DEGREE *HATE/BAS *LARCENY * TYPE CRMNAL ACTVTY

2.
3.
4.
5. 5.
4.
3.
2.
1.
1. _____ 2. _____ 3. _____
1. _____ 2. _____ 3. _____
1. _____ 2. _____ 3. _____
1. _____ 2. _____ 3. _____
(Enter up to three for each offense)
B- BUYNG/RECEVNG
C- CULTVATNG/MFG./PUB.
D- DSTRBUTNG/SELLNG
E- EXPLOTNG CHLDREN
O- OPER/PROPOTNG/ASSST.
P- POSSESSNG/CONCEALNG
T- TRANSP/TRANSMTTNG
U- USNG/CONSUMNG
G- OTHER GANG ACTVTY
J- JUVENLE GANG ACTVTY
N- NO GANG ACTVTY
*LOCATON OF OFFENSE (Enter up to two)
1. __________ 2. __________
RESD ENTAL S TRUCTURE
01 Sing le Fa mily Home
02 Mult iple Dwelling
03 Res identi al Facil it y
04 Oth er Res identi al
05 Gar age/ Shed
PUBL C ACCESS BLDGS.
06 Transit Faci lity
07 Governm ent Offi ce
08 Sc hool
09 Coll ege
10 Chu rch
11 Hos pital
12 Jail/ Prison
13 Park ing Garage
14 Oth er Pub lic Ac cess Build ings
COMMERCAL LOCATONS
15 Aut o Shop
16 Fin ancial nstitut ion
17 Bar ber/Beauty Shop
18 Hote l/Motel
19 Dry Cleaners/Laundry
20 Pro fessio nal Off ice
21 Doc tor's Of fice
22 Oth er Bus iness Office
23 Amu sement Cen ter
24 Ren tal St orage Facili ty
25 Oth er Co mmerci al Service Loc.
RETAL
26 Bar
27 Buy/Sell/ Trade Shop
28 Res taurant
29 Gas Stati on
30 Aut o Sal es Lot
31 Jewelry St ore
32 Clot hing Store
33 Dru gstore
34 Liq uor Sto re
35 Sh opping Mall
36 Spo rting Goods
37 Gro cery/Supermarket
38 Vari et y/Convenience
39 De partme nt Sto re
40 Oth er Ret ail Sto re
41 Fac tory/Mill/Plan t
42 Oth er Bui lding
OUTSDE
43 Yard
44 Con structi on Sit e
45 Lak e/Water way
46 Field/ Woods
47 Str eet
48 Park ing Lot
49 Park /Pl ayground
50 Ce metery
51 Publ ic Transit V ehicle
52 Oth er Outs ide Location
77 Other
*SUSPECTED OF USNG
ALCOHOL
D DRUGS
C COMPUTER EQUPMENT
N NOT APPLCABLE
*TYPE WEAPON/FORCE USED
1. ___________ 2. ___________ 3. ___________
*METHOD OF ENTRY *METHOD OF ENTRY MOTOR VEHCLE THEFT *METHOD OF ENTRY BURGLARY/B&E
*NO. PREMSES ENTERED
1 FORCE
2 NO FORCE
METHODS OF
OPERATON
01 Motor Running/Keys in Car 06 Hot Wire
02 Unlocked 07 Slim Jim/Coat Hanger
03 Duplicate Key Used 08 Tumblers Removed
04 Window Broken 09 Column Peeled
05 Towed 10 gnition Peeled
ENTRY EXT
1 BASEMENT
2 1
ST
FLOOR
3 2
ND
FLOOR
4 OTHER
ENTRY EXT
1 DOOR
2 WNDOW
3 GARAGE
4 SKYLGHT
5 OTHER
ENTRY EXT
1 FRONT
2 SDE
3 REAR
4 ROOF
5 OTHER
*VCTM Y
NJURED? N
F NJURED, DESCRBE
NJURES:
REPORTNG OFFCER BADGE NO. DATE
APPROVNG OFFCER BADGE NO. DATE
FOLLOW- UP?
Y N
f yes, follow-up
Assignment:
ADDTONAL VCTM/WTNESS PROPERTY STATEMENTS
SUPPLEMENTS SUSPECT/ARRESTEE NARRATVE OTHER
FORM RECEVED BY: NTELLGENCE
NVESTGATON RECORDS
SPECAL
COPES
07/2004
M
I
T
C
I
V
*NO. *TOTAL
VCTMS
*VCTM NDVDUAL F FNANCAL NSTTUTON P POLCE OFFCER (N THE LNE OF DUTY) S SOCETY O OTHER
TYPE B BUSNESS G GOVERNMENT R RELGOUS ORGANZATON U UNKNOWN
NAME (Last, First, Middle)
ADDRESS (Street, Apt., City, State, Zip) PHONE
EMPLOYER NAME AND
ADDRESS (Street, Apt., City, State, Zip)
PHONE
*AGE/
D.O.B.
*SEX *RACE B A
W U
HGT WGT HAR EYES
OCCUPATON *RESDENT 1 RESDENT 3 MLTARY 5 OTHER
STATUS 2 TOURST 4 STUDENT U UNKNOWN
My signature verifies that the information
on this report is accurate and true
DATE____________________________________
*AGG. ASSAULT/
HOMCDE CRC.
*LEOKA NFORMATON
TYPE OF ACT. ASSGN. TYPE OR OTHER
*VCTM/SUSPECT RELATONSHP
0. ______ 1. ______ 2. ______ 3.______ 4.______ 5.______
*VCTM/OFFENSE LNK
SSN
T
N
E
D

C
N

R
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B
M
U
N
11/2005
ETHNCTY
A
A
Delaware County Sheriffs Office 11-004786
CTY 1-11-090026
09:52:37
x
09:52:37
X
09:53:41
OHIO
OHIO UNIFORM INCIDENT REPORT 8/22/2011 BUTTLER, DAVD
2011 9 8 2011 1033 8 22
844 US HGHWAY 42 N , DELAWARE, OH 43015
N
N nformation NFO C
01
Other
1
1
-
0
0
4
7
8
6
TTLE
08/22/2011
TTLE
Lieutenant 064DB BUTTLER, DAVD
08/22/2011 Lieutenant
X
064DB BUTTLER, DAVD
X
99
1033 2011 0952 8 9
E
L
C
I
H
E
V
Y
T
R
E
P
O
R
P
VCTM
NCDENT
NUMBER
INCIDENT REPORT - PART 2
OFFENSE NCDENT DATE
AND TME
E
E
T
R
O
P
E
R
NO. NAME (Last, First, Middle) AGE/
D.O.B.
SSN
ADDRESS (Street, Apt., City, State, Zip) PHONE
EMPLOYER NAME AND
ADDRESS (Street, Apt., City, State, Zip)
PHONE
STATEMENTS OBTANED Y N TYPE: WRTTEN ORAL TAPED OTHER
CHECK CATEGORES STOLEN RECOVERED MPOUNDED RECEVED SUSPECT'S VEHCLE VCTM'S VEHCLE UNAUTHORZED USE ABANDONED
NO. DAMAGE TO VEHCLE
THEFT FROM VEHCLE
LC LS LY LT VN/OAN *VALUE
VYR VMA VMO VST VCO
TOP
BOTTOM
VEHCLE Y
LOCKED N
KEYS N Y
VEHCLE N
HOLD Y
VEHCLE N
RELEASE Y
CONTENTS N
VEHCLE Y
TOWED? N
VEHCLE ASSOC.
W/ SUSPECT NO.
VEHCLE ASSOC.
W/ VCTM NO.
TOWED
BY
OWNERSHP TAG RECEPT TTLE
VERFED BY: BLL OF SALE OTHER
STOLEN MOTOR
VEHCLE ONLY
NO. STOLEN AREA STOLEN RESD.
BUSNESS RURAL
ADDTONAL
DESCRPTON
AUTO NSURER NAME (Company) ADDRESS (Street, Apt., City, State, Zip) PHONE
MOTOR VEHCLE
RECOVERY ONLY
NO. RECOVERED DATE REC. STOLEN N YOUR JURSDCTON
Y N
WHERE RECOVERED?
*TYPE PROPERTY 1 NONE 3 COUNTERFETED/FORGED 5 STOLEN/ETC. 7 RECOVERED P PHOTO
LOSS/ETC. (enter codes below) 2 BURNED 4 DESTROYED/DAMAGED/VANDALZED 6 SEZED U UNKNOWN E EVDENCE
TOTAL VALUE
*LOSS
CODE
QUANTTY DESCRPTON *PROP
CODE
*VALUE
VCT.
NO.
VEH
NO.
MAKE/BRAND MODEL DATE RECOVERED
SERAL
NUMBER
NCC
NUMBER
OTHER
NUMBER
*LOSS
CODE
QUANTTY DESCRPTON *PROP
CODE
*VALUE
VCT.
NO.
VEH
NO.
MAKE/BRAND MODEL DATE RECOVERED
SERAL
NUMBER
NCC
NUMBER
OTHER
NUMBER
*LOSS
CODE
QUANTTY DESCRPTON *PROP
CODE
*VALUE
VCT.
NO.
VEH
NO.
MAKE/BRAND MODEL DATE RECOVERED
SERAL
NUMBER
NCC
NUMBER
OTHER
NUMBER
*LOSS
CODE
QUANTTY DESCRPTON *PROP
CODE
*VALUE
VCT.
NO.
VEH
NO.
MAKE/BRAND MODEL DATE RECOVERED
SERAL
NUMBER
NCC
NUMBER
OTHER
NUMBER
PROPER TY CODES :
EXCHANGE MEDUMS
01 Mo ney
02 Cred it/Deb it Card
03 Negot iable nstr uments
04 Ot her Exchange Med iums
DOCUMENTS
05 No n-Negot iable nstruments
06 Perso nal Papers
07 Ot her Doc uments
VALUABLES
08 Jewe lry/Prec ious Meta ls
09 Art Ob jects, A ntiques
10 Ot her Va luables
PERSONAL EFFECTS
11 Clothing/Furs
12 Purses/Ha ndbags/ Wall ets
13 Ot her Perso nal Effects
HOUSEHOLD TEMS
14 Ho usehold tems
EQUPMENT
15 Dr ug/Narcot ic Eq uip.
16 Gamb li ng Eq uipme nt
17 Comp uter Hardware/Soft.
18 Off ice Eq uipment
19 Stereo TV Eq uip.
20 Record ings-A udio Visual
21 Sports Eq uipment
22 Photograp hic Eq uipment
23 Farm Eq uipme nt
24 Heavy Co nstructi on/ndustrial
25 Building Supplies-Co nst.
26 Too ls
27 Ve hicle Parts/Accessor ies
28 Sc hool Suppli es
29 Ot her Eq ui pment
CONSUMABLE TEMS
30 Alcohol
31 Dr ugs/Narcot ics
32 Co nsumab le Goods
ANMALS
33 Livestock
34 Ho usehold Pets
VEHCLES
35 Aircraft
36 Automob il es
37 Bicyc les
38 Buses
39 Tr ucks
40 Tra il ers
41 Watercraft
42 Recreat ional Vehicle
43 Ot her Motor Ve hicle
WEAPONS
44 F irearms
45 Ot her Weapo ns
STRUCTURES
46 Single Occ upancy
47 Ot her Dwe lli ngs
48 Commerc ial/Busi ness
49 ndus./Mfg.
50 Publi c/Comm unity
51 Storage
52 Ot her Str ucture
OTHER
53 Merc handise
54 Ot her Property
55 Pe nding nventory
E
V
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A
R
R
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N
07/2002
11-004786
nformation 08/22/2011 0952
Redacted
7408332800
740.833.2805
At time and date, this informational report was filed.
844 US HGHWAY 42 N DELAWARE, Ohio 43015
05/27/1973 38 YRS 1 BUTTLER, DAVD B
X
VCTM
NCDENT
NUMBER
OFFENSE NCDENT DATE
ND TME
VICTIM/WITNESS SUPPLEMENT
M
I
T
C
I
V
*NO. *TOTAL
VCTMS
*VCTM NDVDUAL F FNANCAL NSTTUTON P POLCE OFFCER (N THE LNE OF DUTY) S SOCETY O OTHER
TYPE B BUSNESS G GOVERNMENT R RELGOUS ORGANZATON U UNKNOWN
NAME (Last, First, Middle)
ADDRESS (Street, Apt., City, State, Zip) PHONE
EMPLOYER NAME AND
ADDRESS (Street, Apt., City, State, Zip)
PHONE
*AGE/
D.O.B.
*SEX *RACE B A
W U
HGT WGT HAR EYES
OCCUPATON SSN *RESDENT 1 RESDENT 3 MLTARY 5 OTHER
STATUS 2 TOURST 4 STUDENT U UNKNOWN
My signature verifies that the information
on this report is accurate and true
DATE____________________________________
M
I
T
C
I
V
*NO. *TOTAL
VCTMS
*VCTM NDVDUAL F FNANCAL NSTTUTON P POLCE OFFCER (N THE LNE OF DUTY) S SOCETY O OTHER
TYPE B BUSNESS G GOVERNMENT R RELGOUS ORGANZATON U UNKNOWN
NAME (Last, First, Middle)
ADDRESS (Street, Apt., City, State, Zip) PHONE
EMPLOYER NAME AND
ADDRESS (Street, Apt., City, State, Zip)
PHONE
*AGE/
D.O.B.
*SEX *RACE B A
W U
HGT WGT HAR EYES
OCCUPATON SSN *RESDENT 1 RESDENT 3 MLTARY 5 OTHER
STATUS 2 TOURST 4 STUDENT U UNKNOWN
My signature verifies that the information
on this report is accurate and true
DATE____________________________________
*AGG. ASSAULT/
HOMCDE CRC.
*VCTM/SUSPECT RELATONSHP
0. ______ 1. ______ 2. ______ 3.______ 4.______ 5.______
*VCTM/OFFENSE LNK
S
S
E
N
T
I
W
NO. NAME (Last, First, Middle) AGE/
D.O.B.
SSN
ADDRESS (Street, Apt., City, State, Zip) PHONE
EMPLOYER NAME AND
ADDRESS (Street, Apt., City, State, Zip)
PHONE
STATEMENTS OBTANED Y N TYPE: WRTTEN ORAL TAPED OTHER
S
S
E
N
T
I
W
NO. NAME (Last, First, Middle) AGE/
D.O.B.
SSN
ADDRESS (Street, Apt., City, State, Zip) PHONE
EMPLOYER NAME AND
ADDRESS (Street, Apt., City, State, Zip)
PHONE
STATEMENTS OBTANED Y N TYPE: WRTTEN ORAL TAPED OTHER
S
S
E
N
T
I
W
NO. NAME (Last, First, Middle) AGE/
D.O.B.
SSN
ADDRESS (Street, Apt., City, State, Zip) PHONE
EMPLOYER NAME AND
ADDRESS (Street, Apt., City, State, Zip)
PHONE
STATEMENTS OBTANED Y N TYPE: WRTTEN ORAL TAPED OTHER
S
S
E
N
T
I
W
NO. NAME (Last, First, Middle) AGE/
D.O.B.
SSN
ADDRESS (Street, Apt., City, State, Zip) PHONE
EMPLOYER NAME AND
ADDRESS (Street, Apt., City, State, Zip)
PHONE
STATEMENTS OBTANED Y N TYPE: WRTTEN ORAL TAPED OTHER
REPORTNG OFFCER BADGE NO. DATE
APPROVNG OFFCER BADGE NO. DATE
S
S
E
N
T
I
W
NO. NAME (Last, First, Middle) AGE/
D.O.B.
SSN
ADDRESS (Street, Apt., City, State, Zip) PHONE
EMPLOYER NAME AND
ADDRESS (Street, Apt., City, State, Zip)
PHONE
STATEMENTS OBTANED Y N TYPE: WRTTEN ORAL TAPED OTHER
11/2005
*LEOKA NFORMATON
*VCTM Y
NJURED? N
F NJURED, DESCRBE
NJURES:
*VCTM Y
NJURED? N
F NJURED, DESCRBE
NJURES:
TYPE OF ACT. ASSGN. TYPE OR OTHER
*AGG. ASSAULT/
HOMCDE CRC.
*LEOKA NFORMATON
TYPE OF ACT. ASSGN. TYPE OR OTHER
*VCTM/SUSPECT RELATONSHP
0. ______ 1. ______ 2. ______ 3.______ 4.______ 5.______
*VCTM/OFFENSE LNK
ETHNCTY
ETHNCTY
064DB
064DB
BUTTLER, DAVD 08/22/2011
BUTTLER, DAVD 08/22/2011
nformation
11-004786
08/09/2011 1033
1 YARNELL, DANEL A
33 YRS
01/15/1978 Redacted
844 US HGHWAY 42 N DELAWARE, Ohio 43015 7408332800
X X
2 CARTER, BRAN O
52 YRS
09/01/1958 Redacted
844 US HGHWAY 42 N DELAWARE, Ohio 43015 7408332800
740.833.2810
X
Delaware County Sheriffs Office
11-004786
Incident Report
Take Report
08/23/2011 WTNESS STATEMENT D YARNELL 1
Delaware County Sheriffs Office
11-004786
Incident Report
Take Report
08/23/2011 WTNESS STATEMENT D YARNELL 2
Delaware County Sheriffs Office
11-004786
Incident Report
Take Report
08/23/2011 WTNESS STATEMENT D YARNELL 3
Delaware County Sheriffs Office
11-004786
Incident Report
Take Report
08/23/2011 WTNESS STATEMENT D YARNELL 4
Delaware County Sheriffs Office
11-004786
Incident Report
Take Report
08/24/2011 OC Contact w/ Kris Jordan
Delaware County Sheriffs Office
11-004786
Incident Report
Take Report
08/24/2011 OC Contact w/ Legal Counsel