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Juvenile ARREST / NOTICE TO APPEAR 1 Arrest 3 Request for Warrant Juvenile Referral Report 2NTA 4 at for Capia E|no no, 54 0,0,6,0,0 pee BEACH POLICE DEPARTMENT 7,6 mich bavi. Felony Misdemeanor O5. Ordinance if Weapon Seized ee 2 ac as ns O 2. Traffic Felony a P| Traffic Misdemeanor (6. Other : Enter Type Hocperand Location of Arrest (Including Name of Business) Business Be ee eee Sooke Name (Last, First, Middle) Alias (Name, DOB, Soc. Sec. #, Etc.) Keen, Saran Lynnellé Race Date of Birth g i ”) a O i i BR ey ieee fe of Birt g Pos ij Ors Eye “a Complexion tA B. Black 0 - OrientaV/Asian 524s Ons fAzD EO Alcohol infiwence - : =a g influence oO a Q Local Address (Street, Apt. Number) (City) (State) (Zip) Phone Kenic Type: - ( ) 1. City "Florida 2. Coun 4. Out of State ‘v Address Source A S | NAVLS 22\( Business Address (Name, Street) (City) (State) (Zip) PESISTANT x (C14. Misdemeanor () 5. Juvenile Co-Defendant Name (Last, First, Middle) Race Date of Birth ; 8 [J 3. Felony (4. Misdemeanor OO5. Juvenile Parent : Name (Last) (First) (Middle) Residence Phone so aad ( ) Addréss (Street, Apt. Number) (City) (State) (Zip) Business Phone : : ( ) The above address was provided acrrmtoes and / or () defendant's parents. The child and / or parent was told School Attended to keep the Juvenile Court Clerk's Office (Phone 355-2526) ae oe of any change of address. OD Yes, by: (Nam : Property Crime? Description of Property Value of Property D Yes O No DEFENDANT JUVENILE M. Manufacture/ 4 . Unknown See Nn c. Cocaine Wt Marware Z. Other E. Heroin Synt! N. N/A : : J ; tic iw] PRarge Description Wy \ ounts ve One = Mie ari Number S Violation of ORD # Sic ipel ww ral ey Jo c Wer \ < Activity }]Drug Type | Amount/ Unit Oftense # tat Siaaier xz = cane SE BOO S Grave Desc ion Ag mn Counts | Domestic 2S uC SC Number Violation of ORD # we 4° [Swn/Lastivias oe Pe RP eEOOMoe, . | S- — uw Charge Description Statute Violation Number Violation of ORD # C Instruction No. 1 Location (Court, Room Number, Address) Mandatory Appearance in Court CO Instruction No. 2 You need not appear in Court but must Court Date and Time comply with instructions on Reverse Side. Month Day Wear ee . ou | AGREE TO APPEAR AT THE TIME AND PLACE DESIGNATED TO ANSWER THE OFFENSE CHARGED OR TO PAY THE FINE SUBSCRIBED. | UNDERSTAND THAT SHOULD | WILLFULLY FAIL TO APPEAR BEFORE THE COURT AS REQUIRED BY THIS NOTICE TO APPEAR, THAT | MAY BE HELD IN CONTEMPT OF COURT AND A WARRANT FOR MY ARREST SHALL BE ISSUED. “ae “a “a Date Signed Name Verification (Printed by Arrestee) Bie sale of Defendant (or Juvenile and Parent / Custodian) a Dangerous CD Resisted Arrest <= of Arresting O ae ee (PRINT) OO Suicidal Goer DET - PAGE Intake Deputy Transporting Officer LO. # Witness here if subject signed with an “X". OF DISTRIBUTION: WHITE — COURT COPY GREEN — STATE ATTORNEY YELLOW — AGENCY PINK — JAIL GOLD - DEFENDANT (N.T.A's ONLY) 07/26/17 Page 7 of 120 Public Records Request No.: 17-295 DOJ-OGR-00030605