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OBTS Number PROBABLE CAUSE AFFIDAVIT 1 Arrest 3. Request for Warrant 2 | | 2NTA 4 Request for Capia ‘Agancy ORI Number ; . Agency Name a7 oh ro, 5,0,0,6,0,0 PALM BEACH POLICE DEPARTMENT Charpe Type O01. Felony LS = Misdemeanor O§ Ordinance O 2. Traftic Feloay U4. Tratic Misdemeanor iJ 6 Other Juvenile = ~ |Special Notes Charge Description Charge Descriotion head 3 ike A (State} (ip) lollowing violation of law. CHARGES ‘Victim's Name (Last. First, Middie) Local Address (Street, Apt Number) Business Acdirass (Name. Sireet) The undersigned certifies and swears that hesshe nas just and reasonable Qrounds to believe, and does believe that the above name Defendant commitied the fi | The Person taken into custody . muted the below acts in my presence C] was observed by o confessed to is : admitting to the below facis. . fi. day iPr ieee! te cea WIIG that he/she saw the arrested parson commit the below acts. C was found to have committed the below acts, resulting {rom my (described) vestigation. On the _ mY ve _B 4) SAfiyy Feve wys L Wen Orgvageo ES /TY f A 42 Ago ; ¢ @ 4 p SWORN AND SUBSCR oe ee oe, Foal ks , . ise 5 ICE OFFICER i : A g \ NAME OF OFFICER (PLEASEARINT, MBE Pf Je. DATE . OAT L OF ws DISTRIBUTION: WHITE — Court Copy GREEN — State Attorney YELLOW — Agency PINK — Agency 07/26/17 Page 27 of 111 Public Records Request No.: 17-295 DOJ-OGR-00031437