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ate: 4/20/06 PatM BEACH POLICE DEPARTMENT Page: 3 ‘ime: 13:02:26 Incident Report Program: CMS301L ase No. . . . : 1-05-000368 (Cont inued) an Identify . : Victim Sobriety: njury Extent =: Injury Type 1 : njury Type 2 : Hospital ID : ed Treatment =: Phys First Name: hys Last Name : kktkkkee O THER PERSON INFORMATION - #1 #kkkKKKEE ase Number. : J-05- Last Name .. : ACY 2% : 7 = irth Date/Age Employer? . : ecupation . . :| STUDENT Oper Lic No. : ome Phone No. : en Race ... «". « % White 2x ... . . : Female Height ... : 0 Sight .. . 7 0 Person Type : OTHER PERSON ther Phone Nbr: KEREEEKE © T H ESR PERSON INFORMATION -—- # Q ¥¥k*kKRKEK ase Number - : 1-05-000368 Last Name . . : MARCINKOVA, NADA =reet Number : 358 EL BRILLO WY i ©, : PALM BEACH, FL 000033480 irth Date/Age :| 2/21/1985 19 ‘Employer? .. sclipation.. . % Oper Lic No. : ome Phone No. : Race .... . : White x . .. . . : Female Height ... . : 510 sight. . . 20 Person Type . : OTHER PERSON cher Phone Nbr: tkEKEEKEKE O T-H ER PERSON INFORMATION - #€ 3. ¥¥eKKKKK ise Number . : 1-05-000368 Last Name .. ‘reet Number ty . . . . . : ROYAL PALM BEACH, FL 33411 rth Date/Age : 3/17/1969 35 Employer? .. : cupation ./..% Oper Lic No. . : me Phone No. : Po Race .« «. + ¥ Winite x « « Ts? Peele HEI@Ht*. « « « 2 OD ‘ight 8 0 Person Type . : OTHER PERSON ther Phone “Nbr: P| RRAEKREX OT H ER PERSON INFORMATION -—- £# 4 #¥*kkKKK se Number . : 1-05-000368 Last Name .. : Pect-Nunber i fi. 2 o4"9 jsin. . . ty . . . . . : ROYAL PALM BEACH, FL 33411 rth Date/Age : 9/05/1967 37 Employer? .. cupation . . : PAINTER Oper Lic No. . : me Phone No. : QR Race ... . « 2 White x « » » « & Male Herght . ... . #0 ight oe : O Person Type . : OTHER PERSON her Phone Nbr: kkeeeke O THER PERSON INFORMATION - # 5 #k*tkkEKE se Number . : 1-05-000368 Last Name . . : BACK, KATHY 07/26/17 Page 2532 Public Records Request No.: 17-295 DOJ-OGR-00032845