Public MPD Document

Metropolitan Police Department Washington, DC.

Incident Based Event Report

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REPORT NUMBER: 12175585

PART I TYPE OF REPORT Offense DISTRICT EVENT START DATE/TIME 12/16/2012 / 0339 SECTOR

CLASSIFICATION OF EVENT EVENT END DATE /TIME 12/16/2012 / 0339 PSA DATE OF REPORT 12/16/2012 TtME OF REPORT 0339 COMPLAINT NUMBER 12175585

EVENT LOCATION ADDRESS

POSITION

REPORT RECEIVED BY

RADIO RUN LOCATION IF DIFFERENT FROM EVENT LOCATION

PROPERTY TYPE

2200 ADAMS PL NE EVENT NO. 1 FORCED ENTRY NO SUSPECTED HATE CRIME?

ALONG SIDE OF

OFFICER

PUBLIC

ADW KNIFE OR CUTTI NG INSTRUMENT POINT OF ENTRY Method Used WEATHER CONDITIONS RAINING SECURITY SYSTEM LOCATION TYPE DESIGNATED AREAS

HIGHWAY/ROAD/ALLEY/STREET OTHER PART Il-VICTIM INFORMATION TYPE COMPLAINANT DATE OF BIRTH 06/24/1 987 1 NAME OF COMPLAINANTNICTIM STALEY, ANDRE AGE RANGE 25 SEX MALE RELATED TO EVENT NOS. 1 HOME PHONE BUSINESS PHONE VICTIM TYPE INDIVIDUAL

RACE! ETHNICITY BLACK/ NOT OF HISPANIC ORIGIN BUSINESS ADDRESS/SCHOOL OCCUPATION

HOME ADDRESS 1021 10TH ST NE, WASHINGTON, DC 20002 IS EVENT RELATED TO OCCUPATION? NO

ADDITIONAL MEANS TO CONTACT COMPLAINANTNICTIM

PART V -SUSPECT INFORMATION

TYPE SUSPECT HAIR 1 PANTS RACE/ETHNICITY UNKNOWN COMPLEXION BLOUSE / SHIRT SEX UNKNOWN SCARS FACIAL HAIR HAT COAT/JACKET EXACT AGE OR RANGE HEIGHT WEIGHT EYES

PERPETRATOR SUSPECTED OF USING WEAPONS USED IN OFFENSE

FIREARM

OTHER KNIFE/CUTTING INSTRU AX, ETC

COLOR

MAKE

MODEL

CALIBER

NARRATIVE Describe event and action taken. Cl reports to MPD the he was stabbed one time in his abdomen under the left side of his breast while walking in a large group exiting the Scene nightclub. Cl stated, "I was walking and felt that I was bleeding." Cl was uncooperative and did not give officers any possible suspect information. EVIDENCE TECHNICIAN/CSES # TELETYPE # NAME OF INVESTIGATOR NOTIFIED REPORTING OFFICER'S SIGNATURE THOMPSON, THOMAS C OTHER POLICE AGENCY SECOND OFFICER'S NAME SECOND OFFICER'S EMAIL BADGE NUMBER TELETYPE NOTIFIED Name NOTIFICATION ALSO REQUIRED WHENEVER MISSING PERSON LOCATED BADGE NUMBER ELEMENT 5D ELEMENT

REPORTING OFFICER'S EMAIL

SIGNATURE OF SUPERVISOR MOATS JR, RICHARD D

SUPERVISOR'S EMAIL

BADGE NUMBER 2225

ELEMENT 5D

REVIEWER

STATUS OPEN