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0338017 Arrest / NOTICE TO APPEAR Juvenile Referral Report 1. Arrest 3. Request for Warrant 2. N.T.A. 4. Request for Capias Agency Report Number 0 1 6 1- OBTS Number Age, D/ORI Number Agency Name PALM BEACH COUNTY SHERIFF'S OFFICE Charge Type: 1. Felony 3. Ordinance Multiple Clearance Indicator 2. Traffic Felony 4. Traffic Misdemeanor 5. Ordinance 6. Other If Weapon Seized Enter Type Location of Arrest (Including Name of Business) 3228 WPB, FL Location of Offense (Business Name, Address) Date of arrest 02/23/10,6 Time of Arrest 0130 Booking Date Booking Time Jail Date Jail Time Location of Vehicle Name (Last, First, Middle) ESTEVAN Alias (Name, DOB, Soc. Sec. #, Etc.) Race W - White 1 - American Indian Sex Date of Birth 1 2 0 5 3 1 Height Weight Eye Color Hair Color Complexion Build M 6'00 160 B L D Scars, Marks, Tattoos, Unique Physical Features (Location, Type, Description) Local Address (Street, Apt. Number) 356 NW 8th LLC (City) Palm Beach, FL 33480 (State) (Zip) (SL455-3760) (City) (State) (Zip) U.S.V- Phone Permanent Address (Street, Apt. Number) 1.1.1 KED H0 Suite 155 Sturrs Is. wale Phone Business Address (Name, Street) D/L Number, State Soc. Sec. Number INS Number Place of Birth (City, State) Citizenship New York, NY U S P Co-Defendant Name (Last, First, Middle) Race Sex Date of Birth 1. Arrested 3. Felony 2. At Large 4. Misdemeanor 5. Juvenile Co-Defendant Name (Last, First, Middle) Race Sex Date of Birth 1. Arrested 3. Felony 2. At Large 4. Misdemeanor 5. Juvenile Parent Name (Last) (First) (Middle) Legal Custodian Address (Street, Apt. Number) (City) (State) (Zip) Residence Phone Business Phone Notified by: (Name) Date Time Juvenile Disposition 1. Handled/Processed within Dept. and Released. 2. TOT HRS/DYS 3. Incarcerated Released To: (Name) Relationship Date Time The above address was provided by defendant and / or defendant's parents. The child and / or parent was told to keep the Juvenile Court Clerk's Office (Phone 355-2526) informed of any change of address. Yes, by: (Name) No: (Reason) Property Crime? Description of Property Value of Property Drug Activity S. Sell R. Smuggle K. Dispense/ Distribute M. Manufacture/ Produce/ Cultivate Z. Other N N/A B. Buy D. Deliver E. Use T. Traffic Drug Type A. Amphetamine B. Barbiturate C. Cocaine E. Heroin H. Hallucinogen M. Marijuana O. Opium/Deriv. P. Paraphernalia/ Equipment S. Synthetic U. Unknown Z. Other Charge Description felony deliquinty of system 741 Counts Domestic Violence Y N Statute Violation Number 7 8 6 1 1 0 7 1 7 4 ( 1 1 0 , 3 1 ) Violation of ORD # ( ) Warrant / Capias Number 06009745 CFA99DW Bond 3,100 Drug Activity Drug Type Amount / Unit Offense # Charge Description Counts Domestic Violence Y N Statute Violation Number ( ) Violation of ORD # ( ) Warrant / Capias Number Bond Drug Activity Drug Type Amount / Unit Offense # Charge Description Counts Domestic Violence Y N Statute Violation Number ( ) Violation of ORD # ( ) Warrant / Capias Number Bond Drug Activity Drug Type Amount / Unit Offense # Charge Description Counts Domestic Violence Y N Statute Violation Number ( ) Violation of ORD # ( ) Warrant / Capias Number Bond Drug Activity Drug Type Amount / Unit Offense # Charge Description Counts Domestic Violence Y N Statute Violation Number ( ) Violation of ORD # ( ) Warrant / Capias Number Bond Location (Court, Room Number, Address) Court Date and Time Month Day Year Time A.M. P.M. I AGREE TO APPEAR AT THE TIME AND PLACE DESIGNATED TO ANSWER THE OFFENSE CHARGED OR TO PAY THE FINE SUBSCRIBED. I UNDERSTAND THAT SHOULD I WILLFULLY FAIL TO APPEAR BEFORE THE COURT AS REQUIRED BY THIS NOTICE TO APPEAR, THAT I MAY BE HELD IN CONTEMPT OF COURT AND A WARRANT FOR MY ARREST SHALL BE ISSUED. Signature of Defendant (or Juvenile and Parent/Custodian) Date Signed Signature of Arresting Officer Name Verification (Printed by Arrestee) HOLD for other Agency Name: Dangerous Resisted Arrest Suicidal Other: Name of Arresting Officer (Print) I.D. # (PRINT) Transporting Officer I.D.# Witness here Public Records Request No.: 17-295 Page 44 of 114 Agency I.D. # Pouch # 07/26/17 s/h 5/1 5/1 DISTRIBUTION: WHITE - COURT COPY GREEN - STATE ATTORNEY YELLOW - AGENCY PINK - AGENCY GOLD - DEFENDANT (N.T.A.'S ONLY) PBSO #148 REV. 8/97 DOJ-OGR-00030397