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INCIDENT NON OFFENDER

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RD #: JE231713

ORIGINAL CASE INCIDENT REPORT

3510 S. Michigan Avenue, Chicago, Illinois 60653

(For use by Chicago Police Department Personnel Only) CPD-11.388(6/03)-C)

RD #:

JE231713

EVENT

#:

2113603866

INCIDENT

Occurrence Location:

1537 S Lawndale Ave Beat: 1014

Chicago IL 60623

200 - Vacant Lot / Land - Vacant Lot 16 May 2021 07:23 Unit Assigned: RO Arrival Date: 1031 16 May 2021 07:39

VICTIM - Individual

VICTIM - Individual

Police Officer Police Officer Demographics Demographics Name: Name: PO GARCIA# 5972, Julio PO NAKAYAMA # 15204, Mark Res: Res: 3315 W Ogden Ave 3315 W Ogden Ave Chicago IL 60623 Chicago IL 60623 312 - 747 - 7511 312 - 747 - 7511

NON OFFENDER

IUCR: 0450 - Battery - Aggravated Police Officer - Handgun

Age: Age: Birth Place: Birth Place: 28 Years 25 Years Illinois Illinois Information Refused Sobriety: Sobriety: Sober Sober Male Male White Hispanic

Asian / Pacific Islander 6'01, 5'06, 200 lbs 165 lbs Brown Eyes Hazel Eyes Brown Hair Brown Hair Short Hair Style

Short Hair Style Light Complexion

Light Complexion Facial Hair - None

Facial Hair - Clean Shaven Beat: Beat: 5100 5100 Beat: Beat: 1024 1024 Occurrence Date:

ASSIGNED TO FIELD

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Print Generated By: THETFORD,DANIEL ( ) 2 Page of 5 17-MAY-2021 07:58

SUSPECTS

Descriptions

Clothing Description: Top - White Shirt , Bottom - Black Sweatpants CFD First Aid Given? Responding Unit: Yes 80 Injury Extent: Treatment: Hospital: Physician: Minor Gsw To Right Sh John H. Stroger, Jr. Hospital

Dr Komensky Authorized By: Cfd Amb

Suspect # 1

In Custody

Name: LUA, Bruce L

Res: Beat: 1034 Male

White Hispanic 5'07,

170 lbs Brown Eyes Brown Hair Short Hair Style Olive Complexion Demographics DOB: Age: Birth Place: 45 years XX Injury Info

Type Description Weapon Used

Gun Shot Rught Shin Handgun

INJURIES

Injured by offender Injured by offender Injury Extent: Injury Extent: Hospital: Hospital: Injury Cause: Injury Cause: CPD First Aid Given? CPD First Aid Given? Injury Reason: Injury Reason: Yes Yes Other Other Serious Serious

Mount Sinai Hospital

Mount Sinai Hospital Weapon ? Firearm Weapon ? Firearm CFD First Aid Given? CFD First Aid Given? Yes Yes Responding Unit: Responding Unit: 77 77 Physician Name: Physician Name: DR BERMUDEZ DR BERMUDEZ Authorized By: Authorized By: CFD AMB CFD AMB Gun Shot Gun Shot Gun Shot Handgun Handgun Handgun Type Type Weapon Used Weapon Used

Injury Info (PO GARCIA# 5972,Julio - Victim )

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DOMESTIC INFO

OTHER

RELATIONSHIP

Victim Information Provided

RELATIONSHIP PO GARCIA# 5972, Julio PO NAKAYAMA # 15204, Mark (Victim) (Victim) is a is a No Relationship of No Relationship of LUA, Bruce,L LUA, Bruce,L ( Offender ) ( Offender ) Miscellaneous

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Print Generated By: THETFORD,DANIEL ( ) 4 Page of 5 17-MAY-2021 07:58

NOTIFICATIONS

NARRATIVE

EVENT# 03866 SEE DETECTIVE SUPPLEMENTARY REPORT

NOTIFICATION: CRIME PREVENTION INFORMATION CENTER (CPIC), JOANN LOCULLO, Beat#: , Star#: 8769, Emp#: , Date: 16-MAY-2021, Time: 08:32,

NOTIFICATION: WATCH COMMANDER (WC), GREGORY HOFFMAN, Beat#: 1099, Star#: 353, Emp#: , Date: 16-MAY-2021, Time: 07:40,

NOTIFICATION: DISTRICT STATION SUPERVISOR (DSS), JUAN ESCALANTE, Beat#: 1001, Star#: 2403, Emp#: , Date: 16-MAY-2021, Time: 07:43,

NOTIFICATION: DISTRICT DESK, CAMILO PARRALES, Beat#: 1002, Star#: 4575, Emp#: , Date: 16-MAY-2021, Time: 07:43, Notification Notification Notification On Scene On Scene On Scene On Scene On Scene On Scene 640 102 177 640 640 630 640 177 640 Detectives - Area 4 Communications Division (Cd)

Forensic Services Division (Fsd)

Detectives - Area 4

Detectives - Area 4

Detectives - Area 3

Detectives - Area 4

Forensic Services Division (Fsd) Detectives - Area 4 16 May 2021 08:30 16 May 2021 08:46 16 May 2021 08:48 16 May 2021 09:00 16 May 2021 09:00 16 May 2021 08:00 16 May 2021 07:50 16 May 2021 09:00 16 May 2021 09:00 1820 9807 21307 20112 20472 21000 19270 20008 William,BERNATH Anthony,SPICUZZA ,CITY WIDE 2 Mireya,LIPSEY Joseph,WAGNER James,KINSELLA Frank,SZWEDO William,QUINN Nicholas,XANOS Request Type Request Type Request Type Request Type Request Type Request Type Request Type Request Type Request Type

Uni

t

Uni

t

Uni

t

Uni

t

Uni

t

Uni

t

Uni

t

Uni

t

Uni

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Agency Name Agency Name Agency Name Agency Name Agency Name Agency Name Agency Name Agency Name Agency Name Date Date Date Date Date Date Date Date Date Star # Star # Star # Star # Star # Star # Star # Star # Empl # Empl # Empl # Empl # Empl # Empl # Empl # Empl # Name Name Name Name Name Name Name Name Name

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PERSONNEL

Approving Supervisor

Arresting Officer -Second

Crime Scene Protection Officer

Detective - On Scene

Detective / Investigator

Other Supporting Officer

Other Supporting Officer

Other Supporting Officer

Reporting Officer Supervisor - On Scene # SVILAR, William BANUELOS, Miguel, A ESCOBEDO, Frances DUNDERDALE, Craig, A KATZ, Adam, L BROWN, Robert, J SURMA, Samantha, C PEREZ PACHECO, Bryan, REY, Violet, M LAYNE, John, A 16 May 2021 14:19 16 May 2021 11:22 16 May 2021 11:22 16 May 2021 11:22 16 May 2021 14:21 16 May 2021 11:22 16 May 2021 11:22 16 May 2021 11:22 16 May 2021 11:22 16 May 2021 11:22 181 010 010 640 181 010 010 010 010 011 1021 1023 5426 1024 1011A 1011A 1031 1010 1961 10237 19445 21807 20558 3788 17345 4548 3593 2602

Emp No Name User Date Unit Beat

References

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