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 - 7511NON 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
Print Generated By: THETFORD,DANIEL ( ) 2 Page of 5 17-MAY-2021 07:58
SUSPECTS
DescriptionsClothing 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 CustodyName: 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 SeriousMount 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 )
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
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
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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 NamePERSONNEL
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