On July 12, 2023 a
Party Statement
was filed
involving a dispute between
State Of Florida,
and
for THEFT FORGERY FRAUD
in the District Court of Brevard County.
Preview
Filing # 177295656 E-Filed 07/12/2023 06:45:48 PM
AGENCY CASE #: MP230049261 REPORT DATE: 07/12/2023
ARREST AFFIDAVIT "AY of¢
I
cIRCO BPORTING AGENCY EPORT BATE
18TH JUDICIAL CIRCUIT /ELBOURNE POLICE DEPARTMENT (07/12/2023
/
REPORTING AGENCY OR! # i NG AGENCY ORE + ET TING AGENCY ORI # =DOKING AGENCY ORI #
FtL0050700 FLOOSO700 |FLOOSO700 FL0050700
AGENCY CASE & REST # OR COURT CASE & SIVENTLE? [rveE OF akees®
MP230049261 iNO- JON-VIEW ARREST
OBTS # DENCE NFISCATED EVINENCE Or INFISCATED DESCRIPTION
1 Fetowy 2. TRAFFIC FELONY 3. MISDEMEANOR * 4 TRAFFIC MISDEMEANOR, 5. ORDINANCE | 6. OTHER/CAPTAS
pate
ARREST
rie
| BOOKING T JAIL
DATE HME,
alaa
TIME,
07/12/2023
IAT BUSINESS?
(04:07 PM.
company RAVE
(07/12/2023 [04:17 PM 1§33
YES iC PENNY
ran)
bor STREET # f SIRECTION NAME OST DIRECTION TREE GORY CODE POTUNIT &
F41700 iwEsT INEW HAVEN JAVENUE
baiciiy rate Eo TUATTUDE NE LON PPLDE
poe MELBOURNE FL B2901
AT BUSINESS? COMPANY NAME
YES pc PENNY
ca
Fae seRect = RE OIRECTION REET NAME Pos DIRECTION |pTREET CATEGORY CODE PaTjUNIT &
ary
Sarg 1700 EST NEW HAVEN AVENUE
felipe (STATE fir ar Latin LONGITUDE
MELBOURNE FL 32901
ee
PERSON # DOARRESTEE ST iS POVENILE? PARENTS INTACTED? RELATIONSHIP TOS NTA?
i oO NO
BUSINESS, GOVERNMENT NAME a
FICTIM TO SUBIECT RELATIONSALP Pron,
TRST NAME HIODLE NAME AST NAME DATE OF BIRTH AGE
FRANCES: ROSE KEANE 18/31/1985 js?
SENDER, pEIGHT ETHNK ¥ PLIAS 7 MAIDEN NAME DESC, OMPLE
sos"
NOT HISPANIC
IOR LATINO [TAN
Leen oe
ILD. EIGHT EYE COLOR i HAIR COLOR Fe:
HEAVY 153 18S HAZ BRO
SCARS MARKS, TATOOS CATION oe RISE)
JUL INDICATOR ARS ENG =F Renee PROBATION? BANG ARP? X OFFENDER? FIENTAL HEALTH HOMELESS?
jNONE ES NO INO NO iO yes
IDENTIFICATION
RIVER LICENSE & fo State foi Class LACE OF BIRTR COUNTRY OF CI NSHIP
K-500-256-55-811-0 FL ie NY iS
cS SEC. NS > rare Fei Boo: ° PA ce THER ID #
a
PERMANENT ADDRESS
one ference
STREET # AME STREET CAI To
TEG ORY CODE RETAIN a)
i615 jE FEE AVENUE
kine ATE DRESS ce
MELBURNE FL 32901
BRSON RESIOEN CODE PGR Eval.
(321) 460-9432
PAGEL OF
Filing 177295656 VS 05-2023-CF-038139-AXXX-XX
AGENCY CA‘ SE #: MP230049261 . REPORT DATE: 07/12/2023
b
RCT
ACT: PEIBe 5 Ve SE START DATE ENCIDENT START DATE IRCIDE DATE
a 7742/2023 fo7/12/ 2023 07/12/2023 7 {42/2023
JUVENILE REFERRAL
CHARGE TYRE EHARGE SEVERITY ORDINANCE = aT STATUTE CATEGORY
FSS FELONY (842.014(3C) LARC
Ss UTE DESCRIPTION COUNTS INCREASED PENALTY fy FOVENCE ATOR
PETIT THEFT 2ND DEGREE 3RD SUBSQ OFFENSE i NO
DRUG ACTIVITY pris Tee JG AMOUNT Bar BOND TPE BOND DAT ORD ANOUNT WARRANT @
me (2,009.00
1 Pn Fe START D DATE ENCIO: ART GATE BNCIDENT END DATE
7712/2023 (07/12/2023 (07/12/2023 (07/12/2023
BUVENILE & RA
_ rein
CHARGE TYPE MARGE SEVERITY ORDINANCE STATUTE ES EGORY
FSS ELONY 777.04(4E) UBLIC ORDER CRIMES
STATUTE DESCRIPTION S PNCREASED PENALTY ViGi E INDICATOR
CRIMINAL ATYEMPT SOLICIT CONSPIRTE 380 DEG FEL
DRUG ACTIVITY RUG TYPE RUG AMOUNT BAI. BOND Ts FOND DATE SOND AMOUNT WARRANT
62,000.00
PERSON = OARRE € STATUS PUVEN PARENTS CONTACTED? [RELATIONSAIP 10 SUB eer
BEC
2
sa
ISINESS GOVERNMENT Rag FIM TG SUBJECT 1 SHIP
IC PENNY
ARST NAME DOLE NAME bast UPFFIX [a a CE
SENDER FREIGHT [ety LIAS. AIDEN OT Ret BEST, OMPLE
leur WEIGHT COLOR HAIR COLOR a ACRES
TION
ISCARS/MARKS/TATOOS (LOCA TIC
UT IN ATOR aKS ENGLISH? PPAR OEATION? GANG APT? EX OFFENDER? AENTAL HEALTH HOMELESS?
IDENTIFICATION
RIVER LICENSE # DE STATE [OL CLASS PLACE OF BIRTH UNTRY OF CIMZENSHIP
SOC. SEC. = INS ¥ Fai CIC/NCIC OOKING # BPN pOG # DTHER ID #
PERMANENT ADDRESS
STREET # STREET NAME STREET CATEGORY CODE, TUNITY ©
1.700 WEST NEW HAVE IAVENUE
i TATE Pie CODE ADDRES! URE
MELBOURNE L 32901
PERSON RESIDENCE CODE HORE @
(321) 727-0923
PAGE2 = OF 4
Filing 177295656 VS 05-2023-CF-038139-AXXX-XX
AGENCY CASE #: MP230049261 REPORT DATE: 07/12/2023
ms FIRST NAME ST NAME BADGE # RANK SIGNATURE METHOD
5 FI DANIEL OFFATT #891 OFFICER DIGITAL
as
Pe TSa AB/APFIRM THE ABOVE TTACHED STATEMENTS
ARE TRUE CORRECT OF
Pe OPHICER SIGNATURE
07/12/2023 a 16:37
ay AFFIRMING OFF
es
NAME ADS AFFIRMING AGENCY © IGNATORE METHOD [AFFIRMING OFF! L SIGNATURE,
Fae) 8. KLEEBERG p926 IFLOOSO700 DIGITAL
rans
bam SUBSCRIBED AND AFFIRMED TO BEF ‘ORE NGO 07/12/2602 AT 17:02 By. ORICel Mofatt-1D E91
pes Is SONALLY KNOWS TO ME OR HAS PRODUCED i _~ aS NTI
~ _ FC
PAGE 3 ord
Filing 177295656 VS 05-2023-CF-038139-AXXX-XX
AGENCY CASE #: MP230049261 REPORT DAT! 07/12/2023
undersigned certifies and swears that ‘she has just and ceaxonable i few he above mee ar lies lation laws
07/12/2023 45:
i at (Spe ‘igally inchadte fax ‘anstit aause for ares!
‘On July 12, 2023, the defendant, Frances Keane, R was observed b vie Penny Loss Prevention Specialist concealing items
inside a small bag. The defendant walked past all points of sale and attempted to exit the store where she was stopped,
Loss Prevention recovered the items observed from the defendant's bag, 4 pairs of earrings totaling $146.00.
The defendant was charged with Felony Petit theft with two or more prior convictions and Criminal Attempt to commit a third
degree felony.
A review of the defendant's criminal history showed several prior convictions for Felony Petit Theft including an open case the
defendant was currently out on bond, reference case number 05-2623-CF-032933-AXXK-XX for Felony Petit theft with two or
more prior convictions.
The defendant was served a trespass warning from JC Penny advising the defendant not to return for a period of one
year then
transported to the Brevard County Jail without issue.
AFFIRMING OFFICIAL MAME | ~ . BSCR! APE FORE ON,
AFFIRMING OFFIGIAL SIGNATURE, — . - WHO Is: WW ENE ORC NNT OFFIC NOTARY
| sweariaffirn the av ched statements are true and correct, OFFICER SIGNATURE Bh MTF
PAC, Exists for Charge(s): (Cl yes
NO judge's Signature Bate
AGREE TO APPEAR ft THE THE AND SESIGNATED
COURT ag REQUIRED BY THOS ROTICE TO. Hat BAYTO OEANSWER THE OFFENSE
ELD ® NTEMPT OF SAROED OR ToA WAR!
COURT AWD Pa NE SUSSCRIDED. | UNDERSTAKD THAT SHELWh LY FAL TO APPEAR BEFORE THE
FOR
OF GH, YOUR si UAL ACKNOWL FHGES ECE THe UYINPORMAATION
AKREST SHALL
USTEDOE HEREQH,
{S5UEO. SIGMING THE NOTICE TQ APPEAR IS NOT AN ADMISSION
DErEREAN MENLE w PAREN SIGNET
a a
PAGE 4 OoF4d
Filing 177295656 VS 05-2023-CF-038139-AXXX-XX
Document Filed Date
July 12, 2023
Case Filing Date
July 12, 2023
Category
THEFT FORGERY FRAUD
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Filing # 177295656 E-Filed 07/12/2023 06:45:48 PM AGENCY CASE #: MP230049261 REPORT DATE: 07/12/2023 ARREST AFFIDAVIT "AY of¢ I cIRCO BPORTING AGENCY EPORT BATE 18TH JUDICIAL CIRCUIT /ELBOURNE POLICE DEPARTMENT (07/12/2023 / REPORTING AGENCY OR! # i NG AGENCY ORE + ET TING AGENCY ORI # =DOKING AGENCY ORI # FtL0050700 FLOOSO700 |FLOOSO700 FL0050700 AGENCY CASE & REST # OR COURT CASE & SIVENTLE? [rveE OF akees® MP230049261 iNO- JON-VIEW ARREST OBTS # DENCE NFISCATED EVINENCE Or INFISCATED DESCRIPTION 1 Fetowy 2. TRAFFIC FELONY 3. MISDEMEANOR * 4 TRAFFIC MISDEMEANOR, 5. ORDINANCE | 6. OTHER/CAPTAS pate ARREST rie | BOOKING T JAIL DATE HME, alaa TIME, 07/12/2023 IAT BUSINESS? (04:07 PM. company RAVE (07/12/2023 [04:17 PM 1§33 YES iC PENNY ran) bor STREET # f SIRECTION NAME OST DIRECTION TREE GORY CODE POTUNIT & F41700 iwEsT INEW HAVEN JAVENUE baiciiy rate Eo TUATTUDE NE LON PPLDE poe MELBOURNE FL B2901 AT BUSINESS? COMPANY NAME YES pc PENNY ca Fae seRect = RE OIRECTION REET NAME Pos DIRECTION |pTREET CATEGORY CODE PaTjUNIT & ary Sarg 1700 EST NEW HAVEN AVENUE felipe (STATE fir ar Latin LONGITUDE MELBOURNE FL 32901 ee PERSON # DOARRESTEE ST iS POVENILE? PARENTS INTACTED? RELATIONSHIP TOS NTA? i oO NO BUSINESS, GOVERNMENT NAME a FICTIM TO SUBIECT RELATIONSALP Pron, TRST NAME HIODLE NAME AST NAME DATE OF BIRTH AGE FRANCES: ROSE KEANE 18/31/1985 js? SENDER, pEIGHT ETHNK ¥ PLIAS 7 MAIDEN NAME DESC, OMPLE sos" NOT HISPANIC IOR LATINO [TAN Leen oe ILD. EIGHT EYE COLOR i HAIR COLOR Fe: HEAVY 153 18S HAZ BRO SCARS MARKS, TATOOS CATION oe RISE) JUL INDICATOR ARS ENG =F Renee PROBATION? BANG ARP? X OFFENDER? FIENTAL HEALTH HOMELESS? jNONE ES NO INO NO iO yes IDENTIFICATION RIVER LICENSE & fo State foi Class LACE OF BIRTR COUNTRY OF CI NSHIP K-500-256-55-811-0 FL ie NY iS cS SEC. NS > rare Fei Boo: ° PA ce THER ID # a PERMANENT ADDRESS one ference STREET # AME STREET CAI To TEG ORY CODE RETAIN a) i615 jE FEE AVENUE kine ATE DRESS ce MELBURNE FL 32901 BRSON RESIOEN CODE PGR Eval. (321) 460-9432 PAGEL OF Filing 177295656 VS 05-2023-CF-038139-AXXX-XX AGENCY CA‘ SE #: MP230049261 . REPORT DATE: 07/12/2023 b RCT ACT: PEIBe 5 Ve SE START DATE ENCIDENT START DATE IRCIDE DATE a 7742/2023 fo7/12/ 2023 07/12/2023 7 {42/2023 JUVENILE REFERRAL CHARGE TYRE EHARGE SEVERITY ORDINANCE = aT STATUTE CATEGORY FSS FELONY (842.014(3C) LARC Ss UTE DESCRIPTION COUNTS INCREASED PENALTY fy FOVENCE ATOR PETIT THEFT 2ND DEGREE 3RD SUBSQ OFFENSE i NO DRUG ACTIVITY pris Tee JG AMOUNT Bar BOND TPE BOND DAT ORD ANOUNT WARRANT @ me (2,009.00 1 Pn Fe START D DATE ENCIO: ART GATE BNCIDENT END DATE 7712/2023 (07/12/2023 (07/12/2023 (07/12/2023 BUVENILE & RA _ rein CHARGE TYPE MARGE SEVERITY ORDINANCE STATUTE ES EGORY FSS ELONY 777.04(4E) UBLIC ORDER CRIMES STATUTE DESCRIPTION S PNCREASED PENALTY ViGi E INDICATOR CRIMINAL ATYEMPT SOLICIT CONSPIRTE 380 DEG FEL DRUG ACTIVITY RUG TYPE RUG AMOUNT BAI. BOND Ts FOND DATE SOND AMOUNT WARRANT 62,000.00 PERSON = OARRE € STATUS PUVEN PARENTS CONTACTED? [RELATIONSAIP 10 SUB eer BEC 2 sa ISINESS GOVERNMENT Rag FIM TG SUBJECT 1 SHIP IC PENNY ARST NAME DOLE NAME bast UPFFIX [a a CE SENDER FREIGHT [ety LIAS. AIDEN OT Ret BEST, OMPLE leur WEIGHT COLOR HAIR COLOR a ACRES TION ISCARS/MARKS/TATOOS (LOCA TIC UT IN ATOR aKS ENGLISH? PPAR OEATION? GANG APT? EX OFFENDER? AENTAL HEALTH HOMELESS? IDENTIFICATION RIVER LICENSE # DE STATE [OL CLASS PLACE OF BIRTH UNTRY OF CIMZENSHIP SOC. SEC. = INS ¥ Fai CIC/NCIC OOKING # BPN pOG # DTHER ID # PERMANENT ADDRESS STREET # STREET NAME STREET CATEGORY CODE, TUNITY © 1.700 WEST NEW HAVE IAVENUE i TATE Pie CODE ADDRES! URE MELBOURNE L 32901 PERSON RESIDENCE CODE HORE @ (321) 727-0923 PAGE2 = OF 4 Filing 177295656 VS 05-2023-CF-038139-AXXX-XX AGENCY CASE #: MP230049261 REPORT DATE: 07/12/2023 ms FIRST NAME ST NAME BADGE # RANK SIGNATURE METHOD 5 FI DANIEL OFFATT #891 OFFICER DIGITAL as Pe TSa AB/APFIRM THE ABOVE TTACHED STATEMENTS ARE TRUE CORRECT OF Pe OPHICER SIGNATURE 07/12/2023 a 16:37 ay AFFIRMING OFF es NAME ADS AFFIRMING AGENCY © IGNATORE METHOD [AFFIRMING OFF! L SIGNATURE, Fae) 8. KLEEBERG p926 IFLOOSO700 DIGITAL rans bam SUBSCRIBED AND AFFIRMED TO BEF ‘ORE NGO 07/12/2602 AT 17:02 By. ORICel Mofatt-1D E91 pes Is SONALLY KNOWS TO ME OR HAS PRODUCED i _~ aS NTI ~ _ FC PAGE 3 ord Filing 177295656 VS 05-2023-CF-038139-AXXX-XX AGENCY CASE #: MP230049261 REPORT DAT! 07/12/2023 undersigned certifies and swears that ‘she has just and ceaxonable i few he above mee ar lies lation laws 07/12/2023 45: i at (Spe ‘igally inchadte fax ‘anstit aause for ares! ‘On July 12, 2023, the defendant, Frances Keane, R was observed b vie Penny Loss Prevention Specialist concealing items inside a small bag. The defendant walked past all points of sale and attempted to exit the store where she was stopped, Loss Prevention recovered the items observed from the defendant's bag, 4 pairs of earrings totaling $146.00. The defendant was charged with Felony Petit theft with two or more prior convictions and Criminal Attempt to commit a third degree felony. A review of the defendant's criminal history showed several prior convictions for Felony Petit Theft including an open case the defendant was currently out on bond, reference case number 05-2623-CF-032933-AXXK-XX for Felony Petit theft with two or more prior convictions. The defendant was served a trespass warning from JC Penny advising the defendant not to return for a period of one year then transported to the Brevard County Jail without issue. AFFIRMING OFFICIAL MAME | ~ . BSCR! APE FORE ON, AFFIRMING OFFIGIAL SIGNATURE, — . - WHO Is: WW ENE ORC NNT OFFIC NOTARY | sweariaffirn the av ched statements are true and correct, OFFICER SIGNATURE Bh MTF PAC, Exists for Charge(s): (Cl yes NO judge's Signature Bate AGREE TO APPEAR ft THE THE AND SESIGNATED COURT ag REQUIRED BY THOS ROTICE TO. Hat BAYTO OEANSWER THE OFFENSE ELD ® NTEMPT OF SAROED OR ToA WAR! COURT AWD Pa NE SUSSCRIDED. | UNDERSTAKD THAT SHELWh LY FAL TO APPEAR BEFORE THE FOR OF GH, YOUR si UAL ACKNOWL FHGES ECE THe UYINPORMAATION AKREST SHALL USTEDOE HEREQH, {S5UEO. SIGMING THE NOTICE TQ APPEAR IS NOT AN ADMISSION DErEREAN MENLE w PAREN SIGNET a a PAGE 4 OoF4d Filing 177295656 VS 05-2023-CF-038139-AXXX-XX