On April 30, 2021 a
Party Statement
was filed
involving a dispute between
and
Hassan Waller,
for 3
in the District Court of Palm Beach County.
Preview
OBTS Number
MY QVUQY GIMP ARREST / NOTICE TO APPEAR
Q Check if Supplement is Attached
1. Arrest 3. Request for Warrant Juvenile
Juvenile Referral Report 2NTA, 4, Request for Capias
L 1
“Agency ORI Number “Agency Name’ “Agency Repor,
zr, §,0,0,0,0,0
) Sherge pe:
PALM (CH COUNTY SHERIFF'S OFFICE
Misdemeanor
0 (S I-1
jpon Selzed
AEA iy
1. Felony 5. ordinance
2 seaspie 5 many 2. Traltic Fetony CO 4, Trafic Misdemeanor 6. Other Enter Type, ine or
Z|
OO.
25 op oe ss. Las
SRO SP Ss
te Booking Date Booking time [JailDate ail Time ‘Location of Vehicle
‘Name (Last,De Pe Y, ‘Alias (Name, DOB, Soc. Sec. #. Etc.
ZF ZED ETO WOpe
C.
Sh Wi Fal
aes
B
ee
W-White = American Indian,
B- Black 9 Segrvisen
ceLZ Trdteation of 8
(ger
‘Scars, Marke tere, Unig
Alcohol influence
Drug Influence.
haapas Steg, rN
£
(City) (Stat Bre Residence Type:
2 Golnty 4, Qutot State A
3 F'PermanoStadaress (Street, Apt. Number) (City) {State) Zip) Phone ‘Adaress Sour
Business Address (Name, Street) cy) Brarey Gis Prone Occupation
D/L Number, State jarber Piece, ith (City. State) Gitizer
Ar ied
SS
AP Fisst, Middle) a, Misder
D2. AtLarge
suranis
Qf Ge Ostend (Last, Fist, Miata) Race ‘Sex Date of Bith yeaa
2 Be Mise yeanor |
5. Juvenile
"Name (Last) First) (Widdiey Residance Phone
Gee al Custodian
(
‘Address (Street, Apt. Number) (cy) (State) Zip) ‘Business Phone
(
Wolified by: (Name) Date Time ‘Juvenile Dispositio
4 landled/Processed within ozs Hasf
Dept. and Released.
EF ifcarceral
| | Reteased To: (Name) Felationship ‘Dale = Time
3 Su n
2 ao a
hie
i
The above address was provided by L] defendant and/or LJ delendant's pare! child and / or parent was told ‘School Attended or
to keep the Juvenile Court Clerk’s Cifice (Phone (561) 355-651 1) informed of any 2 of address. 3 wo
1 Yes. by: (Name) lo (Reasy, ee
Property Crime? Desaiption of Propeny Value of Property
BS ae
O ves Ono Ec ie
:
Brag Aci $. Sell "Smuggle K. Dispens M. Manufactures 2. Other jype Bparbiuate Hi Hall P Bataphemallic. UhGaenown
8 Betver Distribute M. Marijuana
B Possess 1 Trattic Cultivate, Amphetamine E.nercin: piunvDeLiiv | signi 3
OT
ton. S Domestic, rat Violation of ORD #
GS On AD iolen
ld rm
)
Al
Activity [i Ty Tit ‘Bond
EE?
Warrant / Capias Number
DY
‘Charge Description mastic, “Statute Violation Number FoTaTonGT OFO A
oS tence
oy ON 1 L J 4 L 1 Id 1 Ao
==< Drug Activity [Drug Type “Amount | Unit Offense # Wartant / Capias Number TG
mc
‘Charge Description ‘Counts ‘Domestic ‘Statute Violation Number [Molson stORD #
Violence
Drug Activity [Drug Type "Amount / Unit Otlense #
1 1 : 1 1 1 ld [Bond i=
Warrant / Capias Number
wy ‘Charge Description ‘Counts Domestic
Violence Statute Violation Number ere
[Dug hey [ona Wee Amount 7 Unit Otense F
1 1
Warrant] Caples Number
1 L i
Location (Coun. Room Ae
AS Date and Bs
Sn
IY
Document Filed Date
April 30, 2021
Case Filing Date
April 30, 2021
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OBTS Number MY QVUQY GIMP ARREST / NOTICE TO APPEAR Q Check if Supplement is Attached 1. Arrest 3. Request for Warrant Juvenile Juvenile Referral Report 2NTA, 4, Request for Capias L 1 “Agency ORI Number “Agency Name’ “Agency Repor, zr, §,0,0,0,0,0 ) Sherge pe: PALM (CH COUNTY SHERIFF'S OFFICE Misdemeanor 0 (S I-1 jpon Selzed AEA iy 1. Felony 5. ordinance 2 seaspie 5 many 2. Traltic Fetony CO 4, Trafic Misdemeanor 6. Other Enter Type, ine or Z| OO. 25 op oe ss. Las SRO SP Ss te Booking Date Booking time [JailDate ail Time ‘Location of Vehicle ‘Name (Last,De Pe Y, ‘Alias (Name, DOB, Soc. Sec. #. Etc. ZF ZED ETO WOpe C. Sh Wi Fal aes B ee W-White = American Indian, B- Black 9 Segrvisen ceLZ Trdteation of 8 (ger ‘Scars, Marke tere, Unig Alcohol influence Drug Influence. haapas Steg, rN £ (City) (Stat Bre Residence Type: 2 Golnty 4, Qutot State A 3 F'PermanoStadaress (Street, Apt. Number) (City) {State) Zip) Phone ‘Adaress Sour Business Address (Name, Street) cy) Brarey Gis Prone Occupation D/L Number, State jarber Piece, ith (City. State) Gitizer Ar ied SS AP Fisst, Middle) a, Misder D2. AtLarge suranis Qf Ge Ostend (Last, Fist, Miata) Race ‘Sex Date of Bith yeaa 2 Be Mise yeanor | 5. Juvenile "Name (Last) First) (Widdiey Residance Phone Gee al Custodian ( ‘Address (Street, Apt. Number) (cy) (State) Zip) ‘Business Phone ( Wolified by: (Name) Date Time ‘Juvenile Dispositio 4 landled/Processed within ozs Hasf Dept. and Released. EF ifcarceral | | Reteased To: (Name) Felationship ‘Dale = Time 3 Su n 2 ao a hie i The above address was provided by L] defendant and/or LJ delendant's pare! child and / or parent was told ‘School Attended or to keep the Juvenile Court Clerk’s Cifice (Phone (561) 355-651 1) informed of any 2 of address. 3 wo 1 Yes. by: (Name) lo (Reasy, ee Property Crime? Desaiption of Propeny Value of Property BS ae O ves Ono Ec ie : Brag Aci $. Sell "Smuggle K. Dispens M. Manufactures 2. Other jype Bparbiuate Hi Hall P Bataphemallic. UhGaenown 8 Betver Distribute M. Marijuana B Possess 1 Trattic Cultivate, Amphetamine E.nercin: piunvDeLiiv | signi 3 OT ton. S Domestic, rat Violation of ORD # GS On AD iolen ld rm ) Al Activity [i Ty Tit ‘Bond EE? Warrant / Capias Number DY ‘Charge Description mastic, “Statute Violation Number FoTaTonGT OFO A oS tence oy ON 1 L J 4 L 1 Id 1 Ao ==< Drug Activity [Drug Type “Amount | Unit Offense # Wartant / Capias Number TG mc ‘Charge Description ‘Counts ‘Domestic ‘Statute Violation Number [Molson stORD # Violence Drug Activity [Drug Type "Amount / Unit Otlense # 1 1 : 1 1 1 ld [Bond i= Warrant / Capias Number wy ‘Charge Description ‘Counts Domestic Violence Statute Violation Number ere [Dug hey [ona Wee Amount 7 Unit Otense F 1 1 Warrant] Caples Number 1 L i Location (Coun. Room Ae AS Date and Bs Sn IY