On April 23, 2021 a
Party Statement
was filed
involving a dispute between
and
Betty O Harvey,
for 3
in the District Court of Palm Beach County.
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Check if Supplement is Attached
OBTS Number ARREST / NOTICE TO APPEAR 1. Arrest 3. Request for Warrant I xn Juvenile
Juvenile Referral Report 2. N.T.A. 4. Request for Capias b
Agency ORI Number Agency Name Agency Report Numby (NX
o 6 1-1^+/|-|C
FLO, 5 , 0 , 0 , 0 , 0 , 0 PALM/BEACH COUNTY SHERIFF'S OFFICE
Charge Type:
Check as many
1. Felony |2j 3. Misdemeanor [~}5. Ordinance Multiple
co Q 2. Traffic Felony Q 4. Traffic Misdemeanor Clearance
z as apply. q. Other Enter Type. Indicator
2 LocatiorujJ Arrest (includipg Name of Business) fress)
â– Booking Date Booking Time rJail Date Jail Time Location of Vehicle
Name (Last Alias (Name. DOB. Soc. Sec. Etc.
Race Date of Eye /Olor^ iplexion
• White I ■American Indian
B * Black O *Oriental/Asian
Scars. Marks, Tattoos, Unique Physical Features (Location, Type. Description) Indication of: z N Unk
Alcohol Influence â–¡/
Drug Influence â–¡__ s'
Q Residence Type:
1. City 3. Florida
2, County 4. Out of S
W Permanent Address (Street. Apt. Number) (City) (State) (Zip) Phone Addtess^Sdurce f
PY
Business Address (Name. Street) (City) (State) (Zip) Phone Oocupaj
NS Number PlaeQ^t Birth^City. State), Citi;
CO
Co-DefergiaaU(Last, First, Middle) Sex
i nor
Q
o st. First sSted^ ^Feloi^y
o i4. Misden
o 5. Juventf
Q Parent (First) (Midtfte) Resid Phone
D
Legal Custodian
Other
Address (Street. Apt. Number) (City) (State) (Zip) *Busines5^one
Notified by: (Name)
IE Juvenile Disposition
1. Handled/Processed within
Dept, and Released.______
O'
IF
Released To: (Name) Relationship Time
The above address was provided by defendant and / or defendant's parents. The child and/or parent was told School Attended Grade
to keep the Juvenile Court Clerk's Office (Phone (561) 355-6511) informed of any change of address.
RT
Yes, by: (Name) m No (Reason)
Property Crime? Description of Property Value of property
Yes Q No
Drug Activity S. Sell R. Smuggle K. Dispense/ M. Manufacture/ Z. Other Type B. Barbiturate H. Hallucinogen R Paraphernalia/ U. Unknown
O N. N/A B. Buy 0. Deliver Distribute Produce/ /N. N/A C. Cocaine M. Marijuana Equipment Z. Other
CE
o P. Possess T. Traffic E. Use Cultivate________ A. Amphetamine E. Heroin O. Opium/Deriv. S. Synthetic
Violation of ORD #
.Offense # Warrant / Capias Number Bond
^SlationofORDT
A
Counts Domestic Statute Violation Number
Violence
Y DN
Drug Activity Drug Type Amount / Unit Offense # Warrant / Capias Number Bond
o
T
Charge Description Counts Domestic Statute Violation Number p ^olatioh of-GRD #
o Violence
Y DN
O
Drug Activity Drug Type Amount / Unit Offense # Bond
Warrant / Capias Number
N
Charge Description Counts Domestic Statute Violation Number Violation of ORD #
0 Violence AO C/O c?
Y ON
Drug Activity Drug Type I Amount / Unit Offense # Warrant / Capias Number Band
Location (C >er, A'ddress)
£ Court Date and Ti
Month Day
I AGREE TCkAPPEAR AT THE TIME AND.PLACE DESIGNATED TO ANSWER THE OFFENSE CHARGED OR TO PAY THEFINE SUBSCRIBED. I UNDERSTAND THAT SHOULD I WILLFULLY FAIL TO
APPEAR BE£9\E the QOUI?T AS R^Q^IRED BY THIS NOTICE TO APPEAR. THAT I MAY BE HELD IN CONTEMPT OF COURT AND A ^RRAL ARREST SHALL BE ISSUED
O
Signature of Defendant (
Document Filed Date
April 23, 2021
Case Filing Date
April 23, 2021
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Check if Supplement is Attached OBTS Number ARREST / NOTICE TO APPEAR 1. Arrest 3. Request for Warrant I xn Juvenile Juvenile Referral Report 2. N.T.A. 4. Request for Capias b Agency ORI Number Agency Name Agency Report Numby (NX o 6 1-1^+/|-|C FLO, 5 , 0 , 0 , 0 , 0 , 0 PALM/BEACH COUNTY SHERIFF'S OFFICE Charge Type: Check as many 1. Felony |2j 3. Misdemeanor [~}5. Ordinance Multiple co Q 2. Traffic Felony Q 4. Traffic Misdemeanor Clearance z as apply. q. Other Enter Type. Indicator 2 LocatiorujJ Arrest (includipg Name of Business) fress) ■Booking Date Booking Time rJail Date Jail Time Location of Vehicle Name (Last Alias (Name. DOB. Soc. Sec. Etc. Race Date of Eye /Olor^ iplexion • White I ■American Indian B * Black O *Oriental/Asian Scars. Marks, Tattoos, Unique Physical Features (Location, Type. Description) Indication of: z N Unk Alcohol Influence □/ Drug Influence □__ s' Q Residence Type: 1. City 3. Florida 2, County 4. Out of S W Permanent Address (Street. Apt. Number) (City) (State) (Zip) Phone Addtess^Sdurce f PY Business Address (Name. Street) (City) (State) (Zip) Phone Oocupaj NS Number PlaeQ^t Birth^City. State), Citi; CO Co-DefergiaaU(Last, First, Middle) Sex i nor Q o st. First sSted^ ^Feloi^y o i4. Misden o 5. Juventf Q Parent (First) (Midtfte) Resid Phone D Legal Custodian Other Address (Street. Apt. Number) (City) (State) (Zip) *Busines5^one Notified by: (Name) IE Juvenile Disposition 1. Handled/Processed within Dept, and Released.______ O' IF Released To: (Name) Relationship Time The above address was provided by defendant and / or defendant's parents. The child and/or parent was told School Attended Grade to keep the Juvenile Court Clerk's Office (Phone (561) 355-6511) informed of any change of address. RT Yes, by: (Name) m No (Reason) Property Crime? Description of Property Value of property Yes Q No Drug Activity S. Sell R. Smuggle K. Dispense/ M. Manufacture/ Z. Other Type B. Barbiturate H. Hallucinogen R Paraphernalia/ U. Unknown O N. N/A B. Buy 0. Deliver Distribute Produce/ /N. N/A C. Cocaine M. Marijuana Equipment Z. Other CE o P. Possess T. Traffic E. Use Cultivate________ A. Amphetamine E. Heroin O. Opium/Deriv. S. Synthetic Violation of ORD # .Offense # Warrant / Capias Number Bond ^SlationofORDT A Counts Domestic Statute Violation Number Violence Y DN Drug Activity Drug Type Amount / Unit Offense # Warrant / Capias Number Bond o T Charge Description Counts Domestic Statute Violation Number p ^olatioh of-GRD # o Violence Y DN O Drug Activity Drug Type Amount / Unit Offense # Bond Warrant / Capias Number N Charge Description Counts Domestic Statute Violation Number Violation of ORD # 0 Violence AO C/O c? Y ON Drug Activity Drug Type I Amount / Unit Offense # Warrant / Capias Number Band Location (C >er, A'ddress) £ Court Date and Ti Month Day I AGREE TCkAPPEAR AT THE TIME AND.PLACE DESIGNATED TO ANSWER THE OFFENSE CHARGED OR TO PAY THEFINE SUBSCRIBED. I UNDERSTAND THAT SHOULD I WILLFULLY FAIL TO APPEAR BE£9\E the QOUI?T AS R^Q^IRED BY THIS NOTICE TO APPEAR. THAT I MAY BE HELD IN CONTEMPT OF COURT AND A ^RRAL ARREST SHALL BE ISSUED O Signature of Defendant (