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CHICAGOPOLICEDEPARTMENT RD #: HZ342899 ORIGINAL CASE INCIDENT REPORT CaseID:10591743 casr201 3510S.MichiganAvenue,Chicago,Illinois60653 EVENT#: 1619201019 (ForusebyChicagoPoliceDepartmentPersonnelOnly) CPD-11.388(6/03)-C PROGRESS IUCR: 0550-Assault-AggravatedPo:Handgun Occurrence 1857E87thSt 2D Beat: 0412 UnitAssigned: 0424R Location: ChicagoIL60617 ROArrivalDate: 10July201601:14 090-Apartment OccurrenceDate: 10July201601:14 #Offenders: 1 VICTIM-Individual PoliceOfficer Name: FERNANDEZ,6261 2255E103rdSt Beat: 0434 Chicago,Illinois60617 312-747-8205 Sobriety: Sober CPDOfficer:Yes VICTIM-Individual PoliceOfficer Name: KEARNS,17680 1857E87thSt 2D Beat: 0412 Chicago,Illinois60617 Sobriety: Sober S) CPDOfficer:Yes ( R E OtherCommunicationsandAvailability D N ResidencePhone: 312-747-8205 E F WITNESS-Individual F O Name: Demographics - N O Female DOB: Res: Beat: 0412 N Black Age: 21Years CPDOfficer:No BirthPlace: Illinois DLN: -IL OtherCommunicationsandAvailability CellularPhone: WITNESS-Individual Name: Res: Beat: 0412 CPDOfficer:No OtherCommunicationsandAvailability Other: R D # : H Z 3 4 2 8 9 9 PrintGeneratedBy: CHRIS,System (CHRIS) Page 1 of 4 11-JUL-201618:35 ChicagoPoliceDepartment-IncidentReport RD#: HZ342899 InjuryInfo( -Witness) S) RespondingUnit: Y( InjuryInfo -Witness) R U RespondingUnit: J N InjuryInfo(FERNANDEZ,6261 -Victim) I RespondingUnit: InjuryInfo(KEARNS,17680 -Victim) RespondingUnit: Suspect#1 InCustody Demographics Name: PHILLIPS,DevontaeM Male DOB: 20November1997 Res: 1857E87thSt 2D Beat: 0412 ChicagoILLINOIS60617 Black Age: 18years 5'07-5'09 BirthPlace: Illinois 140lbs-150lbs BrownEyes SuspectedofUsing: BlackHair Weapon ) S ShagHairStyle ( T DarkBrownComplexion C E InjuryInfo P S Extent:Minor U S CFDFirstAidGiven?Yes Responding Ambulance Hospital:Trinity Unit: 22 PhysicianName:Dr.Ahmad Type WeaponUsed Description GunShotWound Handgun Other Other TASER FERNANDEZ,6261 (Victim) isaNoRelationshipof PHILLIPS,Devontae,M (Offender) KEARNS,17680 (Victim) isaNoRelationshipof PHILLIPS,Devontae,M (Offender) PrintGeneratedBy: CHRIS,System (CHRIS) Page 2 of 4 11-JUL-201618:35 ChicagoPoliceDepartment-IncidentReport RD#: HZ342899 RequestType Unit AgencyName Date Star# Name Notification 620 DetectiveArea- 10July01:35 1753 SGTDETBROWN, South OtherNotificationsMayBeInNarrative. OnScene 277 ForensicServices 10July01:48 2055 HARB, EvidenceTechnician Section OnScene 277 ForensicServices 10July01:48 1563 JACOBS, EvidenceTechnician Section Notification 277 ForensicServices 10July01:50 14573 BUCZKIENICZ,Bt# EvidenceTechnician 5801 Section OnScene 620 DetectiveArea- 10July02:02 20016 DETMCGUIRE,Bt South 5214 OnScene 620 DetectiveArea- 10July02:02 20624 DETDOHERTY,Bt S South 5296 N O OnScene 620 DetectiveArea- 10July02:10 20211 DETLIEBER,Bt5222 TI South A OnScene 620 DetectiveArea- 10July02:12 21159 DETHASENFANG,Bt C FI South 5297 TI OnScene 620 DetectiveArea- 10July02:12 20936 DETCASEY,Bt5297 O South N OnScene 620 DetectiveArea- 10July02:16 1240 SGTDETFOSTER,Bt South 5210 OnScene 277 ForensicServices 10July02:16 17122 CRIMELAB EvidenceTechnician PRESNELL,Bt5802 Section Notification OfficeOfNews 10July02:20 19618 ALFARO, Affairs OnScene OfficeOfNews 10July02:29 1075 SGTSTINITES,Bt3di Affairs OnScene 620 DetectiveArea- 10July03:00 20446 DETSHALABI,Bt South 5221 OnScene 620 DetectiveArea- 10July03:00 20312 DETCAVAZOS,Bt South 5217 OnScene 620 DetectiveArea- 10July03:09 107 COMMANDERDET South WALSH,Bt5200 Request 277 ForensicServices 10July01:49 VIACW2, EvidenceTechnician Section ThisisaMethod/CAUcodeSupplementaryReport. S E V CORRECTMETHODCODE TI A R R A N PrintGeneratedBy: CHRIS,System (CHRIS) Page 3 of 4 11-JUL-201618:35 ChicagoPoliceDepartment-IncidentReport RD#: HZ342899 L ReportingOfficer 18627 #96885 WASHINGTON,Takia, ( 10Jul201608:58 004 0424R E D N N Detective/Investigator 20016 #47788 MCGUIRE,Joseph,P ( 11Jul201606:26 620 O S R E P S. Victim IUCR Crime Offender C FERNANDEZ 0550 Assault-AggravatedPo:Handgun PHILLIPSMDevontae O S KEARNS 0550 Assault-AggravatedPo:Handgun PHILLIPSMDevontae S A R C U I PrintGeneratedBy: CHRIS,System (CHRIS) Page 4 of 4 11-JUL-201618:35