Account: Southwind Regional
|
Date/Time: 2015-05-20 13:00:00
|
File #: 6304
|
|
Last Name:
|
Rodriguez
|
First Name:
|
Jose
|
Middle Name:
|
|
DL / ID #:
|
cds12647
|
State / ID Type:
|
CA
|
Eye Color:
|
|
Race:
|
|
|
Address 1:
|
123 Whittier Blvd
|
Address 2:
|
Apt. 4
|
City:
|
Los Angeles
|
State:
|
|
DOB:
|
|
Weight:
|
|
|
Subject Is:
|
ARRESTEE
|
Company:
|
n/a
|
Work #:
|
7777777777
|
Email:
|
jr90@yahoo.com
|
Home #:
|
9999999999
|
Cell #:
|
8888888888
|
|
Gang Affiliation:
MS
|
Gang AKA or Alias:
JR
|
|
|
|
Employee ID: |
Name: |
Signature: |
Submitted: |
J |
J. SERVICE |
|
2015-05-20 13:00 |
|