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Corie FD-515 (Rav. 10-29-97) Squad supervisor approval (please initial) Accomplishment involves: (check all that apply) , Accomplishment Report d -complishment must be reported and loaded into a within 30 days from date of accomplishment) % File Number Drugs oO 3 OA-PG —lo¥ HO | Pa 1-Used, but did not help A Fugitive a |B b6 2 -Helped, minimally Bankruptcy Fraud Oo Rate Rate FO Computer Fraud/Abuse [] Fin. Analyst |_| Corruption of Public Officials (] - Fee een Ona CI Sub vest Asstty FO(6) | [evcucaso| | Lf fintiow into. |_| D. Hostage(s) Released Date Released by: (J Terrorist [J Other Number of Hostages: Child Located Date P|socasst Tech. Ag/Equip AT g Assisting Agencies x« A. Complaint / Information / Indictment (J Federal (J Local [International Complaint Date Check if Civil Rico Complaint J Information Date Indictment Date E. Recovery / Restitution / PELP X (1 Federal (] Local (International Recovery Date Code + Amount Locate/ Arrest C} Federal [9 Local [7 International Subject Priority: OA 1B 1C Locate Date Restitution Date C Court Ordered - (CO #Pretrial Diversion Code * Amount Arrest Date (1 Subject Resisted Arrest (2 Subject Arrested was Armed Cc. Summons 0 Federal Summons Date PELP Date Code * Amount 0 Local I. U.S. Code Violations Required for Sections A, B, F, and H (Federal only) H. } Cofiviction 4 Federal (1) Local © International Convictlon Date: 7/f (3 Subject Description Code: PA®(___)* For 6F, G, H--include Agency Code BA Felony Or [ Misdemeanor [J Plea Or = 4, Trial State: PA Judicial District: WwW n) K, For Indictments/Convictions only: . ox Investigative Assistance or Technique Used b7C ForSub. Invest. Assist. by other FO (s) indicate A,B,C,O for corrasponding FO Rate FO IN AT Lab. DW. Exam] [ |UCO-Group1 Jehone Toll Red _| F. Civil Rico Matters Date Also Complete Section | Other Civil Matters Date Judgment___ ss * Judiciat Outcome Amount: $ Suspension: G. Administrative Sanctions Date J. Sentence Date: Sentence type: ° in-Jail Suspended Years Months |Years Months |Years Months Acquittal / Dismissal / Pretrial Diversion Acquittal Date Dismissal Date Pretrial Diversion Date Subject related to an LCN, Asian Organized Crime (AOC), Italian Organized Crime (IOC), Russian/Eastern European, Caribbean, or Nigerian Organized Crime Group - Complete FD-515a, Side 1 and Side 2. C1 Subject related to an OC/Drug Organization, a VCMO Program National Gang Strategy target group, or a VCMO Program National Priori jautiatVettacget group~ + Complete FD-515a, Side 2. Paes Additional information may be added by attaching another form or a plain sheet of paper for additional entries. See codes on reverse side. Date Prepared Date Loaded Data Loaders Initials 3 - Helpad, substantially 4 - Absolutely essential Rate FO IAT UCO - Group Ii UCO - Nat. Back NCAVG / Vi- CAP ; No | || | |_| | | | | | | or x? | Years | Months Subject Description Code bd Type: Length: OD Suspension [J Permanent [) Debarment [1 [Years | Months | C1 Injunction Y | — I I Probation . rialNo,gaFD- Calislized wk vt GU - YEZCAAo GI