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v | + SOMMONWEALTH OF PENNS@ANIA COUNTY OF: CAMBRIA » | Magisterial Olstrict Number: POLICE CRIMINAL COMPLAINT Olstict Justice Name: Hon. COMMONWEALTH OF PENNSYLVANIA VS. E and ADDRESS ~] JOHNSTOWN PA. 15904 = a write Race/Ethnicity Defendant's Sex | Osfendant's 0.0.8, Oofendant’s Socie! Security Number white (J Asian C1 Black (1 Female ( Hispante [Native American CL] Unknown | CX Male Defendant's AKA. Defendant's Vehicle Information: Defendant's Driver's License Number Plate Number State | Registration Sticker(MM/YY) | State es PA. | Complaint/incktent Numbers if other Participants . District Attorney’s Office Approved [~ |Disapproved because: _____________________ (Tho district attorney may require that the complaint, arrest warrant affidavit, or both be approved by the attorney for the Commonweaith prior to filing. Address: Docket No.: Date Filed: OTN: Pa.R.Cr.P. 107.) (Name of Attorney for Commonwealth - Please Print or Type} Gignature of Attorney for Commonwealth) (Date) I, OFFICER | | . { : : : . (Officer Badge Number/.0.) . of- PA0110500 “ - (dentiy Department or Agency Represented and Political Subdivision) . (Palice Agency ORI Number) (Griginating Agency Case Number (OCA)} do hereby state: (check the appropriate box) 1. GJ laccuse the above named defendant who lives at the address set forth above ; _ CL] | accuse the defendant whose name is unknown to me but who isdescribedas_ ( | accuse the defendant whose name and popular designation or nickname is unknown to me and whom | have therefore designated as John Doe . ok : , with violating the penal laws of the Commonwealth of Pennsylvania at J JOHNSTOWN PA 15904 _ _in_CAMBRIA County on or about 07-28-96 a s Partici : @ participants, place their names here, repeating the name of above defendant) i Po bé FC 2. The acts committed by the accused were: ; (Set forth a summary of the facts sufficient to advise the defendant of the nature of the offense charged. A citation to the statute allegedly violated, without more, is not sufficient. In a summary casa, you must cite the specific section and subsection of the statute or ordinance allegedly violated.) DISORDERLY CONDUCT 5503 A,1-(M-3)- The defendant did intentionally, Knowingly or recklessly cause public inconvenience, annoyance, or ‘alarm or create a risk thereof by engaging in fighting or threatening or in or tumultuous behavior that he did threaten[__ Cd with a knife and was loud andused vulgar language. bodily injury to and with a knife which was in his hand Whjch. resulted in or caused serious alarm to them. S . . AOPG 412-(6/96) 1-3