`STATEofOREGON,
`:
`. Number:_ ,
`git a VS
`Booking.
` Defendant
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`Plaintiff,
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`.:ajc.
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`ahae l.
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`VerifiedCorrectCopyofOriginal11/12/2019.
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`INTHE CIRCUIT COURT OFTHE STATE OFOREGON’
`FOR THECOUNTY OFUENOMAN
`
`
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`Date/Time
`
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`ofArrest:
`
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`juez”
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`1pietandthat Ihave aright to aspeuuapedetermination by.ajudgewhether thieré was43 probable cause
`formyarrest. This:meansthat a|Judge would reviewthe:facts the poleee rie ce to arrest me
`_‘and decide whether there were sufficient grounds.
`:
`|understandthatthisdcininalbation byajudgemustgenerallybeimadewithinfiityroight(48),hoursof |
`my arrest.
`©
`8 ies E=fJ
`
`odunderstandthatifthefsideedeterminesthittherewerenoteiPeattoarrestme,Twould’be
`releasedfromcustody’onthis arrest.
`Maderstandingmyrighttothisdetermination,I haveseeideatwaatowaiveit. -
`PQOunty, Oregon.
`al isdecsteindI do not, at thistime, waiveanyofmy:otherrights (eluting:my Tight to an attorneyand
`my rightto-be eneiened beforeajudge onthe charge or charges for which I was arrested,
`4 Para unatraduccion “id la “Renuncia (a una audienélade inotivodeprocesamiento ante unmn
`/hash ae
`referirseal dorso de este documento,
`“Date!Lift OO
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`pO Defendatt‘o— SIGNATURE: Firma delacus
`Time]AZ. Se Meee ee - Richacck cheesy z
`5
`_ Defendant's Name.- PRINTED /
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`gh ste
`_ Witness’ Name — PRINTED
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`Mee eS oo
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`-
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`}
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`TYPE OF CUSTODY
`PROBABLE CAUSE
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`LOCATION OF CUSTODY
`2323 SW EDGEFIELD PL, TROUTDALE
`ARREST SUMMARY
`DV MENACING
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`PRECINCT OF ARREST
`MULTNOMAH
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`ARRESTEE
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`CRN
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`MULTNOMAH COUNTY
`SHERIFF'S OFFICE ARREST / BOOKING=acur Ubvvenne
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` CLASSIFICATION
`CASE NUMBER
`REFER CASE NUMBER
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`19-62964
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`DATE/TIME ARRESTED
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`11-08-2019
`2330
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`NAME OFPERSONIN CUSTODY(Last, First Middle)
`DOB
`RACE
`SEX —
`10-14-1981 (38)
`Ww
`M
`CHENEY, RICHARD WILLIAM
`HEIGHT WEIGHT‘|HAIR EYES FACIAL HAIR
`
`
`5'07
`130
`XXX
`HAZ
`HOME ADDRESS STATE _|ZIPCITY HOME PHONE
`
`
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`2323 SW EDGEFIELD PL
`TROUTDALE
`97060
`{503-912-3141
`BUSINESS ADDRESS
`WORK PHONE
`MOBILE PHONE
`503-706-6281
`{503-912-3141
`
`
`
`SCARS / MARKS / TATTOOS
`
`STATE
`DRIVERS LICENSE
`OR
`9536896
`OTHER ID NUMBERS / REMARKS/ UNIQUE FEATURES
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`|SSN
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`INJURY INFORMATION
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`,
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`SID NO.
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`FBI NO.
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`:
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`REFERRED TO ADVISED OF RIGHTS?_|RESISTED ARREST? ASSAULTEDOFFICER?
`
`
`MULTNOMAH COUNTY DETENTION CENTER
`Yes
`No
`No
`CASE NUMBER
`ORS / ORD
`CHARGE / WARRANT NO.
`COURT DATE/TIME
`19-62964
`OR163.190
`DV, MENACING - THREATS NO WEAPON - AM
`OTHER PERSON#1
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`BAIL
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`:
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`CODE RACE—{DOBNAME (Last, First Middle) CRN SEX
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`
`
`DV VICTIM
`CHENEY, PAMELA
`FE
`W
`07-31-1960
`ADDRESS
`PHONE
`2323 SW EDGEFIELD PLACE TROUTDALEOR97060
`(503)912-3141
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`DPSST
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`OVehicles
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`ODistributn.
`DPSST
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`FOR FORENSIC EVIDENCE DIVISION ONLY
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`IDENTIFIERS
`LISTED BELOW
`
`SEX
`
`RACE
`
`DOB
`
`HEIGHT
`
`WEIGHT
`
`HAIR
`
`EYES
`
`MCL #
`
`REPORTING OFFICER(S) / DPSST
`EIDE, BENJAMIN (53829) (53829)
`
`REGJIN BOOKING FORM SUBMIT DATE/TIME11-09-2019 0044 CASE NUMBER19-62964
`
`ASSIGNMENT
`PATROL
`PRINTED BY: EIDE, BENJAMIN (53829)
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`v.180703
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