y/State/Zip Phone Number . ************** • PALM BEACH POLICE DEPARTMENT Incident Report • Page: 2 Program: CMS301L 1-06-001078 (Continued) Hospital ID . : Phys First Name: ***EMPLOYER INFORMATION*** : 1-06-001078 Employer Name : OLIVE GARDEN : WELLINGTON, FL 000033480 : 56i/00o-000o VICTIM I

me Phone No. Sex Weight Be On Look Out?: Victim Type . : Residency Sts :  ICTIM : 1-05-000368 • PALM BEACH. 0 JUVENILE (Continued) Hospital ID . : Phys First Name: INFORMATION -# 15 ******************* Prompt valid in: 000033480 Employer? . • : Oper Lic No. • : Race • White Height

ut?: Other Phone Nbr: 561/000-0000 Victim Type . : Residency Sts : ICTIM 1-05-000368 PALM BEACH. FL : 561/000-0000 Female 0 (Continued) Hospital ID . : Phys First Name: INFORMATION -# 15 ******************* Prompt valid in: 000033480 Employer? . Oper Lic No. Race White Height 0 Mi

Residency Sts : File Charges . : ICTIM 1-05-000368 PALM BEACH, FL 8/24/1985 19 561/000-0000 Female 0 ADULT ICTIM 1-05-000368 (Continued) Hospital ID . : Phys First Name: INFORMATION - # 15 ******************* Prompt valid in: Hi FL 7 561/000-0000 Female 0 000033480 I N Employer? . Ope

80 Employer? . Oper Lic No Race Height Misc. ID# . Other Phone Nbr: Residency Type : File Charges . : Victim Sobriety: Injury Type — Hospital ID . : Phys First Name: White 0 561/000-0000 INFORMATION -# 6******************** EFTA00231689 Date: 7/25/06 Time: 8:47:53 PALM BEACH POLICE

Type . : Residency Sts : ADULT ICTIM 1-05-000368 PALM BEACH e JUVENILE ICTIM 1-05-000368 PALM BEACH • Female • 0 JUVENILE (Continued) Hospital ID . : Phys First Name: INFORMATION -# 15 ****** ****** ******* Prompt valid in: FL 000033480 Employer? . Oper Lic No. Race • White Height

I M I N F O R M A T I ON - # 3 ******************** ***x********** VICTIM Case Number Street Number : City 3irth Date/Age : 3ccupation . . Hospital ID . : Phys First Name: INFORMATION - # 4 ******************** EFTA00177581 Date: 8/07/06 Time: 9:25:15 Incident Report PALM BEACH POLICE DEPAR