,-..,,t OFFENSE/INCIDENT REPORT • 6?:

A.--•1' :- '---'" COOK COUNTY SHERIFF'S POLICE DEPARTMENT 1. Case Report Number

17-181139 2. Offense/Incident

Shots Fired 7305 3. Chustficahon 4. L1CR Code 5. Location CO& '6.

0916 Beet of Occurrence

38 7. Address/Location of Occurrence (Township)

Potter Rd & Suffield Rd Maine 1 ype of Place of

Street '9. Dote of Occurrence

18Jun17 10. Time of Occurrence

2208 IL Unit Amy:tied

8335 11 Victim Name (Last, First, Middle)s,(iFinn or Business Name) 13. Sex. 14. Race D IS. Date of Birth '16. Home Phone 17. Buflaltla Phone 18. Pagor or Cell Phone

19. Victim Address 20. Ad ess of Employment 7 I Sobriety of Victim HBD Mei ll No

22. Victim Injured 0 Vas Ons

23. Treated .1t: N. Treated By: 'Released

25. hledical Examiner Notified ['DNA

Time Notified 26.

['UNFOUNDED 27. Person(a) Involved 1 V - Victim W - Witness 0 - Guardian ME - Missing Person C -Complainant PN - Person Notified

Identifier Codes: S - Suspect 1 - Juvenile SP - Spouse MJ , Missing Juvenile P - Parent 0 - Other (Specify)

Code Name (Last / First / MI.) Sex Race Date of Birth Address Phone Numbers (Include A/C)

0 Yousif, Daniel M W _85 cage IL 60611 Home:

Business or Other

C F A =54 Niles IL 60714 Home:

Business or Other

W F A II.34 -, es 714 Home:

Business or Other.

28. Suipeer or Mitaing Penton Description Hair '

Color Style Eyes ,

Crimplelon ' Nickname or Al ias/Chethirkg/Distinguishing Marks, Tketocts, Piercing r Placa Employed/ChIscr Phone NumberlAssociares/Placca Known to Frequent or Other Pertinent Information Code Age ' Wt

- lit Build

S Uk 250 605 Lar Unk .... Olive An Eastern European male wearing a dark clothing

II I -

29. Vehicle information I Message Number OISPERN OType 3

Code Color Year Make Model Body Style License No. State Year Vehicle Identification Number (V.I.N.) Towed Hold '

S Bik Unk Dodge Ram Truck I IL Unk Unk OYes ON° OYet ON°

Dyes ONo OYes Ivo

Code DtminguishingThanm Clniracteriencs Insured : y: Code Distingundung DamagoiCharaotensucs `Insured By:

30. W00;301:1(0 OUsed "Displayed II Club or Bludgeon Instrument

Fli Handgun rilkifie ['Shotgun • Knife/Other Cutting Instrument

31. Other Means of Attack (or Possible Tool)

32. Property Taken by Offender • Yes Cl No

(Describe in Narrative)

33. Property Retoversd 12 Yes o (pest-rib in Narrative) Inventory Numb r(s) ET Job #81329

34. Evidence Taken By R/O • Yes En No 0 Hold Far Seizure Action

Inventory Number(e)

35. Arreatee(s) Name Sex Race DOD Chargers (Section) (Description) AB Number

Pending investigation Writ I OP' 5 -L4-- - 4

lt 0 , '' - , i i i

et

36. Narrative:

In summary RIO responded to a shots fired call at Potter Rd and Ballard Rd. U ion arrival R/O observed P/O Stafiera #621talking to a caller named stated that she was driving south bound on Potter before Ballard Rd when she observed two vehicles stopped in the north bound lanes. stated that she saw two white males and one was wearing a baseball cap. urther stated that both males were yelling at each other and one was . raising his hands. also stated that she saw a hand gun and heard one shot.

13C4nliratcd on Reverse

Case

Rep

ort N

um

ber

17-1811 39

37. NarneStar No. of Detective Notified

Det. Garcia #947 Time Notified

2209 Hrs.

38. Name/Star No. of Detective on Scene

Det. Garcia #947 Time Arrived

2215,E. 39. Name/Star No. Of Supervisor on Scene

Sgt. Olejarz #89 ['DNA

Time Arrived

2240 Fin. 40. Reporting Officer Name/Star No. (Print)

Ofc. Bae #191 41 Assigned By: . Da.

• Ou View o['Ci

Sutizepv.

n

42 Date and Time Assigned

18Jun17/ 2208 Hrn.

43. Date and Time Report Approved

/k2 /? 039f firs.

44 o 45. Date and Time Arrived

18Jun17/ 2209 „,,, 46. Date and Time Report Completed

19Jun17/ 0200 iin, 47, Supervisor Approving ic/Star No )

6:Z7i. vli .. ./I

CCSois ,emu 05. ro.fS1,7

Narrative Cont.

CR#

17-181139

RIO asked where this shooting happened at which she responded by pointing her finger towards Potter and Suffield Rd. R/O relocated to said location and canvassed the area. At which time two Des Plaines PD officers Banda #483 and Fitzpatrick #436 blocked north and south bound Potter between Ballard Rd and Church St. R/O located a bullet casing lying on the middle of the roadway by Potter and Suffield Rd. The scene was secured at this time for the preservation of physical evidence. Sgt. Olejarz #89 was notified. P/0 Edwards #243 and P/0 Macugowski #426 arrived on scene. Det. Garcia #947 was also on scene. P/0 Edwards talked to a witness named stated that she was walking with a group on Potter Rd when saw two vehicles stopped in the middle of the street. stated that one was a dark black colored truck and the other was a small vehicle. further stated that she observed one person exited from one vehicle and another person exited from the other vehicle with a pistol. also stated that the person with a pistol said he is a police officer. While RIO was on scene RIO was approached by a off duty CPD officer named Yousif, Daniel, 4th Dist. badge #19663 who told R/O that he was the one who fired a shot. R/O observed no visible injuries on Daniel and Daniel refused any medical attention. RIO observed no signs of impairment on Daniel. Then R/0 told Daniel that his statement will be recorded on body camera. At which Daniel a reed to be recorded. Daniel stated that he was traveling in his Subaru Impreza Illinois registration bearing going north bound on Potter Rd past Dempster St when observed a black colored Dodge pick up truck partial plate with tinted windows trying to race. Daniel stated that the truck cut him off once so he drove around the truck. Daniel stated that the second time the truck cut him off completly so he couldn't go around the truck. Daniel further stated that a male possibly Eastern European, height 605, weight 250 lbs exited the truck and started yelling at him. Daniel stated that the male looked intoxicated. Daniel stated he announced his department but the male started approaching at him so he walked around to keep the distance. Daniel stated that at one point the male came at him aggressively that's when he pulled out his pistol and shot a warning shot towards the ground. Daniel stated that after the shot fired, the male got in his vehicle and sped off northbound on Potter Rd. Daniel stated that he also got back in his vehicle and followed the truck. Daniel stated that he observed the truck traveling at a high rate of speed making a right turn at Church St and passing through the residential area at which time he stopped following the vehicle. Sgt. Olejarz #89, Sgt. Contreras #73 and Det. Lewis #750 arrived on scene. Sgt. Olejarz #89 advised Daniel to make contact with his department representative. CCSPD officers canvassed the area for additional evidence but came with negative results. P/Os also canvassed the area for possible injuries and property damages which came with negative results. P/Os canvassed all the surrounding area for the bullet projectile and came with negative results. FOP representative Jay R. Ryan arrived on scene. The notification to CPD regarding this incident was made by CCSPD dispatch. Lt. Konrad #1 arrived on scene at 2354 hrs. Daniel and his representative went to Lutheran General Hospital for medical evaluation. The CPD Deputy Chief Alexander arrived on scene. ET. Weatherly #775 and ET. Simons #728 arrived on scene at 0040 hrs. The bullet casing was inventoried by ET and the job #81329 was created. The scene was cleared at approximately 0110 hrs. R/O along with ETs, Sgt. Olejarz #89 and Lt. Konrad #1 were relocated to the hospital and Daniel's pistol was inventoried by ET. This investigation was recorded on body camera. Nothing further.