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McDonald (2) . � \ ���;�f��€�������. ���� r-�E�€�� ���[G� �� ��a����� �c� �i�y o�� �a€��� '�a�� � Minnesota Stata Sra�ute 46�.05 /VOT;Cc OF CLAIM...(E)very person.... whc c/aims damages fiom any rrrunicipality.,.shall cause to be presented to t,he governing body of t,he municrpality wirhin 180 days afzer the alieged loss cr in�ury is discove�ed a notice srat%ng the rim�, place, and circumsrtances thereof, and the amount of compensation er other relief demanded. Piease complete tl�is for�tz i; i�s entireiy by typinc� or printing your ans�n�e�� to each q�e��io� i� the space provided. If additional spac� is needed, please attach additional sheets. - - PLEA�E RETURfV THiS Gfi1C2 Of Cffy Cler6c RECEIVED COMpLETED FORf1n T0: 1%0 City Hafl � 5 W I<e(logg Blvd NOV 19 2013 St Paul MfV 55�02 CITY CLEl�I� Y�u r N a m e: �"1 AJ t�l�11�� ' t �. f�'I�� ��C-p0/�l� �� . Ll /C/C,,/� , Y � �i ��ve��� ,� � � ��/ �__ )-_ _ _ __ _ sireet ,^,ddress: � - City: �% ('au � State: n� /� � Zip Code: �� � D=v�ime Te!e_hone: ( (p��,�, �0 9� � I q — �' �� r�Z— �__ �ven;ng Tele�l�one: 1���1 $(� 7 —��g / ���� � Date of r,cc�denT or i�;cident; � � � � Day of Wc�;�: � �� Time;� � am or�(circle one) � Flease starte, in detail, v��hat cccurred and tne circumstances surrounding the event. Indicate how the City of Saint Paui is irvolved, and why you feel the City is responsible. �ar�1 _i 6 i�=�=t c e.r I�_-_M c�t�o�,�� J� N� • � � � ,� �, ' S!o P rli� Q nX� ` �-� �-�- �. ���' ti� , ► ` z- e For � � � , a� �ar ^ � � ,d �r � � � �� � e l� o S' � ,� �t h � d FG t'c�� U��' U �nJ� �� L L • � NC� r u s5r -� ��r .e � � - .� � u � �,c1 u�h�N -t N�Y i-��tt' r►-te ���' vF� �-he ��vin d �Te oP�7' /r� .��t -Fh�e ed�►�le f-���o Please indicate your rea�on for compleiing this form: ' M � �: M�paN�.� f---1 eliicle accident �;J� Otr,er property damage {please provide specifics below) i �: ,.,, Vehicle was towed Q� 1. �s���`��� p,,,�,e�- , - � ��� ❑ Vehicie damaged �ther injury to person (please provide specifics telow) � '' ❑ S lippe d an d fe l l on City pro ert � �� � �' y �.C��(�c.c��� . :�-�3�xr�d /rt�/ �'r�h-� C?ri7'1 ;;;; , ,; Please provide the names.and telephone numbers.of any City employees involved in this c I incident/accident and 1�ow they were involved: �/�7 • ��7� `�� �`�.r �Ct r'r 2 C I�N/� ( =T00 � •'�'iU _ 4 U� �''��' �'Yl�/ �J6 C �P—�— /�L t! I Y�1 ��-� �-- / Qover) , I Saint Paul Police Department Page , ofz PUBLIC ORIGINAL OFFENSE / INCIDENT REPORT Complaint Number Reference C.N. Date and Time of Report 13244601 11/13/2013 19:56:00 Primary offense DWI-DWI OVER .10 Primary Reporting Officer: MCdOt181d, Darin Name of location/business: �ocation ofincident: FORD PA&WOODLAWN Primary squad: 162 ST PAUL, MN 55116 Secondary reporting o�cer.� oistricr: Western Date&time ofoccurrence: 11/13/2013 19:09:00 to 11/13/2013 19:09:00 Site: Secondary otiense: LIQUOR LAW-OPEN BOTTLE IN AUTO Arrest made? Yes OBSTRUCTING-OBSTRUCTING LEGAL PROCESS OPERATIONS Pursuit engaged Resistance encountered Y2S Weapons Used by Police Weapons Used by Suspect at Time of Arrest ARRESTS Name Mcdonald, Anthony Pierre Date&time oiarrest: 11/13/2013 19:09 eooking date 11/13/2013 Arrest Status Booked eooking time �g:59 Arrest made on view: Yes Booking# Arrest made on warrant or previous CN: Warrant number Originating agency NAMES Arrestee Mcdonald, Anthony Pierre KNOWN ST PAUL MN 55102 Other Glubranson, Lucas Michael ST PAUL MN 55116 PUBLIC NARRATIVE On 11/13/13 at 1905 hours, SQD 162 while on routine patrol stopped MN TAG 358KA6 at Ford Parkway/ Woodlawn Avenue for equipment violation (cracked windshield) and expired registration (08/2013). SQD approached the driver's side of the blue 1995 Chevrolet S10 pickup and observed two open beer cans between the driver and passenger. SQD observed the driver had bloodshot and watery eyes and was evasive during questioning. SQD identified the male as MCDONALD, ANTHONY PIERRE 56 yo.. MCDONALD stated he had consumed several alcoholic beverages. SQD removed MCDONALD from the vehicle and MCDONALD refused to comply with officers commands and was brought to the ground and was handcuffed. Failed PBT at the scene. SQD transported MCDONALD to the LEC where he was read the Motor Vehicle Implied Consent - Advisory Form and submitted to DMT-G breath test. MCDONALD's test result was .10 AC.BOOKED:MCDONALD, ANTHONY PIERRE 56 yo 895 Randolph Avenue #3, Saint Paul, MN 551024th Degree DWI/ M/ 6209001856800LP/ M/ 6209001856'800pen Alcoholic Container in MV/ M/620900185680 Warrant type (none) Charge/Citation/Bail Amount OLP/620900185680 Open Bottle(Alcoholic Beverage)in MV/ Saint Paul Police Department Page 2 or2 PUBLIC ORIGINAL OFFENSE / INCIDENT REPORT Complaint Number Reference C.N. 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