Case Number: 2013-00065046

Print Date/Time:
Login ID:
Miami Beach Police Department
Case Report
Detail
08/21/2013 15:48
polibabj ORI Number: FL0130700
Page: 1 of 9
Offenses
Total:
Case Assignments:
Assigned Officer Assignment Date/Time Assignment Type Assigned By Officer Due Date/Time
Associated Cases Status Assisting ORIs Role
UNKNOWN
Modus Operandi Solvability Factors Weight
2 OTHER 999 TW TRESPASS WARNING 1
1 State 9000 777.7777 MISCELLANEOUS 1
No. Group/ORI Crime Code Statute Description Counts
CITY OF MIAMI BEACH,FL 33140
06/13/2013
06/13/2013
NOT ASSIGNED
CLOSED N/A
VC HOMICIDE
1024-Ortiz
06/10/2013 02:42
06/10/2013 02:38
INCIDENT
4441 COLLINS AVE
Exc Clear Date:
Disposition Date:
Status Date:
Exc Clear:
Disposition:
Status:
Assigned Bureau:
Scene Processed By:
Reporting Officer ID:
Occured Thru:
Occured From:
Incident Type:
Location:
Case Number: 2013-00065046
Case Details:
Reported Date: 06/10/2013 02:38 Monday

Case Number: 2013-00065046
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polibabj ORI Number: FL0130700
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NONE
Evidence Collected Criminal Activity Tools Used
SECURITY GUARD
Security Systems
Precipitating Event:
Aggravated Assault/ Homicide
Circumstances #1:
Statute:
Counterfeit Amount: Counterfeit Status: Counterfeit Type:
Direction of Travel:
How Left Scene: Point of Exit:
Method of Exit : Method of Exit Type:
# of Premises Entered :
Method of Entry : Method of Entry Type:
Point of Entry:
Justifiable Homicide
Code :
Aggravated Assault/
Homicide Remarks #2:
Aggravated Assault/
Homicide Remarks #1:
Aggravated Assault/ Homicide
Circumstances #2:
Justifiable Homicide
Circumstances :
NO Computer:
N- UNK Drugs:
N- UNK Alcohol:
Victim Suspected of Using
NO Computer:
N- UNK Drugs:
N- UNK Alcohol:
Offender Suspected of Using
Larceny Type:
Special Circumstances:
Anit-reproductive rights crime: Prior Inv - Offender:
Prior Inv - Victim: Order of Protection:
Premise Code: Hate Bias Indicator: Accosting Situation:
Domestic Circumstance:
Property Damage Amt.:
# of Adults:
Gang Related:
Arson Code:
Offense Status:
Carjacking:
Abandoned Structure:
# of Juveniles:
Aiding/Abetting:
NO Domestic Code:
Status Date:
Household Status:
1 IBR Seq. No:
Sub-Code:
Child Abuse: N/A
N/A Occupancy Code:
06/10/2013 Offense Date:
Bias/Motivation: NONE Scene Code: BAR/NIGHT CLUB NCIC Code:
MISCELLANEOUS Description:
COMMIT Attempt/ Commit Code: 1 Counts: 777.7777 9000 Crime Code:
1
Group/ORI:
Offense #
State
Gambling Motivated:
Cargo Theft:
Weapon Guage: Guage Other: Weapon Grips: Weapon Finish:
Weapon Finish Other: Weapon Other:
Weapon Code : N/A
Feature: Caliber: Caliber Other: Weapon Length:

Case Number: 2013-00065046
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Subjects
Weapon Guage: Guage Other: Weapon Grips: Weapon Finish:
Weapon Finish Other: Weapon Other:
Weapon Code : N/A
Feature: Caliber: Caliber Other: Weapon Length:
Precipitating Event:
Aggravated Assault/ Homicide
Circumstances #1:
Statute:
Counterfeit Amount: Counterfeit Status: Counterfeit Type:
Direction of Travel:
How Left Scene: Point of Exit:
Method of Exit : Method of Exit Type:
# of Premises Entered :
Method of Entry : Method of Entry Type:
Point of Entry:
Justifiable Homicide
Code :
Aggravated Assault/
Homicide Remarks #2:
Aggravated Assault/
Homicide Remarks #1:
Aggravated Assault/ Homicide
Circumstances #2:
Justifiable Homicide
Circumstances :
NA Computer:
NA Drugs:
NA Alcohol:
Victim Suspected of Using
NO Computer:
N- UNK Drugs:
N- UNK Alcohol:
Offender Suspected of Using
Larceny Type:
Special Circumstances:
Anit-reproductive rights crime: Prior Inv - Offender:
Prior Inv - Victim: Order of Protection:
Premise Code: Hate Bias Indicator: Accosting Situation:
Domestic Circumstance:
Property Damage Amt.:
# of Adults:
Gang Related:
Arson Code:
Offense Status:
Carjacking:
Abandoned Structure:
# of Juveniles:
Aiding/Abetting:
NO Domestic Code:
Status Date:
Household Status:
2 IBR Seq. No:
Sub-Code:
Child Abuse: N/A
N/A Occupancy Code:
06/10/2013 Offense Date:
Bias/Motivation: NONE Scene Code: BAR/NIGHT CLUB NCIC Code:
TRESPASS WARNING Description:
COMMIT Attempt/ Commit Code: 1 Counts: TW 999 Crime Code:
2
Group/ORI:
Offense #
OTHER
Gambling Motivated:
Cargo Theft:
NONE
Evidence Collected Criminal Activity Tools Used
N A
Security Systems
OTHER 2 INCOGNITO JR, RICHARD
DOMINIK
1688 S. OCEAN LN 264 WHITE MALE 07/05/1983
FT. LAUDERDALE,FL 33316 29
SUBJECT-
PERSON OF
INTEREST
1 INCOGNITO JR., RICHARD
DOMINIK
1688 S OCEAN LN 264 WHITE MALE 07/05/1983
MIAMI,FL 33161 32
OTHER 1 JOSEPH, CARLOS 1071 NE 107TH ST BLACK MALE 07/14/1980
FT. LAUDERDALE,FL 33316 29
Type No. Name Address Phone Race Sex DOB/Age

Case Number: 2013-00065046
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CITY OF MIAMI BEACH,FL
33140
COMPLAINAN
T-REPORTING
PERSON
1 CLUB LIV 4441 COLLINS AVE UNKNOWN N/A
1-SUBJECT-PERSON OF INTEREST
ORAL/VERBAL FULL YEAR
FL
07/05/1983
BLONDE/STR
AWBERRY
280.0 lbs.
MALE
GREEN
6ft 4in
WHITE
FLORIDA
INCOGNITO JR., RICHARD
DOMINIK
Medical Treatment: Condition:
Federal Agencies Involved: Domestic Violence Referrals: Domestic Violence:
Hospital: Extent of Injury: Transported By:
Victim/Offender Relationship
Related Weapons
Related Offenses
Custody Status: Date: Disposition:
Statement Type: Resident Status: Resident Type:
State: DVL #: SSN: Primary Phone:
Hair: Eyes:
Build: Weight: Height: Address:
DOB: Sex: Race: Name:
Subject #
Primary:
Missing Person Information
Injury Types Modus Operandi
Yes
OTHER 999 TW TRESPASS WARNING
Group/ORI Crime Code Statute Description
FT. LAUDERDALE FL 33316
1688 S OCEAN LN 264
29 Age:

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1-OTHER
FL
07/14/1980 MALE
6ft 6in
BLACK JOSEPH, CARLOS
Medical Treatment: Condition:
Federal Agencies Involved: Domestic Violence Referrals: Domestic Violence:
Hospital: Extent of Injury: Transported By:
Victim/Offender Relationship
Related Weapons
Related Offenses
Custody Status: Date: Disposition:
Statement Type: Resident Status: Resident Type:
State: DVL #: SSN: Primary Phone:
Hair: Eyes:
Build: Weight: Height: Address:
DOB: Sex: Race: Name:
Subject #
Primary:
Missing Person Information
NONE
Injury Types Modus Operandi
No
State 9000 777.7777 MISCELLANEOUS
Group/ORI Crime Code Statute Description
MIAMI FL 33161
1071 NE 107TH ST
32 Age:

Case Number: 2013-00065046
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2-OTHER
REFUSED
TREATMENT
ORAL/VERBAL FULL YEAR
FL
07/05/1983
BLONDE/STR
AWBERRY
280.0 lbs.
MALE
GREEN
6ft 4in
WHITE
FLORIDA
INCOGNITO JR, RICHARD
DOMINIK
Medical Treatment: Condition:
Federal Agencies Involved: Domestic Violence Referrals: Domestic Violence:
Hospital: Extent of Injury: Transported By:
Victim/Offender Relationship
Related Weapons
Related Offenses
Custody Status: Date: Disposition:
Statement Type: Resident Status: Resident Type:
State: DVL #: SSN: Primary Phone:
Hair: Eyes:
Build: Weight: Height: Address:
DOB: Sex: Race: Name:
Subject #
Primary:
Missing Person Information
ABRASIONS/BRUISES
Injury Types Modus Operandi
No
State 9000 777.7777 MISCELLANEOUS
Group/ORI Crime Code Statute Description
FT. LAUDERDALE FL 33316
1688 S. OCEAN LN 264
29 Age:

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Vehicles
Property
Arrests
1-COMPLAINANT-REPORTING PERSON
N/A UNKNOWN CLUB LIV
Medical Treatment: Condition:
Federal Agencies Involved: Domestic Violence Referrals: Domestic Violence:
Hospital: Extent of Injury: Transported By:
Victim/Offender Relationship
Related Weapons
Related Offenses
Custody Status: Date: Disposition:
Statement Type: Resident Status: Resident Type:
State: DVL #: SSN: Primary Phone:
Hair: Eyes:
Build: Weight: Height: Address:
Sex: Race: Name:
Subject #
Primary:
Missing Person Information
Injury Types Modus Operandi
No
OTHER 999 TW TRESPASS WARNING
Group/ORI Crime Code Statute Description
CITY OF MIAMI BEACH FL 33140
4441 COLLINS AVE
Age:

Case Number: 2013-00065046
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UPON ARRIVAL MADE CONTACT WITH #O1 ( MR. JOSEPH ) WHO WAS GUARDING THE STAGE
AREA AT CLUB LIV AT THE TIME OF INCIDENT DUE TO HAVING A PERFORMER ON STAGE. #O1
ALSO STATED THAT #O2 ( MR. INCOGNITO ) AND FRIEND WERE ATTEMPTING TO GET CLOSER
TO THE PERFORMER. AT THIS POINT #O1 ADVISED #O2 AND HIS GROUP TO PLEASE STEP
BACK. ONE OF THE MALES FROM THE GROUP STATED TO #O1 " FUCK YOU AND WHAT ARE
YOU GOING TO DO ABOUT IT " AND PUSHED HIM. A PHYSICAL FIGHT STARTED BETWEEN #O1,
#O2, AND FRIENDS AND THEY WERE ESCORTED OUT OF THE CLUB.

#O2 STATED HIMSELF AND A GROUP OF FRIENDS WERE NEAR THE STAGE AREA WHEN HE
NOTICED A PHYSICAL FIGHT BETWEEN A GENTLEMEN FROM HIS GROUP AND #O1 (MR.
JOSEPH ). #O2 (MR. INCOGNITO ) WAS TRYING TO BREAK UP THE ALTERCATION WHEN HE GOT
HIT IN THE FACE BY #O1. ALL PARTIES WERE REMOVED FROM THE CLUB. RESCUE # 3
INCIDENT# 10589 RESPONDED DUE TO #O2 HAVING MINOR INJURIES TO HIS FACE. #O2
REFUSED TREATMENT / TRANSPORT TO HOSPITAL.

CASE CARD GIVEN TO BOTH PARTIES. TRESPASS WARNING ISSUED ON MR. INCOGNITO..
(SUPPLEMENT REPORT)



Case Number: 2013-00065046
Print Date/Time:
Login ID:
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Case Report
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polibabj ORI Number: FL0130700
Page: 9 of 9

UPON ARRIVAL MADE CONTACT WITH #O1 ( MR. J OSEPH ) WHO WAS GUARDING THE STAGE
AREA AT CLUB LIV AT THE TIME OF INCIDENT DUE TO HAVING A PERFORMER ON STAGE. #O1
ALSO STATED THAT #O2 ( MR. INCOGNITO ) AND FRIEND WERE ATTEMPTING TO GET CLOSER
TO THE PERFORMER. AT THIS POINT #O1 ADVISED #O2 AND HIS GROUP TO PLEASE STEP
BACK. ONE OF THE MALES FROM THE GROUP STATED TO #O1 " FUCK YOU AND WHAT ARE
YOU GOING TO DO ABOUT IT " AND PUSHED HIM. A PHYSICAL FIGHT STARTED BETWEEN #O1,
#O2, AND FRIENDS AND THEY WERE ESCORTED OUT OF THE CLUB.
#O2 STATED HIMSELF AND A GROUP OF FRIENDS WERE NEAR THE STAGE AREA WHEN HE
NOTICED A PHYSICAL FIGHT BETWEEN A GENTLEMEN FROM HIS GROUP AND #O1 (MR.
J OSEPH ). #O2 (MR. INCOGNITO ) WAS TRYING TO BREAK UP THE ALTERCATION WHEN HE
GOT HIT IN THE FACE BY #O1. ALL PARTIES WERE REMOVED FROM THE CLUB. RESCUE #3
INCIDENT#10589 RESPONDED DUE TO #O2 HAVING MINOR INJ URIES TO HIS FACE. #O2
REFUSED TREATMENT / TRANSPORT TO HOSPITAL.
CASE CARD GIVEN TO BOTH PARTIES. TRESPASS WARNING ISSUED ON MR. INCOGNITO..
(SUPPLEMENT REPORT)
SECTOR 6 - MIDDLE
4441 COLLINS AVE CITY OF MIAMI BEACH FL 33140
INCIDENT 06/10/2013 02:38
06/10/2013 02:42 BAR NIGHT CLUB
06/10/2013 03:04 CLUB LIV
06/10/2013 02:38
06/10/2013 02:42 N A NONE
X
01 MISCELLANEOUS
777.7777 999F N A
2013-00065046
UPON ARRIVAL MADE CONTACT WITH #O1 ( MR. J OSEPH ) WHO WAS GUARDING THE STAGE
AREA AT CLUB LIV AT THE TIME OF INCIDENT DUE TO HAVING A PERFORMER ON STAGE. #O1
ALSO STATED THAT #O2 ( MR. INCOGNITO ) AND FRIEND WERE ATTEMPTING TO GET CLOSER
TO THE PERFORMER. AT THIS POINT #O1 ADVISED #O2 AND HIS GROUP TO PLEASE STEP
BACK. ONE OF THE MALES FROM THE GROUP STATED TO #O1 " FUCK YOU AND WHAT ARE
YOU GOING TO DO ABOUT IT " AND PUSHED HIM. A PHYSICAL FIGHT STARTED BETWEEN #O1,
#O2, AND FRIENDS AND THEY WERE ESCORTED OUT OF THE CLUB.
1024 Orti z Adaymi s
6/10/2013 123 Houser Ti mothy
PENDING
06/10/2013
Case Report 2013-00065046 Page 1 OF 3

Case Number: 2013-00065046
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JOSEPH, CARLOS
1071 NE 107 ST MIAMI FL 33161-
07/14/1980 BRO
ADULT OTHER
BLK (305)538-2000 BUSINESS 32
6 4
BLACK BLACK
320
MALE
SECURITY GUARD FROM CLUB LIV/ BLK SHIRT/BLK PANTS
INCOGNITO JR, RICHARD, DOMINIK
1688 S. OCEAN LN 264 FT. LAUDERDALE FL 33316-
GRN 07/05/1983
ADULT OTHER
BLN 29
WHITE WHITE 6 4
MALE 280
BLUE JEANS/GREY SHIRT/GREY SHOES
2013-00065046
06/10/2013 1024 Orti z Adaymi s
6/10/2013 123 Houser Ti mothy
Case Report 2013-00065046 Page 2 OF 3

Case Number: 2013-00065046
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#O2 STATED HIMSELF AND A GROUP OF FRIENDS WERE NEAR THE STAGE AREA WHEN HE
NOTICED A PHYSICAL FIGHT BETWEEN A GENTLEMEN FROM HIS GROUP AND #O1 (MR.
J OSEPH ). #O2 (MR. INCOGNITO ) WAS TRYING TO BREAK UP THE ALTERCATION WHEN HE
GOT HIT IN THE FACE BY #O1. ALL PARTIES WERE REMOVED FROM THE CLUB. RESCUE #3
INCIDENT#10589 RESPONDED DUE TO #O2 HAVING MINOR INJ URIES TO HIS FACE. #O2
REFUSED TREATMENT / TRANSPORT TO HOSPITAL.
CASE CARD GIVEN TO BOTH PARTIES. TRESPASS WARNING ISSUED ON MR. INCOGNITO..
(SUPPLEMENT REPORT)
2013-00065046
06/10/2013 1024 Orti z Adaymi s
6/10/2013 123 Houser Ti mothy
Case Report 2013-00065046 Page 3 OF 3

Case Number: 2013-00065046
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A TRESPASS WARNING HAS BEEN ISSUED BY C01 AGAINST S01 IN OUR PRESENCE. S01 WAS
ESCORTED OUT OF THE LOCATION AND ADVISED NOT TO RETURN.
CROSS REFERENCE WITH CASE REPORT UNDER SAME CASE NUMBER.

Case Number: 2013-00065046
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A TRESPASS WARNING HAS BEEN ISSUED BY C01 AGAINST S01 IN OUR PRESENCE. S01 WAS
ESCORTED OUT OF THE LOCATION AND ADVISED NOT TO RETURN.
CROSS REFERENCE WITH CASE REPORT UNDER SAME CASE NUMBER.
SECTOR 6 - MIDDLE
4441 COLLINS AVE MIAMI BEACH FL 33140-
TRESPASS WARNING 06/10/2013 02:38
06/10/2013 02:56 BAR NIGHT CLUB
06/10/2013 03:04 FONTAINEBLEAU
06/10/2013 02:35
6/10/2013 02:38 N A NONE
X
01 TRESPASS WARNING
TW 999 N A
INCOGNITO JR., RICHARD DOMINIK
SUBJECT-PERSON OF INTEREST
1688 S OCEAN LN 264 FT. LAUDERDALE FL 33316-
07/05/1983 GRN
BLN 29
6 04 WHITE WHITE
MALE 280
ANGLO
FL FL
NONE E-MAIL ORAL VERBAL
2013-00065046
BLUE JEANS, GRAY SHIRT, GRAY SHOES
A TRESPASS WARNING HAS BEEN ISSUED BY C01 AGAINST S01 IN OUR PRESENCE. S01 WAS
ESCORTED OUT OF THE LOCATION AND ADVISED NOT TO RETURN.
CROSS REFERENCE WITH CASE REPORT UNDER SAME CASE NUMBER.
1039 Suarez Ronal d
6/10/2013 123 Houser Ti mothy
PENDING
X
06/10/2013
Case Supplement Report 2013-00065046 Page 1 OF 2

Case Number: 2013-00065046
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CLUB LIV, FONTAINEBLEAU
4441 COLLINS AVE MIAMI BEACH FL 33140-
BUSINESS\GOVT COMPLAINANT-REPORTING PERSON
(305)538-2000 BUSINESS
UNKNO UNKNO
UNKNOWN
ENTITY ISSUING TRESPASS WARNING
2013-00065046
06/10/2013 1039 Suarez Ronal d
6/10/2013 123 Houser Ti mothy
Case Supplement Report 2013-00065046 Page 2 OF 2

Case Number: 2013-00065046
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Routing: