◆ SpookStack

12. 13. 14. 15. *16. Synopsis of Complaint - Date of initial complaint SUBJECTS (number): A. Amer. indian = =-___. Male Female Cc. ___ Black —_.. Male. Femate B. Hispanic —__. Male —__... Female : | e —_._. Male —_.. Female F._X_ Other ____ Male «______ Female tt “Other” please specity: Stil] unknown (16) VICTIMS (number): A. Amer. indian ____ Male ___ Female , — . 8. Asian ——.. Male —_—... Female : Cc. ____ Black —__.__ Male —.__... Female O. Hispanic - —_.... Male —___. Female E.__. White i Male ____ Female’ F. _____.. Other —__—. Male ——_. Fernale H “Other” please specity: (15) Other descriptive data re victims: _% __ not-appicable . ff applicable (number): A. under 18 Cc. handicapped B. over62 D. _______ institutionatized ~“. Matter type (use best description, check more than one If applicable): C suicide method (18) (Le., hanging, sleshed wristt (15) (Le., Kian, Nazi, JOL)- (18) (Le., Klan, Nazi, JDL) A. © brutality type (18) (.e., shooting: beating) 8. C nonbrutality Hos ; C. D desth of victim : 0. (15) (1.e., argon, shooting) . . 0 1SS matter, type _____fie., peonage, enticement, servitude, other sia : (25) XweToOMnMm 0 2 r| t . : . . °17. indices: (check one) Cl negative _. positive (if positive explain in body of repor/LHM) Remarks/Administrative bal U.S. Government Printing Offios: 1989--298-4846