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PC 412-(6/96) 12/11/1997 69:43 B14 Zbb4u4d3 DIUNYUREOA Creu ous COMMONWEALTH OF PENNSYLVMA COUNTY OF; CAMBRIA Hagletetial District Number: 4 7. 2. 0 1 Dithict Justice Name: Hon. , PA. 15904 Docket No.: Cr=855=97 Date Filed: 12-8-97 F118539-1 VS. DEFENDANT: NAME and ADDRESS ~ | dant's Race/Ethnicity D Oatendant’e Sex | Celendant's 0.0.8, MS vhite =] Asien OO Black CI Fenate U1 tispente CJ Native American £2 Unknown | Ey Mae | rt—“(‘“CSCSC*=s=s*C : L = Defendant's AXA, D Piate Number Suto | Registration 6tcken(MM/YY) | State ee no nen _| Complainvinaident Numbers other Participants UCHNIBAS Co 0 g N60 : Deiver’ ra [ District Attorney's Office Approved [ |Disapproved because: (The district attorney may require that the complaint, arfest wattant affidavit, or both be approved by the attornay for the Commonwealth prior to filing. Pa.A.CrP, 107.) . ‘ qame Gf Attorn weal-tieasthingivs) (Sigdatune of Attomay for GCommonweslt) (Data) Officer T . I (Officer Badge Number/i.0.) of__Stonycreek Township Police Department PA 0114000 Gdentity Department or Agency Represanted and Pollical Subdivision (Potiea Agency ORI Number) (Originating Agony Case Number fOCA}} do‘hereby state: (check the appropriate box) * ~ . 1. [xl accuse the above named.defendant who lives at the address set forth above Cj faccuse the defendant whose name ts unknown te me but who Is described as (J laccuse the defendant whose name and popular designation or nickname is unknown to me and whom | have therefore designated'as John Dos with violating the penal laws of the Commonwealth of Pennsylvania at ee in___. Cambria eee COUNtY ON OF about _03 DECG7 er . Participants were: (if there were participants, place their names here, repeating the name of above deferidant) 2, The acts committed by the accused were: LISTED BELOW (Set forth a summary of the facts sufficient to advise the defendant of the nature of the offanaa charged. A citation to the statute allagedly violated, without more, Is not sutficlent. In a summary case, you must olte the specific sactfon and subsection of the statute or ordinance allegedly violated) Terroristic Threats- Pa. Crimes Code, Section 2706~- (M 1}, tcount — did threaten to shot with a firearm ERIE Insurance Employee (Richland Office), and ¢ John MURTHA, which resaulted in an effort pertstrorizd this act resauited in or causing a serious alarm OF serious bodily injury and or death.