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APPENDIX A NORTH DAKOTA JUVENILE DETENTION RECORD DEPARTMENT OF CORRECTIONS AND REHABILITATION DIVISION OF JUVENILE SERVICES SFN 17080 (7/07) I DTN (Detention Tracking Number) Subject Name (Last, First, Middle) Contributor Facility Name Address Sex DMale Race: 0 American Indian o Asian o Female 0 White o Black Residence Code Date of Birth 0 Pacific Islander o Other/Mixed I I Ethnicity: 0 Non-Hispanic 0 Hispanic Reason(s) for Detention (Offenses) Code Code (1) (2) Code Code (3) (4) Placing Agency Agency Type Officer (Last Name) DETENTION EVENTS Date Received Legal Physical Detention Date Released Release Time Mo Day Year Status Condition Setting Time Mo Day Year Status Comments 1 2 3 4 RESIDEN ;E CODE PERSON OFFENSES PR PERTY OFFENSE:; PUBLI ORDER OFFENSES 01 Adams 21 Hettinger 41 Sargent 101 Murder/Non-Neg. Manslaughter 201 Burglary/B&E 300 Custody Review (Delinquent) 02 Barnes 22 Kidder 42 Sheridan 102 Attempted Murder 220 Arson 301 Bench Warrant 03 Benson 23 LaMoure 43 Sioux 103 Negligent Manslaughter 221 DestroylDamageNandal 302 Contempt of Court 04 Billings 24 Logan 44 Slope 104 Negligent Homicide 222 Endangering by Fire 303 Disobeying a Court Order 05 Bottineau 25 McHenry 45 Stark 105 Vehlcular.Manslaughter 223 Tarrpering wlPublic Service 304 Failure to Appear/Bail JUlT1ling 06 Bowman 26 Mcintosh 46 Steele 106 Justifiable Homicide 224 Negligent Act Causing Fire 305 False statements/Perjury 07 Burke 27 McKenzie 47 Stutsman 107 Homicide - Suicide AUe""'t 230 Theil by Deception (Fraud) 306 Pickup Order (Delinquent) 08 Burleigh 28 McLean 48 Towner 110 Aggravated .Assault 231 Embezzlement 307 Probation Violation (Delinquent) 09 Cass 29 Mercer 49 Tram 111 Terrorizing 232 Extortlonl8lackmail 308 Protection Order Violation 10 Cavalier 30 Morton 50 Walsh 112 Stalking 233 Shoplifting 30g Court - other 11 Dickey 31 Mountrail 51 Ward 113 Recldess Endangerment 234 Stolen Property (Dealing In) 310 Disorderly Conduct 12 Divide 32 Nelson 52 Wells 114 Simple .Assault (Family) 235 Stolen Property (Possession) 311 Disorderly Conduct - Violent (Famlly) 13 Dunn 33 Oliver 53 Williams 115 Simple Assault (Non-Family) 236 Theil from Motor Vehicle 312 Disorderly Conduct - Violent (Non-family) 14 Eddy 34 Pembina 54 Canada 116 Criminal Coercion 237 Theil: of Motor Vehicle 315 Willful Disturbance/School 15 Emmons 35 Pierce 55 Minnesota 117 Harassment 238 Unauthorized Use of Motor Vehicle 320 Drug Equipment Violation 16 Foster 36 Ramsey 56 Montana 118 Menacing 239 Theft - other 321 Drug/Narcotics Violation - Possession/Use 17 Golden Valley 37 Ransom 57 South Dakota 119 Contact by Bodily Fluids 240 Criminal Mischief 322 DruglNarcotics Violation - Trafficing 18 Grand Forks 38 Renville 58 Other State 130 Gross Sexual Imposition 245 Unlawful Entry Into Motor Vehicle 325 Inhalation ofVaporsNolatile Chemlcals 19 Grant 39 Richland 59 Other Country 131 Sexual Imposition 250 Bribery 330 Escape from Secure Confinement 20 Griaas 40 Rolette 132 Sex Assault 255 Counterfell/Forgery 333 Gambling Offense AGENCY TYPE 133 Incest 260 Bad Checks 334 Fleeing an Officer C Court P Police T Tribal 134 Statutory Rape 270 Trespass on Real Property 335 False Info. to Law Enforcement F Federal S Sheriff SS County Social Service 135 Indecent Exposure 275 Crininal Attempt - Property Offense 336 Hindering Law Enforcement H Hiohwav Patrol o Division of Juvenile Services 136 Sex Offense - Other 276 Acco"'lltlce - Property Offense 337 Resisting Arrest LEGAL STATUS 160 Robbery 299 Other Offense - Against Property 338 Obstruction - Other AD Awaiting Detention Hearing 170 Kidnapping/Abduction 340 Driving Under the Influence AT A'N8lting Hearing on Charges 171 Kidnapping - Felonious Restraint 341 Driving INithout a License AP Awaiting Parole/Probation Revocation Hearing 175 Crlninal Attempt - Person Offense 342 Driving with a Suspended Ucense DO Detention Pursuant to Drug Court Order 176 Accomplice - Person Offense STATUS OFFENSES 343 Leaving the Scene of an Accident TR Awaiting TransferfTransportation 199 other Offense - Against Persons 401 Curfew'Loltering 344 Open Container PC Protective Custody 402 Truancy 345 Physical Control 55 Serving Sentence 403 Ungovernable Behavior 346 Reckless Driving PHYSICAL CONDITION 404 Probation Violation (StahJs) 347 Speeding AD A1cohoUDrug Intoxicated 405 Conditions for Conduct & Control 348 Traffic - Other GF Good/Fair 407 Pickup Order (Status) 350 Prostitution DETENTION SETTING 408 Tobacco Purchase/Smoking 351 Prostitution - Assist/Promote A Attendant Care (Not Physically Secure) 409 Custody Review 355 Liquor Law Violation (Non-Status) o Other Non-Secure Setting 410 Attempting to Purchase Alcohol 360 Carrying Concealed Weapon D Detention (Licensed Juvenile Facility) 411 Minor In Liquor Establishment 361 Discharging Weapon within City J Jail or other secure setting 412 MIPIMIC 362 Illegal Possession of a Firearm AF Assessment Facility 413 Liquor Violation - Other 363 Weapon Violation - Other RELEASE STATUS 420 Runaway - from Court Placement 370 City Ordinance Violation AP Released to Parent/Guardian or Other Authority 421 Runaway ~ from Home 375 Game and Fish Violation T5 Transfer to Secure Facility 430 Protective Custody 376 Accomplice - Public Order Offense TN Transferred to Non-Secure Program 450 Deprivation 380 Cruelty to Animals TM Transferred to Medical or Psychiatric Facility 499 Other Offense - Status 385 Immigration EX Escaped 390 Criminal Attempt. Public Order Offense CS COlT'Clleted Sentence 399 Other Offense - Public Order Mail to: Juvenile Justice Program, P,Q. Box 877, Bismarck, ND 58502-0877