INCIDENT REPORT - CHILE

• Document Type: FOIA
• Collection: FOIA Collection
• Document Number (FOIA) /ESDN (CREST): 01430514
• Release Decision: RIPPUB
• Original Classification: U
• Document Page Count: 5
• Document Creation Date: December 28, 2022
• Document Release Date: August 7, 2017
• Case Number: F-2007-00094
• Publication Date: May 15, 1972

Approved for Release: 2017/01/18 CO1430514
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i3. WiTNESS
19. ADrAESS
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WA .
21. ciF:cE --:,+:�,:iE
2.2. DETAIL.F. OF INCIDENT IBR;,EFLT DESCRIBE iNCtDENT.
1
� At InnroxiTrately 1330 *hours, lf.On
CChTINUE P.5-.7.-:E 11 Ems AS ,;:.CESSARr IN.:I:CAT:HO ITEM) .
day- . 3"Sav ..,,,
.. p 1�.' ios D-'�," .i en-
Control CPT-It-Pr va Prilri SPF1, by
IS P 1).�11,_ 3, -1-11a_t -i/---t,:r.17:1-3*-
.
- Chancery of Chile,-1736 Masgachusetts
1
Avenue, N.IrT., sometime between li:on VI'Wrf'::: 4111
Friday, Nay 131. 1972, and On 0855
hours this date.
�le 'T v-TS Pihrrtn.
(-1 th �-�.Y1 ',:-...rig . .
pt :--pproy-71, P +.('�i y
1335 hours in Cruiser # 23.
-
The undersimed. *ras .- advised by
V.r. Hernan (1:1fll.).Na..-cavro, A.eiy.-In-!.strati..-tr,.. Ce.-xfis-7.t7f:t.Q-
of the Enbassv of -Chile,. that
the Chancery of -Chile- was. entered, ..and all-the offices
were ransacked. - At this tire the
r�ethod of entry or itczs-- taken is unicnolin.
.�
Mr. Navarro....advises that he will
contact the Foreign 1.4issions Division-1-:atch.Cor�7:71-,n;
when deterilination of misi rg_arti
rl PS is imariP (eon:Lim:Ed)
23. P140105
.
OYES N
jail(� . (USE CPS FORM 102 . SUPPLEmENT
..
FOP. AD:ITIONAL DETAILS)
FS:
24. SUSPECT AND/OR ARRESTED PERSONS. IDENTIFY
ST NAME, ADDRESS, SEX. F.ACE, SOCIAL SECURITY sumsER� 003, EYES. ETC
N/A
LAST NAME . � �FIRST MIDDLE
ADDRESS
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(1)
RACE
SEX
HEIGHT
1WEIGHT
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HAIR
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1 EYES
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(DATE Or BIRTH
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SOCIAL SECURITY NO.
NATIONALITY
LAST NAME FIRST MIDDLE
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(2) /RACE
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SEX .
HEIGHT
...
!WEIGHT
'HAIR
EYES
DATE OF SIFITH
--I
'SOCIAL SECURITY NO. .
1 NATICNALIT Y
I
25. ARREST PO
24. ARREST NO.
27. ARREST OFFICER (NAME AND 2,DGE KO.)
28. DATE OF .I.RREST
29. HD,IR
30. INCIDENT STATUS
A.,'"47?".1 OPEN CLOSED C. D UNFOUNDED � 0. 0 CLEARED ST ARREs
-
31. REP RI OF 1L rSIGNAURE HOU.4...,/
,ep *
, � t.e� 4,-7 . ..::),,e, .t" C61 77
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� rg..!,afit Stevens E. Butler '
DATE "
(5.-15-72
32. APPROVING 0 CIAL (SIGNATURE) ii. 1
N(I.VVIOX ett-41--
Captain Pete-N. flanthos
DATE
05j5.:f
HOUR
105 1
HOUR
1500 hrs.
33. STATV5EPT. OFFICIAL NOTIFIED DATE:
34: LISSS-10 CASE NO.
N/A 00 37
�
HOUR: �
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O. SUSPECT AND/OR ARRESTED PERSONS, IDENTIFY BY NAME. ADDRESS', SEX. RACE. SOCIAL SECURITY HUMBER. DOB. EYES. ETC.'
VA�
44sy: KAmE 1 FtRST I � ' . MIDDLES
(1)::' _ ��� - .
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HAIR I
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. EYES I ..DATE OF BIRTH I
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HATIOHALI
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ADDRESS 1 z
RACE I
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HEIGHT 1
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. DATE or BIRTH )
-.SOCIAL SECURITY NO.
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NATIONAL!
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, S. ARREST PD I
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10. ARREST H0.1
_
11 ARREST OF.FICER (NAME a 'BADGE NO.)' .
_.
.12. DATE
.
13. HOUR
14. CURRENT CASE 0.ISPOSTION I .
OPEN � . CLOSED ' I 43UNFOUNDEO 0.Q.CLEARED BY ARREST 1
- � . .. .... . .
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�15. USSS-10 CASE NO.
NA
16. FINAL CASE DISPDS1TIOH 1 . .
,.OPFAI . 00377
17- REP ' G. OF.71:2411,(SIC..MTURE)
.. . . /*it/. CL'';'...6..a;;Cai
.Jergeant Stevens
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18. DATE I
0.5 -IS -72
,
19. APPROVED (S AT ft TITLE) . .) i
. Aittr&)11 WI Cl.AAALO--
Captain Pete N. Manthos '
. 20. DATE
.05Ll5
A.�
E. Butler
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S. SUSPEC
NO/OR-ARRESTEO PERSONS. IDENTIFY ay NAME. ADDRESS, SEX, RACE, SOCIAL SECURITY HumBER. DOB. EYES. ETC.*
.. NA
� LAST hAmE t . _FIRST 1, ' . MIDDLE .
.-ADDRESS ;
RACE I SEX i
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HEIGHT I WEIGHT I
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. DATE OF BIRTH I . SOCIAL SECURITY NO,
. I
NATsoNALITy
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RACE I .SEX . I
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.9. ARREST PD 1
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10. ARREST NO. I �
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11. ARREST DFFICER (NAI/E & ElAor.F. NO.) 4
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13. HOUR
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14. CURRENT CASE DISPOST ION I
p . . -LOSE() � I .,_. . ....
D.p CLEARED BY ARREST i
A rfr*.EN i E.ptillUKFOUNDED 1 .
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.15. USSS-ID CASE NO._
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N/A
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16. FINAL CASE DISPOSITION I .
OPEN 00378
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CLIS.X11 (SIG,RA9.7E) I , �18.
,
Stevens E. Butler
DATE I
�ricru
05-15-7;
19. APPROVED (StsHATuRE.,8 TITLE)
V\ Mam 44__
Captain Pete N. Manthos�
20. DATE
05-15-
, ergeant
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24.
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s. IDENTIFY SUSPECTS BY NUI.43ER (1;:c:-.:�.'.! Name. Ar...-;:ess, St; F.3ct, AL; '52.tiL'.-A, V:c!zht, Eyn, Fair, Cion-jnz ctc.)
IF ARRESTED GIVE ARREST ;�(1..q..17.,'ER Ai.,ND CHARGE (c:r.it f!s:7-::....ic.3 it :::;:.:.te..1)
(I) .
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26. 1:A7W-it OF IlE3 A::D LOCAT:ON CN BODY
k 41 . . _
27. HOSPITALIZED - WHERE? � 0
1> /I/ .0 REV
28. TRANSPORTED BY . -
�.4 -
29. TREATED BY .
r. 4.
30. TYPE OF PROPERTY TI.1.7.t1
1:;" � a/,/,/.
31. LOSS VALUE
i �.... ,
32. TRADEMARKS, ACTIONS cl: CONVEFcSATION CF SUSPECT

33. EXACT LOC/ TION OF FROPEP.TY . /
/A/-51 , e ----77.14ssy. .'
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34. POINT OF ENTRY
D-� Ozi -
35. VEHICLE FROM ' TAG NO. STATE - C'EAR. AND MAKE
OCCUP.RED //i'l A
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36: . � (I.) COI(TINUATIONS OF ABOVE -ITEMS (i; DICATE ITEM ML I. ;.--al:ii4C:�IAL 5.:'_1:2ECTS AS C'�
� LINED ASOVE- � (2) BRIEFLY DESCRIBE INCIDENT AND-ACTION TAEN. (3) DESt-sRiZ::E. EVIDENCE A:
NARRATIVE: PROPERTY INDICATE DISPOSITION AND DESCRIBE ALL PROPERTY INVOLVED. USE CONTINUATION r
PORT IrMORESPACE IS NEEDED. RECORD VALUE OF LOSS ESTIMATED BY VICTIM.-
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. OFFICE USE. ONLY -
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T. T. NUMBER-
DATE & TIME THIS REPORT--
5---/5--7R -
37. DATE/TIME TYPE NO.
33. REPRODUCE NO.
19. REPORTING 'OFFICER UNIT Z. BADGE NO..
1-4'././4 3 3.7761
40. trATus .(Check One) 0 UNFOUNDED
ier, OPEN .0 CLOSED 0 SUSPENDED'
41. UNIT REFERRED TO
42.. UCR DISPOSITIC
43. SECaND OFFICER UNIT & BADGE NO,
,
a L , 400,-ii,t//4/6-
44.. SUPERVISOR APPROVING � '
UNIT &..BADGE NO. _ � ,. / y 7' .
.sq7.- , a 6-,4z,
45. REVIEWER N
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. � 00379
PD 251 REVISED 3/71
MItPtPflI ITAN arm ICc encor.07eze:NIT WA.Cutr.ten�ro0
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