RETURN

This Warrant was received by this department at

WALTON County, Florida,

on the ___ day of ____ A.D., 20

and executed in _ _______ County,

Florida, on the ____ day of ____ _

A.D., 20 by arresting the within named:

PERRY, ROSEVELT R

Arresting Officer/ Department

Date and time of service

Place of service

REMARKS

CASE NO. 19-03475

IN ____ c_I_R_cu_I_T ____ COURT

____ WAL_ T_O_N ____ COUNTY

STATE OF FLORIDA

WARRANT ORDER TO TAKE INTO CUSTODY

STATE OF FLORIDA

vs. PERRY, ROSEVEL T R

In the name of the State of Florida, to the Law

Enforcement Officers of said County

WHEREAS: INSPECTOR. R.ICHAIU> AUSTIN

has made oath on the ________ day

of OCTOBER. A.D., 2019 in the County

PER.RY, ROSEVBLT R. aforesaid one ------------did unlawfully violate F.S.S: soo. 09 (2 > (a) 1

Lewd and Lascivious in the Prese11ce of an Bnq>loyee

Contrary to the law and such case and provided,

and against the peace and dignity of the State of

Florida. This Warrant is a command to arrest

instanter the above named:

PERRY, R.OSEVBLT R.

and bring said person before the court to be

dealt with according to law.

eal this ?,.. ~

i 1. :;ven under Cd~ an ___ ...,a;... ___ "'-f-_

(Seal)

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WARRANT REQUEST FORM

FELONY: X MM: ________ _

DEFENDANT: P .e-l"Y''f , R.o.se. u 't!,lf AGENCY CASE #: I , - a3 41 S OFFENSE: Lew o..Nf, LAC.1v1 ous 11\ Pr.qy,c, ,£ €.tr.1/6"f'L F.S.: 100.. 0 '} Qg)_-, __ LOCATION OF OFFENSE: G,qf J,,,!>+~h,.:f::,.,, IJ b,Ac,,,.t. DATE/I'IME: OJ./2J./ ~l, (f ll ~-5"f p .. ~

~~ CO-DEFENDANT(S): _____________________ _

COJv.IPLAINANT: fl't c.i, ... ,..pf )ADDRESS

HOME PHONE: __________ WORK PHONE: (850) C\ '51- r~

Complete and submit the following items with the·mtake cover sheet:

K )(

~

X

COMPLAINT

OFFENSE/ INCIDENT REPORT

OFFICER'S PROBABLE CAUSE STATEMENT

REPORT OF INTERVIEW(S) WITHWITNESS(S) (may be incorporated in offense/incident report or officer's probable cause statement)

x REPORT OF INTERVIEW WI1H DEFENDANT (may be incorporated in offensefmcident report or officer's probable cause statement)

X PHYSICAL I DOCUMENT EVIDENCE (list): ~IJ'l«d v-'•t'.Jg \ltdl•?

1NVESTIGATINGAGENCY: ______ D_oc_ .. _-_o=-,e:, ____________ _ OFFICER/INVESTIGATOR: ln4;,pu;ln: R.,c-Nt,A A-11::s~·V\

FOR STATE ATTORNEY OR COURT USE ONLY:

WARRANT RECOMMENDED: _L_ SUMMONS RECOMMENDED:

INSUFFICIENT x:ENO.:

ASA: ltd CJ .... INVESTIGATION INCOMPLETE:

DATE: 1\ [ti.1 I~

COMMENTS: --------------------------

I

1B1 Adult Def C PC Arrest □ Juvenile Def 181 Application for

Warrant/Capias PAGE OJ of 2

1, Agency Name:

Cl erk' s Case No.

AFFIDAVIT - COMPLAINT SA Case No. (s}

Agency ORI # FI.031275(;

I 2. Agency Report Number: I 3. Charge Type: 3a. Ordinance Type:

FDC/Offlce of the Inspector General 19~03475 181 Felonv D Misdemeanor D Misdemeanor (If applicable! w/assoclated felonv D Municipal D Countv

4. Datemme of Offense: 5. Datemme of Arrest: 6. Arresting Officer: 7. Investigating Officer:

02/22/2019 2354 LE. Inspector Richard Austin hrs.

B. Defendant's Name: (Last) (First) (Middle! ALIAS I 9,0BTS: Perry Rosevelt R

1 O. Race/Sex: 11. Date of Birth: 1 12. Residence Tvpe: 1 13. Weapon Seized 1 14. Controlled Substance Seized: D Yes 181 No

8/M 02119/1965 181 Florida TYPE & QUANTITY: D Cltv D Countv D Out of State □ Yes 181 No

15. Height: 16. Weight: 1 17. Eve Color: 1 18. Hair Color: 1 19. Seara, martcs, tattoos, unique phvsical features: (Location, fype & description)

s•,on 182 Brown Black Scar: Left Arm, Tattoo Left Arm: Rat

20. Driver's License Number/State: 1 21. Social Security Number: 1 22. Residential Telephone: I 23. Business Telephone: N/A

24. Address: (Street. Apartment Number) (City) (State) (Zip!

691 Institution Road Defuniak Springs FL 32433

26. Defendant's Name: (Last) (First) (Middle) ALIAS 26.OBTS:

27. Race/Sex: 28. Date of Birth: I 29. Residence fVpe: I 30. Weapon Seized I 31. Controlled Substance Seized: C: Yea □ No 0 Florida TYPE & QUANTITY:

C City D County D Out of State □ Yes □ No 32. Height: 33.Welght: 134. Eye Color: 35. Heir Color: 38. Scars, martcs, tattoos, unique phyalcal features: (Location, type & description)

37. Driver's License Number/State: 1 38. Social Security Number: I 39. Residential Telephone: I 40. Business Telephone:

41. Address: (Street, Apartment Number) (City! (State! (Zip)

42. Defendant's Name: (Last) (First) (Middle) ALIAS , 43. OBTS:

44. Race/Sex: 45. Date of Birth: I 46. Residence Tvpe: I 47. Weapon Seized I 48. Controlled Substance Seized: D Yes □ No 0 Florida TYPE & QUANTITY:

D C,tv D Countv 0 Out of State □ Yes □ No 49. Height: 50. Weight: 1 51. Eye Color: I 52. Hair Color: 53. Scars, marks, tattoos, unique physical features: (Location, type & description!

64. Driver's License Number/State: I 65. Social Security Number: 1 58. Residential Telephone: 1 57. Business Telephone:

58. Address: (Street, Apartment Number) (City) (State) (Zip)

59. Charge Description:(# 11 60. Statute or Ordinance Number:

Lewd and Lascivious In the Presence of an Employee 800.09(2)(a)(1) 61. Charge Description: (# 1) 62. Statute or Ordinance Number:

63. Charge Description: (# 1 I 64. Statute or Ordinance Number:

181 F.S.

□ Ord.

□ F.S.

□ Ord.

□ F.S.

□ Ord .

65. Victim's Name: (If business, list legal business name) (Last! (First) (Middle! 66. Race/Sex 67. Date of Birth: 68. Telephone Number:

73. Address: (Street, Apartment Number!

691 Institution Road

75. Victim Notification of Arrest:

NOTIFIED BY:

77, Physical Evidence collected In this case? 181 Yes O No

Evidence Custodian's Name: I

(City) (State)

DeFunlak FL Sorlnas

DATE: TIME:

78. Witness Statements taken In this case? 181 Yes □ No

Person responsible for statements: lns_p. Rich111'd Austin

71. Date of Birth: 72. Telephone Number:

(Zip) 74. Secondary Phone Number:

32433 (850)951-1300

1 76. Informati on Givan: D Arrest Info Victim Domestic

0 Rights Card O App. Info □ Viol. Info

79, I certify that all of the above information Is true and correct to the best of my knowledge

£ lc/w.,v-'-'~ ~t ~-h :.1 Tvpe or print Complainant name

PAGE 01 MUST HAVE PAGE 02 (MORE IF REQUIRED) TO BE A VALID AFFIDAVIT/COMPLAINT

Clerk' s Case No. 181 Adult Def □ PC ~rest □ Juvenile Def 181 Applibation for

Warrant/Capias

AFFIDAVIT - COMPLAINT (PROBABLE CAUSE NARRATIVE)

SA Case tlo. (s)

80. Agency Name:

FDC/Office of the Inspector General 81. Agency Report Number:

19-03475

Agency ORI # FL037275C 82. Date/Time of Arrest: 83. Investigating Officer:

L.E. Inspector Richard Austin

84. NARRATIVE OF THE FACTUAL BASIS FOR PROBABLE CAUSE: The undersigned certifies and swears that he/she has just and reasonable grounds to believe that the heretofore named defendant did commit the violations of law as stated above and the factual basis for this belief Is as follows:

Your Affiant is Law Enforcement Inspector Richard Austin, of the Office of the Inspector General, Florida Department of Corrections.

Your Affiant has probable cause to believe and does believe that on February 22, 2019, Inmate Rosevelt Perry, DC# 448995, did commit the offense of Lewd and Lascivious Exhibition in the Presence of an Employee in violation of F.S.S. 800.09 (2)(a)(1 ).

Based on a sworn, recorded statement from the victim, and physical evidence of fixed wing video, FLDOC­IG Case 19-03475 was initiated.

On October 7, 2019 Inspector Austin reviewed the related video record from the J-Dormltory and observed Inmate Perry enter the day room, grab his exposed penis with his left hand and aggressively move his hand up and down his penis. The video record was secured as evidence in this case.

On October 8, 2019, at approximately 11 :31 a.m., Inspector Austin conducted a sworn, recorded Interview with Inmate Rosevelt Perry in the Inspector's Office. The Miranda Rights Waiver was read to Inmate Perry. Inmate Perry decided he did not want to answer questions without a lawyer present. The Interview was terminated at approximately 11 :34 a.m. ·

Inmate Perry has a tentative release date of March 7, 2020.

Your Affiant respectfully submits that probable cause has been established to conclude Inmate Roosevelt Perry did commit, on the grounds of Walton Correctional Institution, Walton County, DeFuniak Springs, Florida, the criminal offense of Lewd and Lascivious Exhibition in the Presence of an Employee, in violation of F.S.S. 800.09(2)(a)(1 ), and respectfully requests a capias be issued for Inmate Rosevelt Perry, 8/M, DOB 02/19/1965.

85. The undersigned, being dulv swam, states that the foregoing information contsined in an affidavit consisting of 2. pages is true end correct to the best of his/her knowledge

~ tlftu.1ti. Signirture ofOfficer/Complainant

fl.I c.l w .-n;f b v»·b; 1 f;).'J,~q k Officer/Complainant's Name (Printed) ID Number

1 'I 1 >< 20LI

If, __,j{.;M; .f' ..K:"" ,'(' ~ LS I .5'1'> o, , I u. ersonally Known □ ~~imsteri~g Oath -l-J3 570 ~·-yv\~ {..,-' 1 I it:tR-~c

er Identification I Seal o

ID Type

87. Adult's Relation to Juvenile Defendant: 81. Adult's N•m•: (Last) (First) (Middle)

D Parent D Leaal Guardian D Other 89. Address: (Street, Apanment Number) (City) (State) (Zip) 90. Residential Phone: 91. Business Phone

92. Notified By: (Name) 93. Date/Time: 94. Notification Method:

□ Person □ Teleohone 95. Law Enforcement Disposition of Juvenile Contact: Transferred to Released to Processed within the agency and released

(Check one and complete release data) □ Secure Detention □ HRS Intake Officer, not detained □ to other than HRS

Release Date: Release Time: Released to (Name):