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UI\VIYV ✓P,— ... .... ....... . <br />ME 6 [EY CONTROL NUMBER IOCAI CONT. AOENCV NCIC IDENT IC.WI <br />E C 1 /�/ M N 0 2 7 S / DA, <br />L NBR �1 �D�ATEEE REPORTED III TIME RFD ITRPI LOCATION GRID NOR ILONI <br />Ell/ Il� ' F 'R"/' — - " / / / / PLACE I <br />p2 0jnA i./ <br />L NBR ORD SQUAD OR BADGE p 180N1 TIME ASIU. tTASI TIME ARA. ITARI TIME CLR. ITCLI <br />5 <br />O UCe OFFICER ASSIGNED/ F—. M I I <br />SSIGNED/II f I <br />VICTIM <br />(PLC1 <br />nm <br />elm <br />B <br />0 <br />eeR <br />nF <br />Np <br />rm <br />IOFT <br />U-1 <br />tl <br />Fil <br />PHONE I <br />OTHER REPORTS INCLUDED <br />ImpwAS ❑ Prep Inventory ❑ ImpIIM CmMn1 ❑ AcclNnl MppN ❑TFR ❑ W-uencu ROPP" ❑ Peome ❑ <br />REPORTING PE RSON❑OF FENDS A OVICTIM❑ D.O.E. EUEINESOADDRESS EUSMESS PHONE <br />HOME ADDRESS I HOME PHONE <br />ICON• £. Nash <br />SEE CASE FILE <br />Warn CI Retem <br />Advised <br />Dept. Assist Message Deliver <br />Citation Imed _ Devil Completed <br />ROLLCALL <br />Treated d Transported <br />G.O.A. <br />I <br />COPv TD <br />CO ATTNr ❑ urr Arrwy ❑ couRr ❑ _cNIFF U orr.eR <br />DISPOSITIONUnswnded Cleared by arrest Rat. otAv Ow -CV InaeDva Olbel <br />OFFICER'S I SUPERVISOR'SSIGNATURE <br />