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WOUNDS VIEW POLICI': Case Number
<br /> CIass lfI tIon ' v ' �OfFE.NSE"REPORT F ,, f
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<br /> Complainant's or. Victuals Name (Firm name if.bus tfosfT4 .,., ., ' DOB Age Sex Phone:Bus.
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<br /> Comp laInant's or Victims Address:. :;t'` ' '�'� � Offense or lhcident ,1-_1 - • -
<br /> 5-2-3 " 49
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<br /> Place Where Offense Occur ed i�y 4 # � ', • type of BRI ding, (Residence, store, bank, etc.)
<br /> Reporte By - , . .' ,''-:'.-,•1-,.:7-i...1, :•*, , Phone f OF L. . , Officer s i gned , e.:
<br /> Date and Time of Offense �.... w -kms , , Date and Time of eport -
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<br /> Name and Address of Suspect(s)1 DOB/age/htlee/seX/dasefi1 pf,,,1011. 71 _409� '". c 1 rc l e'i f suspect IS:
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<br /> 411,61
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<br /> Investigator a512___
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