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ST . ANTHONY POLICE DEPARTMENT <br /> REPORT REQUEST FORM <br /> As per Minnesota State Statute 13 . 03 Subdivisions 2 and 3 the City <br /> of St. Anthony charges a fee of $5. 50 for copies of police records . <br /> This fee is to cover the actual costs of searching for and <br /> retrieving data , making, certifying, and compiling the copies . <br /> In order to obtain a copy of a police record, please complete the <br /> following form and submit with cash or check ( made out to the City <br /> of St. Anthony) in the amount of $5 . 50. Report availability may <br /> have restrictions according to the Minnesota Data Privacy Act or <br /> its status in the investigation process . You will be advised of <br /> this at the time of the request. Reports may be picked up the <br /> following day. <br /> i <br /> NAME : <br /> ADDRESS : <br /> PHONE ( DAYS ) : _ _ __- <br /> TYPE OF REPORT : <br /> DATE OF REPORT : <br /> CASE NUMBER ( IF KNOWN ) : <br /> ----------------------------------------------------------------- <br /> Date <br /> Received of : _-- <br /> Dollars S <br /> Cash <br /> Check <br /> City of St. Anthony <br /> 3301 Silver Lake Rd • <br /> ( 612 ) 789-5015 <br /> By: - — ---- <br />