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Form I LAW ENFORCEMENT <br />?ECI'-u .... ly when optional line is included. INITIAL COMPLAINT REPORT <br />"ECE"-Use only when optional line is omitted. <br /> <br /> MESS. KEY CONTROL NUMBER (DCA) <br /> <br />i L NBR <br /> <br /> REC'D BY: ~ -~-~/~' <br />I DAY:K_St M I T Iwl m l FI S <br /> <br /> CONT. AGENCY NCIC IDENT. (CAG) <br />, l~l :~,,':.'lr-',-7,~,~-, ?,.-d~ IM,NI0,0,~I /,~10,O1~ <br /> DAI-IE REPORTED (RPD) TIME RPD (TRP) LOC.ATION GRID NBR (LGN) <br /> I I , , , , , <br /> <br />PLACE COMMITTED {PLC) <br /> <br />O LNBR HRD SOU.AD OR B.ADGE ~/iSBN) TIME ASIG. iT.AS) TIME ARR. (TAR) TIME CLR. (TCL) <br />T - I , - I ,' . <br /> <br />LN3R <br /> <br /> UCS CODES <br />~SN uoc uts - Pending J - CLRD/Arrest. Jr. R - Ref. {3th. Agen. <br /> <br /> U - Unlounded Juv. G - GOA/UYL <br /> T - Other <br /> <br />Reported By: V¢'¥' r:' "" ~ ~' <br /> <br /> NRD Codes <br /> <br />P - Phone <br />~_,~.2 Radio <br /> A - Alarm <br /> <br /> I - In Person <br /> ~J - Visual <br /> M - Mail <br /> <br />T - Other <br /> <br />Address: Phone Nbr: <br /> <br /> ..... ~;- . z,YtO ~':~ Phone Nbr: <br />Address: i~f)', £ '~",~i"~ c, ;'~u' r ' ~'- ~ <br />Incident Description'- :.-;': '~"i'~Li.'.':'.".!.i ,.)tl:c.r)T?~,~ c;oz.-_,.~l~._in~at s::~lls a s~z'o~:': oLo? of <br /> .:...: ~. . ...... ~. /' r'C,:F.:~)'~.. _~-'_ .... ,.,., ~t-::~ .......... '2'~'?k~~ /'OCOV(~-.~ l~ifi~¢~:q.~'_ ....... <br /> <br /> i ~?c;'~! : ,:. ,-.-. ~. c: ¥ ' .f~.in~, o::~o~' that ~.;~.s si?~ilia, r t,o that. <br /> ~Jta% ::;'.,.~ ~,~:,(~:~. uD,. ~[-,e' ad. vised. %h~* %he szT~eli ' <br /> <br />OFFICER/SQUAD ASSIGNED: <br /> <br />~;Jle ·-' '~ <br /> ,,,l~_! advise %~hen th,:: <br /> SUPERVISOR APPROVED: ENTERED C.J.R.S. [] <br /> IST COPY <br /> <br /> <br />