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Police <br />City of Rarnsey <br /> Date Reported Time Assigned <br /> ¢~ ]1 ~,~ o <br />Place Committed <br /> <br />Compl_ainantNictim <br /> <br />Address <br /> <br />INCIDENT REPORT <br /> <br />Time Arrived Time Cleared Additiona~ Time <br /> Race Sex Date of Birth <br /> <br />[ <br />Reported By Race Sex Date of Birth <br /> <br />Address <br /> <br />Date and Time Occurred Assisted By <br /> <br />OFFENSE/INCIDENT: "-/'~'7--~9 ~. ~~ (~-~.4.&.) ) <br /> <br /> .~JCF <br />Received By Day of Week <br />II ~.¢~'~ I ISIMITIwITI~sl <br />· Case Assigned To HRD Codes . <br /> <br />,~e ~no.e <br />f Phone.?'i ~,~a~ ~111~1~ <br /> I~n Pe~on I <br />Wo~ <br /> ~v,,u~, <br /> Home Phone <br /> I '- I {~her <br /> Ill II 1 <br /> Work Phone ~cer Number <br /> <br /> Squad Radar No, <br /> I I I <br /> <br />.5~ e_ 5uI¢¢¢I~ ~"/-~. I ~ef0,,tSVEHlCLE LOCKOUT WAIVER <br />I, the above named complainant, do hereby request the assistance of the Ramsey Police Dept. in opening the following vehicle: <br />Year Make / Model Plate No. <br />I realize that while the officer will use care, damage may result to the vehicle. Regardless of whether I am the owner of this vehicle or not, I hereby <br />assume full responsibility for any damage and waive any liability on the part of the City of Ramsey, its' Police Division, and any officers involved <br />in opening this vehicle. <br /> Signature: Date: <br /> <br /> PROPERTY / INVENTORY REPORT <br />RECORD TYPE S: STOLEN R: RECOVERED L: LOST F: FOUND D: DAMAGED <br /> R/T Property Type Brand/Make .: Model/Description Serial or OAN Value <br /> <br />MOC q~ ~) f~ Additional Reports [] Entered CJ.R.S. [~] Verified by Copy to <br /> <br /> <br />