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RAMSEY POL:[C~= ~PARTMENT <br />~EO. UEST FOR cOPY OF POL'fO= REPORT AND PAYt4ENT RECE;[PT <br /> <br />Date: <br /> <br />T~me: <br /> <br />Pursuant to Minnesota State Statute Chapter 13, I request a copy of the following' <br />Police Report Number: ".~ ~ _ -~- ..... , c_. ',,-: I Date of Incident: <br /> <br />Parties Involved: <br /> <br />Description of Incident:, <br /> <br />Other Fees: <br /> <br /> For Office Use on!y _ , ~ &J <br /> <br />Amt Paid: ~'~} ~ ~ <br />Check '"". Cash <br />L Check #: InitialS:. <br /> <br />Requested by: <br />Address: <br /> <br />Daytime Phone: <br />Signature: <br /> <br />P/ease be prepared to show idendffcaEon <br /> <br />bDT D~LE E3 <br />/~°uo~- ~, /"~" <br /> <br />IARRESTING OFFICER BADGE <br />SEARCHING OFFICER <br /> <br /> THIS IS YO~AUTHORI~. AFTER ALL EXPENSES INCURRED AR~ <br /> PAID BY BEARER TO RELEASE TO THE OWNERS AS SHOWN <br /> ABOVE OR HIS AUTHORIZED AGENT. THE ABOVE DESCRIBED <br />  OBILE WHICH YOU ARE HOLDING FOR THIS DEPARTMEN% <br /> <br /> '~ RELEASING OFFICER RELEASING DATE <br /> <br /> THE OWNER / <br /> AUTHORIZED REPRESENTATIVE HAVE RECEIVED THE ABOVE <br /> DESCRIBED VEHICLE. <br /> <br /> ON <br /> DATE <br /> <br /> WHITE COPY: <br />iY~LLOW COPY: <br /> <br /> PINK COPY: <br /> <br />TO POLICE DEPARTMENT <br />TO TOW ORIVERIF NOT HELD-RETURN TO <br />DEPARTMENT WHEN RELEASED. <br />TO TOW COMPANY FOR RECORDS <br /> <br />NOTE ALLDAMAGES / MISSING EQUIPMENT <br /> <br />SIGNATURE OF TOW DRIVER <br /> <br />DATE <br /> <br />I <br />I <br /> I <br /> I <br /> I <br /> I <br /> I <br /> I <br /> <br />-316- <br /> <br /> <br />