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��i t - Z���q <br /> i EVERETT POLICE DEPARTMENT STATEMENT FORM <br /> CASEn DD11- L�77G� <br /> f-f U`/C.� ?�Dlz�-�� �i <br /> STATEMENT OF: us unue CiiSf NAME MI�Q.F�HUFE <br /> l,,J I-t7 � �f zo �� (Q 'u �� ����Ss r�-+z,� ��,e c� <br /> aace sac o or im� HocKr wocrt e�co�oa naA c�_w <br /> ��1� ��� �✓ �cX��i- [✓H- 9�za/ <br /> � RESfDENCE; r � UTM n`� a� <br /> i <br /> HOME PHONE#:' ZU(p3 � WORK/CELL�: `O�' 30 �y`�z� EMPLOYMENT: � <br /> � <br /> AL'fERf1ATc CONTACT IN CASE O"r RELOCATION : � � <br /> i <br /> -y� �J� C '%�? � �--�1 N L� c ,�i �v-, y r--�� �,�!Z- ��'o�(� <br /> P-I��7�;�/ O `l•2rzr',°-, / z/i y/ii �� �,/'�c H�-r� �4 fs'c�cJc�/ <br /> ,^,^r,�� 2L�� /-IP. l�O �Niv– f}So�IT � /» `'h' �rJ,� cr— <br /> E��� c�r! Eu wa�zn /�✓� . L�4-R �,,D ,�l v ,— C ,—or' A— <br /> �S �J�� S � L�iU c`�N- L�"'wr'�-�c P � 1=rZ� .O/�v_ Ctk R� LJ_��=_ <br /> �l� � i,� 2LZ TFf�c��C�t! �F�2� ��tiC �.� �" fr F�i ,o�t� <br /> f-Z+�tT. CA-� Tf I�-7v D✓�12 - ��1�Z i�l e7) ,/ l_.Pt�r I� v�l�o;�l <br /> ,4 8� �-- a�d�;/ L2�-� o�� -ro � �� ,',_ �v��.o�� <br /> (til � C7�L/�fi D� C/�GCE� / / l D2 �272 GiJfI� NOT <br /> ,2�� iv h:NU- : 1'Oo�i � �s A�22i ���� � � g�z �-Pr� ` <br /> THIS STATEMENT WA5INRITTEN.ON MY BEHALF BY: <br /> I DECLARE UNDEf�THE PcNALlY OF PERJURY UND THE LAWS O�T-IE STATE OF WASHINGTON THAT T�iE <br /> 'rOREGOING WRITf'/ TATEMENT, CONSISTING OF�PAGES, IS TRUTH=UL AND ACCUftATE TO TN= <br /> 3EST OF MY PE�ON KNOWLEDGE. EACH PAGE '� LL CORRECT10h5, IF ANY, 6�.R MY INITIALS. <br /> I HAVE RE.4D [ ,�' 1 VE BEEN READ [ �THE FO OING DcCLARATION ANO IINDERSTAND THAT THIS <br /> CJ^UMEhlT M B USED !N A COURT OF L4W. �;� ' <br /> � _ . �w�, �_�y�� � l 1� <br /> . (�cCJANT SIGMTUftE7 . -1�+'r�W '�55 Sr,H� <br /> ✓ G/✓� / � �'V�/� ' .. - . ' �� (/ f � � � . . <br /> (GRY AND A7E 11TL�SA'J:9). . . . ID�TE O STAiFMJ.1 <br /> �s,p + p: r � (INfT.) . '. <br /> - _ . . �}ao�R,+a� <br />