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EVERETT POLICE DEPARTMENT STATEMENT FORM <br />CASE # DD 12- ' �a � �c� <br />THIS STATEMENT WAS WRITT'EN ON MY BEHALF BY: <br />I DECLARE UNDER THE PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT THE <br />FOREGOING WRITTEN STATEMENT, CONSISTING OF I_ PAGES, IS TRUTHFUL AND ACCURATE TO THE <br />BEST OF MY PERSONAL KNOWLEDGE. EACH PAGE A�D ALL CORRECTIONS, IF ANY, BEAR MY INITIALS. <br />I HAVE READ �AVE BEEN READ [] THE FOR GOING DECLARATION AND UNDERSTAND THAT THIS <br />DOCUMENT MAY BE USE� IN A C URT OF LAW. (�) `- <br />�I"�/!��iSIGNAIURE� (OFFlCERORWITNESSSIGNATUR 1 �� � <br />�r'�N' �4- <br />(CITV AND STAiE 1ERE SIGNE�) <br />P�LC _�O( \ <br />�I 3j ��- <br />ATE FSTATEMENT) <br />(INI?.) <br />TDAM Rer. 1�:001 <br />