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. � �� � �_� ��-z <br /> .��� INVESTIGATIVE WITNE�S/S�SPECT STATEMENT �_ <br /> ITNESS or 0 SUSPECT STATEMENT(Check One) CASE N0. <br /> VJITNESSS�JSPECT NFIdE(Last,First,6fiGdle) OATE OF BIRTH <br /> i�if�e.(' �'S 1 �Ai+� <br /> ADORESS PRIf,MR PH E NO. <br /> �1�� �4�` a-- ( �04 ) q��l-SS� <br /> CIN STATE ZIP ALTERNAT'c PHONE N0. <br /> .,c�.b�� 1,v W��� ( ) <br /> E-MAIL AOORESS � ��� � DATE/TIME OF REPORT <br /> S �d'>F'16Vi I, G0Y✓l L{ �� S �j;�U <br /> TYPE OF INVESTIGATION LOCATION � <br /> ALL ITEMS IN THIS FORM REFER TO THE ABOVE-NA�iED WITNESSfSUSPECT: <br /> SUSPECTS WARNINGS OF CONSTITUTIONAL RIGHTS <br /> 7. YOU HAVE THE RIGHT TO REMAIN SILENT. � <br /> 2. YOU HPVE THE RIGHT AT THIS TIME TO AN ATTORNEY. <br /> 3. ANYTHING YOU SAY CAN AND WILL BE USED AGAINST YOU IN A CO LAW. <br /> 4. IF YOU ARE UNDER THE AGE OF 18,ANYTHING YOU SAY C SED AGAINST YOU IN A JUVENILE COURT <br /> PROSECUTION FOR A JUVENILE OFFENSE AND CAN BE USED AGAINST YOU.IN AN ADULT COURT CRIMINAL <br /> PROSECUTION IF THE JUVENILE COURT DECIDF AT YOU ARE TO BE TRIED AS AN ADULT. <br /> 5. YOU HAVE TfiE RIGHT TO TALK TO AN ATf EY BEFORE ANSWERING ANY QUESTIONS. <br /> 6. YOU HAVE THE RIGHT TO HAVE AN A NEY PRESENT DURING THE OUESTIONING. <br /> 7. IF YOU CANNOT AFFORD AN ATTO El' ONE WILL BE APPOINTED FOR YOU WITHOUT COST, IF YOU SO DESIRE. <br /> B. YOU CAN EXERCISE THESE RI S AT ANY TIME. <br /> 9. �0 YOD UNDERSTAND THE RIGHTS? <br /> I HAVE READ OR HAVE HA �AD TO ME TfiE ABOVE EXPtANATION OF MY CONSTITUTIONAL RIGHTS AND I UNDERSTAND <br /> THESE RIGHTS. � <br /> % SUSPECT'S SIGNATURE <br /> I UNDERSTArJL}1�Y CONSTITUTIONAL RIGHTS. I HAVE DECIDEO NOT TO EXERCISE THESE RIGHTS AT THIS TIME. ANY � <br /> STATEMENTS MADE BY ME ARE MADE FREELY,VOLUNTARILY,AND WITHOUT THREATS OR PRO�AISES OF ANY KIND. <br /> WITNESS'SIGNATURE SUSPECTS SIGNATURE _ <br /> OATE TIME LOC�TION <br /> STATEMENT <br /> '�--•-.rt�S � i n��7(�(�� �1��y�^ �/� �- l��a�2 �.✓Y �ti na�,�. �� cr �l�G.� <br /> tv"i a' c� 2t'����'m'—` —�p'�t. ltiW fira/f2G �1�"5 rr 1G11� �» rL' <br /> �� k� �,t� ..�T� r��ti a�1�/a- �...� e;.��;� �k- h�! <br /> ��,rbcv�� �eh a..,./t �oa.,t_ w�- rLo�'1 '� ��✓f��.ut Q�I a,Ndt - <br /> w�G�1� <br /> STATEMEYTTAKENBY .�V � 1'JITNESS/SUSPECTSIGNATURE """��'✓(� � <br /> woonaiw IR�++31 . Page 1 of 2 <br />