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2 <br /> q EVERETT POLICE DEPARTMENT y.9 <br /> ADDITIONAL PERSONS PAGE 2 OF <br /> INCIDENT CASE NUMBER <br /> VUCSA/WARRANT/DRUG LOITERING DD 12-3202 <br /> NO. PERSON'S NAME(LAST,FIRST,MIDDLE) RACE ETH SEX D.O.B./AGE HGT WGT EYES HAIR <br /> P <br /> 3 3 <br /> STREET ADDRESS AND APT NO. CITY STATE ZIP <br /> E <br /> RESIDENCE PHONE BUSINESS PHONE EMPLOYMENT/OCCUP./SCHOOL HATE/BIAS VICTIM INJURY <br /> R ( ) ( ) <br /> 4 5 6 <br /> NO. PERSON'S NAME(LAST,FIRST,MIDDLE) RACE ETH SEX D.O.B./AGE HGT WGT EYES HAIR <br /> P <br /> 3 3 <br /> STREET ADDRESS AND APT NO. CITY STATE ZIP <br /> E <br /> RESIDENCE PHONE BUSINESS PHONE EMPLOYMENT/OCCUP./SCHOOL HATE/BIAS VICTIM INJURY <br /> R ( ) ( 1 <br /> 4 5 6 <br /> NO. CIN/IDENTIFICATION NO. BOOKED/WHERE LOCATION OF ARREST ARRESTEE ARMED WITH <br /> S A2 SNO COUNTY 1122 BROADWAY AVE <br /> RACE ETH SEX HGT WGT EYES HAIR <br /> U W N F 51 140 GRN BRN <br /> 3 3 <br /> CITY STATE ZIP <br /> S EVERETT WA 98208 <br /> P BUSINESS PHONE EMPLOYMENT/OCCUPATION/SCHOOL <br /> ( ) <br /> ALIAS NAME(S) SOC.SEC.NUMBER STATE EXP <br /> E WA <br /> • <br /> MISC. IDENTIFIERS <br /> C <br /> T CHARGES&CITATION#OR WARRANT#&AGENCY CHARGES&CITATION#OR WARRANT#&AGENCY <br /> 1. ❑M ®F POSS INTENT 2. ®M 0 F ORER VIOLATION <br /> NAME/RELATIONSHIP OF PERSON NOTIFIED(JUVENILE) DATE/TIME NOTIFIED I NOTIFIED BY <br /> NO. CIN/IDENTIFICATION NO. BOOKED/WHERE LOCATION OF ARREST ARRESTEE ARMED WITH <br /> A3 SNO COUNTY 1122 BROADWAY AVE <br /> ImilETH HGT WGT EYES HAIR <br /> NIII <br /> 57 145 BLUE BLND <br /> 3 <br /> I STATE <br /> WA <br /> ElBUSINESS PHONE EMPLOYMENT/OCCUPATION/SCHOOL <br /> ALIAS NAME(S) DRIVERS LIC./1.0.CARD STATE EXP <br /> 0 MISC. IDENTIFIERS <br /> 1111 CHARGES&CITATION#OR WARRANT#&AGENCY CHARGES&CITATION#OR WARRANT#&AGENCY <br /> 1. ®M D F SODA VIOLATION 2. ®M ❑F DRUG LOITERING 2Z0229738 <br /> NAME/RELATIONSHIP OF PERSON NOTIFIED(JUVENILE) DATE/TIME NOTIFIED NOTIFIED BY <br /> OFFICER SIGMA E DATE <br /> OFFICER NAME/NUMBER UNIT / ••••- . • RS.NO. <br /> N.WALLACE 1334 122 / <br /> PD 329(1 EV.5/99 TLK) F'RM ID:APR00.03.W95 <br />