| Suspect’s Name: |
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| Possible Nicknames: |
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| Suspect’s Address: |
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| Suspect’s Phone Number: |
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| Age: |
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| Sex: |
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| Race: |
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| Height: |
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| Weight: |
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| Automobile Used: |
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| License Plate Number: |
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| License Plate State: |
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| Location of Drug Activity: |
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Building |
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Street |
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Vehicle |
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Other |
| If “Other” Drug Location, Please Specify: |
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| What type of drugs? |
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| Where are the drugs located (Address, etc)? |
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| In what City are the drugs located? |
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| In what County are the drugs located? |
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| Who else lives at the residence? |
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| Time of drug activity? |
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| Day of drug activity? |
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| How do you know this activity is occuring? |
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| Are you willing to speak with an investigator? |
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Yes |
No |
| If you are willing to speak with us please provide the following information. |
| Name (optional): |
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| Phone (optional): |
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| Email: |
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| If you do not give your Name, Phone, or Email how may we Contact You: |
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| Additional Info or Comments : |
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