SUSPECT NAME: AGE/DATE OF BIRTH:
DESCRIPTION:
ADDRESS/CITY:
VEHICLES:
ALLEGATION:
DRUGS INVOLVED: Cocaine Heroin LSD Marijuana Methamphetamine PCP
Other
DAYS/TIMES OF ACTIVITY:
Monday Tuesday Wednesday Thursday FridaySaturday Sunday
6AM TO 10AM 10A TO 2PM 2PM TO 6PM 6PM TO 10PM 10PM TO 2AM 2AM TO 6AM
PERSONS IN & OUT OF LOCATION:
1-10 PER HOUR 10-20 PER HOUR 20-30 PER HOUR
1-10 PER DAY 10-20 PER DAY 20-30 PER DAY OVER 30 PER DAY
CHILDREN AT LOCATION: DOGS AT LOCATION: WEAPONS AT LOCATION:
PERSON REPORTING ACTIVITY TO SHERIFF'S DEPARTMENT:
NAME: TELEPHONE:
WHEN YOU FIRST LEARNED OF THIS ACTIVITY:
DO YOU LIVE NEAR THE LOCATION OF THIS ACTIVITY:
HAVE YOU PROVIDED INFORMATION TO THE SHERIFF'S DEPT BEFORE:
IF YES DESCRIBE
ARE YOU WILLING TO PROVIDE ADDITIONAL INFORMATION TO A DETECTIVE:
DATE: TIME:
THANK YOU FOR YOUR HELP
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