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12.3.11 Justin Cameron Martin Police Report
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12.3.11 Justin Cameron Martin Police Report
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Last modified
5/28/2014 10:02:46 AM
Creation date
7/16/2012 9:14:38 AM
Metadata
Fields
Template:
PW_Operating
PW_Document_Type_ Operating
Correspondence
Fiscal_Year
2012
PW_Division
Parks and Open Space
Identification_Number
December 3, 2011
Document_Number
Justin Cameron Martin
External_View
No
Retention_Destruction_Date
1/1/2015
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11. Towed From <br />12. Recovered Stolen Vehicle 13. SAFEKEEPING TAW 14. Towed By 15. Towed To <br />❑ Custody ❑ Storage on Street/Abandon 17. Tow Operator's Signature <br />❑ Accident ❑ Violation <br />Other Agency ❑ Hazard 16. Cit # <br />w <br />AIRS <br />LEDS <br />NCiC <br />REG <br />AIRS <br />LEAS <br />NCIC <br />15 <br />18. VIN# <br />EUGENE POLICE DEPARTMENT <br />19. Value <br />20. Color To /Bottom <br />(Top /Bottom) <br />21. Odometer <br />22. LIC # <br />State <br />Exp Yr <br />SEE REVERSE SIDE <br />F OR ! <br />Make <br />Model <br />Style <br />EVIDENCE/PROPERTY <br />By Whom ID# <br />CHIEF <br />Pat Inv <br />Capt Capt <br />'Supt <br />Capt <br />Spec <br />Capt <br />P!C <br />Page <br />of <br />Viol Prop Fin <br />Sec <br />Safer <br />PCUI <br />❑Hold for Court ❑ Safekeep Only <br />❑ Fingerprint o�stroy <br />PROPERTY WANT CHECK <br />Case Number <br />Crimes <br />Crimes Crimes <br />I nv <br />Schools <br />FEU <br />11 Test 11 Return to Owner <br />AIRS LEDS NCIC <br />2. Incident Number <br />Brief 2 Camp RDU <br />EDU ..Arson <br />Fire: <br />1. Incident <br />City Muni Circuit <br />Pros Court Court <br />Juv <br />Court <br />I.A. <br />Risk <br />Paro <br />Prob <br />to �.- �� eon 10 t f6 <br />RELATED REPORTS <br />❑ Accident <br />4. Grid 5. Source <br />SCF Vic CAC <br />S ery <br />Med <br />Exm <br />Crim <br />Anys <br />Oper <br />Anys <br />3. Incident Location <br />� � � <br />❑ Incident <br />❑ Citation <br />Storage Loc. # Pkgs. <br />Mental 5175 Postal <br />Health <br />OLCG <br />DM V <br />Trf <br />Eng <br />6. Reported Date 7. Time 8. Impd Date 9. Time <br />❑ CElstod <br />❑ Prop /Evid <br />w 0 <br />Eug Lab # State Lab # <br />Pat Other <br />n <br />Zip <br />31. Phone <br />0 <br />C1 S upp l emental <br />... . <br />10. Instructions for Processing (List Item #s). <br />0 Custom Wheels ❑Property Removed <br />11. Towed From <br />12. Recovered Stolen Vehicle 13. SAFEKEEPING TAW 14. Towed By 15. Towed To <br />❑ Custody ❑ Storage on Street/Abandon 17. Tow Operator's Signature <br />❑ Accident ❑ Violation <br />Other Agency ❑ Hazard 16. Cit # <br />w <br />AIRS <br />LEDS <br />NCiC <br />REG <br />AIRS <br />LEAS <br />NCIC <br />REG <br />18. VIN# <br />19. Value <br />20. Color To /Bottom <br />(Top /Bottom) <br />21. Odometer <br />22. LIC # <br />State <br />Exp Yr <br />Type <br />Veh Yr <br />Make <br />Model <br />Style <br />23. Notified Date / Time <br />By Whom ID# <br />V <br />RIL <br />24. Name T �� � Firs Middle <br />� cif � <br />AIRS# <br />25 "€�0�� � � <br />` <br />32. <br />❑Keys in Vehicle ❑Right Damage <br />C <br />26. AddrP <br />11 <br />4�r fC ,VT City <br />State <br />Zip <br />7. Phone <br />❑ Not Driveable ❑ Left Damage <br />❑ Radio ❑ Front Damage <br />V <br />R/L <br />28. Name First Middle <br />AIRS# w <br />29. DOB <br />❑ Stereo Tape ❑ Rear Damage <br />C <br />.4-f �54I4 e <br />�� <br />❑ CB Radio ❑ Stripped <br />30. Address <br />City <br />State <br />Zip <br />31. Phone <br />❑ Special Antenna ❑ Trunk Exam <br />0 Custom Wheels ❑Property Removed <br />NO. <br />CITY. <br />33. ITEM <br />34. SER. NO. <br />' ,.4 5 `BRAND <br />36. MODEUSIZE/ COLOR <br />W. INSCR. <br />38. VALUE i <br />AO <br />tow A0,41) <br />1 :: r <br />jW <br />�. <br />U v �. <br />T#Asf� <br />.� <br />�' �. � <br />39. Impounding Officer ID# 40. Date 41, Time 42. Submitted /Released By <br />V 3 Z, <br />45. Submitted To: Other (Specify) 46. Released To (Signature) <br />❑ Central Locker age ❑ Refrigerator /Freezer <br />White - Property Copy Canary - Records Copy. Pink -- Vehicle or Property Copy <br />ID# 43. IIat 44. Time <br />03 i .. q5 <br />.. ......... .. ... ..... 1 <br />47. Ap ved y I D# <br />G oldenrod - Receipt Cop - ' +o PR D9D6 <br />
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