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<br /> DANE COUNTY FF DEPARTMENT Log Pr 'net Casa N . •
<br /> Incide Report L" �> yO
<br /> Computer Agency Reference No. [
<br /> 1 1.77./frae/n Incident Dane Code Occurred from/or on Mo Day Yr Time Reference No.
<br /> rg A77 c c/ I?) 799 /39rA/ r`/ /7 ;I /s.s
<br /> 1 7ress/of Occurrence Apt Occurred to •
<br /> EAhl.eVA n ri i S .r r _C+ Mo D,yt Yr/ /me ' Alamr N Nillapej[�vnship of Occurrence � Los I Reported� �1 Z C V / �, /Z..C- �'
<br /> T on Mo Day Yr Time Sup Pen IPr I 1Pricit .
<br /> �. op Evid
<br /> �.�'�'T4/GF7'X'L12 s.Pi= Fie? i+'I 2/ c�/ /,�,.
<br /> Complainant's Name(Last,First,M.I.or Firm Name) Sex Race D.O.B. Age M/S Home Phone Business Phone
<br /> C .5 x.72. /114A't T F I A/ 1 d IGGD
<br /> O Address f
<br /> Apt City/Village/State Contact through
<br /> MP GL33 -/CGrr.// ,AC X/ �i3,r-r,�r.ziJ
<br /> •
<br /> Enmployment/School Occupation/Grade Hours 'Contact Phone '
<br /> R deported by(Last.First,M.I.) Sex (Race I0.0.8. Aga Home Phone
<br /> Bus/Contact Phone
<br /> E "7 ,1G"-
<br /> R AddressApt City/Village/State
<br /> Contact through
<br /> B Employment/School
<br /> Y Occupation/Grade Hours ❑Phone 'Reported to
<br /> Q.Personal Contact I 4/ C
<br /> •
<br /> (f >/ _ 4,..,_,.... {'� k,N►-•{l9►s.4 X17/aT.?P rf:! c (1rT I Pv. (l Spi 11-1 .��f `/J C,. (:AC,['4S"LW/r' .'L' '
<br /> "1--v-v%a14 7h, itc., 1..a-t...^/. Ci cc.. I cY,--, -ti'1,1 L,.,I Li Al. F J �x._l 1 1. C L 14.ti•t E .r _I-P,...."‹
<br /> EU.r 4_,, CO c ',',4 S 4144.1 Li A (Al E— (.( �t_ . u q �i SA S&,_/{ ,,-, U/w
<br /> P /2118.-N'y''1P.v..�awl ti/II it..v-t-L 11k, 1•-S"�,.,- /[,le,-,f^ dam-, y. 1 Q . `i al 10
<br /> &In _L..r- ir•1•+-7 c Leihe /�4 '172 e <t:,�L F-,1 / -% �T. !'-'
<br /> //1.4 -. L•t.• 1�7■14i-,/ tC,/✓ <'-. f.'../i•J:L!-fvs vl -77-2z-,•
<br /> 77.22721-? ,cr:Z '
<br /> tire-/ t(), ,t4,...-1 .1 L eLA',t' i 1.1 wry:,l.ii.lc ..
<br /> 1'?TA/l 1_ CAfort fit1 .Y/-�u '1 kA)67 f ..u:c 7.,�:'t k 1 j. 1
<br /> Make Model Serial Number Description /
<br /> S
<br /> Value Ente _•
<br /> T
<br /> 0
<br /> L
<br /> E s
<br /> N
<br /> V • . St Yr VIN
<br /> Wen eg.No S IVIN IYr Model Value Enter.•
<br /> H
<br /> c _
<br /> L owed for Top/Bottom 1.0.Characteristics
<br /> E TOTAL I
<br /> I Non-Rea Structure Resident Structure Entry/Exit Point Tool Used Location
<br /> 1 Convenience t House i 'Unknown 1 T (a!
<br /> 2 Drug 2 Farm 2 Front 2 Pipewreneh Type 2 Melba* 1 Jewelry
<br /> Cash
<br /> 3 -Medical 3 Apt/Condo 3 Garage 3 Hemmer 2 Smell A
<br /> 4 Financial 4 Duplex 4.�Reef Cutter Type 3 Safe/Box Ares 3 ...Fired Appliances
<br /> •M 5 Mfg./Const. 5 Mobile/Camper 5 Side 4 Bolt Cuter Type 4 Office 4 ` Firearms
<br /> 6�,,,� Retail 6 Hotel/Motel 6 Door 5 Foe 6 Office g Machine 5_Tool, /Canter
<br /> O 7_ Public Building 7 Other 7 DuetNent 7 Garage/Msehine 7_Auto
<br /> 8 TK nt fBaar L 8 Roof/Floor 1W Clear 7 S age 7 _ Auto Parts f
<br /> _ Trunk/Hood 2 RaIn 9 Other .-Sporting Goods
<br /> 10„.,Wholesale 1 Day 10 Wall 3 Snow 9_ Collectibles 2
<br /> 11 Service Station 2 Night 11 Window 4 Fog 11 .- Animals n °
<br /> 12 Other 3 Twilight 12 Other 5 Cloudy 11--Other
<br /> )epu / ^R'1 Date Assisting Deputies
<br /> .
<br /> '�, •�! `� UCR Value Stolen �"
<br /> . Or+ed, /_ i' s Status Remarks /
<br /> `., '!i / j Value ecwesd , .
<br /> .2 •.1515/85)
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