DS9 Document EFTA01246996

1 Call. Niter:. MRS Ent r y Cam/ Trn 02: End Cht e3 Tim 8/ 241 03 03: .NO.F.B33T) 3 O311 T : 101 .7.0AII CR3.WCEM G.All .04 RA i .ce 30: 08 BN101 .TC140 .CR3 NIKE M QA11.09 08: 34 .Rol i.oe Caller Mane Last R rst NI d Sae Gil I er: Address. . . Cr Mx} Qty/Sate R-oresit: Spur ce: SI .Locat.i on..... . loon- FO(AL PALM Vtr WINER/ECM B.coldt.. 100 . .1.nt.ersecto.. . 07_44 CCINTY Agency, ..... . 001 .F.ti ice Dept GriN. Gal l Taker. 0000008504 .1.(1-3-.IN.TA9--A . . apcher : 0000008504 .7CFR N.TA9-le.k . . . D sp.m.' t i on.. 000 00 -. .00000000 .103 . . . D 02: 30: 35 AT 02: 30: 35 SC 03: 08: 18 AV 03: 08: 33 1‘111LEB. JAME . . . . - .109 , . . ID Oa 30: 08 AT 02: 30: 08 FR 02: 30: 08 AV 03: 03: 34 .N. .Mr., . L11€ W -Add Ili t F7/ F8=Floi I (hits F9Êl I er Check Li st F10=Fti nt F114shrrati ye F12-4bt trn F14=A:idt I 13 sp. F15=A:kit I Locations F16=Vehi cle F174brsons MM14-PEIPD-INCIDENT REPORT-000009 CONFIDENTIAL 3501.149-040 Page I of I EFTA_00068669 EFTA01246996