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CENTENNIAL LAKES POLICE DEPARTMENT VOLUNTARY STATEMENT <br /> Department Case Number _ a e t I P Y lt (, Officer's Badge Number 12. <br /> Date of Birth: <br /> (First) (Middle) (Last) <br /> Address: City /State: <br /> all <br /> Home Phone: WOrr Phone: <br /> do voluntarily give the following statement to the Centennial Lakes Police Department <br /> ,Stott raj 'tit av► t4 an evil a4.1i.0hal PoatpJ Pen it /At r fc' <br /> canattjqAs -1 i ITtS Wit t ded#41 ine#1 f o n V A7 le and net' <br /> IM+e, Cor,yri.y T.p- tie 3 bows t 9'#t/ title. An T. k- 4y,r. 611-CKCd <br /> Lr,rtr F r o m r o . ■ crtst cialbsr M W r r'wt s tj„ S!1. yo f4, <br /> E Aft ;Tips+ G true 144 <br /> This statement, consisting of / pages, including corrections if any, which I have initialed, is true and <br /> correct to the best of my knowledge, <br /> Signed: Date: U/2 7 /94:09 <br /> 111 <br />