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CASE FILE # y l�- O'@t1�7 <br /> DATE [9931 e l <br /> CENTENNIAL LAKESPOLICE DEPARTMENT <br /> FORMAL COMPLAINT REQUEST <br /> CITY OF: CIRCLE PINES _ LEXINGTON CENTERVILLE <br /> COMPLAINANT INFORMATION: <br /> NAME etortiam ie I &Sae pb DATE OF BIRTH <br /> ADDRESS <br /> PHONE NUMBER: HOME WORK <br /> pEFENDANTINFORMATIONj <br /> NAME .r� ,, � r 55 t. 1 r .& ' . DATE OF BIRTH 71Z7 60 <br /> ADDRESS thteaq ate 0 to yowl ?Pi <br /> PHONE NUMBER: HOME WORK /Iyr4 <br /> DRIVERS LICENSE NUMBER (If Applicable) <br /> OFFENSE INFORJMTIONt <br /> DATE f 1 12.7 t / Q�-- 7�� TIME MST( <br /> LOCATION 7n i.!/►v[D�1)ttl.L ' R P M <br /> ) <br /> OFFENSES: L CIRCLE • <br /> 1. %Aie r4 A kto ho l 4o 61110 N STATUTE * %iii . Se .Z Misd. <br /> R. STATUTE* Wed. GM <br /> 3. STATUTE# Misd. GM <br /> 4. STATUTE* _ Mlsd. GM <br /> 5. STATUTE# Misd. GM <br /> BRIEF NARRATION: \ e <br /> toes OFFI ! <br /> 104 7 /2/. <br />