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Rose�ilfe Police Depar�ment Page 3 of 5 <br />ORIGIIVAL �FFENSE 1 INCIDENT REPORi <br />Gomplaint Number Reference CN Date and Time of Report <br />07037357 12/15/2007 21:18:00 <br />Primary oltense: <br />LiG�UOR LAW-FURNISH(NG LIQUOR TO A MINQR <br />Primary MOG: <br />M4113 LIQUOR-MS-MINOR PURCHASE OR ATTMPT TO PURCHASE <br />Details <br />Sex: Male Race: � DOB: I F3esrdent StatUS: <br />Nrspanic: Age: 18 from to <br />Phones <br />Nome: Gell: Coniact: <br />Work: Fax: Pager: <br />EmploymenY <br />Occupatron: ��"Ub�NT Employer: <br />ldentification <br />SSN: LrcerrsearlD#: N904195907813 License5tate: MN <br />Other Elicerio, Kim Marie <br />2700 LINCOLN DR <br />ROSEVILLE, MN 55113 <br />Nicknames or Aliases <br />lVick Name: <br />Alias: <br />AKA FirsY Name: AKA Last Name: <br />Details <br />��X� Female Race: �� DOB: F F3esident Starus: <br />Nrsparric: Age: � from to <br />Phones <br />Npme: Cell: Contact: <br />work: ���-639-3916 Fax: Pager: <br />Employment <br />Occuparion: MANAGER �mployer: <br />Identification <br />SSN: License or !D#: Lresnse State: <br />RV2540C92EQ <br />