1. Phone Number
2. Email Address (required)

1. Street Address (required)
2. Apartment Number
3. City State (abbr)
4. Phone Number
5. Location Description Streets House Apartment Business
6. Other
7. Color

Person Number One

1. Last Name
2. First Name MI
3. Alias
4. Sex Male Female Race White Black Asian Hispanic American Indian Pacific Islander Other
5. DOB (xx/xx/xx) Age
6. Phone/Pager

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Person Number Two

7. Last Name
8. First Name MI
9. Alias
10. Sex Male Female Race White Black Asian Hispanic American Indian Pacific Islander Other
11. DOB (xx/xx/xx) Age
12. Phone/Pager

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Person Number Three

13. Last Name
14. First Name MI
15. Alias
16. Sex Male Female Race White Black Asian Hispanic American Indian Pacific Islander Other
17. DOB (xx/xx/xx) Age
18. Phone/Pager

Vehicle #1

1. Description
2. License Number

Vehicle #2

3. Description
4. License Number

Vehicle #3

5. Description
6. License Number

Vehicle #4

7. Description
8. License Number

1. Drugs type
2. Special hours/days
3. Fortification -- Explain
4. Guns -- Explain
5. Drugs Hidden -- Explain
6. Look Outs -- Explain
7. Dogs -- Explain
8. Selling To Anyone Person Known Whites Blacks Unknown
9. Selling From Front Door Face/Face Porch Street Rear Door Hole/Door Car

1. Other Comments