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HEARNAP — Part 4
Page 324
324 / 672
“Agency submitting evidence
FRI
Det ivered by | : Accepted db
Suspect Victim ‘ _ _
_ t+ /e ANAL:
PSAKBAP _.
” Of fense Place and date of offense an
7m
"Brief facts covering case
- Se pee
tie - ne i4UD230 18
“ye ~ i
Evid. located:
Prev. exams this case
| Report tobe directed to
Evidence to de returned to
y
(This space for blocking) “ ;
“40
A Bj py ca Doaix
= 0? 18 JUL 8 (1974 ©
_*
es. mae es ne
Ra ciasre
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