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Complaint Form FD-71 (Rev 3-27-95) NOTE Hand print names legibly; handwriting satisfactory for remainder. Indices Negative See below Character of case *F x TDRF7UN Punir iourws NAssJ- y1uTIm Complainant Protect Source b6 b7C b7D Complaint received PersonalTelephonc Date 3/2/7Time /0.c Address of Subject Complainant's address and telephone number Complainant's DOB Sex Race Male Height Hair Build Birth date and birth place Age Female Werght Eyes Complexon Social Security Numbor Scars, marks and other data Eplover Address Telephone Ac5o Besvir) imufr) Documery. Vehicle Descrption Facts of comnlaint PuNcre iWsutes NEs(PesuE) Arie AmP 7xg s'etL Bfot RucumA~s jt JAz oyr:A cjffe DscumfNj3 sucJ> 3z Hrrupn? Wi! yng Cy b6 Cin siu ntt DrcuAns ir Dwf a Jnees iy 'y b7C A8o i3uNi mYEy7qrgrp 3y Afsnuirs, o Do not write in this space b7D 3fzsf57 AusA wF3 Avu Da) Tm inr3 An) Drcur) FRrsn FAosc7 REcusr 7yr C4ge Dges w0;" Mrry" syiOthn Reos,eeuriure s"mneis. Au$+rs 7hs UANuk iN FHS mAT7ih WcuuS is~ s3E nwNrstTh Rit N.y. SA Complant received by BLOCK STAMP