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ORLANDO POLICE DEPARTMENT 5.2.4 Date Created: 1/01/2004 Page: 4 Bomb Threat and/or Detonation of Dest. Device Case No: 2003-492805 Exit Method . : NA Exit Point Alcohol Related : No Drug Related No Domestic Crime : No. Hate Crime NO Computer Theft Just. Homicide Code Hom/Ag Aslt Circmst : Just. Circumstances Larceny/Theft Categy: Counterfeit Type. . Counterfeit Status. : Count./Forg. Amount : EVIDENCE COLLECTED INFORMATION: Statement (witness,Victim, Other) I Swear or affirm the above statements Officer Name/ID# (Print) are correct and true. (Signature) Sworn to and subscribed before me, the undersigned Authority,. This day of ,20 Notary Public Law Enforcement Officer . #dug Orlando PD