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FD-4Rev.10-3-77 In structions - reverse side NCIC ENTRY FORM 9110179 Date 54-12277 File No. b6 Agent b7C Make an ENTRY concerning: Squad EA Single Stolen Article (MKE EG Stolen/Missing Gun (MKE) EAA Group of Consecutively Serialized Stolen Articles ERG "Recovered* Gun Field Office Identifier NCIC # (NIC) (ORI) EFB Field Office Identitier {TYP (ORI) Lype of Article FBI Seria! # - Serigl number and/or owner - applied. (SER) number may he used in EA entry.. $erial # (SER) b7E Serial # - Use only for ending serial # of con-. {SER) secutively serialized group MAK Make (CAL) (BRA) Caliber Brand Name (TYP) MOD Type Model Date of Theft/Recovery Field Office File # Owner - Applied #- Cannot be used in EAA entry. OAN (DOT) (OCA) Mo. Day *A Date of Theft Field Office File # (dOT) (OCA) Mo. Day Yr. 53-122177 Misc - Do not use periods (MIS) Misc- Do not use periods (MIS) (MIS) Miscellaneous (MIS) Miscellaneous (MIS) NCIC # (NIC) Miscellaneous (MIS) G Miscellaneous Blocks yith bold border indicate minimum information which must be furnished for entry of an article or gun. Entered By: Block stamp AGE T b6 Terminal Operator initials Date b7C Entry rejected. Above record aiready on fiie for this office. Record entered by another agency on file. See attached. LOC! F8/005 DAT/uDc:A52539813