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;}UN,-2'7'.OO(TUE) 15:58 ANIMAL COv'nOL TEL:415 599 '~96 P. 001 <br /> <br /> BARI~ ING DOG COMPLAINT <br /> COUNTY .WIDE REPORTING FORb <br /> <br />POUCE AGENC__Y <br /> <br />D~te of Complaint: Reporting Dfficcr: <br /> ARency/Dc ~artmem: <br /> <br />ANIMAL OWNER: <br /> Drivers License-/Idenlification:__ D( <br />ADDRESS: <br /> <br /> TELEPHONE :_ ALT. NUMRER: <br /> <br /> DESCRIPTION OF ANIMAL(S) <br /> Breod Color Sex Age Name <br /> Breed Color Sex Age Name <br /> <br /> CIRCUMSTANCES OF COMPLAINT: (R ~orting party and specific baclground) - <br /> <br /> PHS <br /> Date receded ~ PHS: Date ~ J n~l ~lone Con~Ct/Mailing ~ ~ <br /> D~e ~ FoHm~ Up Conrad ~ Resid~: A~on m, :eh: <br /> <br /> PHS Officer: <br /> <br /> Date returned to ~eportlng Officer: <br /> <br /> P H S PAX #: 6~0 348-?~9~ <br /> <br /> ~arkform3/99 <br /> <br /> <br />