Pho
n
Date
Complai
n
Address
Phone N
u
Locatio
n
Date(s)/
T
Nature
o
(Check
b
Speed
Carel
e
Suspe
n
Other
Narrativ
e
Suspect
V
C
I
P
O
traf
f
10
Ed
n
e: (386) 42
4
n
ant’s Nam
e
u
mber
n
of Occurre
n
T
ime(s) of
O
o
f Complai
n
b
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ss Driving
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ded Driver
s
e
V
ehicle(s)
I
TY OF ED
G
O
LICE DEP
A
f
ic@cityofed
4
North Riv
e
P.O. Bo
x
g
ewater, Fl
o
4
-2400
e
n
ce
O
ccurrence(s
n
t
s
License
G
EWATER
A
RTMENT
gewater.or
g
e
rside Drive
x
100
o
rida 32132
FAX: (3
8
)
g
8
6) 424-243
1
TRA
F
F
FIC CO
M
M
PLAIN
T
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