Tombstone Marshal’s Office
Marshal Bob Randall Mayor Dusty Escapule
315 E Fremont St
PO Box 339 Phone: (520) 457-2244
Tombstone, AZ 85638 Fax: (520) 457-3124
Special Permit to Discharge Firearms
Ordinance 2016-01
Reenactment Group Name: ________________________________________
1
Group Armorer: Name: ________________________________________
Address: ________________________________________
Telephone: ________________________________________
Group Armorer: Name: ________________________________________
Address: ________________________________________
Telephone: ________________________________________
Group Armorer: Name: ________________________________________
Address: ________________________________________
Telephone: ________________________________________
Reenactment Participants:
1. Name: _________________________ ID Provided: ___________________
Statement Received: ______________ Approved (Yes/No): _____________
2. Name: _________________________ ID Provided: ___________________
Statement Received: ______________ Approved (Yes/No): _____________
3. Name: _________________________ ID Provided: ___________________
Statement Received: ______________ Approved (Yes/No): _____________
Tombstone Marshal’s Office
Marshal Bob Randall Mayor Dusty Escapule
315 E Fremont St
PO Box 339 Phone: (520) 457-2244
Tombstone, AZ 85638 Fax: (520) 457-3124
Special Permit to Discharge Firearms
Ordinance 2016-01
Reenactment Group Name: ________________________________________
2
4. Name: _________________________ ID Provided: ___________________
Statement Received: ______________ Approved (Yes/No): _____________
5. Name: _________________________ ID Provided: ___________________
Statement Received: ______________ Approved (Yes/No): _____________
6. Name: _________________________ ID Provided: ___________________
Statement Received: ______________ Approved (Yes/No): _____________
7. Name: _________________________ ID Provided: ___________________
Statement Received: ______________ Approved (Yes/No): _____________
8. Name: _________________________ ID Provided: ___________________
Statement Received: ______________ Approved (Yes/No): _____________
9. Name: _________________________ ID Provided: ___________________
Statement Received: ______________ Approved (Yes/No): _____________
10. Name: _________________________ ID Provided: ___________________
Statement Received: ______________ Approved (Yes/No): _____________
11. Name: _________________________ ID Provided: ___________________
Statement Received: ______________ Approved (Yes/No): _____________
Tombstone Marshal’s Office
Marshal Bob Randall Mayor Dusty Escapule
315 E Fremont St
PO Box 339 Phone: (520) 457-2244
Tombstone, AZ 85638 Fax: (520) 457-3124
Special Permit to Discharge Firearms
Ordinance 2016-01
Reenactment Group Name: ________________________________________
3
12. Name: _________________________ ID Provided: ___________________
Statement Received: ______________ Approved (Yes/No): _____________
13. Name: _________________________ ID Provided: ___________________
Statement Received: ______________ Approved (Yes/No): _____________
14. Name: _________________________ ID Provided: ___________________
Statement Received: ______________ Approved (Yes/No): _____________
15. Name: _________________________ ID Provided: ___________________
Statement Received: ______________ Approved (Yes/No): _____________
16. Name: _________________________ ID Provided: ___________________
Statement Received: ______________ Approved (Yes/No): _____________
17. Name: _________________________ ID Provided: ___________________
Statement Received: ______________ Approved (Yes/No): _____________
18. Name: _________________________ ID Provided: ___________________
Statement Received: ______________ Approved (Yes/No): _____________
19. Name: _________________________ ID Provided: ___________________
Statement Received: ______________ Approved (Yes/No): _____________
Tombstone Marshal’s Office
Marshal Bob Randall Mayor Dusty Escapule
315 E Fremont St
PO Box 339 Phone: (520) 457-2244
Tombstone, AZ 85638 Fax: (520) 457-3124
Special Permit to Discharge Firearms
Ordinance 2016-01
Reenactment Group Name: ________________________________________
4
20. Name: _________________________ ID Provided: ___________________
Statement Received: ______________ Approved (Yes/No): _____________
21. Name: _________________________ ID Provided: ___________________
Statement Received: ______________ Approved (Yes/No): _____________
22. Name: _________________________ ID Provided: ___________________
Statement Received: ______________ Approved (Yes/No): _____________
23. Name: _________________________ ID Provided: ___________________
Statement Received: ______________ Approved (Yes/No): _____________
24. Name: _________________________ ID Provided: ___________________
Statement Received: ______________ Approved (Yes/No): _____________
25. Name: _________________________ ID Provided: ___________________
Statement Received: ______________ Approved (Yes/No): _____________
26. Name: _________________________ ID Provided: ___________________
Statement Received: ______________ Approved (Yes/No): _____________
27. Name: _________________________ ID Provided: ___________________
Statement Received: ______________ Approved (Yes/No): _____________
Tombstone Marshal’s Office
Marshal Bob Randall Mayor Dusty Escapule
315 E Fremont St
PO Box 339 Phone: (520) 457-2244
Tombstone, AZ 85638 Fax: (520) 457-3124
Special Permit to Discharge Firearms
Ordinance 2016-01
Reenactment Group Name: ________________________________________
5
28. Name: _________________________ ID Provided: ___________________
Statement Received: ______________ Approved (Yes/No): _____________
29. Name: _________________________ ID Provided: ___________________
Statement Received: ______________ Approved (Yes/No): _____________
30. Name: _________________________ ID Provided: ___________________
Statement Received: ______________ Approved (Yes/No): _____________
31. Name: _________________________ ID Provided: ___________________
Statement Received: ______________ Approved (Yes/No): _____________
32. Name: _________________________ ID Provided: ___________________
Statement Received: ______________ Approved (Yes/No): _____________
33. Name: _________________________ ID Provided: ___________________
Statement Received: ______________ Approved (Yes/No): _____________
34. Name: _________________________ ID Provided: ___________________
Statement Received: ______________ Approved (Yes/No): _____________
35. Name: _________________________ ID Provided: ___________________
Statement Received: ______________ Approved (Yes/No): _____________
Tombstone Marshal’s Office
Marshal Bob Randall Mayor Dusty Escapule
315 E Fremont St
PO Box 339 Phone: (520) 457-2244
Tombstone, AZ 85638 Fax: (520) 457-3124
Special Permit to Discharge Firearms
Ordinance 2016-01
Reenactment Group Name: ________________________________________
6
36. Name: _________________________ ID Provided: ___________________
Statement Received: ______________ Approved (Yes/No): _____________
37. Name: _________________________ ID Provided: ___________________
Statement Received: ______________ Approved (Yes/No): _____________
38. Name: _________________________ ID Provided: ___________________
Statement Received: ______________ Approved (Yes/No): _____________
39. Name: _________________________ ID Provided: ___________________
Statement Received: ______________ Approved (Yes/No): _____________
40. Name: _________________________ ID Provided: ___________________
Statement Received: ______________ Approved (Yes/No): _____________
41. Name: _________________________ ID Provided: ___________________
Statement Received: ______________ Approved (Yes/No): _____________
42. Name: _________________________ ID Provided: ___________________
Statement Received: ______________ Approved (Yes/No): _____________
43. Name: _________________________ ID Provided: ___________________
Statement Received: ______________ Approved (Yes/No): _____________
Tombstone Marshal’s Office
Marshal Bob Randall Mayor Dusty Escapule
315 E Fremont St
PO Box 339 Phone: (520) 457-2244
Tombstone, AZ 85638 Fax: (520) 457-3124
Special Permit to Discharge Firearms
Ordinance 2016-01
Reenactment Group Name: ________________________________________
7
44. Name: _________________________ ID Provided: ___________________
Statement Received: ______________ Approved (Yes/No): _____________
45. Name: _________________________ ID Provided: ___________________
Statement Received: ______________ Approved (Yes/No): _____________
46. Name: _________________________ ID Provided: ___________________
Statement Received: ______________ Approved (Yes/No): _____________
47. Name: _________________________ ID Provided: ___________________
Statement Received: ______________ Approved (Yes/No): _____________
48. Name: _________________________ ID Provided: ___________________
Statement Received: ______________ Approved (Yes/No): _____________
49. Name: _________________________ ID Provided: ___________________
Statement Received: ______________ Approved (Yes/No): _____________
50. Name: _________________________ ID Provided: ___________________
Statement Received: ______________ Approved (Yes/No): _____________