Fillable Pueblo of Santa Ana Police Department Citizen Acknowledgement (Pueblo of Santa Ana)

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Pueblo of Santa Ana Police Department Citizen Acknowledgement (Pueblo of Santa Ana)

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Pueblo of Santa Ana Police Department
Citizen Acknowledgement
Date of Incident:___________________________ Time of Incident:________________
Location of Incident:____________________________________________________________________
Name of SAPD Officer(s) involved, if known:________________________________________________
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STATEMENT
I (name)________________________________, wish to give the following
acknowledgement to the following officer ___________________________, whom I
know to be a sworn member of the Santa Ana Pueblo Police Department.
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Signature:_______________________________________ Dated this ___ day of _________, 200____.
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Pueblo of Santa Ana Police Department Citizen Acknowledgement (Pueblo of Santa Ana)

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Completed 20 July 2020

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