Fillable TIM LANE Scott County Sheriff SHAWN ROTH BRYCE (Scott County Iowa)

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TIM LANE Scott County Sheriff SHAWN ROTH BRYCE (Scott County Iowa)

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TIM LANE
Scott County Sheriff
SHAWN ROTH
Chief Deputy Sheriff
EMERGENCY 9-1-1
(563) 326-8625
(563) 326-8689 (FAX)
400 West 4
th
Street
Davenport, Iowa 52801-1104
BRYCE SCHMIDT
Chief Deputy Sheriff
www.scottcountyiowa.com/sheriff
sheriff@scottcountyiowa.com
DIRECTIONS TO SHERIFF
DATE: CASE#:
VS.
PLAINTIFF DEFENDANT
DEFENDANT’S SOCIAL SECURITY NUMBER:
DEFENDANT’S ADDRESS:
INDIVIDUAL OR BUSINESS TO BE SERVED:
RESIDENCE: EMPLOYER:
(Street Address) (Employer Name)
(City, State, Zip Code) (Employer Address)
(Telephone: Home/Work) (Employer City, State, Zip Code)
DEFENDANT INFORMATION:
SEX: RACE: AGE:
DOB: HEIGHT: WEIGHT:
HAIR: EYE: SS#:
ADDITIONAL INFORMATION:
NAME AND/OR FIRM NAME OF PERSON REQUESTING SERVICE
MAILING ADDRESS
TELEPHONE NUMBER
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TIM LANE Scott County Sheriff SHAWN ROTH BRYCE (Scott County Iowa)

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Completed 14 February 2021

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