Case ID . : 31E-MM-108062 1B2 Barcode . :
TTT EE b6
Accepted By: b7Cc Printed Name . Signature
Printed Name:......... cc cee eee eee eee REASON Ns ca vem nek EDOM HEM MSMR HER Ae ew ws WEAPONS CHECKED & CLEARED BY FIREARMS INSTRUCTOR Printed Name:..........0c ceca eens Signature: .. cee cece eee escves Date:........