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NEW ALBANY POLICE DEPARTMENT - New Albany, Ohio

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Addendum B<br />

Police Department<br />

Humane Destruction of Animal<br />

Report<br />

Number:<br />

Date:<br />

Time:<br />

Location:<br />

Complainant’s<br />

Name:<br />

Address:<br />

City, State, Zip: Phone #:<br />

Kind of Animal:<br />

Wildlife<br />

Domestic<br />

Reason:<br />

Rabid/Distempered<br />

Injured from Traffic Crash<br />

Attacking Officer/Others<br />

Other:<br />

Weapon:<br />

Departmental Shotgun Departmental Issued S&W M&P .40<br />

Other<br />

Rounds:<br />

One Two Three or more<br />

Narrative:<br />

Officer’s Signature and Badge #<br />

PD-09-220<br />

Revised February 2012

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