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e said State, Other'orders sought (forfeiture, compensation, additional penalty, destruction or the like — Rule 15.03) Date Complainant Witness (Registrar, Deputy Registrar or Justice of the Peace) (Not required if Complainant is a Public Authority) EFTA00265390 Re-FeR TO PH-cfroc ROPH I C Cul c)eiN
ght (forfeiture, compensation, additional penalty, destruction or the like — Rule 15.03) Date Complainant Witness (Registrar, Deputy Registrar or Justice of the Peace) (Not required if Complainant is a Public Authority) EFTA00265390 Re-FeR TO PH-cfroc ROPH I C Cul c)eiNac-E f meD \c-PL- Rec-CRD5 POIIcc BRUTALI
ndred millilitresof blood. The complainant (or informant) may make application for restitution. 2ND day of JUNE, 2015 Date Complainant Witness (Registrar, Deputy Registrar or Justice of the Peace) (Not requited if Complainant is a Public Aethortly) Important Notice to Defendant If you fail to appear
complainant (or informant) may make application for restitution. 2ND day of JUNE, 2015 Date Complainant Witness (Registrar, Deputy Registrar or Justice of the Peace) (Not requited if Complainant is a Public Aethortly) Important Notice to Defendant If you fail to appear on the hearing date set out below or on a
mmary offence Other orders sought (forfeiture, compensation, additional penalty, destruction or the like — Rule 15.03) Date Complainant Witness (Registrar. Deputy Registrar or Justice of the Peace) (Not required if Complainant is a Public Authority) EFTA00266621 4( IM\lk)ftke:E) 1 SNooLOCRS sOS-TA t
ght (forfeiture, compensation, additional penalty, destruction or the like — Rule 15.03) Date Complainant Witness (Registrar. Deputy Registrar or Justice of the Peace) (Not required if Complainant is a Public Authority) EFTA00266621 4( IM\lk)ftke:E) 1 SNooLOCRS sOS-TA t NE 0 - A REST' 461 kisse)s NOT P.Rel
Entities connected to both Registrar and Justice of the Peace

Ghislaine Maxwell
PERSONAdelaide
LOCATION
Prince Andrew
PERSONPort Pirie
LOCATIONthe State of South Australia
LOCATION
Condoleezza Rice
PERSONOPTUS
ORGANIZATIONRoger Kirchner
PERSONPeter Bannister
PERSONConstable of Police
ORGANIZATIONTerrace
ORGANIZATIONDeponent's Signature
ORGANIZATIONA.A. GRASSO
PERSONSenate Road
ORGANIZATIONDepartment of Planning
ORGANIZATIONForensic Science SA
ORGANIZATIONRegistrar of the MAGISTRATES COURT OF SOUTH AUSTRALIA
ORGANIZATIONthe Police Force
ORGANIZATIONCourt of Origin
ORGANIZATIONa Public Authority
ORGANIZATION