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N OF SOUTH AUSTRALIA AT POLICE • PORT PIRIE (NAME OF INFORMANT / COMPLAINANT') AND AFFIDAVIT (DEFENDANT) I, Ernie POLLEY of CRYSTAL BROOK, in the State of South Australia, affirm and declare as follows: 1. I am providing this statement to Constable Scott KELLY of the Yorke Mid Highway Patrol per phone. 2. I provid
ruction 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 BRUTALITY — 1 t•), CRIc5.5 SOST14 I NE.,-E) EKTREM E I PD11
TWEEN OF SOUTH AUSTRALIA AT POLICE PORT PIRIE (NAME OF INFORMANT / COMPLAINANT.) AND Jacqueline Carol PEARCE (DEFENDANT) 4 of PORT PIRIE, in the State of South Australia, affirm and declare as follows: PD114 1. I am a Constable of Police IDnurrently stationed within the Yorke Mid North Local Service Area and attac
A00266575 ck_ ck tS - Date ~~~• IC ,e< P Want Witness (Registrar, Deputy Registrar ct Justine of the Peace) (Not required if Complainant is a Public Authority) EFTA00266576 SUBJECT ROAD TRAFFIC ACT - ALCO TEST FOR ALCOHOL ORAL ADVICE ON REFUSAL OR FAILURE TO COMPLY Pursuant to Section 7E(4Xab) of th R
AT POLICE PORT PIRIE (NAME OF INFORMANT !COMPLAINANT') AND Jacqueline PEARCE (DEFENDANT) I, , declare' as follows: P0114 of PORT PIRIE, in the State of South Australia, make oath and say ! affirm and 1. I am a Constable of police ID No currently stationed at the Port Pirie Police Station. 2. I commenced this s
ruction 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,-sear s- WrrEt) s r11-14. It-) piancccr office iN
Entities connected to both the State of South Australia and a Public Authority
Kadina
ORGANIZATIONPort Pirie
LOCATIONCourtney Wild
PERSONRegistrar
ORGANIZATIONLeon Black
PERSONDeponent's Signature
ORGANIZATIONConstable of Police
ORGANIZATION
Paul Gardner
PERSONSouth Australia
LOCATIONJacqueline
PERSONthe Police Force
ORGANIZATIONthe Port Pixie Police Station
ORGANIZATIONCarol PEARCE
PERSONMITSUBISHI Magna
ORGANIZATION
Justice of the Peace
ORGANIZATIONthe John Pirie Island
LOCATIONthe Jetty area
LOCATIONErnie POLLEY
PERSON