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property section was signed for as belonging : ton by . This included the contents of the bag that was removed from the vehicle and the car key. Deponent's Signature: t; 4P Witnessed By: (Signature of person before whom affidavit affirmed and Date: / / Le, declared) * Strike out whichever is Inapplicabl
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
when she saw the police car arrive. The ignition was on but the engine was off. The stereo system fitted to the car was on and playing loud music. Deponent's Signature: Date: 2-a CI a 1 leb Witnessed By: (Signature of person before whom affidavit affirmed and declared) • Strike out whichever is inapplicable Pi
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
ene and assisted. The accused continued to struggle as she was held against the bonnet of the fleet to assist in an attempt to handcuff her safely. Deponent's Signature: Witnessed By: (Signature of perso efore whom affidavit 'sworn / affirmed and declared) Date: Pt /05/ 7--Olb * Strike out whichever is inapp
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 Deponent's Signature and a Public Authority
the State of South Australia
LOCATIONRegistrar
ORGANIZATIONCourtney Wild
PERSONKadina
ORGANIZATIONPort Pirie
LOCATIONLeon Black
PERSONthe Police Force
ORGANIZATIONSouth Australia
LOCATION
Paul Gardner
PERSONConstable of Police
ORGANIZATIONErnie POLLEY
PERSONthe Port Pixie Police Station
ORGANIZATIONJacqueline
PERSONMITSUBISHI Magna
ORGANIZATION
Justice of the Peace
ORGANIZATIONthe John Pirie Island
LOCATIONthe Jetty area
LOCATIONCarol PEARCE
PERSON