af!porting Officer I.D. # Agency 1-1 (-2,1,1 F i 1-.1 / c )r (__.. Witness here if subject signed with an **X" OF DISTRIBUTION: WHITE - COURT COPY GREEN • STATE ATTORNEY YELLOW - AGENCY PINK - AGENCY GOLD - DEFENDANT (N.T.A.'s ONLY) P85011140 REV. 6/97 07/26/17 Page 44 of 114 Public Recor

Pb /', PAGE Intake Deputy I D. 0 Pouch Trarrsponing Officer I I) I A.Doms7 Witness here ti aublost signed with en DC. OF DISTRIBUTION WHITE - COURT COPY GREEN - STATE ATTORNEY YELLOW - AGENCY PiNe -JAIL GOO) DEFENDANT IN AS ONLY) 07/26/17 Page 59 of 111 Public Records Request No.: 17-295