ased by: ID Temsdat K other Number of Hogaper I. DICrupUoiRtlitmantlemientr Cisrusticn Da* Diranilement Date Compere' of FDDISa Sts 2 Mandatory N. Drug Seizures ." Date: Drug Cede • Weioha Code • ECM Do not Lndrale 5 In SecCon 0 0. Child Victim Information Child located I Identified Mee: (0/3

fob:saute: Admin. Civil Judicial, or Criminal Do not nticate vat s° it Section D M. AGqu.ltair Ditirriss•U Pretrial Dye mien (Circle One) Dale. N. Drug Seizures Date: Drug Ccoe • We ght Coda FDIN Do not indicate S in Section C 0. Child Victim Information CNN lotted r identifed Dale (413 0/

ther Numbernt Hostages' K international I. DierUpUonfOlementiement Disruption Date: Dismantlement Dale' Completion of F0-515a Side 2 Mandatory N. Drug Seizures Dale* Drug Code • Weight Code • FDIN Do not notate $ in Section D 0. Chlid Victim Information Chid located/ ideate Data: °Living ❑

: O Terrorist O Other Number 04 Hostages: I. Denuption/Dlunannement: Disruption Dal: Dismantlement Dale' Completion of FD-5158 Side 2 Mandatory N. Drug Seizures r' Date: Drug Code • Weight Code FDW Do not ndicate S in Secten D 0. Child Victim Information Chili 'coaled l idened Dale O LW'S O

el faleilure: Admin. Chili Judicial, or Criminal Do not indicate $ value in Secton M. Acquittal, Dismissal, Pretdel Diversion (Circle ore) Dale: N. Drug Seizures j Data: Drug Code* Weight Code' Y FINN Do not MEWS S In Settee 0 0. Child Victim Information Child located /Wanted Dale 0 thing 0

ence Date: Sentence Type: . M. Acquittal/ Dismissal/ Pretrial Diversion (Circle one) Date: _. In Jail: Years Months. Suspended: Years____. Months N. Drug Seizures “ Date: (1) Court Ordered [[) Pretrial Diversion Probation: Years Months____. Drug Code ° . Code * Y Amount $ Fines: $ Weight _______ Code