r statement. including your Me of creek. If you think Val your statement's increase if you need more rdornetion about a fransacbon On este statement Leaman a roe of credit transactor. you 'mat mite to te on a sears* sheet *sorting Me ova and send 4 to JPMorgan Pinta Bank 500 Stanton ChnstranaRoad POPS3.

rey 0 3. Iffiroomeancr 0 6. Offices% As APBS 0 2 Traffic Pry 0 4. Traffic lascemsaror 0 & Oew " weapon Sono Er Type maple Crisco g A Leaman A or Arrest (Incluffirep it ,.,. or Burst) Lcceroo of Offenses Seines, Name. Mans) I noutoty l_ t Date ol Arrest 1 1_ 1 1 _1 Time el Anis

ime of Action: (The UDC Cliairmanxs signature certifies who sal on the UDC and that the completed report accurately reflects the UDC proceedings). Leaman (Typed Name/Signature): Member ( typed Name): 'Member (Typed Name): INS I RUCTIONS. All items outside of heavy rule are for staff use only. Begin