ure: Printed Name/Agency: Printed Name/Agency: Reason: Reason: Firearm Certification by (FI/SWAT) / Explosive Material Certification by (SABT): ATF Trace Form Completed: 0 NCIC: 0 Printed Name: Signature: Date: Case ID: YeA-Ad- 315/aa? IR: Barcodc: This fonn Is Incomplete without reference to the FD-1087.

Printed Name/Agency: i Reason: J.Ini ÷ 4pin r 4,, lb de Reason: Firearm Certification by (FUSWAT) / Explosive Material Certification by (EMIT): ATF Trace Form Completed: NCIC: • • Printed Name: Signature: Date: Case ID: OA-iv --315b2,02 IB: Barcode: C- 45 c -La This form is incomplete without reference t