dy Date aad TIM h 5/.W3 3 Signature: ' -:') Val ry I Printed Name/Agency: Reason: 0,7; 1 : ., i .-.) 1_ ii Reason: Firearm Certification by (FI/SWAT)/ Explosive Material Certification by (SART): Printed Name: Signature: Date: Case ID: ATF Trace Form Completed: U NCIC: 0 IS: A 5 Barcode: Eb515e2o3 This form is incomplet