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EFTA01157905

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Ott, Wackenhut INCIDENT REPORT CLIENT: AC .0 AREA OFFICE: (i-Rtg ADDRESS. Ic.e? Sa(kt . (,3 1›,..e.a.Se-o-a, ssgso REPORTED BY: ME) DATE / TIME OF INCIDENT: z .m t tl*.x,or.s (PRINT OR TYPE NA INCIDENT: pf IRREGULARITY 0 CLIENT COMPLIANT O FIRE REPORT LIST PERSONS(S) INVOLVED: '1-OO(.O CL-C\ASLA24- IX>o t arm, (A)Nst4A- cte4X6v Lc,CMTCA--- DETAILS:- OA CIL 11-3 t to 14- a.m-bc-A-t-- -(14-4- ICAroc.S go {A 1 1,1/4‘. Address is rt.( ccetAce. Skft3CA-k...O A-Ca- Cory -es--- Et err L e,Jzi, 4 ,4 e..La-ale-x-- ba-C-Va I A-koz, r-z-Ccceace. t ..C-?.c.e.r a__tf ‘ k. EC Sh.11,e S-6S4a _? tA. o ita, to , Az tOW ACTION TAKEN: CAS2,43-edreo-e TEPL , (-tap .Ategettu>.(-4.e_ce ((itatit fo.0 C.61.1,41cC Vra- oge4- Int k•-• REPORT COMPLETED BY: 6-1- J A DATE: .3/21 4 0 REVIEWED / HANDLED BY: TITLE: CLIENT CONTACTED: O BY PHONE K IN PERSON TICKLE / FOLLOWUP DATF: CLAIM POTENTIAL COPY TO HO'S YES 0 YES 0 NO D NO 0 (MUST BE SIGNED ON REVERSE) V, Pit (.1'0 Copies To: Area Office Copy to: HQ'S EFTA01157905

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