12/08/2010 10:59 FAX o0a/003
METROPOLITAN POLICE DEPARTMENT
BARRING NOTICE
twe;_ (B45 am@M) Date: __|2-04-]D
Pursuant to section 22-3102 of the District of Columbia Code, you are
hereby notified that you are not permitted on the grounds listed below.
LOCATION: Smrtysowian) Museums Seam Sanit) Puageicny WT
: a . . . Museum
Ifyou return to this location, you may be subject to criminal prosecution for
UNLAWFUL ENTRY.
NaME: BLASEVSTEIV/ MICHAEL ELias
RACE: _W/ DOB: MBBS Q-23-7
SEX: (M 3
PHONE:392-372-59G7 ADDRESS: ick PL. HE
BE _ASsccimion OF Smre ane Tee eM HEKET$ OFFICILS
DESCRIPTON
HEIGHT: 6’ weight: _/25”
HAIR:_g@J EYES:_ Ga)
COMPLEXTION;
— AS
SCARS/MARKS/TATOOS: Dik Wels inhcud. gos
Thave read this “BARRING NOTICE” or have had it read to me. I fully
understand its meaning and I do herby voluntarily, without duress,
threats or force, sign this statement,
pate:_12/4//O
ignature
pate: _12/ 1/10
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ST L019 034 KY002/003
12/08/2010 10:53 FAX
DATE: aly [/0
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