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CLETS Information


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California Law Enforcement Telecommunications System (CLETS)

Information Form

This form is submitted with the initial filing (date): 1.6.2017

This is an amended form (date):

Important: This form MUST NOT become part of the public court file. It is confidential and private.
Fill out as much of this form as you can and give it to the court clerk. If the court issues a restraining order, this form
will provide law enforcement with information that will help them enforce it. If any of this information changes, fill out
a new (amended) form.
Case Number (if you know it):
1 Person to Be Protected (Name): RebeccaTacosaGray,California/AURORAMAJOR/TSBE/TCEE
M F Height: 5' 81/2"
Race: American/Universal
Weight: 132
Hair Color: Brown
Eye Color: Hazel
Age: 45
Date of Birth: 11.03.1970
Mailing Address (listed on restraining order): 362 N. Sheridan Avenue
City: Manteca
Telephone (optional): 209-629-6133
State: CA
Zip: 95336
(License Number and State): A3063373 CA
Vehicle (Type, Model, Year):
2 Person to Be Restrained (Name): BldLucyAfrrica, Jan Moon, Gwen of Santa Ana, Lauren, Elizab
F Height: Varies
Race: N
Sex: M
Weight: N/A
Hair Color: Blonde
Eye Color: N/A
Date of Birth: N/A
Age: N/A
Residence Address: N/A
Telephone: N/A
City: N/A
State: N/A Zip: N/A
Business Address: 600 10th Street [Lauren/Lisa the Blue Whore/RAPINGMAJOR]
Telephone: N/A
City: Manteca
State: CA
Zip: 95336
Employer: N/A
Occupation/Title: N/A
Drivers License Number and State:
Vehicle (Type, Model, Year): Various
Describe any marks, scars, or tattoos:
Other names used by the restrained person:
3 Guns or Firearms

Describe any guns or firearms that you believe the person in 2 owns or has access to
(Number, types, and locations):

4 Other People to Be Protected


Isabel Gray
Zachary Gray

Work Hours:
Social Security Number:
(License Number and State):

Date of Birth




Relation to
Person in 1




Additional persons to be protected are listed on Attachment 4.

This is not a Court OrderDo not place in court file.

Judicial Council of California,
New January 1, 2012, Mandatory Form
Cal. Rules of Court, rule 1.51

Confidential CLETS Information

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