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pe2s7 oro TRESPASS NOTICE _ [iesaromis sob > Section 7 and 8 Trespass Act PROMIS Person ID DoB being the lawful Occupier of/Member of the Police Force acting in relation to, the place located at HEREBY ISSUE A DIRECTION to you under Section 7 of the Trespass Act that you are TO LEAVE the above place. AND as you are trespassing or have trespassed or | have reasonable cause to suspect you are likely to ‘trespass, | also ISSUE A WARNING to you under Section 8 of the Trespass Act that you are to STAY OFF the above place. (Delete this section if MOPF issuing). You are no longer permitted to enter the above place. ‘Place’ includes premises and land (including prohibited land and Crown Land). Trespassing on this place after you have been given this notice may result in your arrest and prosecution for the offence of trespass. Penalty: 20 Penalty Units. Signature of the Occupier/MOPF BYR ined ned. This notice is in effect for 1 year from date of service. Expire ORIGINAL (white) delivered/sent to person being issued this notice. DUPLICATE (pink) placed on Police Station file. Alert added to PROMIS TRIPLICATE (yellow) to Occupier/ MOPF who has issued this notice. Clothing and distinguishing feature Licence/ ID documents sighted Ethnicity... Hair colour Eye colour Height Weight Endorsement of Service I served and explained the meaning of this notice on the above named person at: Locatior Date and time Print name Rank .. Number Signature

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