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ScheduleXLVII-FormNo.

120
P.M.FormNo. 80
!

GaseDiary rS
( R u l e1 0 4) oc
6A

Police-station District

FirstinformationRepod No. of 2O CaseDiaryNo. Sec.

Dateand olaceof occurrence

Date(withhour)on whichacti
Recordof Investiqation
was takenand placesvisited.

OGP (FormsI DTP -42--'10,


000Bks.- -24-O5 -2OOB

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