i i “al fs ical, " i a i at i i : He a nie eh i tit i Hi ia i ila __ 8/55 _Selme, Algdene rite #_ mT and § “32° bee tiered 0/5 = aces aed aes eh te ieee teams pend ap, ee epee ok ee POE ak ie ee teburch partonage where I qwatted an antulance eee took a2 to Good Samaritan Hoepited in “At no time during the above den rited incident id I saeeul® or in any way interfere with » law enforcement officer "I nave read the four page true and corre:t fof “O00 ROBERT tars “Witnensed: SOHN H. LUPTON SA. ST “DANIEL D. DOYLE SA. FEL” ‘The following description of LRWL) was gbtained oweervation and interries 7 cane J0mN ox mie Fis ph, Petey eso Weignt is pounds Mair aor Byes Brown Booeation” a ee ‘