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* 1. Report Number:

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* 2. Requesting Officer Badge Number:

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* 3. Contact Phone Number and Email of Requesting Officer:

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* 4. Burger King Address/Cross Streets:

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* 5. Time and Date of Event:

Date
Time

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* 6. Time Frame of Footage Needed:
(Please keep requests down to 1 hour or less, if larger footage is needed please explain why.)

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* 7. Which restaurant camera angles are needed?

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* 8. Nature of incident:
(What are we looking for?)

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