Konyang Arrest Report

[grid][row][cell][logo_pvpolice_small][cell][small][date]-[time][/small][br][b]Arrest Report[/b][br][small][i][b]For a Safe and Harmonious Aoyama[/i][/b][/small][/grid][hr][large][b]Information[/large][/b]
[b]Arrestee Information[/b]

[table][row][cell][b]Name[cell][b]Species[cell][b]Age[cell][b]Identifiable Features[cell][b]Status*
[row][cell][field][cell][field][cell][center][field][cell][field][cell][field][/table][small][i]*In event of release, include name of guarantor if applicable. Example: (RELEASED|Nanashi-no-Gombei)[/i][/small]

[b]Arrest Information[/b]

[u]Date[/u]: [date]
[u]Arresting Agency[/u]: Point Verdant Corporate District Precinct 302
[u]Arresting Officer[/u]: [field]

[b][large]Charges[/b][/large]

[table][row][cell][b]Charge[cell][b]Classification
[row][cell][field][cell][field]
[row][cell][field][cell][field]
[row][cell][field][cell][field]
[row][cell][field][cell][field]
[row][cell][field][cell][field]
[row][cell][field][cell][field][/table][hr][b][large]Incident Summary[/large][/b]

[u]Summary[/u]

[field]

[u]Witnesses[/u]

[field]

[u]Supporting evidence (and location)[/u]

[field]

[hr][small][i]Attach photograph of Arrestee to this report[/i][/small]

Signature: [field]