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Get Form Dea 612

DEA No Yes Persons Affected Children are mandatory - indicate 0 when none were affected Check all that apply and indicate number Total Children Affected Child Injured Child Killed Law Enforcement Killed XI PO Box Suspects Injured Suspects Killed Weapons/Explosives Seized Check all that apply and continue in Remarks Section Type Quantity Make Model Caliber Serial Assault Rifle Handgun Rifle Shotgun Booby Trap - Describe Form DEA - 612 02-2003 Form.

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