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NOR P.O. BOX 087 GOVERNOR TRENTON, NJ 08625-0087 PHONE: (609) 984-2830 FAX: (609) 633-6078 WWW.NJ.GOV/OAG/ABC COPS IN SHOPS ARREST/CITATION REPORT FORM GRANT ALLAW ENFORCEMENT AGENCY CITY ESTABLISHMENT DATE OF ARREST TIME OF ARREST (MILITARY TIME) ARREST LOCATION: Store/Parking Lot ARRESTEE: MINOR ADULT AGE AGE SEX SEX RACE RACE CHARGE(S) CHARGE(S) DISPOSITION: COMMENTS: DATE: SIGNATURE:.

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