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Get Put The Brakes On Fatalities Reporting Form - Nj

, October 10, 2007 Police Department: County: TOTALS FOR YOUR JURISDICTION FOR THE 24-HOUR PERIOD WEDNESDAY, OCTOBER 10, 2007, 12:01 AM TO 11:59 PM: MOTOR VEHICLE CRASHES: NUMBER OF CRASHES ABOVE RESULTING IN INJURIES: NUMBER OF FATALITIES FROM CRASHES ABOVE: Officer completing report: Date: Please return this form via fax by 10 am on Thursday, October 11 to (609) 633-9020 or email your numbers in to robert.gaydosh lps.state.nj.us Thank you.

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