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BELL COUNTY LAW ENFORCEMENT CENTER WA
INMATE SERVICES REQUEST
Tomate’s Name Cp citric. Sean Coll BEERS Date f-L-1
Time _<~U Previous Request Sent To —t
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Nature OFRequest _Coc_\c Velo Tock’
(See Back Side)
Please State Your Request
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Inmate’s Sigaatu
Response / Action Taken On Your Request
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Signature Of Officer Handling Report Date.
Initials Of Oficer Returning Completed Copy To Inmate.osleep T shold the ABI Dott de Acces so T oda Good Tdeo on whakts
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