VEHICLE IMPOUND & TIRELOCK REPORT
TYPE:
Impound (DAY) Tirelock
SECTION I: INFORMATION
VEHICLE'S OWNER:
Irwan Rezky
PLATE NUMBER:
JC368JS
MODEL:
Roadtrain
COLOR:
Red and Black
DATE AND TIME OF INCIDENT:
Jum'at 14 : 00
LOCATION OF INCIDENT:
Jefferson
ARREST WARRANT:
Yes No
REASON:
- Roadtrain masuk kota
- Lisensi kadaluarsa
<N/A>
EVIDENCE:: show
| OFFICER INFORMATIONS | ||
| RANK & FULLNAME Rank Full Name |
SERIAL NUMBER Serial Number |
SIGNATURE Signaure here |
