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Case 18-2868, Document 283, 08/09/2019, 2628241, Page604 of 883 Date: 7/25/06 Time: 8:47:53 Case No. Injury Type 2: Med Treatment : Phys Last Name : RKKKKKKKRKKEREE Case Number Street Number City... Birth Date/Age Occupation . Home Phone No. : Sex .... : Weight ... Be On Look Out?: Victim Type .: Residency Sts- : Can Identify . Injury Extent : Injury Type 2 : Med Treatment Phys Last Name : Vv RaKKKKKRKKKKKEK VY Case Number. Street Number City . Birth Date/Age Occupation ..: Home Phone No. : Sex ..... 3 Weight .... Be On Look Out? : Victim Type ..: Residency Sts : Can Identify . : Injury Extent Injury Type 2 Med Treatment Phys Last Name : KRKRKKKKAKRERKREEE Case Number Street Number City .. Birth Date/Age Occupation . . Home Phone No. Sex ..... Weight .. ‘ Be On Look Gut? : Victim Type . Residency Sts : 1-05-000368 PALM BEACH POLICE DEPARTMENT Page: 8 Incident Report Program: CMS301L 1-05-000368 (Continued) Hospital ID Phys First Name: i Be T IM I NFO R MATIO N = # HKEKKKKKKREKE KKK KKK PALM BEACH, FL 000033480 19 Employer? .. Oper Lic No. 561/000-0000 Race... . . : White Female Height ....:0 0 Misc. ID# .. Other Phone Nbr Residency Type File Charges Victim Sobriety: Injury Type 1 : Hospital ID . =: Phys First Name: 561/000-0000 ADULT INFORMATION - Prompt valid in: IcTIM™M KKKKKKKEKKERKEK KKK EK PALM BEACH, FL 000033480 17 Employer? Oper Lic No. Race... . . : White Female Height os 2 « 2 2 O 0 Misc. ID# .. .: Other Phone Nbr: -Residency Type File Charges Victim Sobriety: Injury Type 1 Hospital ID . : Phys First Name: 561/000-0000 561/000-0000 JUVENILE INFORMATION: - Prompt valid in: IcTIM 1 LT KEKE KKKKKKKEKKREKER PALM BEACH, FL 000033480 16 Employer? : Oper Lic No. 3 561/000-0000 Race... . . : White Female Height . . ..: 0 ie) Misc. ID# . Other Phone Nbr: 561/000-0000 JUVENILE Residency Type : File Charges GIUFFRE005621 CONFIDENTIAL