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Date: PALM BEACH POLICE DEPARTMENT Time: Incident Report Case No. .. . : 1-05-000368 (Continued) Can Identify . : Victim Sobriety: Injury Extent : Injury Type 1 Injury Type 2 : , ._ Hospital ID : Med Treatment : Phys First Name: Phys Last Name KKEKKEKEEK OT HER PERSON INFORMATION KREKKKKKK Case Number . : 1-05-000368 t Name .. COSA Street Number : . City .. : b6 Birth Date/Age : Employer? .. : b7C Occupation ... : STUDE Oper Lic No. Home Phone No. : Race... . . : White Sex .... . : Female Height ....: 0 Weight ... 0 Person Type . : OTHER PERSON Other Phone Nbr: . RRKEKEKEKK QO THER PERSON INFORMATION - # 2 xxxxkEKKEE Case Number . : 1-05-000368 st Name : Street Number City . 2 Birth Date/Age : Employer? ..=: Decupation .. : Oper Lic No. . 4 ee tome Phone No. : Race... .. : White b6 sex . . . . . : Female Height . ... : 510 b7c Veight ....: 0 Person Type . : OTHER PERSON Jther Phone Nbr: tkxkeeEKKK O T H ER PERSON INFORMATION B_KREKKKKKK case Number . : 1-05-000368 Name ..: coo SS street Number : ‘ tity . . : s3irth Date/Age Employer? .. \ecupation Oper Lic No. . : fome Phone No. Race... . . : White ‘eX . . ee, Female Height ....: 0 leight . 0 Person Type . : OTHER PERSON ‘ther Phone Nor: [ ‘kkEKKERE OT HER PERSON INFORMATION KKKAKEE RK ‘ase Number . : 1-05-000368 Name .. | itreet Number : tity . sixth Date/Age Employer? iccupation Oper Lic No. ‘ome Phone No. Race... . . : White ex sw wa 8 Height ....: 0 eight i. : 0 Person Type . : OTHER PERSON ther Phone “Nbr: KKRKKKEKK QO THER PERSON INFORMATIZI = 5 BRERRRKKKK ase Number . : 1-05-000368 Last Name .. Pees a — : HOUSE_OVERSIGHT_018962