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Submiting Agency: _U-Kass Dartmouth Police
Off. Kevin Lamontagne UND P.D.
508)999-8107
Visti Name
RECORD OF EVIDENCE §
a and origin of each tem separately
Plesei dese
1
3
A
5 omergency room
s
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uméss —Daslnath
OR LAHORATORY USE ONLY.
Sexual Assault evidence collection [uke
s Daplnath _
Tt ipetenoy
te
(CAL EVIDENCE
TAB. NO.
=e | (1B
SUPP
Type ot Case Rape
‘Summary of Case or Incident Special Requests:
Swapet’s Nemes)
1
Chariton Menorial Hospital
ron nurse Charlene Neruda,
6.
1
OPERA WH
#)
se INGUINIES ONT
FORM CL (rev. 895) WHITE (6
PINK (fh
‘YELLOW (deliver)+ WITVaRSrTY OF MASEACHUSERTS DaRAMOUTI
or custopy
EVIDENCE ogy) FouND Property
SAPEKEEPING ¢)
co Toe __ per vive
POLICE OFFICER/CIVILIAN; Officer J. Bots:
ApbnEss Hass Dartnouth Police Department
c1rY: North dartmouth STATE: MA
21P cove:_02 TELEPHONES _( 508_)999
ae re =
DATE & TIME OF tNerDEWT TYPE_Rape
Locar ton
DESCRIPTION OF PROPERTY: Rape Kit From Charlton Menorial Hospital Tw
Fall River, MA. Energency Room Nurse Arruda.
WITNESS Br; UMD P.D. Officer Mark Andrade
DATE: 09
RECEIVED Row; Hurse Arruda/Chortton Hospital
> ety
0
ATE: 09/12
DATE: 09 «ni
{OVER TO RECORD CONTINUING CHAIN OF CUSTODY)