VALIDATION RESPONSE LETTER
DATE:
Month of report
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2010
2012
2011
2009
2008
2007
2006
2005
NAME:
PHONE NUMBER:
ADDRESS:
REFERENCE #:
(EXAMPLE 99-21)
AGENCY:
Cowlitz County Sheriff
Longview Police
PROPERTY TAKEN:
Type property taken here
IS PROPERTY STILL MISSING?
Yes
NO
WAS INSURANCE MONEY COLLECTED?
Yes
NO