Page 79 - Main Second Asbo Book1

RESTRICTED (when complete) Form MG11

WITNESS STATEMENT

(CJ Act 1967, s.9; MC Act 1980, ss.5A(3) (a) and 5B; MC Ru les 1981, r.70)

URN '--~-L------1-- 1
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Statementof... . ...... c~~ ..!~_<:::_._ 1 ;. 1-t-Al'\j / 5 °1 i E __ ~"--~·-.. ····· .......................... , .... .
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Age if under 18 .......... ,C.:::::'. ........ (if over18 in sert over 18') Occupation ..... Ee2>.~L.oo.. ..... Qe{.:tcQf ................... -........... .

This statement (consisting of .......... ~ ., 1 ........ page(s) each signed by me) is true to the best of my knowledge
and belief and I make it knowing that, if it is tendered in evidence, I shall be liable to prosecution if I have wilfully
stated in it anything which I know to be false or do not believe to be true.

s;gnaturn - ~h. __ ] 5°1y'.f:. ______ Date.2..,.}>-, ____ _ 1__.s, L':t: __ _

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