Tab 19, Investigation Procedures Manual, Civil Rights Division

TAB 19

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AUTHENTICATION OF EXCERPT OF RECIPIENT RECORD
[selected pages]

CASE NO.

CASE NAME

RECIPIENT

The undersigned hereby certifies that the attached excerpted pages [   ] through [   ] of [Record description--e.g., Memorandum from Chief of Police to Internal Affairs, dated August 15, 1996] contained in [file description-- e.g., Officer Smith's personnel file] are true and correct copies of the originals as they appear in the records and files of Anywhere Police Department.

[Name]

[Title]

[Date]


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Updated August 6, 2015