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2. First Name
3. Last Name
5. Ballistic Vest Manufacturer
6. Serial #
7. Expiration Date
9. Handcuff #1
10. Model
11. Serial #
13. Handcuff #2
14. Model
15. Serial #
17. Cell Phone Manufacturer
18. Phone #
19. Serial #
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21. 1. Receive an email copy of this form.
22. Email address

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23. Submit

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