| Lane County, Oregon | eGovernment |
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Type Incident:_______________________________ Location: _____________________________
Occurred Date and Time:______________________
Received From: _____________________________ Phone Number: (____) ______ - ______
Address:___________________________________
Date: __________________ Time:_____________
Sex:_________ Race:_________ Nationality:_________________ Age:____ DOB:_________
Height:_____ Weight:____ Hair Color:___________ Hair Style:___________ Eye Color:_______
Scars / Marks / Oddities:___________________________________________________________
______________________________________________________________________________
Address:_______________________________________________________________________
Remarks:_______________________________________________________________________
Vehicle Information: Year:_____ Make:____________ Model:____________ Style:____________
License Number: ___________ State: ______ Color:_____________ Interior Color:___________
Oddities / Special Equipment:________________________________________________________
Mail this TIPSHEET to: Lane County Sheriff's Office
Attn: Sergeant Rene Stone, CIS
125 East 8th Avenue
Eugene, OR 97405
OR ----> email information to socofidential@co.lane.or.us
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