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Moore County Public Safety Tape Request
There is a $3.00 fee for the recording. We only accept cash or check. NO debit/credit cards.
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Requestor Information
Date
*
MM
/
DD
/
YYYY
Name of Requestor
*
Your answer
Department
*
Your answer
Street Address/City/State/Zip
*
Your answer
Home Phone
*
Your answer
Work Phone
Your answer
Email Address
Your answer
Incident Information
Date
*
MM
/
DD
/
YYYY
Time
*
Time
:
AM
PM
Location
*
Your answer
What is to be recorded
*
Your answer
PUBLIC SAFETY USE ONLY
Date Promised
MM
/
DD
/
YYYY
Date Completed
MM
/
DD
/
YYYY
CAD Incident#
Your answer
Completed By
Your answer
Time Completed
Time
:
AM
PM
Date Returned
MM
/
DD
/
YYYY
Transcribed/Reviewed
Your answer
Signature of Requestor
Your answer
Date
MM
/
DD
/
YYYY
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