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Search warrant - WBIR.com

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AO 93 (Rev. 12/09) <strong>Search</strong> and Seizure Warrant (Page 2)<br />

Return<br />

Case No.: Date and time <strong>warrant</strong> executed: Copy of <strong>warrant</strong> and inventory left with:<br />

Inventory made in the presence of:<br />

Inventory of the property taken and name of any person( s) seized:<br />

Certification<br />

I declare under penalty of perjury that this inventory is correct and was returned along with the original <strong>warrant</strong><br />

to the designated judge.<br />

Date:<br />

Executing officer's signature<br />

Printed name and title<br />

Case 3:13-mj-02028 Document 5 Filed 04/18/13 Page 2 of 18 PageID #: 216

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