Springfield Police Department

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CRIMINAL INVESTIGATIONS DIVISION

DECLINE TO PROSECUTE

Case #:

I, , have filed a complaint with the Springfield, Missouri Police

Department in reference to the crime of and do

not wish to have criminal charges filed against for that

crime.

Signature:

Date:

Witness:

Revised: 01/31/2014 Decline to Prosecute.dotx 94-IN-0022

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