STOLEN BOAT
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10 JOHNSTON COUNTY E - 911 COMMUNICATION NCIC ENTRY FORM Stolen Boat Mandatory Fields AGENCY CASE DATA Originating Agency Name ______________________________________ Originating Agency Code ORI ______________________ Person Armed Hold for Prints ____________________ Agency Case Number ______________________ Notify Originating Agency ______________________ Date of Theft __ __________________ Linkage Agency Identifier ______________________ Linkage Case Number ____________________ BOAT DATA Make __________________________________________________ Type _________________ Length _ ________________ Color ______________ Propulsion Type _ _______________ Hull Type _________________ Must have Hull Number __ _______________ or Owner Applied Number _ ________________ Year of Manufacturer _________________ Registration Number ______ ___________ Reg State _____________ Reg Year _________________ Vehicle Ownership Data ______________________ Home Port __ _______________ Hull Shape _ _____________________ Model Name __ _______________ Bo at Name _______________ _____________________ __ Coast Guard Document Number __ _______________ ________________ Owner Information All info in this section is mandatory if Owner Na me is entered Owner Name _________________________ ________________________ Address ___________________________________ ________ _ __ City _ _____________________ Zip _ ________ BOAT DATA IMAGE DATA All info in this section is m andatory if Image NIC number is entered Image NIC Number _ _________________________________ Image Type __ ________________________________ Type Information Date ___________________________ NIC # ________________ __ ___________ Officer _ __________________________ Operator __________________ __ _________Page