UNIDENTIFIED PERSON SUPPLEMENTAL
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10 JOHNSTON COUNTY E - 911 COMMUNICATION NCIC ENTRY FORM Unidentified Person Supplemental Form AGENCY CASE DATA Originating Agency Name ____________________________________________________________________ Originating Agency Code ORI __________________________________ RECORD IDENTIFYING DATA NCIC Number NIC _______________________________________________________ Agency Case Number OCA _________________________________________________ SUPPLEMENTAL PERSON DATA Scars Marks and Tattoos SMT ________________________________________________________________________ SUPPLEMENTAL IMAGE DATA Image NIC Number IMN _____________________________ Image Type IMT ___________________________ Test In dicator Yes No ____________________________ Information Date ___________________________ Officer ___________________________ NIC # _____________________________ Operator _____________________________Page