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-230 Main Street-Brattleboro, Vermont 05301 - Media Storage Request In order to better assist you in obtaining the necessary media, please fill out all the information requested below. One request per defendant, if this request is in regards to a traffic crash, plese provide the operators name: Brattleboro PD case # (example: 05BB01234) _____________________________________________________________________________________. Defendant's name and date of birth _____________________________________________________________________________________. Item/s requesting: _____________________________________________________________________________________. Person requesting (If you're a law office please indicate what firm you represent): _____________________________________________________________________________________. Reason for request: _____________________________________________________________________________________.
Do not fill out anything below this line
_____________________________________________________________________________________ Date item/s provided: _________________________by_____________________________to___________________________. |