THE KENYA POLICE
ABSTRACT FROM POLICE RECORDS
     A. APPLICATION
          NAME………………………………………………………………………………
          OF POSTAL ADDRESS…………………………………………………………...
          HEREBY APPLY FOR POLICE ABSTRACT, WHICH WAS REPORTED AT
          …..……………………………POLICE STATION ON…………………………...
          INVOLVING…………………………………………………………………….....
          ……………………………….DAMAGES ETC…………………………………..
          ………………………………………………………………………………………
          ………………………………………………………………………………………
          DATE……………………………………………………………………………….
          SERIAL NUMBER………………………………………………………………...
          ABSTRACT FROM POLICE RECORDS…………………………………………
          NAME………………………………………………………………………………
          ADDRESS………………………………………………………………………….
          OFFICIAL RECEIPT………………………………………………………………
          REPORTED ALLEGED TO HAVE BEEN RECEIVED ON……………………..
          ………………………………………………………………………………………
          SIGNATURE……………………………………………….
          OFFICER IN CHARGE POLICE STATION
          RECEIPT FOR CASH Ksh…………………………………
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