TAB 19
Parts of this tab have been reformatted to ensure accessibility by all browsers and all users. An exact copy of this tab is in the PDF version.
AUTHENTICATION OF EXCERPT OF RECIPIENT RECORD
[selected pages]
CASE NO.
CASE NAME
RECIPIENT
The undersigned hereby certifies that the attached excerpted pages [ ] through [ ] of [Record description--e.g., Memorandum from Chief of Police to Internal Affairs, dated August 15, 1996] contained in [file description-- e.g., Officer Smith's personnel file] are true and correct copies of the originals as they appear in the records and files of Anywhere Police Department.
[Name]
[Title]
[Date]