ATLANTA POLICE DEPARTMENT

Mobile License Plate Reading System

Incident Number:
Date:
Location of Recovery

with GCIC confirmed Hit
or	Sighting without vehicle recovery

with GCIC confirmed Hit
Address # and Street Name	Type	Quad	Intersecting Street Name and Type	Beat
Stolen Vehicle from Atlanta?	Yes
No
Other agency name and Report Number
Arrest
Yes
Name

Race

Sex

DOB

Driver?	Yes
No
No
Please list any additional passenger, suspects, or arrestees in the information section below.

Officer’ Name (print)	Unit	ID number	Date
Officer Signature	Date	Supervisor Signature	Date
Fax to Crime Analysis 404-853-7602
Forward Original to Central Records

Form APD 691 created 12/19/06

ATLANTA POLICE DEPARTMENT

VLivsey

2008-06-17

City of Atlanta