ATLANTA POLICE DEPARTMENT

CLEAR-UP REPORT

Date:	Complaint Number:
Victim:
Location Cleared By Arrest:

CLEARED BY ARREST

Name	RACE	SEX	DOB
Arrested On Original Complaint Number:

Additional Charges
Name	RACE	SEX	DOB
Arrested On Original Complaint Number:

Additional Charges
Name	RACE	SEX	DOB
Arrested On Original Complaint Number:

Additional Charges
Name	RACE	SEX	DOB
Arrested On Original Complaint Number:

Additional Charges
Name	RACE	SEX	DOB
Arrested On Original Complaint Number:

Additional Charges

NAME OF OFFICER CLEARING OFFENSE	SIGNATURE OF OFFICER	APD ID #
DATE SUBMITTED	ASSIGNMENT	UNIT #
SUPERVISOR APPROVING
UNIT #

APD Form 903 revised 6/30/00

Formerly TSD/CRU 042

ATLANTA POLICE DEPARTMENT

VWarnic

2000-09-11

Atlanta Police Department