GA. CRIME INFORMATION CENTER LOG – (CRIMINAL HISTORY) - ATLANTA POLICE DEPARTMENT

Office:	ORI

Date of

Inquiry

Explain why inquiry was made

HISTORY INQUIRY

Name / Sex / Race / Dob / Soc / MNU / FBI / SID

REQUESTING AGENCY:

NAME OF OFFICER & AUTHORIZED AGENCY

RELEASED RECORD TO: NAME OF OFFICER & AUTHORIZED AGENCY

RECORD RELEASED BY:

NAME OF OERATOR RELEASING RECORD

PURPOSE

OF

REQUEST (C, J, E)

Name:
NAME OF OFFICER:	NAME OF OFFICER:	NAME OF OPERATOR:
Sex	Race
DOB
AUTHORIZED AGENCY:	AUTHORIZED AGENCY:
MNU#
TITLE:
FBI
SID #

Name:
NAME OF OFFICER:	NAME OF OFFICER:	NAME OF OPERATOR:
Sex	Race
DOB
AUTHORIZED AGENCY:	AUTHORIZED AGENCY:
MNU#
TITLE:
FBI
SID #

Name:
NAME OF OFFICER:	NAME OF OFFICER:	NAME OF OPERATOR:
Sex	Race
DOB
AUTHORIZED AGENCY:	AUTHORIZED AGENCY:
MNU#
TITLE:
FBI
SID #

Name:
NAME OF OFFICER:	NAME OF OFFICER:	NAME OF OPERATOR:
Sex	Race
DOB
AUTHORIZED AGENCY:	AUTHORIZED AGENCY:
MNU#
TITLE:
FBI
SID #

NOTE: “DH” performed only for criminal investigation purposes, must have case # and logged. These entries will

be audited periodically.

Form APD 425

GA

Joyce S Bostick

2004-05-11

AJordan