KISS
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The Lake Placid Police Department
maintains a list of senior or vulnerable residents for the specific
purpose of |
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| DATE ___________________ RESIDENT'S NAME _____________________________ RESIDENT'S ADDRESS ___________________________________________________ RESIDENT'S TELEPHONE ________________________ RESIDENT'S AGE
________ RESIDENT'S RELATION TO YOU _________________ CALLER'S TELEPHONE NUMBERS ________________________________________________________________________________________ CALLER'S EMAIL ADDRESS __________________________________
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