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Incident Report <br />gage 2 of 2 <br />Address: (School) 948 Proctor Ave NIW <br /># 71022022000863 <br />City: Elk Rivier State: MN Zip: 55330 Country: US <br />Mrn, Offlcor <br />11-15-2022 Birdsall 611 <br />Description: <br />Smoking, Chewing Tobacco, or E-cigarettes Prohibited in Public or Charter School <br />Not Name: XXXXX First: XXXXX MiddNe: DOB: <br />xxxxxxx xxxxxxxxxx <br />Address; (Residence) XXXXX XXXXX XX XX City: State. XX Zip.- xxxxx Country: <br />xxx xxxxx us <br />Ciffense(s) <br />Offense. Smoking, Chewing Tobacco, or E-6garettes Prohibftedl in Public or Charter School (144.4165) SrnoWng, Chewing <br />Tobacco, or E-cigarettes Prohibited in Pubfic or Charter Schooll <br />Loicatiions(s) <br />Address: IN lone Selected) 948 PROCTOR AVE NW 04- Elk River State: MN Zip: Country, U'S <br />Court DiMm: -- Court Location. Sherburne County <br />Contact #1 Mother X,XXXXX XXXXX XXXXXX,XXXX XXXXXXXXXXXX <br />xxxxx xxxxx xx xx xxx xxx xxxxx xx xxxxx <br />Offense. Smoking, Chewing Tobacco, or E-cigarettes Prohibited in Public or Charter Schap it (144.4165) SmoWg, Chewing <br />Tablacco, or E-cigairettes Prohibited ins Public or Charter School <br />Type: Subirnifted To County Attorney Disposliflon: Citation Name,, XXXXX X XXXXX XXXXXXX XXXXXXXXXX <br />littp,i:llpd,elkriveiiiiii.llctgl,ApplicatioiisllncidentIRep�ion i,itrlliicill eiitRc:foil, aspix?... 1/1112023 <br />