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IC R# 22022288 AGENCY 0Rl# M5t0710200 <br />Repoirte& 12-05-202211520 First Assigneld-1620 First Arrived.16201 Last Cl� 1630 <br />Commifted! Start: 12-05-2022 Corninnitted En& 112-05-20,22 <br />Title. Citaton I Received: in Person <br />Short Description: <br />Tobacco, compbance check failure <br />Summary, <br />While performing tobacco coirnpliance checks, flie cited Subject sold a tobacco product,to a iminloir. <br />[Officer 6141 Citation 7,110221 2003679] <br />Cited for selling tobac�clo, to a uinder,age pleirson, See supplemental. <br />112-7'-2022 - Mailed letter and citation to cited Iparty. 10. <br />Liocation(s), <br />Vape Bar Addresw 13493 Business Center Dr NW City: Elk River State: MN <br />Zip: 55330 Country: US <br />Cursfor n Attributes AXON - BWC <br />Officer Assigned. Wflifiams, Da0d Baidgile No!: 614 <br />Primary: Yes <br />. ....... . ..................... <br />MOC: M7401 Literal. FURNIISH roBACCO-IN111COT'l DELIV DEVICIE-CHILD-MIS01 Statut e� 609-685-2 LICI 26 <br />Narne(s) <br />Last Name,., Sappa First: Arianna Middle., Patricia Genevieve <br />--l"..- . . . . ...... .... <br />DOB: 04-23-2003 <br />................ <br />Irivolvemeft Arrested Name: Sappa, Arianna Pathda GeneOeve <br />13,013: 104,23,20,03 <br />Age; 19 <br />Address. (Residence) O Rleasant Ave City: Big Lake, Sta te. M N zlp: <br />553,091.9570 Country: <br />Arrest I flime, 12-05-2022 1620 <br />Itivolvemeft Mentioned Name: Srerburne County Heafth and HUMan Sewmes <br />Address. (GovernrneM) 13880 Busuness Cerler Dr NW City', lEtk River State: I <br />Zip. 553,30 Ccruntry. US <br />Involverrierrt: Mentioned Narrie; Lees, Mark iFirederick <br />DOB-. 03-31-1,971 <br />Age: 51 <br />Address., (Governjrnrent13880 Busuness Center I NW City� Fk River State: MIN <br />Zip: 55330 Country: 'US <br />involvement: Mentioned Name: stare Bar <br />Address,., (Business) 13493 Biusirmss Cwiter Dr 1NW City,. F11k, Il wer State: MIN <br />Zip., 553310 country: US <br />. . . ... . ........................ . ..... . . -- . . . . . ............ ........... . ... . ........ . . . . .................. -- . ........ . ........... <br />BarCoclie: 22-011277 Item Type: Tobalwo BinDIES"r`ROY <br />Description, Pipe tobacco <br />Locarlon <br />Addresw (8 us4iess)'134153 Business Center Dr NW CltEW River State: MIN <br />.............. . . .... . .... <br />Zip,- 563310 Coun lq�: Us <br />_ I <br />apse � //pcl:,, el k.ri verm n, go v4elg/ A ppl�, ications/1 neide III port(;`n trols/l nei de i i Weport . aspx?. . , 1/11/2023 <br />