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lncid�nt Report Page I nf 3 <br />ELIf R'f �FIQ PG7LICE DEP�RTMENT PDLICE aFPARTMENT <br />r <br />►NCIDEIYT RFPCIIQ'7►' <br />ICR� 22422288 AGENCY QI�I# MN07'Ia2�Q JUVENILE: <br />Reported: 12-05-24221s24 �First Assigned: �82� First Arrived:1B20 Last Cleareci:163D <br />Committed 5tart: 12-05-2422 Cammittaedl End: 1z-o5-2�22 <br />Titl�: Citation How Recei�ed: in Persan <br />5hvr�t �escription. <br />�aba�cco Gompliance check failu�re <br />Surnmary: <br />1P1�Ini�e performing tobacca compliance checks the citeci sub�eci sald a t€�F�acca pr�duct to a minar. <br />[C7ff'i�r �14; Citation 71022Q22D�Q3fii9] <br />C��ed far seliing tabacco ta a und�rage p�rsvn. S�e supplemental. <br />'12-7-2022 - �Aailed let�er and citatic�n tca �i#ed �arty; #�71. <br />Location(sj <br />Vape Bar Address: 134�3 Business Center Qr hIW City: Elk River St�te: MN Zip: 55334 Country, US <br />Custom Attrihutes A7CVN - �'WC <br />C3ffic�r Assigned: Williarr�s, f3avici Badge No_ 6�4 Primary: Yes <br />M�G: M7401 Literal: FURNISH T�BACCD-NIC�TI �EL!°U ❑�EVIGE-CHILQ-MISD Statuie: 603-fi85-2 UCR: 2S <br />Name(sj <br />Las# Name: Sappa First; Arianna Middle: Ratr�cia Genevie►+e �B: D4-�3-2003 <br />In►►al�emen� Arrested �+lame: 5appa, Ananna f'atri�ia Genevieve DOB: �-2$-20�� <br />Age: 19 <br />Address: (Residen�} 330 Pleasant Ave Gity: Big Lake 5tabe: MN Z1p; 553a9-957U Cauntry: <br />� Arrest �Ydte Time: 12-05-2022 �62� <br />� In4al�ement: Mentioned Name: Sherbume Caunty Eiealth and Human Servicr;s <br />Il�llddress: (Gavero}ment} 13880 Business Center �r NW City: Elk River State: MN Z�p. 55330 Cauntry; US <br />Invol�ement: Mentioned Name: Lees, Mark Frederick D�B: 03-31-1971 <br />Age: 51 <br />Addr�ss: (Governmentj i388Q Business Cenfer C7r NW City: Eik Ri�er State: MN Zip: 5533a Coun�: IJ5 <br />In�ol►rernent: Mentioned Name: Vape Bar <br />Address: [Business} 134'�3 8usiness Center []r NW City_ Elk Ri�rer State: MIW Zip: 5533f1 Country; US <br />BarCode: 22-Q1277 (t�Rl Type: Tohac�v Bln: IQESTROY <br />QeSCrip�ti�n: Pipe tobacco <br />Lncation <br />dddresa: (BusinessJ 13493 Busuness Genter Or M1iW City: Elk Ri��r 5taie: MN �ip: 5533f1 Country: US <br />https:llpd.elkrivermn.ga�lletglApplicationsllnciden#IRep�o�#ControlslincidentRepart.aspx?... 1111 f2U23 <br />