Page 199 - 4. 2014 2nd half New 26-05-21 No Table
P. 199

e)   I consent to my      Yes      No        N/a
                    medical record in
                    relation to this
                    matter being
                    disclosed to the
                    defence:
               f)   I consent to the     Yes      No        N/a
                    statement being
                    disclosed for the
                    purposes of civil
                    proceedings e.g.
                    childcare
                    proceedings, CICA
               g)  The information       Yes      No        N/a
                    recorded above will
                    be disclosed to the
                    Witness Service so
                    they can offer help
                    and support. unless
                    you ask them not to.
                    Tick this box to
                    decline their
                    services:
               Signature of witness:
               Print name:
               Signature of
               parent/guardian/appropriate
               adult:
               Print name:
               Address and telephone
               number if different from
               above:
               Statement taken by (print      PC 752YE 206372 Steve
               name):                         ELSMORE
               Station:                       YE
               Time and place statement
               taken:


               3
               In Wrong Place
               The 2nd Asbo Folder / pub Book Issue: 1!
               Witness Statement of Steve Elsmore dated 11/08/2016 and Canary Wharf Group Incident
               Report No. 74507
               Page Numbers: 326,327,328,329,330,331,332
               11/08/2016
               Extra in Second Asbo Folder 1 of 8 Files!
               Back Dated!
               -
               326,
   194   195   196   197   198   199   200   201   202   203   204