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Name: 
 Samuel Ray Eltzroth
Warrants: 
 Fta- Dealing Sch. Iv Controlled Substance Class &Quot;C&Quot; Felony Dealing Sch. Ii Controlled Substance Class &Quot;B&Quot; Felony
DOB: 
Gender: 
 Male
Race: 
 W
Height: 
 5' 1
Weight: 
 150 lbs
Hair: 
 BRN
Eyes: 
 GRN

I have information regarding Samuel Ray Eltzroth.

Please answer as many questions that you can. Any information that you can provide is helpful.
  1. Where does this person live?


  2. Are there any children in the home? If yes, please list ages.

  3. What is the home phone number?

  4. What vehicle would this person be driving or riding in?

  5. What is the license plate number and state of this vehicle?

  6. Where does this person work?

  7. What shift do they work?

  8. Where would we find this person if they were not at home?

  9. Who does this person associate with?

  10. Does this person have any identifying marks?
    (scars, marks, tattoos)

  11. Do you know this person by another name or nickname?

  12. Does this person live with anyone? Please list their names.

  13. Does this person carry a weapon? Please list any known weapons.

  14. What additional information can you provide?


  15. What is your name? Optional

  16. If needed, how could we contact you? Optional

  17. Please type the two words you see below



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