7/25/2019 Implied Consent Document

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HOMESTE D POLICE DEP RTMENT

IMPLIED CONSENT W RNINGS

CASE

:;J

0 I3 )

0

25---

CITATION:

23

6J

XEV

I

OTHER CASE:

English / Ingles

~

I am

now

requesting

that

you

submit to

a lawful test

of your

BREATH

for

t

he

purpose of

determining it's alcohol content.

' \

D I am

now

requesting

that

you

submit

a lawful

t e s t o f ' y o u ~ U R I N for

the puCpqse

of

(

5 etr

ining he

presence

of chd1 _1ii;al or

controll.l