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LOS SANTOS COUNTY SHERIFF'S DEPARTMENT
PRESS PASS APPLICATION
Sheriff's Information Bureau
300 Innocence Blvd., Los Santos, SA 90220
[email protected]
PRESS PASS APPLICATION
Sheriff's Information Bureau
300 Innocence Blvd., Los Santos, SA 90220
[email protected]
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- New Application
CONDITIONS THAT YOU ARE AGREEING TO:
| (4) This credential will be used only by the person to whom issued, and only in the line of duty. If used otherwise, it may be revoked. (5) This credential is the property of the Sheriff and is subject to revocation. This credential must be surrendered upon demand or upon any change of employment. |
(2) To abide by directions of officers where this credential is presented
(3) Possession of this card will not entitle entry to restricted areas if
such entry interferes with the duties of fire and/or police personnel
*Lying on application WILL result in denial of press pass.
ALL FIELDS ARE MANDATORY
ALL FIELDS ARE MANDATORY
SECTION 1: PERSONAL INFORMATION
1. YOUR LEGAL NAME
Title: MR
First: Cecil
Middle: -
Last: Miles
2. BIRTHDATE (DD/MMM/YYYY)
20/NOV/1991
3. BIRTH PLACE (CITY / COUNTY / STATE / COUNTRY)
Los Santos / San Andreas
4. CITIZENSHIP:
[X] U.S. Citizen
[—] Resident Alien who is eligible and applied for U.S. Citizenship
[—] Other
5. ADDRESS WHERE YOU LIVE (XX Street Name, Area, City ZIPCODE, State)
3005-B Movie Star Way, Los Santos, San Andreas
SECTION 2: AGENCY INFORMATION
1. AGENCY NAME:
San Andreas Network
2. POSITION:
Chief Executive Officer
3. BUSINESS ADDRESS: (XX Street Name, Area, City ZIPCODE, State)
3005-B Movie Star Way, Los Santos, San Andreas
4. DUTIES SUMMARY:
Full supervision of a news agency- and execution thereof.
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Applicant's Signature: Cecil Miles |
Date:
25/JUL/2023
25/JUL/2023
