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2. Location of Violaton
   Please provide physical address to the possible violation
3. Type of Violation
   Running at Large, Cruelty, Stray, Nuisance pet, Other
5. Contact information
   Please provide your name first and last
6. Contact Phone Number
   Please provide a good contact information
8. Address
   Please provide your address
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10. 1. Receive an email copy of this form.
11. Email address

    This field is not part of the form submission.

12. Submit

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