FOR DEPARTMENT USE ONLY
Date Information Verified: _________________________ Officer/CSO: ____________________________________
Date(s) Residence Checked: ______________________________________ Follow-Up Notification Date: _____________________
Date Filed: _____________________________
BONNEY LAKE POLICE | Residential Vacation Check
18421 Veterans Memorial Drive East Bonney Lake, WA 98391 Office 253-863-2218 | Fax 253-863-2661
Updated Version 07/19. All other versions are invalid.
