This Abstract Form is free of charge.

REPUBLIC OF KENYA

ABSTRACT FROM POLICE RECORDS

TO……………………………………………………………………………......................

ABSTRACT REGISTER NO………………………………………………………………

POLICE REFERENCE………………………………………………………………….....

MISC. RECIEPT NO……………………………………………………………………….

WE HAVE CONFIRMED THE REPORT…………………………………………………

………………………………………………………………………………………………

WHICH WAS REPORTED AT ……………………………………...POLICE STATION

CASE FILE NO…………………………………………………………………………….

NAME OF THE COMPLAINANT………………………………………………………...

………………………………………………………………………………………………

………………………………………………………………………………………………

………………………………………………………………………………………………

IT IS FURTHER NOTED THAT THE PROPERTY INVOLVED WAS ESTIMATED

TO THE VALUE OF Ksh………………………………………………….........................

DETAILS OF PROPERTY RECOVERED………………………………………………..

………………………………………………………………………………………………

………………………………………………………………………………………………

SIGNATURE………………………………………………

OFFICER IN CHARGE POLICE STATION

APPENDIX “4”

This Abstract Form is free of charge.

THE KENYA POLICE

ABSTRACT FROM POLICE RECORDS

A. APPLICATION

NAME………………………………………………………………………………

OF POSTAL ADDRESS…………………………………………………………...

HEREBY APPLY FOR POLICE ABSTRACT, WHICH WAS REPORTED AT

…..……………………………POLICE STATION ON…………………………...

INVOLVING…………………………………………………………………….....

……………………………….DAMAGES ETC…………………………………..

………………………………………………………………………………………

………………………………………………………………………………………

DATE……………………………………………………………………………….

SERIAL NUMBER………………………………………………………………...

ABSTRACT FROM POLICE RECORDS…………………………………………

NAME………………………………………………………………………………

ADDRESS………………………………………………………………………….

OFFICIAL RECEIPT………………………………………………………………

REPORTED ALLEGED TO HAVE BEEN RECEIVED ON……………………..

………………………………………………………………………………………

SIGNATURE……………………………………………….

OFFICER IN CHARGE POLICE STATION

RECEIPT FOR CASH Ksh…………………………………