_________________________________________________________________
Node Number - City/State

_________________________________________________________________
Year : Month : Day     Hour : Minute : Second

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Converted to local time in 24-hour format


EQUIPMENT & DATA CHECKS AS FOLLOWS:

[      ]  REOLINK SKYCAMS Check

[      ]  ACTRANS Check

[      ]  FR24 Check

[      ]  GMC300E RAD Check (Attach data printout)


SIGHTING INTEL CHECKS AS FOLLOWS:

[      ]  INDIANA NUFORC

[      ] INDIANA  MUFON CMS

[      ]  ILLINOIS NUFORC

[      ]  ILLINOIS MUFON CMS

[      ]  KENTUCKY NUFORC

[      }  KENTUCKY MUFON CMS

END DRP