Form Ao 104 - Tracking Warrant - United States District Court Page 2
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2AO 104 (02/09) Tracking Warrant (Page 2)
Case No.
Return of Tracking Warrant With Installation
1. Date and time tracking device installed:
2. Dates and times tracking device maintained:
3. Date and time tracking device removed:
4. The tracking device was used from
(date and time):
to
:
.
(date and time)
Return of Tracking Warrant Without Installation
1. Date warrant executed:
2. The tracking information was obtained from
:
(date and time)
to
:
.
(date and time)
Certification
I declare under the penalty of perjury that this return is correct and was returned along with the original warrant to the
designated judge.
Date:
Executing officer’s signature
Printed name and title
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