Witness Statement

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do hereby make the following statement to Security of the Columbus College of Art & Design, Department of Safety & Security. I make this statement of my own free will and accord, concerning an incident that occurred on

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I have read the statement above. I attest that this is a true and accurate account of the event(s) which took place on the date above. This statement was given by me freely, voluntarily, without fear, threat or promise of reward.

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