RIDE ALONG REQUEST - Nata Wazosky

[Nata Wazosky]

RIDE ALONG REQUEST

1. PERSONAL INFORMATION

• 1.1 FULL NAME

• • FIRST NAME: Nata
    MIDDLE NAME: -
    LAST NAME: Wazosky

2. DATE OF BIRTH

• • DOB (DD/MM/YYYY): 03/05/2000
    Nationality: Indonesia
    Gender: Male

By signing this document, I acknowledge that the opportunity to participate in the Los Santos
Police Department Ride-Along Program is a privilege and that the assigned deputy, Sheriff, or his designee can discontinue my participation in the ride-along program at any
time.

Sincerely yours,
your signature
[Nata Wazosky]

[Ken Petterson]

ACCEPTED

Dear Mr. Wazosky,

We are pleased to inform you that your application to participate in the Los Santos Police Department Ride-Along Program has been reviewed and approved.

Your scheduled ride-along will take place on 09/09/2025. Please arrive at the front desk of the PBSO Station, located at Paleto.

Sincerely,

Ken Petterson
Los Santos Sheriff Department