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Get and Sign Sp 167 Form 2009
Virginia State Police to search the files of the Central Criminal Records Exchange for a criminal history record and report the results
of such search to the agent or individual authorized in this document to receive same.
__________________________________________________________________
Signature of Person
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State of _______________; County/City of _______________________, to wit: Subscribed and sworn to before me this __________ day of _______________ , 20 ____.
My Commission expires...
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