BUSINESS RECORDS DR#(Required) Evidence Code 1271 QuestionsCompany Name Witness Name(Required) Witness Name Witness PhoneAddress (to send subpoena) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Title Year in Position Duties in Current RoleName and Description of Records ProvidedComplete Questions Below1. Are the provided records made in the normal course of business and relied upon by your company in conducting regular business? Yes No 2. Is the information contained in the records generated at or near the time of the act, condition, or event to which they pertain? Yes No 3. Are you familiar with the provided records and how they are generated or prepared? Yes No 4. Are the records provided true and accurate copies of the records maintained by your company? Yes No Surveillance Recording QuestionsIf The Business Provides Surveillance Video, Complete The Questions Above And Additional Questions Below.1. How was the surveillance video stored? DVR Cloud Hard Drive Other Stored – Other 2. Are the date and time accurate? Yes No How do you know? 3. How do you determine that the transaction record (receipt) is for the same event depicted in the surveillance video? I Have Verbally Confirmed The Answers Provided On This Document With The Listed Witness. I Have Verbally Confirmed The Answers Provided On This Document With The Listed Witness. Officer Initials Officer SignatureOfficer Name Badge # Enter an email address to send this completed form to:(Required)