The accompanying records and recordings and explanatory material are from the (name of agency) public safety answering point communications facility. This form authenticates (number) pages. This form authenticates (number) tapes. These documents and tapes pertain to: case number _____________, department report number _________________, call receipt date and time ______________, caller name _______________________, call origination location address _______________________, originating telephone number _____________________, dispatch time _____________________, arrival time_____________________.
Signed: ________________________ Custodian of records.
A.R.S. § 13-3989.01