BICYCLE IDENTIFICATION

 

Make (Schwinn, Huffy, etc.) _________________

 

Model Name _______________________

 

Owner’s Name __________________________________

 

Phone ________________

 

Address_________________________________________________________

 

Birth Date ___________

School Name _________________________________

 

Frame Number (serial #)______________________

 

Type (Boys, Girls) _______________

 

Tires (High Pressure, Standard) _______________

 

Brakes (Hand, Foot) _______________

 

Accessories (Lock, Light, Rack, etc.)___________________________________

 

Handle Bars (Standard, Raised) __________________ 
 

Rims (Painted, Chrome) _____________

 

Tire Size (16”, 20”, 24”, 26”, 27”) _____________ 

 

Fenders (Front, Rear) __________________

 

Color ______________________________   

 

Trim Color   ______________________________

 

 

PLEASE BRING THIS COMPLETED FROM AND $5.00 TO THE LODI POLICE DEPARTMENT, RECORDS DIVISION, TO PURCHASE YOUR BICYCLE LICENSE.