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.