N.Y. Comp. Codes R. & Regs. tit. 14, Appendices, app 105-A
NACC C-18
(Auth Reg § 2005.20)
STATE OF NEW YORK NARCOTIC ADDICTION CONTROL COMMISSION
N. A.C.C. NO. ________
N. Y.S.I.I.S. NO. ________
NOTICE OF RECALL AND CANCELLATION OF WARRANT
TO THE STATE POLICE OR ANY OTHER POLICE DEPARTMENT TO WHOM A WARRANT FOR ARREST AND DETENTION MAY HAVE BEEN ISSUED:
Please take notice that a Warrant bearing the upon noted identification numbers and pertaining to one ________ which was issued on the ________ day of ________, 19 ________ and forwarded to you for execution is hereby recalled and cancelled and all authority thereunder is hereby withdrawn.
Please take notice that all copies of the aforesaid warrant should be returned at once to the undersigned at the address shown.
NEW YORK STATE NARCOTIC ADDICTION
CONTROL COMMISSION
Dated: ________, 19________ Per
____________
Authorized Signature
____________
Typed Signature
____________
Address
________
N.Y. Comp. Codes R. & Regs. tit. 14, Appendices, app 105-A