EFTA01334275

PALM BEACH POLICE DEPARTMENT PROPERTY RECEIPT Pan, Fenn ass U PROPERTY O FOUND D DECEASED (Probated) U PERSONAL U CONFISCATED CI DESTROY cil EVICENCE U TRIAL 0 LABORATORY U STOLEN/RECOVERED O OTHER INCIDENT/CITATION NUMBER DATE/TIME RECOVERED PROPERTY NUMBER peeve Blank) BIN NUMBER (Leave Bank) ADDRESS WHERE PROPERTY IMPOUNDED DISCOVERED BY / D.O.B. ADDRESS Street Cory Zip PHONE NUMBER OWNERS NAME / D.O.B. ADDRESS Strew Cay Zip PHONE NUMBER SUSPECT'S NAME / 0.0.B. ADDRESS Street Qty Zip PHONE NUMBER ADDT'NL SUSPECT / O.O.B. ADDRESS Street City Zip PHONE NUMBER SPECIAL INSTRUCTIONS FOUND PROPERTY CLAIM U 90 DAYS NOT CLAIM J ITEM N QUANTITY VALUE DESCRIPTION TOTAL PACKAGE WEIGHT I hereby acknowledge that the above list represents all property taken from no and that I have received a copy of this receipt. I hereby acknowledge that the above list represents all property impounded by menthe official performance of my duty as a police officer. SIGNATURE DATE SIGNATURE IDI UNIT RECEIVED BY REASON DATE/TIME RECEIVED CONTRIBUTOR'S COPY SDNY_GM_02764968 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFIA_00251810 EFTA01334275