EFTA00038939

PALM BEACH POLICE DEPARTMENT PROPERTY RECEIPT PBP0 Form *52 U PROPERTY LII FOUND U DECEASED (Probated) LI PERSONAL LI CONFISCATED U DESTROY Lli EVIDENCE U TRIAL U LABORATORY CI STOLEN/RECOVERED Lk OTHER INCIDENT/CITATION NUMBER DATE/TIME RECOVERED PROPERTY NUMBER (Leave Blank) BIN NUMBER (Leave Blank) ADDRESS WHERE PROPERTY IMPOUNDED DISCOVERED BY / D.O.B. ADDRESS Street City Zip PHONE NUMBER OWNER'S NAME / D.O.B. ADDRESS Street CM Zip PHONE NUMBER SUSPECT'S NAME / D.O.B. ADDRESS Street City Zip PHONE NUMBER ADDT'NL. SUSPECT / D.O.B. ADDRESS Street City Zip PHONE NUMBER SPECIAL INSTRUCTIONS PROPERTY CLAIM FOUND LI 90 DAYS NOT CLAIM 0 ITEM I QUANTITY VALUE DESCRIPTION TOTAL PACKAGE WEIGHT I hereby acknowledge that the above list represents all property taken from me and that I have received a co f this receipt. I hereby acknowledge that the above by me in the official performance list of my represents all property impounded duty as a police officer. SIGNATURE DATE SIGNATURE ID# UNIT RECEIVED BY REASON DATE/TIME RECEIVED CONTRIBUTOR'S COPY EFTA00038939