PALM BEACH POLICE DEPARTMENT

PALM BEACH POLICE DEPARTMENT PROPERTY RECEIPT PBPD Fon) es2 DETECTIVE BUREAL U PROPERTY J FOUND 0 DECEASED (frooated 0 PERSONAL 0 CONFISCATED 0 DESTROY a EVIDENCE Lig TRIAL U LABORATORY K STOLEN/RECOVEREC CI OTHER IDF NT/CITATION NUMEFR DATE/TIME RECOVERED *7 ) Lib PROPERTY NUMBER (save Blank/ BIN NUMBER (Leave Blank) ADDRESS' vHERE PROPER'"? IMPOUNDED 4OLj NiT Y ADDRESS pupt 7741) Ciry zw, PHONE NUMBER L.) OWNERS NAME / D.O.B. ADDRESS Street City Zip PHONE NUMBER SUSPECTS NAME / D.O.B. ADDRESS Street City Zip Street CM Zip PHONE NUMBER ADDTNL. SUSPECT / O.O13. ADDRESS PHONE NUMBER SPECIAL INSTRUCTIONS FOUND PROPER I Y 90 DAYS CLAIM J NOT CLAIM a ITEM $ QUANTITY VALUE DESCRIPTION Y Pi iont CP TOTAL PACKAGE WEIGHT I hereby acknowledge trial The abo. a list represents all property taken from me and that I have received a copy el Ms receipt. SIGNATURE DATE I hereby acknowledge that the above list represents ell property impounded of my duty as a police officer. IDs UNIT RECEIVED BY RE DATE/TIME RECEIVED EFTA00260663 PALM BEACH POLICE DEPARTMENT PROPERTY RECEIPT PEIFIC ram IrS2 K PROPERTY O FOUND U DECEASED (ProbateTR K PERSONAL K CONFISCATED K DESTROY I.J EVIDENCE U TRIAL K LABORATORY 0 STOLEN/RECOVERED J OTHER DATE/TIME RECOVERED PROPERTY NJMBER (Leave Bark) BIN NUMBER (Leans Bart) ISIM ER ADDRESS WHERE PPOPEPTy IMPOUNDED ADDRESS Street cily LO PHONE NUMBER OWNER'S NAME / D.O.B. ADDRESS Steer Cey Iv PHONE NUMBER SUSPECTS NAME / D.O.B. ADDRESS Steer City Iv PtiONE NUMBER A DDT'NL SUSPECT / D.O.B. ADDRESS Speer City ZO PHONE NUMBER SPECIAL INSTRUCTIONS FOUND PROPERTY CLAIM K 90 DAYS NOT CLAIM U ITEM $ QUANTITY VALUE DESCRIPTION TOTAL PACKAGE WEIGHT I hereby acknowledge that the above list represents at propely taken I hereby acknoviledie Mat the above list represents all property impounded from me end that I have received a copy of this receipt. my duty as a poles °timer SIGNATURE DATE IDO JNT RECEIVED BY R DATE/TIME RECEIVED CONTRIBUTOR'S COPY EFTA00260664