CONFIDENTIAL

CONFIDENTIAL POPO Fo-e en U PROPERTY O FOUND O DECEASED IPI0009:0 U PERSONAL U CONFISCATED O DESTROY "(EVIDENCE li(TRIAL O LABORATORY O STOLEN/RECOVEREO O OTHER INCIDENT/CITATION NU R O5' 34::, g DATESTRAE RECOVEPED - 1 2-2006 ton PROPERTY NUMBER taw Oink) O_&—/ e-z_ BIN NUMBER Beare marip zi.2_. „..,RTY ti APOUNDED t 2 040 PAW 13€Pek r V ADDRESS 2 City 20 PHONE NUMBER OWNERS ME I ADDRESS Sent av at PHONE NUMBER SUSPECTS NIJ'AEI= ti -'/`.j3 r R a AD°E39g s C &e rg PHONE NUMBER ADOTNL SUSPECT/ i f ADDRESS SVMI CRy 21:0 PHONE NWA3ER SPECIAL NSTRUCTIONS POUND PROPERTY CLAW O 90 DAYS NOT CLAW Ci ITEM I QUANTITY VALUE DESCRIPTION 1 1 r•-s'y Li K Dr-I ItSgedie CA-t t$ PAD -G - co L.01F 2- - I - TOTAL PACKAGE WEIGHT I hereby acknowledge that the above list ropresct au property taken from me and that I have received a copy 01 this receipt. I hereby acknowledge that the above list represents all property enpc‘nded me in the Ificial o mance of my duty as a ponce err,. IS SIGNATURE DATE RECEIVED BY R DATEMME RECEIVED — MS to] OZ - Zo - o Co rrter 4 r hod Gr 2eL pt. tiro c. .611s- OMNI en.,,aCfr Pisa, odze7-coc, 09c 5 ti, t ?St - T -2troL t 5 0 9 AC _Mg BEACH POLICE DEPARTM• PROPERTY RECEIPT EVIDENCE CUSTOVAK latammyslan MM12-31E-MM-108062 SEC 001 SER 1-T0.000314 3501.014-012 Page I of I EFTA_00056198 EFTA01245405