DOJ-OGR-00030877.jpg
Extracted Text (OCR)
PALM BEACH POLICE DEPARTMENT
>) PROPERTY RECEIPT DETECTIVE BUREAU
PBPD Form #52
(J property Q)rounn _O) Dece ase (Probated) C) PERSONAL C1 conriscateo QC) vestroy
WW evivence “i triat CI LasoraTory CL) sTOLEN/RECOVERED CJ oTHER
ADDRESS...
INCIDENT/CITATION NUMBER DATE/TIME RECOVERED PROPERTY NUMBER (Leave Blank) BIN NUMBER (Leave Blank)
» i | \CF=/ A f
a. "ed at =; % Ce > ¥
ADDRESS WHERE PROPERTY IMPOUNDED
PHONE NUMBER
My a
OWNER’S NAME/ D. 0. B. ADDRESS Street PHONE NUMBER
SaeEORN NAME /D.0.B. ADDRESS Street PHONE NUMBER
t ( x Kj j ed ‘" f
ADOT NL SUSPECT/ D.O.B. ADDRESS Street
aus ™ :
DISCOVERED BY /D.O, Ee
SPECIAL INSTRUCTIONS. \ FOUND PROPERTY ciaim CY
90 DAYS NOT CLAIM LJ
TOTAL PACKAGE WEIGHT
| hereby acknowledge that the above list represents all property taken thereby acknowledge that the above list represents all property impounded
from me and that | have received a copy of this receipt. by me in the official performance of my duty as a police officer.
SIGNATURE DATE SIGNATURE ms UNIT
RECEIVED BY
DOJ-OGR-00030877