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PALM BEACH POLICE DEPARTMENT PROPERTY RECEIPT PBPD Form #52 DETECTIVE BUREAU () PROPERTY (J Founp (1) DECEASED (Probated) () PERSONAL : CJ conriscaTeD CY pestroy GP evioence A trac L] LABORATORY C) sTOLENRECOVERED (J oTHER INCIDENT/CITATION NUMBER DATE/TIME RECOVERED PROPERTY NUMBER (Leave Blank) BIN NUMBER (Leave Blank) a 3 a Pa js ~ & : Py \ 5 i / | ADDRESS WHERE PROPERTY IMPOUNDED. DISCOVERED BY/D.O.B. . ; ADDRESS ~ . P i i PHONE NUMBER OWNER'S NAME / D.O.B. ADDRESS Street City Zip PHONE NUMBER SUSPECTS NAME / D.0.B. oy ADDRESS it i PHONE NUMBER ‘ ADDT'NL. SUSPECT / D.0.B. ADDRESS / Street City Zip PHONE NUMBER SPECIAL INSTRUCTIONS; FOUND PROPERTY ciaim LJ wie Pe iia 90 DAYS NOT CLAIM L} ITEM # | QUANTITY | VALUE ea DESCRIPTION i 4 «gt £& et = a Z “a F; * wees ¥ “4 f A TOTAL PACKAGE WEIGHT | hereby acknowledge that the above list represents all property taken | hereby 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. ‘te * ™ SIGNATURE DATE | SIGNATURE... ID# UNIT RECEIVED BY REASON ., DATE/TIME RECEIVED DOJ-OGR-00030890