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‘PALM BEACH POLICE DEPARTMENT rs PROPERTY RECEIPT DETECTIVE BUREAU PBPD Form #52 Qirounn —_(O) decease (Probated) C1 PERSONAL Qi conriscatep CQ) vestroy CILABORATORY C) sToLEWRECOVERED Q) oTHER ‘ INCIDENT/CITATION NUMBER DATE/TIME RECOVERED ADDRESS WHERE PROPERTY IMPOUNDED “y 4 25 Sf rd DISCOVERED BY / D.O.B. : ADDRESS Street City Zip PHONE NUMBER OWNER'S NAME / D.O.B. ADDRESS Street City Zip | PHONE NUMBER ity Zip Zip z 2 SUSPECT'S NAME/D.0.B. ; ADDRESS Street Ci PHONE NUMBER , “an Lad = ADDT'NL. SUSPECT / D.0.B. ADDRESS Street ity PHONE NUMBER SPECIAL INSTRUCTIONS FOUND PROPERTY craim LJ QODAYS NOT CLAIM LJ E ; P ae 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. SIGNATURE SIGNATURE ID# RECEIVED BY REASON DATE/TIME RECEIVED DOJ-OGR- 00030907