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PALM BEACH POLICE DEPARTMENT... ~ « i ) PROPERTY RECEIPT L- DETECTIVE BUREAU PBPD Form #52 QC) property QO) Founp ( DECEASED (Probate) (J PERSONAL CJ conriscATED (Q vestroy _ (i evivence tric () LaBoraToRY (J sTOLENW/RECOVERED OQ) otHeR INCIDENTI/CITATION NUMBER DATE/TIME RECOVERED PROPERTY NUMBER (Leave Blank) ADDRESS WHERE PROPERTY IMPOUNDED a Poa cht oe oY a I We ATD VAL Pe ACs a a © BIN NUMBER (Leave Blank) DISCOVERED BY /D.0.B. SUSPECT'S NAME /D.O.B. ; ~~ >: ADDRESS Street City i PHONE NUMBER ITEM # QUANTITY VALUE : DESCRIPTION cove = ; PHONE NUMBER OWNER'S NAME/D.0.B. ADDRESS Streat City Zip PHONE NUMBER = ‘ faa Pa ADDT'NL. SUSPECT/D.O.B. ADDRESS Street City Zip PHONE NUMBER | SPECIAL INSTRUCTIONS FOUND PROPERTY ciaim CY 90 DAYS NOT CLAIM LJ F } Tats. TOTAL PACKAGE WEIGHT | hereby acknowledge that the above list represents all property taken from me and that | have received a copy of this receipt. | hereby acknowledge that the above list represents all property impounded »| by me in the official performance of my duty as a police officer. As : : Fa H a SIGNATURE | ° ID¢ * UNIT REASON Nat DATE/TIME RECEIVED SIGNATURE RECEIVED BY Public Records Request No.: 17-295 DOJ-OGR- 00030909 07/26/17 Page 109 of 125