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PALM BEACH POLICE DEPARTMENT / PROPERTY RECEIPT PBPD Form #52 CONTRIBUTOR S COPY | Qerorerry _| Qrouno _O1 decease (Probated) (2) PERSONAL (2) conriscaTeD CY pestroy trac ( Lasoratory () sToLeN/RECOVERED (J oTHER INCIDENT/CITATION NUMBER DATE/TIME RECOVERED PROPERTY NUMBER (Leave Blank) BIN NUMBER (Leave Blank) Li Rf ADDRESS WHERE PROPERTY IMPOUNDED PHONE NUMBER PHONE NUMBER SUSPECTS NAME/D.0.B. 7. © ADDRESS Street City Zip PHONE NUMBER ADDT'NL. SUSPECT /D.O.B. ADDRESS Street City Zip SPECIAL INSTRUCTIONS FOUND PROPERTY ciaim LJ 90 DAYS not ciaim CL) TEM # | QUANTITY | VALUE DESCRIPTION DISCOVERED BY/D.0.B. -_ OWNER'S NAME / D.O.B. 4 eat t ry; 2 wi ¥ “as 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 DATE SIGNATURE ; RECEIVED BY "REASON 'e DATE/TIME RECEIVED 07/26/17 Page 110 of 125 DOJ-OGR-00030910